ACLS WRITTEN EXAM QUESTIONS WITH 100%
CORRECT ANSWERS 2024-2025
You find an unresponsive pt. who is not breathing. After activating theJemergency response system, you det
ermine there is no pulse. What is your next action? - correct answer-
Start chest compressionsJof at least 100 per min.
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 respir
atory rate is 14 breaths/min, and the pulse oximetry readingJis 97%. What assessment step isJmost importan
t now? - correct answer-ObtainingJa 12 lead ECG.
WhatJis the preferred method of access for epi administration during cardiac arrest in most pts? -
correct answer-Peripheral IV
An AED does not promptly analyze a rythm. What is your next step? - correct answer-
Begin chest compressions.
You have completed 2 minutes of CPR. The ECG monitor displays theJlead II rhythm below, and theJpatient h
asJno pulse. Another member of your team resumes chest compressions, and an IV is in place. What manage
mentJstep is your next priority? - correct answer-Administer 1mg of epinephrine
During a pause in CPR, you see thisJlead II ECG rhythm on the monitor. The patient has no pulse. What is the
next action? - correct answer-Resume compressions
What is a common but sometimes fatal mistake in cardiac arrest management? - correct answer-
Prolonged interruptions in chest compressions.
Which action is a componant of high-quality chest comressions? - correct answer-
AllowingJcomplete chest recoil
Which action increases the chanceJof successful conversion of ventricular fibrillation? - correct answer-
Providing quality compressions immediately before a defibrillation attempt.
,Which situation BEST describes pulseless electrical activity? - correct answer-Sinus rythm without a pulse
WhatJis the BEST strategy for performing high-quality CPR on a patientJwith an advanced airway in place? -
correct answer-Provide continuous chest compressionsJwithout pauses and 10 ventilations per minute.
Three minutes after witnessing a cardiacJarrest, one member of your team inserts an endotracheal tube whi
le another performs continuous chest compressions. During subsequent ventilation, you notice the presenc
e of a waveform on the capnography screen and a PETCO2 level of 8 mm Hg. What is the significance of this fi
nding? - correctJanswer-Chest compressions may notJbe effective.
The use of quantitative capnography in intubated patients - correct answer-
allows for monitoring of CPR quality.
For the past 25 minutes, an EMS crew has attempted resuscitation of a patient whoJoriginally presented in v
entricular 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 treatment? -Jcorrect answer-
Consider terminating resuscitive efforts after consulting medical control.
Which is a safeJand effectiveJpractice within the defibrillation sequence? - correct answer-
Be sure oxygen is not blowing over the patient's chest during the shock.
During your assessment, your patient suddenly loses consciousness. After calling for help and determining t
hatJthe patient is not breathing, you areJunsure whether the patient has a pulse. WhatJis your next action? -
correct answer-Begin chest compressions.
What is an advantage of using hands-free defibrillation pads instead of defibrillation paddles? -
correct answer-Hands-free pads allow for a moreJrapid defibrillation.
WhatJaction is recommended to help minimize interruptions in chest compressions during CPR? -
correct answer-Continue CPR while chargingJthe defibrillator.
Which action is included in the BLS survey? - correct answer-Early defibrillation
, Which LdrugJand Ldose Lare Lrecommended Lfor Lthe Lmanagement Lof La Lpatient Lin Lrefractory Lventricular
Lfibrillatio Ln? L- Lcorrect Lanswer-Amioderone L300mg
What Lis Lthe Lappropriate Linterval Lfor Lan Linterruption Lin Lchest Lcompressions? L- Lcorrect
Lanswer- L10 Lseconds Lor Lless
Which Lof Lthe LfollowingJis La Lsign Lof Leffective LCPR? L- Lcorrect Lanswer-PETCO2 L≥10 Lmm LHg
WhatJis Lthe Lprimary Lpurpose Lof La Lmedical Lemergency Lteam L(MET) Lor Lrapid Lresponse Lteam L(RRT)?
L- Lcorrect Lanswer-Identifying Land Ltreating Learly Lclinical Ldeterioration.
Which Laction LimprovesJthe Lquality Lof Lchest Lcompressions Ldelivered LduringJa Lresuscitation
Lattempt? L- Lcorrect Lanswer-Switch Lproviders Labout Levery L2 Lminutes Lor Levery L5 Lcompression
Lcycles.
