ACLS
EXAM VERSION A
Actual Questions and Answers
100% Guarantee Pass
This Exam contains:
➢ 50 Questions and Answers
➢ Multiple-Choice (A–D), For Each Question.
➢ Each Question Includes The Correct Answer
➢ Rationale That Aligns with ACLS 2025 Principles.
,### 1. An activated AED does not promptly analyze the rhythm. What is
your next action?
A. Begin chest compressions.
B. Discontinue the resuscitation attempt.
C. Check all AED connections and reanalyze.
D. Rotate AED electrodes to an alternate position.
Correct Answer: C. Check all AED connections and reanalyze.
Rationale:
If an AED does not analyze promptly, check the electrode pad connections,
ensure good skin contact, and then prompt the AED to reanalyze. Starting
compressions is important but it is best to correct mechanical or connection
issues first to allow rhythm analysis. Discontinuing is inappropriate unless
the patient is obvious dead, and rotating electrodes is not standard
procedure.
### 2. You have completed 2 minutes of CPR. The ECG monitor displays
ventricular fibrillation, 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?
,A. Give 0.5 mg of atropine.
B. Insert an advanced airway.
C. Administer 1 mg of epinephrine.
D. Administer a dopamine infusion.
Correct Answer: C. Administer 1 mg of epinephrine.
Rationale:
For refractory ventricular fibrillation after initial defibrillation and CPR,
administer epinephrine 1 mg IV/IO every 3-5 minutes. Atropine is no longer
recommended in ventricular fibrillation or pulseless ventricular
tachycardia. Insertion of an advanced airway can be performed but does not
take priority over epinephrine administration. Dopamine infusion is not
indicated during cardiac arrest.
### 3. What is the preferred method of access for epinephrine
administration during cardiac arrest in most patients?
A. Intraosseous
, B. Endotracheal
C. Central intravenous
D. Peripheral intravenous
Correct Answer: D. Peripheral intravenous
Rationale:
The preferred vascular access during cardiac arrest is peripheral
intravenous (IV) access due to its availability and rapid establishment in
most patients. If peripheral IV access is difficult or delayed, intraosseous
(IO) access provides an excellent alternative that quickly allows
administration of medications. Endotracheal administration is no longer
preferred due to variable absorption and efficacy.
---
### 4. You find an unresponsive patient who is not breathing. After
activating the emergency response system, you determine that there is no
pulse. What is your next action?
A. Open the airway with a head tilt–chin lift.
B. Administer epinephrine at a dose of 1 mg/kg.
C. Deliver 2 rescue breaths each over 1 second.
D. Start chest compressions at a rate of at least 100/min.
Correct Answer: D. Start chest compressions at a rate of at least 100/min.
Rationale:
EXAM VERSION A
Actual Questions and Answers
100% Guarantee Pass
This Exam contains:
➢ 50 Questions and Answers
➢ Multiple-Choice (A–D), For Each Question.
➢ Each Question Includes The Correct Answer
➢ Rationale That Aligns with ACLS 2025 Principles.
,### 1. An activated AED does not promptly analyze the rhythm. What is
your next action?
A. Begin chest compressions.
B. Discontinue the resuscitation attempt.
C. Check all AED connections and reanalyze.
D. Rotate AED electrodes to an alternate position.
Correct Answer: C. Check all AED connections and reanalyze.
Rationale:
If an AED does not analyze promptly, check the electrode pad connections,
ensure good skin contact, and then prompt the AED to reanalyze. Starting
compressions is important but it is best to correct mechanical or connection
issues first to allow rhythm analysis. Discontinuing is inappropriate unless
the patient is obvious dead, and rotating electrodes is not standard
procedure.
### 2. You have completed 2 minutes of CPR. The ECG monitor displays
ventricular fibrillation, 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?
,A. Give 0.5 mg of atropine.
B. Insert an advanced airway.
C. Administer 1 mg of epinephrine.
D. Administer a dopamine infusion.
Correct Answer: C. Administer 1 mg of epinephrine.
Rationale:
For refractory ventricular fibrillation after initial defibrillation and CPR,
administer epinephrine 1 mg IV/IO every 3-5 minutes. Atropine is no longer
recommended in ventricular fibrillation or pulseless ventricular
tachycardia. Insertion of an advanced airway can be performed but does not
take priority over epinephrine administration. Dopamine infusion is not
indicated during cardiac arrest.
### 3. What is the preferred method of access for epinephrine
administration during cardiac arrest in most patients?
A. Intraosseous
, B. Endotracheal
C. Central intravenous
D. Peripheral intravenous
Correct Answer: D. Peripheral intravenous
Rationale:
The preferred vascular access during cardiac arrest is peripheral
intravenous (IV) access due to its availability and rapid establishment in
most patients. If peripheral IV access is difficult or delayed, intraosseous
(IO) access provides an excellent alternative that quickly allows
administration of medications. Endotracheal administration is no longer
preferred due to variable absorption and efficacy.
---
### 4. You find an unresponsive patient who is not breathing. After
activating the emergency response system, you determine that there is no
pulse. What is your next action?
A. Open the airway with a head tilt–chin lift.
B. Administer epinephrine at a dose of 1 mg/kg.
C. Deliver 2 rescue breaths each over 1 second.
D. Start chest compressions at a rate of at least 100/min.
Correct Answer: D. Start chest compressions at a rate of at least 100/min.
Rationale:
