ACLS POST TEST VERSION 2 2026 QUESTIONS
WITH FULL ANSWERS GRADED A+
◉ 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? Answer: Consider
terminating resuscitive efforts after consulting medical control.
◉ Which is a safe and effective practice within the defibrillation
sequence? Answer: Be sure oxygen is not blowing over the patient's
chest during the shock.
◉ During your assessment, your patient suddenly loses
consciousness. After calling for help and determining that the
patient is not breathing, you are unsure whether the patient has a
pulse. What is your next action? Answer: Begin chest compressions.
◉ What is an advantage of using hands-free defibrillation pads
instead of defibrillation paddles? Answer: Hands-free pads allow for
a more rapid defibrillation.
,◉ What action is recommended to help minimize interruptions in
chest compressions during CPR? Answer: Continue CPR while
charging the defibrillator.
◉ Which action is included in the BLS survey? Answer: Early
defibrillation
◉ Which drug and dose are recommended for the management of a
patient in refractory ventricular fibrillation? Answer: Amioderone
300mg
◉ What is the appropriate interval for an interruption in chest
compressions? Answer: 10 seconds or less
◉ Which of the following is a sign of effective CPR? Answer: PETCO2
≥10 mm Hg
◉ What is the primary purpose of a medical emergency team (MET)
or rapid response team (RRT)? Answer: Identifying and treating
early clinical deterioration.
◉ Which action improves the quality of chest compressions
delivered during a resuscitation attempt? Answer: Switch providers
about every 2 minutes or every 5 compression cycles.
, ◉ What is the appropriate ventilation strategy for an adult in
respiratory arrest with a pulse rate of 80/min? Answer: 1 breath
every 5-6 seconds
◉ A patient presents to the emergency department with new onset
of dizziness and fatigue. On examination, the patient's heart rate is
35/min, the blood pressure is 70/50 mm Hg, the respiratory rate is
22 breaths/min, and the oxygen saturation is 95%. What is the
appropriate first medication? Answer: Atropine 0.5mg
◉ A patient with dizziness and shortness of breath with a sinus
bradycardia of 40/min. The initial atropine dose was ineffective, and
your monitor/defibrillator is not equipped with a transcutaneous
pacemaker. What is the appropriate dose of dopamine for this
patient? Answer: 2 to 10 mcg/kg per minute
◉ A patient has sudden onset of dizziness. The patient's heart rate is
180/min, blood pressure is 110/70 mm Hg, respiratory rate is 18
breaths/min, and pulse oximetry reading is 98% on room air. The
lead II ECG is shown below: Answer: Vagal manuever.
◉ A monitored patient in the ICU developed a sudden onset of
narrow-complex tachycardia at a rate of 220/min. The patient's
blood pressure is 128/58 mm Hg, the PETCO2 is 38 mm Hg, and the
pulse oximetry reading is 98%. There is vascular access at the left
internal jugular vein, and the patient has not been given any
vasoactive drugs. A 12-lead ECG confirms a supraventricular
WITH FULL ANSWERS GRADED A+
◉ 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? Answer: Consider
terminating resuscitive efforts after consulting medical control.
◉ Which is a safe and effective practice within the defibrillation
sequence? Answer: Be sure oxygen is not blowing over the patient's
chest during the shock.
◉ During your assessment, your patient suddenly loses
consciousness. After calling for help and determining that the
patient is not breathing, you are unsure whether the patient has a
pulse. What is your next action? Answer: Begin chest compressions.
◉ What is an advantage of using hands-free defibrillation pads
instead of defibrillation paddles? Answer: Hands-free pads allow for
a more rapid defibrillation.
,◉ What action is recommended to help minimize interruptions in
chest compressions during CPR? Answer: Continue CPR while
charging the defibrillator.
◉ Which action is included in the BLS survey? Answer: Early
defibrillation
◉ Which drug and dose are recommended for the management of a
patient in refractory ventricular fibrillation? Answer: Amioderone
300mg
◉ What is the appropriate interval for an interruption in chest
compressions? Answer: 10 seconds or less
◉ Which of the following is a sign of effective CPR? Answer: PETCO2
≥10 mm Hg
◉ What is the primary purpose of a medical emergency team (MET)
or rapid response team (RRT)? Answer: Identifying and treating
early clinical deterioration.
◉ Which action improves the quality of chest compressions
delivered during a resuscitation attempt? Answer: Switch providers
about every 2 minutes or every 5 compression cycles.
, ◉ What is the appropriate ventilation strategy for an adult in
respiratory arrest with a pulse rate of 80/min? Answer: 1 breath
every 5-6 seconds
◉ A patient presents to the emergency department with new onset
of dizziness and fatigue. On examination, the patient's heart rate is
35/min, the blood pressure is 70/50 mm Hg, the respiratory rate is
22 breaths/min, and the oxygen saturation is 95%. What is the
appropriate first medication? Answer: Atropine 0.5mg
◉ A patient with dizziness and shortness of breath with a sinus
bradycardia of 40/min. The initial atropine dose was ineffective, and
your monitor/defibrillator is not equipped with a transcutaneous
pacemaker. What is the appropriate dose of dopamine for this
patient? Answer: 2 to 10 mcg/kg per minute
◉ A patient has sudden onset of dizziness. The patient's heart rate is
180/min, blood pressure is 110/70 mm Hg, respiratory rate is 18
breaths/min, and pulse oximetry reading is 98% on room air. The
lead II ECG is shown below: Answer: Vagal manuever.
◉ A monitored patient in the ICU developed a sudden onset of
narrow-complex tachycardia at a rate of 220/min. The patient's
blood pressure is 128/58 mm Hg, the PETCO2 is 38 mm Hg, and the
pulse oximetry reading is 98%. There is vascular access at the left
internal jugular vein, and the patient has not been given any
vasoactive drugs. A 12-lead ECG confirms a supraventricular