WhatJis Lthe Lappropriate Lventilation Lstrategy Lfor Lan Ladult Lin Lrespiratory Larrest Lwith La Lpulse Lrate Lof
L80/min? L- Lcorrect Lanswer-1 Lbreath Levery L5-6Jseconds
A Lpatient Lpresents Lto Lthe Lemergency Ldepartment Lwith Lnew Lonset Lof Ldizziness Land Lfatigue. LOn
Lexamination, Lt Lhe Lpatient's Lheart LrateJis L35/min, Lthe Lblood Lpressure Lis L70/50 Lmm LHg, Lthe Lrespiratory
Lrate Lis L22 Lbreaths/min, Land Lthe Loxygen Lsaturation Lis L95%. LWhat Lis Lthe Lappropriate Lfirst Lmedication?
L- Lcorrect Lanswer-
Atropine L0.5mg
AJpatient Lwith Ldizziness Land Lshortness Lof Lbreath Lwith La Lsinus Lbradycardia Lof L40/min. LThe Linitial
Latropine Ldos Le LwasJineffective, Land Lyour Lmonitor/defibrillator Lis Lnot Lequipped Lwith La Ltranscutaneous
Lpacemaker. LWhat Lis Lthe Lappropriate Ldose Lof Ldopamine Lfor Lthis Lpatient? L-Jcorrect Lanswer-2 Lto L10
Lmcg/kg Lper Lminute
A Lpatient Lhas Lsudden Lonset Lof Ldizziness. LThe Lpatient's Lheart Lrate Lis L180/min, Lblood Lpressure Lis
L110/70 Lmm LH Lg, Lrespiratory Lrate Lis L18 Lbreaths/min, Land Lpulse Loximetry Lreading Lis L98% Lon Lroom Lair.
LThe Llead LII LECG Lis Lshown Lbelow: L- Lcorrect Lanswer-Vagal Lmanuever.
AJmonitored Lpatient Lin Lthe LICU Ldeveloped La Lsudden Lonset Lof Lnarrow-
complexJtachycardia Lat La Lrate Lof L220/min. LThe Lpatient'sJblood Lpressure Lis L128/58 Lmm LHg, Lthe
LPETCO2 Lis L38 Lmm LHg, Land Lthe Lpulse Loximetry Lreading Lis L98%. LThere Lis Lvascular Laccess Lat Lthe Lleft
Linternal Ljugular Lvein, Land Lt Lhe Lpatient Lhas LnotJbeen Lgiven Lany Lvasoactive Ldrugs. LA L12-
CORRECT ANSWERS 2024-2025
You find an unresponsive pt. who is not breathing. After activating theJemergency response system, you det
ermine there is no pulse. What is your next action? - correct answer-
Start chest compressionsJof at least 100 per min.
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 respir
atory rate is 14 breaths/min, and the pulse oximetry readingJis 97%. What assessment step isJmost importan
t now? - correct answer-ObtainingJa 12 lead ECG.
WhatJis the preferred method of access for epi administration during cardiac arrest in most pts? -
correct answer-Peripheral IV
An AED does not promptly analyze a rythm. What is your next step? - correct answer-
Begin chest compressions.
You have completed 2 minutes of CPR. The ECG monitor displays theJlead II rhythm below, and theJpatient h
asJno pulse. Another member of your team resumes chest compressions, and an IV is in place. What manage
mentJstep is your next priority? - correct answer-Administer 1mg of epinephrine
During a pause in CPR, you see thisJlead II ECG rhythm on the monitor. The patient has no pulse. What is the
next action? - correct answer-Resume compressions
What is a common but sometimes fatal mistake in cardiac arrest management? - correct answer-
Prolonged interruptions in chest compressions.
Which action is a componant of high-quality chest comressions? - correct answer-
AllowingJcomplete chest recoil
Which action increases the chanceJof successful conversion of ventricular fibrillation? - correct answer-
Providing quality compressions immediately before a defibrillation attempt.
,Which situation BEST describes pulseless electrical activity? - correct answer-Sinus rythm without a pulse
WhatJis the BEST strategy for performing high-quality CPR on a patientJwith an advanced airway in place? -
correct answer-Provide continuous chest compressionsJwithout pauses and 10 ventilations per minute.
Three minutes after witnessing a cardiacJarrest, one member of your team inserts an endotracheal tube whi
le another performs continuous chest compressions. During subsequent ventilation, you notice the presenc
e of a waveform on the capnography screen and a PETCO2 level of 8 mm Hg. What is the significance of this fi
nding? - correctJanswer-Chest compressions may notJbe effective.
The use of quantitative capnography in intubated patients - correct answer-
allows for monitoring of CPR quality.
