Advanced Life Support (ALS) Online Session
Final Exam Questions and Answers – Newest
RATED A+ 2025/2026 UPDATED NEW!!
1. A patient's ECG reveals a narrow QRS complex with a regular rhythm,
indicating a narrow-complex supraventricular tachyarrhythmia. The patient is
hemodynamically stable. Which intervention would be initiated first?
Answer: Vagal maneuvers
2. A patient's capnogram reveals the following waveform. Which segment would
the healthcare provider interpret as reflecting the beginning of exhalation?
Answer: A-B
3. A patient experiencing an unstable bradyarrhythmia does not respond to atropine
or transcutaneous pacing. Which intervention would the healthcare provider use
next?
Answer: Administration of an epinephrine infusion
4. A patient with a suspected stroke arrives at the emergency department at 7:10
p.m. The stroke team ensures that a neurologic assessment and brain computed
tomography or magnetic resonance imaging is obtained by which time?
Answer: 7:30 p.m.
5. A patient in the telemetry unit is stable. Cardiac monitoring indicates the patient
has ventricular tachycardia with a pulse. Further assessment reveals that the
corrected QT interval is greater than 0.46 seconds. Which treatment would be
appropriate at this time?
Answer: Synchronized cardioversion
,6. A resuscitation team is debriefing following a recent event. A patient
experienced cardiac arrest, and advanced cardiac life support was initiated. The
patient required the placement of an advanced airway to maintain airway patency.
Which statement indicates that the team performed high-quality CPR?
Answer: “We delivered 1 ventilation every 6 seconds and chest compressions
at a rate of 100 to 120 compressions per minute.”
7. A healthcare provider initiates ventilations to ensure adequate breathing and
oxygenation. While ventilations are being performed, capnography is established
to evaluate the adequacy of the ventilations. The healthcare provider determines
that ventilations are adequate based on which end-tidal carbon dioxide (ETCO₂)
value?
Answer: 35 to 45 mmHg
8. An ECG strip of a patient in the emergency department reveals the following
rhythm. Which feature would the healthcare provider interpret as indicating atrial
fibrillation?
Answer: Absence of discrete P waves and presence of irregularly irregular
QRS complexes
9. A patient in cardiac arrest experiences return of spontaneous circulation. As part
of post-cardiac arrest care, the patient is receiving mechanical ventilation. Which
finding(s) would indicate the need for a change in the ventilator settings to
optimize the patient's ventilation and oxygenation?
Answer: ETCO₂ 50 mmHg, PaCO₂ 35 mmHg, SaO₂ 92%
10. The following capnogram is from a patient experiencing respiratory distress. At
which point in the waveform would the patient's ETCO₂ level be measured?
Answer: D
, 11. Assessment of a patient reveals an ETCO₂ level of 55 mmHg and an arterial
oxygen saturation (SaO₂) level of 88%. The provider would interpret these findings
as indicative of which condition?
Answer: Respiratory failure
12. A patient presents to the emergency department with mild to moderate
recurrent chest pain, without any nausea or vomiting. A 12-lead ECG is obtained
and shows ST-segment depression. Which diagnosis is most likely?
Answer: Unstable angina or non-ST-elevation myocardial infarction
(NSTEMI)
13. During cardiac arrest, a patient is in ventricular fibrillation. After the first
shock, the team resumes CPR. Which action should be taken next?
Answer: Immediately resume chest compressions for 2 minutes
14. A patient has a suspected opioid overdose and is unresponsive with agonal
breathing. The provider administers naloxone. What is the most important next
action?
Answer: Provide bag-mask ventilation with high-flow oxygen
15. A patient with a wide-complex tachycardia is hemodynamically unstable. The
provider should immediately:
Answer: Perform synchronized cardioversion
16. During CPR, an advanced airway is placed. How often should ventilations be
delivered without interrupting chest compressions?
