ACLS Final Exam 2026|2027 Questions with Detailed Verified
Answers (100% Correct Answers) | Already Graded A+
A patient is being treated in the emergency department and is determined to have NSTE-ACS.
Invasive management is planned based on which finding?
A. Atrial tachycardia
B. Atrial fibrillation
C. Ventricular tachycardia
D. Hypoxia - Answer -C
A 42-year-old woman presents to the emergency department with complaints of fatigue,
shortness of breath, back pain and nausea. A 12-lead ECG is obtained and shows ST-segment
depression in leads II, III, and aVF and intermittent runs of no sustained ventricular tachycardia.
Cardiac serum markers are elevated. These findings suggest which condition?
A. High-risk non-ST segment elevation ACS (NSTE-ACS)
B. Intermittent-risk non-ST-segment elevation ACS (NSTE-ACS)
C. ST-segment elevation myocardial infarction (STEMI)
D. Low-risk non-ST segment elevation ACS (NSTE-ACS) - Answer -A
A patient has experienced ROSC after cardiac arrest. The healthcare team is conducting a
secondary assessment to determine the possible cause of the patient's cardiac arrest. Before
the arrest, the patient exhibited jugular venous dissension, cyanosis, apnea and hyper
resonance on percussion. The patient was also difficult to ventilate during the response. The
team would most likely suspect which condition as the cause?
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,A. Tension pneumothorax
B. Cardiac tamponade
C. Acidosis
D. Hypothermia - Answer -A
A resuscitation team is debriefing following a recent event. A patient experienced cardiac arrest,
and advanced life support was initiated. The patient required the placement of an advanced
airway to maintain airway patency. Which statement indicates that the team performed high-
quality CPR?
A. "We initiated chest compressions at a rate of 100-110 per minute to a depth of 2.4 inches
and then gave 1 ventilation every 10 seconds"
B. "We provided cheat compressions at a rate of 80-120 per minute to a depth of at least 2
inches and gave 1 ventilation every 3 seconds without pausing for compressions"
C. "We kept the rate of compressions around 100 per minute but adjusted their depth to 1.5
inches and gave 1 ventilation every 3 seconds without pausing for compressions"
D. "We provided chest compressions at a rate of 100-120 compressions per minute while giving
1 ventilation every 6 seconds without pausing for compressions - Answer -D
A person suddenly collapses while sitting in the sunroom of a healthcare facility. A healthcare
provider observes the event and hurries over to assess the situation. The healthcare provider
performs which assessment first?
A. Primary assessment
B. Rapid assessment
C. Basic life support assessment
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, D. Secondary assessment - Answer -B
Which statement accurately reflects the management of cardiac arrest in a pregnancy of 26
weeks gestation?
A. Targeted temperature management (TTM) is contraindicated in the post-cardiac arrest
pregnant patient
B. Resuscitative cesarean delivery (RCD) should be performed within 5 minutes from the time of
arrest
C. Fetal monitoring should be immediately initiated after pulselessness is determined
D. Intravenous access should be placed below the level of the diaphragm - Answer -B
Cardiac monitoring of a patient in cardiac arrest reveals ventricular fibrillation. In addition to
high-quality CPR, what intervention should be a priority for the team?
A. Initiate capnography
B. Insert an advanced airway
C. Perform a pulse check
D. Defibrillation - Answer -D
Which statements accurately reflect the recommendations for post-cardiac arrest patient care?
A. Targeted temperature management (TTM) should not be initiated in a post-cardiac arrest
patient who is receiving mechanical circulatory support
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Answers (100% Correct Answers) | Already Graded A+
A patient is being treated in the emergency department and is determined to have NSTE-ACS.
Invasive management is planned based on which finding?
A. Atrial tachycardia
B. Atrial fibrillation
C. Ventricular tachycardia
D. Hypoxia - Answer -C
A 42-year-old woman presents to the emergency department with complaints of fatigue,
shortness of breath, back pain and nausea. A 12-lead ECG is obtained and shows ST-segment
depression in leads II, III, and aVF and intermittent runs of no sustained ventricular tachycardia.
Cardiac serum markers are elevated. These findings suggest which condition?
A. High-risk non-ST segment elevation ACS (NSTE-ACS)
B. Intermittent-risk non-ST-segment elevation ACS (NSTE-ACS)
C. ST-segment elevation myocardial infarction (STEMI)
D. Low-risk non-ST segment elevation ACS (NSTE-ACS) - Answer -A
A patient has experienced ROSC after cardiac arrest. The healthcare team is conducting a
secondary assessment to determine the possible cause of the patient's cardiac arrest. Before
the arrest, the patient exhibited jugular venous dissension, cyanosis, apnea and hyper
resonance on percussion. The patient was also difficult to ventilate during the response. The
team would most likely suspect which condition as the cause?
1|Page
,A. Tension pneumothorax
B. Cardiac tamponade
C. Acidosis
D. Hypothermia - Answer -A
A resuscitation team is debriefing following a recent event. A patient experienced cardiac arrest,
and advanced life support was initiated. The patient required the placement of an advanced
airway to maintain airway patency. Which statement indicates that the team performed high-
quality CPR?
A. "We initiated chest compressions at a rate of 100-110 per minute to a depth of 2.4 inches
and then gave 1 ventilation every 10 seconds"
B. "We provided cheat compressions at a rate of 80-120 per minute to a depth of at least 2
inches and gave 1 ventilation every 3 seconds without pausing for compressions"
C. "We kept the rate of compressions around 100 per minute but adjusted their depth to 1.5
inches and gave 1 ventilation every 3 seconds without pausing for compressions"
D. "We provided chest compressions at a rate of 100-120 compressions per minute while giving
1 ventilation every 6 seconds without pausing for compressions - Answer -D
A person suddenly collapses while sitting in the sunroom of a healthcare facility. A healthcare
provider observes the event and hurries over to assess the situation. The healthcare provider
performs which assessment first?
A. Primary assessment
B. Rapid assessment
C. Basic life support assessment
2|Page
, D. Secondary assessment - Answer -B
Which statement accurately reflects the management of cardiac arrest in a pregnancy of 26
weeks gestation?
A. Targeted temperature management (TTM) is contraindicated in the post-cardiac arrest
pregnant patient
B. Resuscitative cesarean delivery (RCD) should be performed within 5 minutes from the time of
arrest
C. Fetal monitoring should be immediately initiated after pulselessness is determined
D. Intravenous access should be placed below the level of the diaphragm - Answer -B
Cardiac monitoring of a patient in cardiac arrest reveals ventricular fibrillation. In addition to
high-quality CPR, what intervention should be a priority for the team?
A. Initiate capnography
B. Insert an advanced airway
C. Perform a pulse check
D. Defibrillation - Answer -D
Which statements accurately reflect the recommendations for post-cardiac arrest patient care?
A. Targeted temperature management (TTM) should not be initiated in a post-cardiac arrest
patient who is receiving mechanical circulatory support
3|Page
