AHA | ACLS
OBJECTIVE ASSESSMENT - EXAM
AHA ACLS Final Exam Questions
and Answers with Explanation
(Latest 2026/2027): Most
Comprehensive to Pass the Exam,
100% Verified 2026/2027
Certification Exam
50 100% 2026
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
High-Quality CPR and BLS Survey ACLS Medications and Dosing
Airway Adjuncts and Bag-Mask Ventilation Acute Coronary Syndrome Management
Defibrillation and Cardioversion Protocols Stroke Recognition and Fibrinolytic Therapy
COVER PAGE - 1
nal Exam Questions and Answers with Explanation (Latest 2026/2027): Most Comprehensive to Pass the Exam, 100% Verified 2026/2027 -- 2026/2027 | Passing Score: 84%
,h | Q1-Q10 | AHA ACLS Final Exam Questions and Answers with Explanation (Latest 2026/2027): Most Comprehensive to Pass the
Q1 Question 1 of 50
A 68-year-old man collapses in the hospital cafeteria. A nurse finds him
unresponsive, not breathing normally, and without a palpable pulse. The nurse
activates the emergency response system and begins CPR. What is the
recommended compression-to-ventilation ratio for a single rescuer performing adult
CPR?
A. 30 compressions to 2 ventilations
B. 15 compressions to 1 ventilation
C. 30 compressions to 1 ventilation
D. 15 compressions to 2 ventilations
Correct Answer: A
Rationale:
For adult CPR performed by a single rescuer, the recommended compression-to-ventilation ratio is 30:2.
This ratio maximizes the number of compressions delivered while still providing adequate ventilation.
Option A (15:2) is used for two-rescuer infant or child CPR, not adult single rescuer.
nal Exam Questions and Answers with Explanation (Latest 2026/2027): Most Comprehensive to Pass the Exam, 100% Verified 2026/2027 -- 2026/2027 | Passing Score: 84%
, Q2 Question 2 of 50
A 54-year-old woman is found pulseless in her hospital room. The code team arrives
and attaches a defibrillator, which reveals ventricular fibrillation. The team delivers a
shock and immediately resumes CPR. After 2 minutes of CPR, the rhythm check
shows a sinus rhythm with a pulse of 68 bpm. What is the most appropriate next step
in post-cardiac arrest care?
A. Initiate targeted temperature management between 32C and 36C
B. Administer epinephrine 1 mg IV every 3-5 minutes
C. Deliver a second defibrillation shock immediately
D. Administer amiodarone 300 mg IV push
Correct Answer: A
Rationale:
After return of spontaneous circulation (ROSC), targeted temperature management (TTM) between 32C
and 36C is recommended to improve neurological outcomes in comatose post-cardiac arrest patients.
Amiodarone and epinephrine are used during cardiac arrest, not after ROSC. A second shock is
unnecessary since the rhythm has converted.
Q3 Question 3 of 50
A 72-year-old man presents to the emergency department with chest pain and
shortness of breath. The ACLS team performs the primary assessment using the
ABCDE approach. During the circulation assessment, which finding would most
strongly suggest the need for immediate intervention?
A. Blood pressure of 142/88 mmHg
B. Heart rate of 110 bpm with regular rhythm
C. Cool, clammy skin with capillary refill time of 5 seconds
D. Warm, dry skin with capillary refill time of 2 seconds
Correct Answer: C
Rationale:
Cool, clammy skin with delayed capillary refill (greater than 3 seconds) indicates poor perfusion and
potential shock, requiring immediate intervention. A blood pressure of 142/88 is elevated but not
immediately life-threatening. A heart rate of 110 bpm may be concerning but is less urgent than signs of
shock. Warm, dry skin with normal capillary refill suggests adequate perfusion.