Answer: 1 breath every 6 seconds (10 breaths per minute)
Final Exam Questions and Answers – Newest
RATED A+ 2025/2026 UPDATED NEW!!
1. A patient's ECG reveals a narrow QRS complex with a regular rhythm,
indicating a narrow-complex supraventricular tachyarrhythmia. The patient is
hemodynamically stable. Which intervention would be initiated first?
Answer: Vagal maneuvers
2. A patient's capnogram reveals the following waveform. Which segment would
the healthcare provider interpret as reflecting the beginning of exhalation?
Answer: A-B
3. A patient experiencing an unstable bradyarrhythmia does not respond to atropine
or transcutaneous pacing. Which intervention would the healthcare provider use
next?
Answer: Administration of an epinephrine infusion
4. A patient with a suspected stroke arrives at the emergency department at 7:10
p.m. The stroke team ensures that a neurologic assessment and brain computed
tomography or magnetic resonance imaging is obtained by which time?
Answer: 7:30 p.m.
5. A patient in the telemetry unit is stable. Cardiac monitoring indicates the patient
has ventricular tachycardia with a pulse. Further assessment reveals that the
corrected QT interval is greater than 0.46 seconds. Which treatment would be
appropriate at this time?
Answer: Synchronized cardioversion
,6. A resuscitation team is debriefing following a recent event. A patient
experienced cardiac arrest, and advanced cardiac life support was initiated. The
patient required the placement of an advanced airway to maintain airway patency.
Which statement indicates that the team performed high-quality CPR?
Answer: “We delivered 1 ventilation every 6 seconds and chest compressions
at a rate of 100 to 120 compressions per minute.”
7. A healthcare provider initiates ventilations to ensure adequate breathing and
oxygenation. While ventilations are being performed, capnography is established
to evaluate the adequacy of the ventilations. The healthcare provider determines
that ventilations are adequate based on which end-tidal carbon dioxide (ETCO₂)
value?
Answer: 35 to 45 mmHg
8. An ECG strip of a patient in the emergency department reveals the following
rhythm. Which feature would the healthcare provider interpret as indicating atrial
fibrillation?
Answer: Absence of discrete P waves and presence of irregularly irregular
QRS complexes
9. A patient in cardiac arrest experiences return of spontaneous circulation. As part
of post-cardiac arrest care, the patient is receiving mechanical ventilation. Which
finding(s) would indicate the need for a change in the ventilator settings to
optimize the patient's ventilation and oxygenation?
Answer: ETCO₂ 50 mmHg, PaCO₂ 35 mmHg, SaO₂ 92%
10. The following capnogram is from a patient experiencing respiratory distress. At
which point in the waveform would the patient's ETCO₂ level be measured?
Answer: D
, 11. Assessment of a patient reveals an ETCO₂ level of 55 mmHg and an arterial
oxygen saturation (SaO₂) level of 88%. The provider would interpret these findings
as indicative of which condition?
Answer: Respiratory failure
12. A patient presents to the emergency department with mild to moderate
recurrent chest pain, without any nausea or vomiting. A 12-lead ECG is obtained
and shows ST-segment depression. Which diagnosis is most likely?
Answer: Unstable angina or non-ST-elevation myocardial infarction
(NSTEMI)
13. During cardiac arrest, a patient is in ventricular fibrillation. After the first
shock, the team resumes CPR. Which action should be taken next?
Answer: Immediately resume chest compressions for 2 minutes
14. A patient has a suspected opioid overdose and is unresponsive with agonal
breathing. The provider administers naloxone. What is the most important next
action?
Answer: Provide bag-mask ventilation with high-flow oxygen
15. A patient with a wide-complex tachycardia is hemodynamically unstable. The
provider should immediately:
Answer: Perform synchronized cardioversion
16. During CPR, an advanced airway is placed. How often should ventilations be
delivered without interrupting chest compressions?
Answer: 1 breath every 6 seconds (10 breaths per minute)
