ACLS 2026 QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS
ALREADY PASSED!!!
Q: When a patient is undergoing CPR, how should medications be administered?
A: Drugs should be given via the IV (intravenous) or IO (intraosseous) route
rapidly during active chest compressions. ✔✔
Q: What is the specific clinical risk of providing high-concentration oxygen as a
standard routine to patients who have achieved ROSC?
A: The primary danger is potential oxygen toxicity, which can negatively impact
recovery during the post-cardiac arrest phase. ✔✔
Q: What is the current medical consensus on using cricoid pressure to stop
aspiration during a cardiac arrest?
A: This technique is no longer advised for routine application. ✔✔
Q: If a middle-aged patient is discovered unconscious and in respiratory arrest,
what is the first airway intervention that should be performed?
A: Utilize the head-tilt, chin-lift maneuver to open the airway. ✔✔
Check for a pulse -ANSWER ✔✔After verifying unresponsiveness and abnormal
breathing, you activate emergency response team. What is your next action?
Unstable supraventricular tachycardia -ANSWER ✔✔A responder is caring for a
patient with a history of congestive heart failure. Patient is experiencing shortness
of breath, a BP of 68/50 mmHg, and HR of 190/min. Patient's lead II ECG is
displayed above (shows unstable SVT). Which of the following best describes this
patient?
, 300 mg -ANSWER ✔✔Recommended 1st IV dose of amiodarone for a patient
with refractory ventricular fibrillation?
Administer a second shock -ANSWER ✔✔Patient remains in ventricular
fibrillation despite 1 shock and 2 minutes of continuous CPR. Next intervention is
to
Administer 2 to 4 mg of morphine by slow IV bolus -ANSWER ✔✔49 year old
man has retrosternal chest pain radiating into the left arm. Patient is diaphoretic,
with associated shortness of breath. BP is 130/88 mmHg, HR is 110/min, RR is 22
breaths/min, and pulse oximetry is 95%. Patient's 12 lead ECG shows ST segment
elevation in the anterior leads. First responders administered 160 mg aspirin, and
there is a patent peripheral IV. Pain described as a 8/10 and unrelieved after 3
doses of nitroglycerin. What is the next action?
At least 100/min -ANSWER ✔✔What is the appropriate rate of chest
compressions for an adult in cardiac arrest?
Defibrillation -ANSWER ✔✔EMS personnel arrive to find a patient in cardiac
arrest. Bystanders are performing CPR. After attaching a cardiac monitor, the
responder observes the following rhythm strip. What is the most important early
intervention?
Obtaining a 12 lead ECG -ANSWER ✔✔You are evaluating a 58-year-old man
with chest pain. BP is 92/50 mmHg, HR is 92/min, nonlabored RR is 14
breaths/min, and the pulse oximetry reading is 97%. What assessment step is most
important now?
WITH COMPLETE SOLUTIONS
ALREADY PASSED!!!
Q: When a patient is undergoing CPR, how should medications be administered?
A: Drugs should be given via the IV (intravenous) or IO (intraosseous) route
rapidly during active chest compressions. ✔✔
Q: What is the specific clinical risk of providing high-concentration oxygen as a
standard routine to patients who have achieved ROSC?
A: The primary danger is potential oxygen toxicity, which can negatively impact
recovery during the post-cardiac arrest phase. ✔✔
Q: What is the current medical consensus on using cricoid pressure to stop
aspiration during a cardiac arrest?
A: This technique is no longer advised for routine application. ✔✔
Q: If a middle-aged patient is discovered unconscious and in respiratory arrest,
what is the first airway intervention that should be performed?
A: Utilize the head-tilt, chin-lift maneuver to open the airway. ✔✔
Check for a pulse -ANSWER ✔✔After verifying unresponsiveness and abnormal
breathing, you activate emergency response team. What is your next action?
Unstable supraventricular tachycardia -ANSWER ✔✔A responder is caring for a
patient with a history of congestive heart failure. Patient is experiencing shortness
of breath, a BP of 68/50 mmHg, and HR of 190/min. Patient's lead II ECG is
displayed above (shows unstable SVT). Which of the following best describes this
patient?
, 300 mg -ANSWER ✔✔Recommended 1st IV dose of amiodarone for a patient
with refractory ventricular fibrillation?
Administer a second shock -ANSWER ✔✔Patient remains in ventricular
fibrillation despite 1 shock and 2 minutes of continuous CPR. Next intervention is
to
Administer 2 to 4 mg of morphine by slow IV bolus -ANSWER ✔✔49 year old
man has retrosternal chest pain radiating into the left arm. Patient is diaphoretic,
with associated shortness of breath. BP is 130/88 mmHg, HR is 110/min, RR is 22
breaths/min, and pulse oximetry is 95%. Patient's 12 lead ECG shows ST segment
elevation in the anterior leads. First responders administered 160 mg aspirin, and
there is a patent peripheral IV. Pain described as a 8/10 and unrelieved after 3
doses of nitroglycerin. What is the next action?
At least 100/min -ANSWER ✔✔What is the appropriate rate of chest
compressions for an adult in cardiac arrest?
Defibrillation -ANSWER ✔✔EMS personnel arrive to find a patient in cardiac
arrest. Bystanders are performing CPR. After attaching a cardiac monitor, the
responder observes the following rhythm strip. What is the most important early
intervention?
Obtaining a 12 lead ECG -ANSWER ✔✔You are evaluating a 58-year-old man
with chest pain. BP is 92/50 mmHg, HR is 92/min, nonlabored RR is 14
breaths/min, and the pulse oximetry reading is 97%. What assessment step is most
important now?