nal Exam Questions and Answers with Explanation (Latest 2026/2027): Most Comprehensive to Pass the Exam, 100% Verified 2026/2027 -- 2026/2027 | Passing Score: 84%
OBJECTIVE ASSESSMENT - EXAM
AHA ACLS Final Exam Questions
and Answers with Explanation
(Latest 2026/2027): Most
Comprehensive to Pass the Exam,
100% Verified 2026/2027
Certification Exam
50 100% 2026
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
High-Quality CPR and BLS Survey ACLS Medications and Dosing
Airway Adjuncts and Bag-Mask Ventilation Acute Coronary Syndrome Management
Defibrillation and Cardioversion Protocols Stroke Recognition and Fibrinolytic Therapy
COVER PAGE - 1
nal Exam Questions and Answers with Explanation (Latest 2026/2027): Most Comprehensive to Pass the Exam, 100% Verified 2026/2027 -- 2026/2027 | Passing Score: 84%
,h | Q1-Q10 | AHA ACLS Final Exam Questions and Answers with Explanation (Latest 2026/2027): Most Comprehensive to Pass the
Q1 Question 1 of 50
A 68-year-old man collapses in the hospital cafeteria. A nurse finds him
unresponsive, not breathing normally, and without a palpable pulse. The nurse
activates the emergency response system and begins CPR. What is the
recommended compression-to-ventilation ratio for a single rescuer performing adult
CPR?
A. 30 compressions to 2 ventilations
B. 15 compressions to 1 ventilation
C. 30 compressions to 1 ventilation
D. 15 compressions to 2 ventilations
Correct Answer: A
Rationale:
For adult CPR performed by a single rescuer, the recommended compression-to-ventilation ratio is 30:2.
This ratio maximizes the number of compressions delivered while still providing adequate ventilation.
Option A (15:2) is used for two-rescuer infant or child CPR, not adult single rescuer.
nal Exam Questions and Answers with Explanation (Latest 2026/2027): Most Comprehensive to Pass the Exam, 100% Verified 2026/2027 -- 2026/2027 | Passing Score: 84%
, Q2 Question 2 of 50
A 54-year-old woman is found pulseless in her hospital room. The code team arrives
and attaches a defibrillator, which reveals ventricular fibrillation. The team delivers a
shock and immediately resumes CPR. After 2 minutes of CPR, the rhythm check
shows a sinus rhythm with a pulse of 68 bpm. What is the most appropriate next step
in post-cardiac arrest care?
A. Initiate targeted temperature management between 32C and 36C
B. Administer epinephrine 1 mg IV every 3-5 minutes
C. Deliver a second defibrillation shock immediately
D. Administer amiodarone 300 mg IV push
Correct Answer: A
Rationale:
After return of spontaneous circulation (ROSC), targeted temperature management (TTM) between 32C
and 36C is recommended to improve neurological outcomes in comatose post-cardiac arrest patients.
Amiodarone and epinephrine are used during cardiac arrest, not after ROSC. A second shock is
unnecessary since the rhythm has converted.
Q3 Question 3 of 50
A 72-year-old man presents to the emergency department with chest pain and
shortness of breath. The ACLS team performs the primary assessment using the
ABCDE approach. During the circulation assessment, which finding would most
strongly suggest the need for immediate intervention?
A. Blood pressure of 142/88 mmHg
B. Heart rate of 110 bpm with regular rhythm
C. Cool, clammy skin with capillary refill time of 5 seconds
D. Warm, dry skin with capillary refill time of 2 seconds
Correct Answer: C
Rationale:
Cool, clammy skin with delayed capillary refill (greater than 3 seconds) indicates poor perfusion and
potential shock, requiring immediate intervention. A blood pressure of 142/88 is elevated but not
immediately life-threatening. A heart rate of 110 bpm may be concerning but is less urgent than signs of
shock. Warm, dry skin with normal capillary refill suggests adequate perfusion.
nal Exam Questions and Answers with Explanation (Latest 2026/2027): Most Comprehensive to Pass the Exam, 100% Verified 2026/2027 -- 2026/2027 | Passing Score: 84%
