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ACLS: FINAL TEST QUESTIONS AND ANSWERS – Advanced Cardiac Life Support Practice Exam with Solutions

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This document contains Advanced Cardiac Life Support (ACLS) final test practice questions and answers designed to help learners prepare for certification exams. It covers key ACLS algorithms, cardiac rhythms, emergency pharmacology, and clinical decision-making scenarios commonly tested in certification assessments. The material is structured to reinforce correct responses and improve speed and accuracy under exam conditions. It is ideal for revision before ACLS certification or recertification exams.

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ACLS: FINAL TEST QUESTIONS
AND VERIFIED ANSWERS
GRADED A+ 2026 UPDATE
1. Which type of atrioventricular block best describes this rhythm? - 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? - 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? - answer-D)
Coronary reperfusion-capable medical center



4. Which of the following signs is a likely indicator of cardiac arrest in an unresponsive
patient? - answer-C) Agonal gasps



5. Which type of atrioventricular block best describes this rhythm? - 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? - 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? - 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? - answer-B) Start fibrinolytic therapy as soon as possible.

, 9. Which best describes this rhythm? - 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? - answer-C) 32 to 36 Degrees Celsius



11. Which is the recommended first intravenous dose of amiodarone for a patient with
refractory ventricular fibrillation? - answer-D) 300 mg



12. What is the primary of a medical emergency team or rapid response team? - answer-
B) Improving patient outcomes by identifying and treating early clinical deterioration.



13. What is the recommended next step after a defibrillation attempt? - 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? - 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? - 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? - 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? - answer-B) 5 to 10 seconds

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Uploaded on
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Number of pages
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Written in
2025/2026
Type
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Questions & answers

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