ACLS Final Exam
ACLS FINAL EXAM NEWEST 2025 COMPLETE 150 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW VERSION!!
A patient with dyspnea, inadequate blood pressure and a change in mental status arrives at the
emergency department. The healthcare team completes the necessary assessments and begins
to care for the patient, including initiating cardiac monitoring and pulse oximetry; providing
supplemental oxygen and ensuring adequate ventilation; and obtaining vascular access. The
team reviews the patient's eCG rhythm strip (slow). Which agent would the team most likely
administer?
A. Dopamine 5-10 mcg/min
B. Amiodarone 150 mg over 10 minutes
C. Epinephrine 2-10 mcg/min
D. Atropine 1 mg every 3-5 minutes - ANSWER-D
A patient is experiencing respiratory distress secondary to an exacerbation of COPD. The patient
begins to exhibit signs and symptoms of worsening respiratory function and experiences
respiratory arrest. The team intervenes, delivering ventilations via BVM resuscitator. The team
should provide ventilations at a rate of 1 ventilation:
A. Every 3 seconds
B. Every 6 seconds
C. Every 8 seconds
D. Every 10 seconds - ANSWER-B
A member of the resuscitation team is preparing to administer medications intravenously to a
patient in cardiac arrest. The team member should follow each peripherally administered drug
dose with a normal saline flush. How much would the team member give?
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, ACLS Final Exam
A. 5-10 ml
B. 10-20 ml
C. 20-30 ml
D. 30-40 ml - ANSWER-B
A patient arrives at the emergency department complaining of shortness of breath. The patient
has a long history of COPD. Assessment reveals respiratory failure. Which actions would be the
initial priority to address the respiratory failure?
A. Establishment of vascular access
B. Delivery of supplemental oxygen via nasal cannula
C. Assisted ventilation with BVM resuscitator
D. Initiation of capnography - ANSWER-C
A patient in cardiac arrest experiences ROSC. As part of post-cardiac arrest care, the patient is
receiving mechanical ventilation at an initial rebate of 10 breaths/min and a fraction of inspired
oxygen (FiO2) of 0.30. Which finding(s) would indicated the need for change in the ventilator
settings to optimize the patient's ventilation and oxygenation?
A. SaO2 96%
B. PaCO2 48 mmHg
C. ETCO2 55 mmHg
D. ETCO2 40 mmHg
E.SaO2 90% - ANSWER-B, C, E
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, ACLS Final Exam
A 30 year old patient has been brought to the emergency department in cardiac arrest. The
cardiac monitor shows the following rhythm (V fib). Interpretation of this rhythm would suggest
which of the following as a possible precipitation factor?
A. Antibiotic use
B. Cardiac tamponade
C. Hemorrhage
D. Electrocution - ANSWER-D
For a patient with third-degree atrioventricular (AV) block and a blood pressure of 70/48 mmHg,
what interventions should be considered?
A. Administer adenosine
B. Initiate a dopamine infusion
C. Administer atropine
D. Initiate transcutaneous pacing - ANSWER-B, C, D
A patient is admitted to the emergency department of a large medical center. The patient is
diagnosed with STEMI. The facility is capable of administering PCI. To achieve the best
outcomes, therapy should be administered to this patient within what time frame?
A. Within 30 minutes of the patient's arrival
B. Within 60 minutes of the patient's first medical contact
C. Within 90 minutes of the patient's first medical contact
D. Within 3 hours of the onset of symptoms - ANSWER-C
After cardiac arrest and successful resuscitation, the patient has a return of spontaneous
circulation. The patient is unable to follow verbal commands. Targeted temperature
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, ACLS Final Exam
management is initiated. Which method(s) would be appropriate for the resuscitation team to
use?
A. Applying a cool compress to the patient's forehead
B. Using an endovascular catheter
C. Applying cooling blankets to the patient's body
D. Administering cool-mist oxygen therapy
E. Giving an ice-cold IV fluid bolus - ANSWER-B, C, E
A patient experiences cardiac arrest, and the resuscitation team initiates ventilations using a
bag-valve-mask (BVM) resuscitator. The lead development of which condition during the
provision of care would lead the team to suspect that improper BVM technique is being used?
A. Esophageal injury
B. Pneumothorax
C. Rib fracture
D. Hypertension - ANSWER-B
A patient with suspected stroke arrives at the emergency department. The patient is diagnosed
with acute ischemic stroke and is a candidate for fibrinolytic therapy. To achieve the best
outcomes, this therapy should be initiated within what time frame?
A. Within 30 minutes of the patient's arrival
B. Within 1 hour of the patient's arrival
C. Within 2 hours of the patient's arrival
D. Within 3 hours of the patient's arrival - ANSWER-B
4|Page
ACLS FINAL EXAM NEWEST 2025 COMPLETE 150 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW VERSION!!
