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ACLS FINAL EXAM 2025/ 2026 ACTUAL EXAM 2
VERSIONS (VERSION A AND B) COMPLETE 450
QUESTIONS WITH DETAILED VERIFIED ANSWERS
WITHRATIONALES (100% CORRECT ANSWERS)
/ALREADY GRADED A+||LATEST EXAM||
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? - Answer-Start
chest compressions of 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 respiratory rate is 14 breaths/min, and the
pulse oximetry reading is 97%. What assessment step is
most important now? - Answer-Obtaining a 12 lead ECG.
What is the preferred method of access for epi
administration during cardiac arrest in most pts? - Answer-
Peripheral IV
An AED does not promptly analyze a rythm. What is your
next step? - Answer-Begin chest compressions.
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You have completed 2 minutes of CPR. The ECG monitor
displays the lead II rhythm below, and the patient has no
pulse. Another member of your team resumes chest
compressions, and an IV is in place. What management
step is your next priority? - Answer-Administer 1mg of
epinephrine
During a pause in CPR, you see this lead II ECG rhythm
on the monitor. The patient has no pulse. What is the next
action? - Answer-Resume compressions
What is a common but sometimes fatal mistake in cardiac
arrest management? - Answer-Prolonged interruptions in
chest compressions.
Which action is a componant of high-quality chest
comressions? - Answer-Allowing complete chest recoil
Which action increases the chance of successful
conversion of ventricular fibrillation? - Answer-Providing
quality compressions immediately before a defibrillation
attempt.
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Which situation BEST describes pulseless electrical
activity? - Answer-Sinus rythm without a pulse
What is the BEST strategy for performing high-quality CPR
on a patient with an advanced airway in place? - Answer-
Provide continuous chest compressions without pauses
and 10 ventilations per minute.
Three minutes after witnessing a cardiac arrest, one
member of your team inserts an endotracheal tube while
another performs continuous chest compressions. During
subsequent ventilation, you notice the presence of a
waveform on the capnography screen and a PETCO2
level of 8 mm Hg. What is the significance of this finding? -
Answer-Chest compressions may not be effective.
The use of quantitative capnography in intubated patients
- Answer-allows for monitoring of CPR quality.
For the past 25 minutes, an EMS crew has attempted
resuscitation of a patient who originally presented in
ventricular 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
ACLS FINAL EXAM 2025/ 2026 ACTUAL EXAM 2
VERSIONS (VERSION A AND B) COMPLETE 450
QUESTIONS WITH DETAILED VERIFIED ANSWERS
WITHRATIONALES (100% CORRECT ANSWERS)
/ALREADY GRADED A+||LATEST EXAM||
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? - Answer-Start
chest compressions of 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 respiratory rate is 14 breaths/min, and the
pulse oximetry reading is 97%. What assessment step is
most important now? - Answer-Obtaining a 12 lead ECG.
What is the preferred method of access for epi
administration during cardiac arrest in most pts? - Answer-
Peripheral IV
An AED does not promptly analyze a rythm. What is your
next step? - Answer-Begin chest compressions.
,2|Page
You have completed 2 minutes of CPR. The ECG monitor
displays the lead II rhythm below, and the patient has no
pulse. Another member of your team resumes chest
compressions, and an IV is in place. What management
step is your next priority? - Answer-Administer 1mg of
epinephrine
During a pause in CPR, you see this lead II ECG rhythm
on the monitor. The patient has no pulse. What is the next
action? - Answer-Resume compressions
What is a common but sometimes fatal mistake in cardiac
arrest management? - Answer-Prolonged interruptions in
chest compressions.
Which action is a componant of high-quality chest
comressions? - Answer-Allowing complete chest recoil
Which action increases the chance of successful
conversion of ventricular fibrillation? - Answer-Providing
quality compressions immediately before a defibrillation
attempt.
, 3|Page
Which situation BEST describes pulseless electrical
activity? - Answer-Sinus rythm without a pulse
What is the BEST strategy for performing high-quality CPR
on a patient with an advanced airway in place? - Answer-
Provide continuous chest compressions without pauses
and 10 ventilations per minute.
Three minutes after witnessing a cardiac arrest, one
member of your team inserts an endotracheal tube while
another performs continuous chest compressions. During
subsequent ventilation, you notice the presence of a
waveform on the capnography screen and a PETCO2
level of 8 mm Hg. What is the significance of this finding? -
Answer-Chest compressions may not be effective.
The use of quantitative capnography in intubated patients
- Answer-allows for monitoring of CPR quality.
For the past 25 minutes, an EMS crew has attempted
resuscitation of a patient who originally presented in
ventricular 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
