(ACLS Written Exam) :2026//2027.
You find an unresponsive pt. who is not breathing. After activating the
emergency response system, you determine there is no pulse. What is
your next action?
Start chest compressions of at least 100 per min.
You are evaluating a 58-year-old man with chest pain. The blood
pressure is 92/50 mm Hg, the heart rate is 92/min, the nonlabored
respiratory rate is 14 breaths/min, and the pulse oximetry reading is
97%. What assessment step is most important now?
Obtaining a 12 lead ECG.
What is the preferred method of access for epi administration during
cardiac arrest in most pts?
Peripheral IV
An AED does not promptly analyze a rythm. What is your next step?
Begin chest compressions.
3/3/2026, 7:11:38 PM
, (ACLS Written Exam) :2026//2027.
You have completed 2 minutes of CPR. The ECG monitor displays the
lead II rhythm below, and the patient has no pulse. Another member of
your team resumes chest compressions, and an IV is in place. What
management step is your next priority?
Administer 1mg of epinephrine
During a pause in CPR, you see this lead II ECG rhythm on the monitor.
The patient has no pulse. What is the next action?
Resume compressions
What is a common but sometimes fatal mistake in cardiac arrest
management?
Prolonged interruptions in chest compressions.
3/3/2026, 7:11:38 PM
, (ACLS Written Exam) :2026//2027.
Which action is a componant of high-quality chest comressions?
Allowing complete chest recoil
Which action increases the chance of successful conversion of
ventricular fibrillation?
Providing quality compressions immediately before a defibrillation
attempt.
Which situation BEST describes pulseless electrical activity?
Sinus rythm without a pulse
What is the BEST strategy for performing high-quality CPR on a patient
with an advanced airway in place?
Provide continuous chest compressions without pauses and 10
ventilations per minute.
3/3/2026, 7:11:38 PM
, (ACLS Written Exam) :2026//2027.
Three minutes after witnessing a cardiac arrest, one member of your
team inserts an endotracheal tube while another performs continuous
chest compressions. During subsequent ventilation, you notice the
presence of a waveform on the capnography screen and a PETCO2
level of 8 mm Hg. What is the significance of this finding?
Chest compressions may not be effective.
The use of quantitative capnography in intubated patients
allows for monitoring of CPR quality.
For the past 25 minutes, an EMS crew has attempted resuscitation of a
patient who originally presented in ventricular fibrillation. After the first
shock, the ECG screen displayed asystole, which has persisted despite
2 doses of epinephrine, a fluid bolus, and high-quality CPR. What is
your next treatment?
Consider terminating resuscitive efforts after consulting medical
control.
Which is a safe and effective practice within the defibrillation
sequence?
Be sure oxygen is not blowing over the patient's chest during the
shock.
3/3/2026, 7:11:38 PM
You find an unresponsive pt. who is not breathing. After activating the
emergency response system, you determine there is no pulse. What is
your next action?
Start chest compressions of at least 100 per min.
You are evaluating a 58-year-old man with chest pain. The blood
pressure is 92/50 mm Hg, the heart rate is 92/min, the nonlabored
respiratory rate is 14 breaths/min, and the pulse oximetry reading is
97%. What assessment step is most important now?
Obtaining a 12 lead ECG.
What is the preferred method of access for epi administration during
cardiac arrest in most pts?
Peripheral IV
An AED does not promptly analyze a rythm. What is your next step?
Begin chest compressions.
3/3/2026, 7:11:38 PM
, (ACLS Written Exam) :2026//2027.
You have completed 2 minutes of CPR. The ECG monitor displays the
lead II rhythm below, and the patient has no pulse. Another member of
your team resumes chest compressions, and an IV is in place. What
management step is your next priority?
Administer 1mg of epinephrine
During a pause in CPR, you see this lead II ECG rhythm on the monitor.
The patient has no pulse. What is the next action?
Resume compressions
What is a common but sometimes fatal mistake in cardiac arrest
management?
Prolonged interruptions in chest compressions.
3/3/2026, 7:11:38 PM
, (ACLS Written Exam) :2026//2027.
Which action is a componant of high-quality chest comressions?
Allowing complete chest recoil
Which action increases the chance of successful conversion of
ventricular fibrillation?
Providing quality compressions immediately before a defibrillation
attempt.
Which situation BEST describes pulseless electrical activity?
Sinus rythm without a pulse
What is the BEST strategy for performing high-quality CPR on a patient
with an advanced airway in place?
Provide continuous chest compressions without pauses and 10
ventilations per minute.
3/3/2026, 7:11:38 PM
, (ACLS Written Exam) :2026//2027.
Three minutes after witnessing a cardiac arrest, one member of your
team inserts an endotracheal tube while another performs continuous
chest compressions. During subsequent ventilation, you notice the
presence of a waveform on the capnography screen and a PETCO2
level of 8 mm Hg. What is the significance of this finding?
Chest compressions may not be effective.
The use of quantitative capnography in intubated patients
allows for monitoring of CPR quality.
For the past 25 minutes, an EMS crew has attempted resuscitation of a
patient who originally presented in ventricular fibrillation. After the first
shock, the ECG screen displayed asystole, which has persisted despite
2 doses of epinephrine, a fluid bolus, and high-quality CPR. What is
your next treatment?
Consider terminating resuscitive efforts after consulting medical
control.
Which is a safe and effective practice within the defibrillation
sequence?
Be sure oxygen is not blowing over the patient's chest during the
shock.
3/3/2026, 7:11:38 PM
