ACLS: FINAL TEST QUESTIONS AND
ANSWERS 2025/2026
1. Which type of atrioventricular block best describes this rhythm? - correct answer-C) Second-degree
type II
2. Your patient is in cardiac arrest and has been intubated. To assess CPR quality, which should you do? -
correct answer-A) Monitor the patient's PETCO2
3. Which facility is the most appropriate EMS destination for a patient with sudden cardiac who
achieved return of spontaneous circulation in the field? - correct answer-D) Coronary reperfusion-
capable medical center
4. Which of the following signs is a likely indicator of cardiac arrest in an unresponsive patient? - correct
answer-C) Agonal gasps
5. Which type of atrioventricular block best describes this rhythm? - correct answer-B) Second-degree
atrioventricular block type I
6. To properly ventilate a patient with a perfusing rhythm, how often do you squeeze the bag? - correct
answer-B) Once every 5 to 6 seconds.
7. In addition to clinical assessment, which is the most reliable method to confirm and monitor correct
placement of an endotracheal tube? - correct answer-C) Continuous waveform capnography
8. You are caring for a patient with a suspected stroke whose symptoms started 2 hours ago. The CT
scan was normal, with no signs of hemorrhage. The patient does not have any contraindications to
fibrinolytic therapy. Which treatment is the best for this patient? - correct answer-B) Start fibrinolytic
therapy as soon as possible.
9. Which best describes this rhythm? - correct answer-D) Third-degree atrioventricular block.
, 10. What is the recommended range from which a temperature should be selected and maintained
constantly to achieve targeted temperature management after cardiac arrest? - correct answer-C) 32 to
36 Degrees Celsius
11. Which is the recommended first intravenous dose of amiodarone for a patient with refractory
ventricular fibrillation? - correct answer-D) 300 mg
12. What is the primary of a medical emergency team or rapid response team? - correct answer-B)
Improving patient outcomes by identifying and treating early clinical deterioration.
13. What is the recommended next step after a defibrillation attempt? - correct answer-D) Resume CPR,
starting with chest compressions
14. EMS providers are treating a patient with suspected stroke. According to the Adult Suspected Stroke
Algorithm, which critical action performed by the EMS team will expedite this patient's care on arrival
and reduce the time to treatment? - correct answer-A) Alert the hospital.
15. A responder is caring for a patient with a history of congestive heart failure. The patient is
experiencing shortness of breath, a blood pressure of 68/50 mmHg, and a heart rate of 190/min. The
patient's lead II ECG is displayed here. Which best characterizes this patient's rhythm? - correct answer-
D) Unstable supraventricular tachycardia
16. Your rescue team arrives to find a 59-year-old man lying on the kitchen floor. You determine that he
is unresponsive. Which is the next step in your assessment and management of this patient? - correct
answer-B) Check the patient's breathing and pulse.
17. Which best describes the length of time it should take to perform a pulse check during the BLS
assessment? - correct answer-B) 5 to 10 seconds
18. You instruct a team member to give 1 mg Atropine IV. Which is the best example of closed-loop
communication? - correct answer-C) I'll draw up 1 mg of Atropine.
19. What is an effect of excessive ventilation? - correct answer-A) Decreased cardiac output.
ANSWERS 2025/2026
1. Which type of atrioventricular block best describes this rhythm? - correct answer-C) Second-degree
type II
2. Your patient is in cardiac arrest and has been intubated. To assess CPR quality, which should you do? -
correct answer-A) Monitor the patient's PETCO2
3. Which facility is the most appropriate EMS destination for a patient with sudden cardiac who
achieved return of spontaneous circulation in the field? - correct answer-D) Coronary reperfusion-
capable medical center
4. Which of the following signs is a likely indicator of cardiac arrest in an unresponsive patient? - correct
answer-C) Agonal gasps
5. Which type of atrioventricular block best describes this rhythm? - correct answer-B) Second-degree
atrioventricular block type I
6. To properly ventilate a patient with a perfusing rhythm, how often do you squeeze the bag? - correct
answer-B) Once every 5 to 6 seconds.
7. In addition to clinical assessment, which is the most reliable method to confirm and monitor correct
placement of an endotracheal tube? - correct answer-C) Continuous waveform capnography
8. You are caring for a patient with a suspected stroke whose symptoms started 2 hours ago. The CT
scan was normal, with no signs of hemorrhage. The patient does not have any contraindications to
fibrinolytic therapy. Which treatment is the best for this patient? - correct answer-B) Start fibrinolytic
therapy as soon as possible.
9. Which best describes this rhythm? - correct answer-D) Third-degree atrioventricular block.
, 10. What is the recommended range from which a temperature should be selected and maintained
constantly to achieve targeted temperature management after cardiac arrest? - correct answer-C) 32 to
36 Degrees Celsius
11. Which is the recommended first intravenous dose of amiodarone for a patient with refractory
ventricular fibrillation? - correct answer-D) 300 mg
12. What is the primary of a medical emergency team or rapid response team? - correct answer-B)
Improving patient outcomes by identifying and treating early clinical deterioration.
13. What is the recommended next step after a defibrillation attempt? - correct answer-D) Resume CPR,
starting with chest compressions
14. EMS providers are treating a patient with suspected stroke. According to the Adult Suspected Stroke
Algorithm, which critical action performed by the EMS team will expedite this patient's care on arrival
and reduce the time to treatment? - correct answer-A) Alert the hospital.
15. A responder is caring for a patient with a history of congestive heart failure. The patient is
experiencing shortness of breath, a blood pressure of 68/50 mmHg, and a heart rate of 190/min. The
patient's lead II ECG is displayed here. Which best characterizes this patient's rhythm? - correct answer-
D) Unstable supraventricular tachycardia
16. Your rescue team arrives to find a 59-year-old man lying on the kitchen floor. You determine that he
is unresponsive. Which is the next step in your assessment and management of this patient? - correct
answer-B) Check the patient's breathing and pulse.
17. Which best describes the length of time it should take to perform a pulse check during the BLS
assessment? - correct answer-B) 5 to 10 seconds
18. You instruct a team member to give 1 mg Atropine IV. Which is the best example of closed-loop
communication? - correct answer-C) I'll draw up 1 mg of Atropine.
19. What is an effect of excessive ventilation? - correct answer-A) Decreased cardiac output.