For the past 25 minutes, an EMS crew has attempted resuscitation of a patient whoJoriginally presented in v
entricular 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 treatment? -Jcorrect answer-
Consider terminating resuscitive efforts after consulting medical control.
Which is a safeJand effectiveJpractice within the defibrillation sequence? - correct answer-
Be sure oxygen is not blowing over the patient's chest during the shock.
During your assessment, your patient suddenly loses consciousness. After calling for help and determining t
hatJthe patient is not breathing, you areJunsure whether the patient has a pulse. WhatJis your next action? -
correct answer-Begin chest compressions.
What is an advantage of using hands-free defibrillation pads instead of defibrillation paddles? -
correct answer-Hands-free pads allow for a moreJrapid defibrillation.
WhatJaction is recommended to help minimize interruptions in chest compressions during CPR? -
correct answer-Continue CPR while chargingJthe defibrillator.
Which action is included in the BLS survey? - correct answer-Early defibrillation
, Which LdrugJand Ldose Lare Lrecommended Lfor Lthe Lmanagement Lof La Lpatient Lin Lrefractory Lventricular
Lfibrillatio Ln? L- Lcorrect Lanswer-Amioderone L300mg
What Lis Lthe Lappropriate Linterval Lfor Lan Linterruption Lin Lchest Lcompressions? L- Lcorrect
Lanswer- L10 Lseconds Lor Lless
Which Lof Lthe LfollowingJis La Lsign Lof Leffective LCPR? L- Lcorrect Lanswer-PETCO2 L≥10 Lmm LHg
WhatJis Lthe Lprimary Lpurpose Lof La Lmedical Lemergency Lteam L(MET) Lor Lrapid Lresponse Lteam L(RRT)?
L- Lcorrect Lanswer-Identifying Land Ltreating Learly Lclinical Ldeterioration.
Which Laction LimprovesJthe Lquality Lof Lchest Lcompressions Ldelivered LduringJa Lresuscitation
Lattempt? L- Lcorrect Lanswer-Switch Lproviders Labout Levery L2 Lminutes Lor Levery L5 Lcompression
Lcycles.
WhatJis Lthe Lappropriate Lventilation Lstrategy Lfor Lan Ladult Lin Lrespiratory Larrest Lwith La Lpulse Lrate Lof
L80/min? L- Lcorrect Lanswer-1 Lbreath Levery L5-6Jseconds
A Lpatient Lpresents Lto Lthe Lemergency Ldepartment Lwith Lnew Lonset Lof Ldizziness Land Lfatigue. LOn
Lexamination, Lt Lhe Lpatient's Lheart LrateJis L35/min, Lthe Lblood Lpressure Lis L70/50 Lmm LHg, Lthe Lrespiratory
Lrate Lis L22 Lbreaths/min, Land Lthe Loxygen Lsaturation Lis L95%. LWhat Lis Lthe Lappropriate Lfirst Lmedication?
L- Lcorrect Lanswer-
Atropine L0.5mg
AJpatient Lwith Ldizziness Land Lshortness Lof Lbreath Lwith La Lsinus Lbradycardia Lof L40/min. LThe Linitial
Latropine Ldos Le LwasJineffective, Land Lyour Lmonitor/defibrillator Lis Lnot Lequipped Lwith La Ltranscutaneous
Lpacemaker. LWhat Lis Lthe Lappropriate Ldose Lof Ldopamine Lfor Lthis Lpatient? L-Jcorrect Lanswer-2 Lto L10
Lmcg/kg Lper Lminute
A Lpatient Lhas Lsudden Lonset Lof Ldizziness. LThe Lpatient's Lheart Lrate Lis L180/min, Lblood Lpressure Lis
L110/70 Lmm LH Lg, Lrespiratory Lrate Lis L18 Lbreaths/min, Land Lpulse Loximetry Lreading Lis L98% Lon Lroom Lair.
LThe Llead LII LECG Lis Lshown Lbelow: L- Lcorrect Lanswer-Vagal Lmanuever.
AJmonitored Lpatient Lin Lthe LICU Ldeveloped La Lsudden Lonset Lof Lnarrow-
complexJtachycardia Lat La Lrate Lof L220/min. LThe Lpatient'sJblood Lpressure Lis L128/58 Lmm LHg, Lthe
LPETCO2 Lis L38 Lmm LHg, Land Lthe Lpulse Loximetry Lreading Lis L98%. LThere Lis Lvascular Laccess Lat Lthe Lleft
Linternal Ljugular Lvein, Land Lt Lhe Lpatient Lhas LnotJbeen Lgiven Lany Lvasoactive Ldrugs. LA L12-
