ACLS TEST: (NEW 2025/2026 UPDATE)
ADVANCED CARDIOVASCULAR LIFE
SUPPORT GUIDE | QUESTIONS & ANSWERS |
GRADE A | 100% CORRECT (VERIFIED
SOLUTIONS) – AMERICAN HEART
ASSOCIATION
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? - Start
chest compressions of at least 100 per min.
2. You are evaluating a 58 year old man with chest pain. The BP is 92/50 and a heart rate of
92/min, non-labored respiratory rate is 14 breaths/min and the pulse O2 is 97%. What
assessment step is most important now? - Obtaining a 12 lead ECG.
3. What is the preferred method of access for epi administration during cardiac arrest in
most pts? - Peripheral IV
4. An AED does not promptly analyze a rythm. What is your next step? - Begin chest
compressions.
5. You have completed 2 min of CPR. The ECG monitor displays the lead below (PEA) and
the pt. has no pulse. You partner resumes chest compressions and an IV is in place. What
management step is your next priority? - Administer 1mg of epinepherine
6. During a pause in CPR, you see a narrow complex rythm on the monitor. The pt. has no
pulse. What is the next action? - Resume compressions
7. What is acommon but sometimes fatal mistake in cardiac arrest management? -
Prolonged interruptions in chest compressions.
8. Which action is a componant of high-quality chest comressions? - Allowing complete
chest recoil
9. Which action increases the chance of successful conversion of ventricular fibrillation? -
Providing quality compressions immediately before a defibrillation attempt.
10. Which situation BEST describes PEA? - Sinus rythm without a pulse
11. What is the best strategy for perfoming high-quality CPR on a pt.with an advanced
airway in place? - Provide continuous chest compressionswithout pauses and 10
ventilations per minute.
12. 3 min after witnessing a cardiac arrest, one memeber of your team inserts an ET tube
while another performs continuous chest comressions. During subsequent bentilation,
ADVANCED CARDIOVASCULAR LIFE
SUPPORT GUIDE | QUESTIONS & ANSWERS |
GRADE A | 100% CORRECT (VERIFIED
SOLUTIONS) – AMERICAN HEART
ASSOCIATION
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? - Start
chest compressions of at least 100 per min.
2. You are evaluating a 58 year old man with chest pain. The BP is 92/50 and a heart rate of
92/min, non-labored respiratory rate is 14 breaths/min and the pulse O2 is 97%. What
assessment step is most important now? - Obtaining a 12 lead ECG.
3. What is the preferred method of access for epi administration during cardiac arrest in
most pts? - Peripheral IV
4. An AED does not promptly analyze a rythm. What is your next step? - Begin chest
compressions.
5. You have completed 2 min of CPR. The ECG monitor displays the lead below (PEA) and
the pt. has no pulse. You partner resumes chest compressions and an IV is in place. What
management step is your next priority? - Administer 1mg of epinepherine
6. During a pause in CPR, you see a narrow complex rythm on the monitor. The pt. has no
pulse. What is the next action? - Resume compressions
7. What is acommon but sometimes fatal mistake in cardiac arrest management? -
Prolonged interruptions in chest compressions.
8. Which action is a componant of high-quality chest comressions? - Allowing complete
chest recoil
9. Which action increases the chance of successful conversion of ventricular fibrillation? -
Providing quality compressions immediately before a defibrillation attempt.
10. Which situation BEST describes PEA? - Sinus rythm without a pulse
11. What is the best strategy for perfoming high-quality CPR on a pt.with an advanced
airway in place? - Provide continuous chest compressionswithout pauses and 10
ventilations per minute.
12. 3 min after witnessing a cardiac arrest, one memeber of your team inserts an ET tube
while another performs continuous chest comressions. During subsequent bentilation,
