ACLS EXAM A 2026 WITH
DETAILED QUESTIONS AND
VERIFIED ANSWERS GRADE A+
Which of these tests should be performed for a pt with suspected stroke as early as
possible but no more than 20 min after hospital arrival? - answer-Noncontrast CT scan
of head
Which best describes this rhythm? - answer-Monomorphic Vent Tach
Which is an acceptable method of selecting an appropriately sized oropharyngeal
airway? - answer-Measure from the corner of the mouth to the angle of mandible
You are caring for a pt with a suspected stroke whose symptoms started 2 hours ago.
The CT scan was normal, with no signs of hemorrhage. The pt does not have any
contraindications to fibrinolytic therapy. Which treatment is best for this pt? - answer-
Give fibrinolytic therapy as soon as possible and consider endovascular therapy
Which is the recommended next step after a defibrillation attempt? - answer-Resume
CPR, starting with chest compressions
Which of the following signs is a likely indicator of cardiac arrest in an unresponsive pt?
- answer-Agonal gasps
You are evaluating a 58YO man with chest discomfort. His BP is 92/50 mmHG, his HR is
92/min, his nonlabored RR is 14/min, and his pulse ox is 97%. Which assessment step
is most important now? - answer-Obtaining a 12-lead ECG
During post-cardiac arrest care, which is the recommended duration of targeted
temperature management after reaching the correct temperature range? - answer-At
least 24 hours
, Your rescue team arrives to find a 59YO man lying on the kitchen floor. You determine
that he is unresponsive. What is the next step in your assessment and management of
this pt? - answer-Check the pt's breathing and pulse
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress
and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak
radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib.
On the basis of this pt's initial presentation, which condition do you suspect led to the
cardiac arrest? - answer-Acute Coronary Syndrome
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress
and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak
radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib.
In addition to defibrillation, which intervention should be performed immediately? -
answer-Chest compressions
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress
and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak
radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib.
Despite 2 defib attempts, the pt remains in VFib. Which drug and dose should you
administer FIRST to this pt? - answer-Epi 1mg
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress
and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak
radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib.
Despite the drug provided above and continued CPR, the pt remains in VFib. Which
other drug should be administered NEXT? - answer-Lido 1 to 1.5mg/kg
DETAILED QUESTIONS AND
VERIFIED ANSWERS GRADE A+
Which of these tests should be performed for a pt with suspected stroke as early as
possible but no more than 20 min after hospital arrival? - answer-Noncontrast CT scan
of head
Which best describes this rhythm? - answer-Monomorphic Vent Tach
Which is an acceptable method of selecting an appropriately sized oropharyngeal
airway? - answer-Measure from the corner of the mouth to the angle of mandible
You are caring for a pt with a suspected stroke whose symptoms started 2 hours ago.
The CT scan was normal, with no signs of hemorrhage. The pt does not have any
contraindications to fibrinolytic therapy. Which treatment is best for this pt? - answer-
Give fibrinolytic therapy as soon as possible and consider endovascular therapy
Which is the recommended next step after a defibrillation attempt? - answer-Resume
CPR, starting with chest compressions
Which of the following signs is a likely indicator of cardiac arrest in an unresponsive pt?
- answer-Agonal gasps
You are evaluating a 58YO man with chest discomfort. His BP is 92/50 mmHG, his HR is
92/min, his nonlabored RR is 14/min, and his pulse ox is 97%. Which assessment step
is most important now? - answer-Obtaining a 12-lead ECG
During post-cardiac arrest care, which is the recommended duration of targeted
temperature management after reaching the correct temperature range? - answer-At
least 24 hours
, Your rescue team arrives to find a 59YO man lying on the kitchen floor. You determine
that he is unresponsive. What is the next step in your assessment and management of
this pt? - answer-Check the pt's breathing and pulse
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress
and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak
radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib.
On the basis of this pt's initial presentation, which condition do you suspect led to the
cardiac arrest? - answer-Acute Coronary Syndrome
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress
and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak
radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib.
In addition to defibrillation, which intervention should be performed immediately? -
answer-Chest compressions
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress
and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak
radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib.
Despite 2 defib attempts, the pt remains in VFib. Which drug and dose should you
administer FIRST to this pt? - answer-Epi 1mg
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress
and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak
radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib.
Despite the drug provided above and continued CPR, the pt remains in VFib. Which
other drug should be administered NEXT? - answer-Lido 1 to 1.5mg/kg