A patient with dyspnea, inadequate blood pressure and a change in mental status arrives at the
emergency department. The healthcare team completes the necessary assessments and begins
to care for the patient, including initiating cardiac monitoring and pulse oximetry; providing
supplemental oxygen and ensuring adequate ventilation; and obtaining vascular access. The
team reviews the patient's eCG rhythm strip (slow). Which agent would the team most likely
administer?
A. Dopamine 5-10 mcg/min
B. Amiodarone 150 mg over 10 minutes
C. Epinephrine 2-10 mcg/min
D. Atropine 1 mg every 3-5 minutes - ANSWER-D
A patient is experiencing respiratory distress secondary to an exacerbation of COPD. The patient
begins to exhibit signs and symptoms of worsening respiratory function and experiences
respiratory arrest. The team intervenes, delivering ventilations via BVM resuscitator. The team
should provide ventilations at a rate of 1 ventilation:
A. Every 3 seconds
B. Every 6 seconds
C. Every 8 seconds
D. Every 10 seconds - ANSWER-B
A member of the resuscitation team is preparing to administer medications intravenously to a
patient in cardiac arrest. The team member should follow each peripherally administered drug
dose with a normal saline flush. How much would the team member give?
1|Page
, ACLS Final Exam
A. 5-10 ml
B. 10-20 ml
C. 20-30 ml
D. 30-40 ml - ANSWER-B
A patient arrives at the emergency department complaining of shortness of breath. The patient
has a long history of COPD. Assessment reveals respiratory failure. Which actions would be the
initial priority to address the respiratory failure?
A. Establishment of vascular access
B. Delivery of supplemental oxygen via nasal cannula
C. Assisted ventilation with BVM resuscitator
D. Initiation of capnography - ANSWER-C
A patient in cardiac arrest experiences ROSC. As part of post-cardiac arrest care, the patient is
receiving mechanical ventilation at an initial rebate of 10 breaths/min and a fraction of inspired
oxygen (FiO2) of 0.30. Which finding(s) would indicated the need for change in the ventilator
settings to optimize the patient's ventilation and oxygenation?
A. SaO2 96%
B. PaCO2 48 mmHg
C. ETCO2 55 mmHg
D. ETCO2 40 mmHg
E.SaO2 90% - ANSWER-B, C, E
2|Page
, ACLS Final Exam
A 30 year old patient has been brought to the emergency department in cardiac arrest. The
cardiac monitor shows the following rhythm (V fib). Interpretation of this rhythm would suggest
which of the following as a possible precipitation factor?
A. Antibiotic use
B. Cardiac tamponade
C. Hemorrhage
D. Electrocution - ANSWER-D
For a patient with third-degree atrioventricular (AV) block and a blood pressure of 70/48 mmHg,
what interventions should be considered?
A. Administer adenosine
B. Initiate a dopamine infusion
C. Administer atropine
D. Initiate transcutaneous pacing - ANSWER-B, C, D
A patient is admitted to the emergency department of a large medical center. The patient is
diagnosed with STEMI. The facility is capable of administering PCI. To achieve the best
outcomes, therapy should be administered to this patient within what time frame?
A. Within 30 minutes of the patient's arrival
B. Within 60 minutes of the patient's first medical contact
C. Within 90 minutes of the patient's first medical contact
D. Within 3 hours of the onset of symptoms - ANSWER-C
After cardiac arrest and successful resuscitation, the patient has a return of spontaneous
circulation. The patient is unable to follow verbal commands. Targeted temperature
3|Page
, ACLS Final Exam
management is initiated. Which method(s) would be appropriate for the resuscitation team to
use?
A. Applying a cool compress to the patient's forehead
B. Using an endovascular catheter
C. Applying cooling blankets to the patient's body
D. Administering cool-mist oxygen therapy
E. Giving an ice-cold IV fluid bolus - ANSWER-B, C, E
A patient experiences cardiac arrest, and the resuscitation team initiates ventilations using a
bag-valve-mask (BVM) resuscitator. The lead development of which condition during the
provision of care would lead the team to suspect that improper BVM technique is being used?
A. Esophageal injury
B. Pneumothorax
C. Rib fracture
D. Hypertension - ANSWER-B
A patient with suspected stroke arrives at the emergency department. The patient is diagnosed
with acute ischemic stroke and is a candidate for fibrinolytic therapy. To achieve the best
outcomes, this therapy should be initiated within what time frame?
A. Within 30 minutes of the patient's arrival
B. Within 1 hour of the patient's arrival
C. Within 2 hours of the patient's arrival
D. Within 3 hours of the patient's arrival - ANSWER-B
4|Page
