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%
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
VF/Pulseless VT Algorithm Asystole and PEA Management
Advanced Airway Placement ACLS Pharmacology Protocols
STEMI and Stroke Recognition Team Roles and Post-Arrest Care
COVER PAGE - 1
,gement | Q1-Q10 | AHA ACLS Final Exam Questions and Answers with Explanation (Latest 2026/2027): Most Comprehensive to Pa
Q1 Question 1 of 50
A 68-year-old male collapses in the hospital cafeteria. Bystanders initiate CPR. The
code team arrives and attaches the monitor, which reveals ventricular fibrillation. The
patient is pulseless and apneic. After delivering the first shock and resuming
compressions, what is the next priority intervention according to the 2025 AHA ACLS
guidelines?
A. Establish IV access and administer 1 mg epinephrine immediately
B. Continue high-quality CPR for 2 minutes before any further intervention
C. Perform endotracheal intubation before the next shock
D. Administer 300 mg amiodarone bolus via IO access
Correct Answer: B
Rationale:
After the first shock for VF/pulseless VT, the priority is immediate resumption of high-quality CPR for
approximately 2 minutes before rhythm re-check. Epinephrine is given after the second or third shock if the
rhythm persists, not after the first shock. Intubation should not delay compressions, and antiarrhythmics are
reserved for refractory VF after multiple shocks.
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 unresponsive in her hospital room. The monitor shows
asystole. The team has been performing high-quality CPR for 4 minutes with an
advanced airway in place. What is the recommended ventilation rate during continuous
compressions?
A. 1 breath every 2 to 3 seconds (20 to 30 breaths per minute)
B. 1 breath every 6 seconds (10 breaths per minute)
C. 1 breath every 10 to 12 seconds (5 to 6 breaths per minute)
D. 2 breaths every 30 compressions without pausing compressions
Correct Answer: B
Rationale:
With an advanced airway in place during cardiac arrest, compressions should continue uninterrupted at
100-120 per minute while ventilations are delivered at 1 breath every 6 seconds (10 breaths per minute).
Hyperventilation is harmful and should be avoided. The 30:2 ratio is used before an advanced airway is
placed.
Q3 Question 3 of 50
During a code, the team leader notes that the patient remains in ventricular fibrillation
after three consecutive shocks and high-quality CPR. According to the 2025 AHA ACLS
guidelines, which antiarrhythmic medication is recommended for administration at this
point?
A. Atropine 1 mg IV push
B. Amiodarone 300 mg IV/IO bolus
C. Lidocaine 1 mg/kg IV push only if amiodarone is unavailable
D. Both amiodarone 300 mg IV/IO bolus and lidocaine 1 mg/kg IV push are acceptable options
Correct Answer: D
Rationale:
For refractory VF/pulseless VT after three shocks, the 2025 AHA ACLS guidelines recommend amiodarone
300 mg IV/IO bolus as the first-line antiarrhythmic. Lidocaine 1 mg/kg IV/IO is an acceptable alternative if
amiodarone is unavailable. Atropine is not indicated in cardiac arrest. Both amiodarone and lidocaine are
listed as options in the algorithm.
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%
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
VF/Pulseless VT Algorithm Asystole and PEA Management
Advanced Airway Placement ACLS Pharmacology Protocols
STEMI and Stroke Recognition Team Roles and Post-Arrest Care
COVER PAGE - 1
,gement | Q1-Q10 | AHA ACLS Final Exam Questions and Answers with Explanation (Latest 2026/2027): Most Comprehensive to Pa
Q1 Question 1 of 50
A 68-year-old male collapses in the hospital cafeteria. Bystanders initiate CPR. The
code team arrives and attaches the monitor, which reveals ventricular fibrillation. The
patient is pulseless and apneic. After delivering the first shock and resuming
compressions, what is the next priority intervention according to the 2025 AHA ACLS
guidelines?
A. Establish IV access and administer 1 mg epinephrine immediately
B. Continue high-quality CPR for 2 minutes before any further intervention
C. Perform endotracheal intubation before the next shock
D. Administer 300 mg amiodarone bolus via IO access
Correct Answer: B
Rationale:
After the first shock for VF/pulseless VT, the priority is immediate resumption of high-quality CPR for
approximately 2 minutes before rhythm re-check. Epinephrine is given after the second or third shock if the
rhythm persists, not after the first shock. Intubation should not delay compressions, and antiarrhythmics are
reserved for refractory VF after multiple shocks.
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 unresponsive in her hospital room. The monitor shows
asystole. The team has been performing high-quality CPR for 4 minutes with an
advanced airway in place. What is the recommended ventilation rate during continuous
compressions?
A. 1 breath every 2 to 3 seconds (20 to 30 breaths per minute)
B. 1 breath every 6 seconds (10 breaths per minute)
C. 1 breath every 10 to 12 seconds (5 to 6 breaths per minute)
D. 2 breaths every 30 compressions without pausing compressions
Correct Answer: B
Rationale:
With an advanced airway in place during cardiac arrest, compressions should continue uninterrupted at
100-120 per minute while ventilations are delivered at 1 breath every 6 seconds (10 breaths per minute).
Hyperventilation is harmful and should be avoided. The 30:2 ratio is used before an advanced airway is
placed.
Q3 Question 3 of 50
During a code, the team leader notes that the patient remains in ventricular fibrillation
after three consecutive shocks and high-quality CPR. According to the 2025 AHA ACLS
guidelines, which antiarrhythmic medication is recommended for administration at this
point?
A. Atropine 1 mg IV push
B. Amiodarone 300 mg IV/IO bolus
C. Lidocaine 1 mg/kg IV push only if amiodarone is unavailable
D. Both amiodarone 300 mg IV/IO bolus and lidocaine 1 mg/kg IV push are acceptable options
Correct Answer: D
Rationale:
For refractory VF/pulseless VT after three shocks, the 2025 AHA ACLS guidelines recommend amiodarone
300 mg IV/IO bolus as the first-line antiarrhythmic. Lidocaine 1 mg/kg IV/IO is an acceptable alternative if
amiodarone is unavailable. Atropine is not indicated in cardiac arrest. Both amiodarone and lidocaine are
listed as options in the algorithm.
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%
