ACLS PRE-COURSE SELF-ASSESSMENT CERTIFIED QUALITY
EXAM QUESTIONS AND 100% VERIFIED ANSWERS – UPDATED
2026/27
A patient is in cardiac arrest. Ventricular fibrillation has been
refractory to an initial shock. If no pathway for medication
administration is in place, which method is preferred?
Endotracheal tube
Central line
External jugular vein
IV or IO
IV or IO
A patient is in cardiac arrest. Ventricular fibrillation has been
refractory to a second shock. Which drug should be
administered first?
Epinephrine 1 mg IV/IO
Lidocaine 1 mg/kg IV/IO
Atropine 1 mg IV/IO
Sodium bicarbonate 50 meq IV/IO
Epinephrine 1 mg IV/IO
A patient has a rapid irregular wide-complex tachycardia. The
ventricular rate is 138/min. He is asymptomatic, with a blood
,pressure of 110/70 mm Hg. He has a history of angina. What
action is recommended next?
Performing synchronized cardioversion
Giving lidocaine 1 to 1.5 mg IV bolus
Giving adenosine 6 mg IV bolus
Seeking expert consultation
Seeking expert consultation
In which situation does bradycardia require treatment?
Diastolic blood pressure greater than 90 mm Hg
12-lead ECG showing a normal sinus rhythm
Hypotension
Systolic blood pressure greater than 100 mm Hg
Hypotension
What is the indication for the use of magnesium in cardiac
arrest?
Shock-refractory monomorphic ventricular tachycardia
Ventricular tachycardia associated with a normal QT interval
Shock-refractory ventricular fibrillation
, Pulseless ventricular tachycardia-associated torsades de
pointes
Pulseless ventricular tachycardia-associated torsades de
pointes
You arrive on the scene with the code team. High-quality CPR
is in progress. An AED has previously advised "no shock
indicated." A rhythm check now finds asystole. After resuming
high-quality compressions, which action do you take next?
Perform endotracheal intubation
Call for a pulse check
Insert a laryngeal airway
Establish IV or IO access
Establish IV or IO access
A 35-year-old woman has palpitations, light-headedness, and
a stable tachycardia. The monitor shows a regular narrow-
complex QRS at a rate of 180/min. Vagal maneuvers have not
been effective in terminating the rhythm. An IV has been
established. Which drug should be administered?
Epinephrine 2 to 10 mcg/kg per minute
Lidocaine 1 mg/kg
Atropine 0.5 mg
Adenosine 6 mg
EXAM QUESTIONS AND 100% VERIFIED ANSWERS – UPDATED
2026/27
A patient is in cardiac arrest. Ventricular fibrillation has been
refractory to an initial shock. If no pathway for medication
administration is in place, which method is preferred?
Endotracheal tube
Central line
External jugular vein
IV or IO
IV or IO
A patient is in cardiac arrest. Ventricular fibrillation has been
refractory to a second shock. Which drug should be
administered first?
Epinephrine 1 mg IV/IO
Lidocaine 1 mg/kg IV/IO
Atropine 1 mg IV/IO
Sodium bicarbonate 50 meq IV/IO
Epinephrine 1 mg IV/IO
A patient has a rapid irregular wide-complex tachycardia. The
ventricular rate is 138/min. He is asymptomatic, with a blood
,pressure of 110/70 mm Hg. He has a history of angina. What
action is recommended next?
Performing synchronized cardioversion
Giving lidocaine 1 to 1.5 mg IV bolus
Giving adenosine 6 mg IV bolus
Seeking expert consultation
Seeking expert consultation
In which situation does bradycardia require treatment?
Diastolic blood pressure greater than 90 mm Hg
12-lead ECG showing a normal sinus rhythm
Hypotension
Systolic blood pressure greater than 100 mm Hg
Hypotension
What is the indication for the use of magnesium in cardiac
arrest?
Shock-refractory monomorphic ventricular tachycardia
Ventricular tachycardia associated with a normal QT interval
Shock-refractory ventricular fibrillation
, Pulseless ventricular tachycardia-associated torsades de
pointes
Pulseless ventricular tachycardia-associated torsades de
pointes
You arrive on the scene with the code team. High-quality CPR
is in progress. An AED has previously advised "no shock
indicated." A rhythm check now finds asystole. After resuming
high-quality compressions, which action do you take next?
Perform endotracheal intubation
Call for a pulse check
Insert a laryngeal airway
Establish IV or IO access
Establish IV or IO access
A 35-year-old woman has palpitations, light-headedness, and
a stable tachycardia. The monitor shows a regular narrow-
complex QRS at a rate of 180/min. Vagal maneuvers have not
been effective in terminating the rhythm. An IV has been
established. Which drug should be administered?
Epinephrine 2 to 10 mcg/kg per minute
Lidocaine 1 mg/kg
Atropine 0.5 mg
Adenosine 6 mg
