ACLS WRITTEN EXAM
QUESTIONS AND CORRECT
ANSWERS LATEST GUIDE
2026/2027 GRADED A+ .
,1. You find an unresponsive pt. who is not breathing. After activating the emergency response system, you
determine there is no pulse. What is your next action? ✔✔ CORRECT ANSWER Start chest compressions of at least 100 per min.
2. You are evaluating a 58-year-old man with chest pain. The blood pressure is 92/50 mm Hg, the heart rate is
92/min, the nonlabored respiratory rate is 14 breaths/min, and the pulse oximetry reading is 97%. What assessment
step is most important now? ✔✔ CORRECT ANSWER Obtaining a 12 lead ECG.
3. What is the preferred method of access for epi administration during cardiac arrest in most pts? ✔✔ CORRECT
ANSWER Peripheral IV
4. An AED does not promptly analyze a rythm. What is your next step? ✔✔ CORRECT ANSWER Begin chest
compressions.
5. You have completed 2 minutes of CPR. The ECG monitor displays the lead II rhythm below, and the patient has
no pulse. Another member of your team resumes chest compressions, and an IV is in place. What management
step is your next priority? ✔✔ CORRECT ANSWER Administer 1mg of epinephrine
6. During a pause in CPR, you see this lead II ECG rhythm on the monitor. The patient has no pulse. What is the next
action? ✔✔ CORRECT ANSWER Resume compressions
7. What is a common but sometimes fatal mistake in cardiac arrest manage-ment? ✔✔ CORRECT ANSWER Prolonged
interruptions in chest compressions.
8. Which action is a componant of high-quality chest comressions? ✔✔ CORRECT ANSWER Allowing com-plete chest
recoil
9. Which action increases the chance of successful conversion of ventricular fibrillation? ✔✔ CORRECT ANSWER
Providing quality compressions immediately before a defibrillation attempt.
10. Which situation BEST describes pulseless electrical activity? ✔✔ CORRECT ANSWER Sinus rythm without a pulse
11. What is the BEST strategy for performing high-quality CPR on a patient with an advanced airway in place? ✔✔
CORRECT ANSWER Provide continuous chest compressions without pauses and 10 ventilations per minute.
12. Three minutes after witnessing a cardiac arrest, one member of your team inserts an endotracheal tube
while another performs continuous chest compressions. During subsequent ventilation, you notice the presence
of a
, waveform on the capnography screen and a PETCO2 level of 8 mm Hg. What is the significance of this finding? ✔✔
CORRECT ANSWER Chest compressions may not be ettective.
13. The use of quantitative capnography in intubated patients ✔✔ CORRECT ANSWER allows for monitoring of CPR
quality.
14. For the past 25 minutes, an EMS crew has attempted resuscitation of
a patient who originally presented in ventricular fibrillation. After the first shock, the ECG screen displayed
asystole, which has persisted despite 2 doses of epinephrine, a fluid bolus, and high-quality CPR. What is your
next treat-ment? ✔✔ CORRECT ANSWER Consider terminating resuscitive ettorts after consulting medical control.
15. Which is a safe and effective practice within the defibrillation sequence? ✔✔ CORRECT ANSWER Be sure oxygen
is not blowing over the patient's chest during the shock.
16. During your assessment, your patient suddenly loses consciousness. After calling for help and determining
that the patient is not breathing, you are unsure whether the patient has a pulse. What is your next action? ✔✔
CORRECT ANSWER Begin chest compressions.
17. What is an advantage of using hands-free defibrillation pads instead of defibrillation paddles? ✔✔ CORRECT
ANSWER Hands-free pads allow for a more rapid defibrillation.
18. What action is recommended to help minimize interruptions in chest com-pressions during CPR? ✔✔ CORRECT
ANSWER Continue CPR while charging the defibrillator.
19. Which action is included in the BLS survey? ✔✔ CORRECT ANSWER Early defibrillation
20. Which drug and dose are recommended for the management of a patient in refractory ventricular fibrillation? ✔
✔ CORRECT ANSWER Amioderone 300mg
21. What is the appropriate interval for an interruption in chest compressions?-
✔✔ CORRECT ANSWER 10 seconds or less
22. Which of the following is a sign of effective CPR? ✔✔ CORRECT ANSWER PETCO2 1e0 mm Hg
23. What is the primary purpose of a medical emergency team (MET) or rapid response team (RRT)? ✔✔ CORRECT
ANSWER Identifying and treating early clinical deterioration.
24. Which action improves the quality of chest compressions delivered during a resuscitation attempt? ✔✔ CORRECT
ANSWER Switch providers about every 2 minutes or every 5 compression cycles.
25. What is the appropriate ventilation strategy for an adult in respiratory arrest with a pulse rate of 80/min? ✔
QUESTIONS AND CORRECT
ANSWERS LATEST GUIDE
2026/2027 GRADED A+ .
,1. You find an unresponsive pt. who is not breathing. After activating the emergency response system, you
determine there is no pulse. What is your next action? ✔✔ CORRECT ANSWER Start chest compressions of at least 100 per min.
2. You are evaluating a 58-year-old man with chest pain. The blood pressure is 92/50 mm Hg, the heart rate is
92/min, the nonlabored respiratory rate is 14 breaths/min, and the pulse oximetry reading is 97%. What assessment
step is most important now? ✔✔ CORRECT ANSWER Obtaining a 12 lead ECG.
3. What is the preferred method of access for epi administration during cardiac arrest in most pts? ✔✔ CORRECT
ANSWER Peripheral IV
4. An AED does not promptly analyze a rythm. What is your next step? ✔✔ CORRECT ANSWER Begin chest
compressions.
5. You have completed 2 minutes of CPR. The ECG monitor displays the lead II rhythm below, and the patient has
no pulse. Another member of your team resumes chest compressions, and an IV is in place. What management
step is your next priority? ✔✔ CORRECT ANSWER Administer 1mg of epinephrine
6. During a pause in CPR, you see this lead II ECG rhythm on the monitor. The patient has no pulse. What is the next
action? ✔✔ CORRECT ANSWER Resume compressions
7. What is a common but sometimes fatal mistake in cardiac arrest manage-ment? ✔✔ CORRECT ANSWER Prolonged
interruptions in chest compressions.
8. Which action is a componant of high-quality chest comressions? ✔✔ CORRECT ANSWER Allowing com-plete chest
recoil
9. Which action increases the chance of successful conversion of ventricular fibrillation? ✔✔ CORRECT ANSWER
Providing quality compressions immediately before a defibrillation attempt.
10. Which situation BEST describes pulseless electrical activity? ✔✔ CORRECT ANSWER Sinus rythm without a pulse
11. What is the BEST strategy for performing high-quality CPR on a patient with an advanced airway in place? ✔✔
CORRECT ANSWER Provide continuous chest compressions without pauses and 10 ventilations per minute.
12. Three minutes after witnessing a cardiac arrest, one member of your team inserts an endotracheal tube
while another performs continuous chest compressions. During subsequent ventilation, you notice the presence
of a
, waveform on the capnography screen and a PETCO2 level of 8 mm Hg. What is the significance of this finding? ✔✔
CORRECT ANSWER Chest compressions may not be ettective.
13. The use of quantitative capnography in intubated patients ✔✔ CORRECT ANSWER allows for monitoring of CPR
quality.
14. For the past 25 minutes, an EMS crew has attempted resuscitation of
a patient who originally presented in ventricular fibrillation. After the first shock, the ECG screen displayed
asystole, which has persisted despite 2 doses of epinephrine, a fluid bolus, and high-quality CPR. What is your
next treat-ment? ✔✔ CORRECT ANSWER Consider terminating resuscitive ettorts after consulting medical control.
15. Which is a safe and effective practice within the defibrillation sequence? ✔✔ CORRECT ANSWER Be sure oxygen
is not blowing over the patient's chest during the shock.
16. During your assessment, your patient suddenly loses consciousness. After calling for help and determining
that the patient is not breathing, you are unsure whether the patient has a pulse. What is your next action? ✔✔
CORRECT ANSWER Begin chest compressions.
17. What is an advantage of using hands-free defibrillation pads instead of defibrillation paddles? ✔✔ CORRECT
ANSWER Hands-free pads allow for a more rapid defibrillation.
18. What action is recommended to help minimize interruptions in chest com-pressions during CPR? ✔✔ CORRECT
ANSWER Continue CPR while charging the defibrillator.
19. Which action is included in the BLS survey? ✔✔ CORRECT ANSWER Early defibrillation
20. Which drug and dose are recommended for the management of a patient in refractory ventricular fibrillation? ✔
✔ CORRECT ANSWER Amioderone 300mg
21. What is the appropriate interval for an interruption in chest compressions?-
✔✔ CORRECT ANSWER 10 seconds or less
22. Which of the following is a sign of effective CPR? ✔✔ CORRECT ANSWER PETCO2 1e0 mm Hg
23. What is the primary purpose of a medical emergency team (MET) or rapid response team (RRT)? ✔✔ CORRECT
ANSWER Identifying and treating early clinical deterioration.
24. Which action improves the quality of chest compressions delivered during a resuscitation attempt? ✔✔ CORRECT
ANSWER Switch providers about every 2 minutes or every 5 compression cycles.
25. What is the appropriate ventilation strategy for an adult in respiratory arrest with a pulse rate of 80/min? ✔
