AHA ACLS (American Heart Association) ACLS
(Advanced Cardiovascular Life Support) Exam
2025/2026 Questions With 100% Correct Answers
What is the appropriate procedure for endotracheal tube
suctioning after the appropriate catheter is selected? -
ANSWER-Suction during withdrawal but for no longer than
10 seconds.
While treating a patient with dizziness, a blood pressure of
68/30 mm Hg, and cool, clammy skin, you see this lead II
ECG rhythm:What is the first intervention ? - ANSWER-
Atropine 0.5mg
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A 68-year-old woman experienced a sudden onset of right
arm weakness. EMS personnel measure a blood pressure
of 140/90 mm Hg, a heart rate of 78/min, a nonlabored
respiratory rate of 14 breaths/min, and a pulse oximetry
reading of 97%. The lead II ECG displays sinus rhythm.
What is the most appropriate action for the EMS team to
perform next? - ANSWER-Cincinnati Prehospital Stroke
Scale assessment
EMS is transporting a patient with a positive prehospital
stroke assessment. Upon arrival in the emergency
department, the initial blood pressure is 138/78 mm Hg,
the pulse rate is 80/min, the respiratory rate is 12
breaths/min, and the pulse oximetry reading is 95% on
room air. The lead II ECG displays sinus rhythm. The
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blood glucose level is within normal limits. What
intervention should you perform next? - ANSWER-Head
CT scan
What is the proper ventilation rate for a patient in cardiac
arrest who has an advanced airway in place? - ANSWER-
8-10 breaths per minute
A 62-year-old man in the emergency department says that
his heart is beating fast. He says he has no chest pain or
shortness of breath. The blood pressure is 142/98 mm Hg,
the pulse is 200/min, the respiratory rate is 14
breaths/min, and pulse oximetry is 95% on room air. What
intervention should you perform next? - ANSWER-Obtain
a 12 lead ECG.
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You are evaluating a 48-year-old man with crushing
substernal chest pain. The patient is pale, diaphoretic, cool
to the touch, and slow to respond to your questions. The
blood pressure is 58/32 mm Hg, the heart rate is 190/min,
the respiratory rate is 18 breaths/min, and the pulse
oximeter is unable to obtain a reading because there is no
radial pulse. The lead II ECG displays a regular wide-
complex tachycardia. What intervention should you
perform next? - ANSWER-Synchronized cardioversion
What is the initial priority for an unconscious patient with
any tachycardia on the monitor? - ANSWER-Determine
whether pulses are present.