ACLS PRETEST 2026 Questions
and Verified Answers (2026/2027
Updated) | Graded A+ | 100%
Success
1. Gain IV or IO access. - Correct Answer -You arrive on the scene with the code
team. High-quality CPR is in progress. An AED has previously advised "no shock
indicated." A rhythm check now finds asystole. After resuming high-quality
compressions, your next action is to:
1. Gain IV or IO access.
2. Place an esophageal-tracheal tube or laryngeal mask airway.
3. Attempt endotracheal intubation with minimal interruptions in CPR.
4. Call for a pulse check.
1. Amiodarone 300 mg - Correct Answer -A patient is in pulseless ventricular
tachycardia. Two shocks and 1 dose of epinephrine have been given. Which is the
next drug/dose to anticipate to administer?
1. Amiodarone 300 mg
2. Amiodarone 150 mg
3. Vasopressin 40 units
4. Epinephrine 3 mg
5. Lidocaine 0.5 mg/kg
,4. Lidocaine, epinephrine, vasopressin - Correct Answer -Your patient has been
intubated. IV/IO access is not available. Which combination of drugs can be
administered by the endotracheal route?
1. Vasopressin, amiodarone, lidocaine
2. Amiodarone, lidocaine, epinephrine
3. Epinephrine, vasopressin, amiodarone
4. Lidocaine, epinephrine, vasopressin
2. IV or IO - Correct Answer -A patient is in cardiac arrest. Ventricular fibrillation
has been refractory to an initial shock. What is the recommended route for drug
administration during CPR?
1. Femoral vein
2. IV or IO
3. Central line
4. Endotracheal
5. External jugular vein
2. Second dose of epinephrine 1 mg - Correct Answer -A patient is in refractory
ventricular fibrillation. High-quality CPR is in progress, and shocks have been
given. One does of epinephrine was given after the second shock. An
antiarrhythmic drug was given immediately after the third shock. What drug
should the team leader request to be prepared for administration next?
, 1. Escalating dose of epinephrine 3 mg. 2. Second dose of epinephrine 1 mg
3. Repeat the antiarrhythmic drug
4. Sodium bicarbonate 50 mEq
2. Perform immediate electrical cardioversion. - Correct Answer -A 57-year-old
woman has palpitations, chest discomfort, and tachycardia. The monitor shows a
regular wide-complex ORS at a rate of 180/min. She becomes diaphoretic, and her
blood pressure is 80/60 mm Hg. The next action is to:
1. Give amiodarone 300 mg IV push.
2. Perform immediate electrical cardioversion.
3. Establish IV access.
4. Obtain a 12-lead ECG.
4. Chest pain or shortness of breath is present. - Correct Answer -Bradycardia
requires treatment when:
1. The blood pressure is less than 100 mm Hg systolic with or without symptoms.
2. The heart rate is less than 60/min with or without symptoms.
3. The patient's 12-lead ECG show an MI.
4. Chest pain or shortness of breath is present.
and Verified Answers (2026/2027
Updated) | Graded A+ | 100%
Success
1. Gain IV or IO access. - Correct Answer -You arrive on the scene with the code
team. High-quality CPR is in progress. An AED has previously advised "no shock
indicated." A rhythm check now finds asystole. After resuming high-quality
compressions, your next action is to:
1. Gain IV or IO access.
2. Place an esophageal-tracheal tube or laryngeal mask airway.
3. Attempt endotracheal intubation with minimal interruptions in CPR.
4. Call for a pulse check.
1. Amiodarone 300 mg - Correct Answer -A patient is in pulseless ventricular
tachycardia. Two shocks and 1 dose of epinephrine have been given. Which is the
next drug/dose to anticipate to administer?
1. Amiodarone 300 mg
2. Amiodarone 150 mg
3. Vasopressin 40 units
4. Epinephrine 3 mg
5. Lidocaine 0.5 mg/kg
,4. Lidocaine, epinephrine, vasopressin - Correct Answer -Your patient has been
intubated. IV/IO access is not available. Which combination of drugs can be
administered by the endotracheal route?
1. Vasopressin, amiodarone, lidocaine
2. Amiodarone, lidocaine, epinephrine
3. Epinephrine, vasopressin, amiodarone
4. Lidocaine, epinephrine, vasopressin
2. IV or IO - Correct Answer -A patient is in cardiac arrest. Ventricular fibrillation
has been refractory to an initial shock. What is the recommended route for drug
administration during CPR?
1. Femoral vein
2. IV or IO
3. Central line
4. Endotracheal
5. External jugular vein
2. Second dose of epinephrine 1 mg - Correct Answer -A patient is in refractory
ventricular fibrillation. High-quality CPR is in progress, and shocks have been
given. One does of epinephrine was given after the second shock. An
antiarrhythmic drug was given immediately after the third shock. What drug
should the team leader request to be prepared for administration next?
, 1. Escalating dose of epinephrine 3 mg. 2. Second dose of epinephrine 1 mg
3. Repeat the antiarrhythmic drug
4. Sodium bicarbonate 50 mEq
2. Perform immediate electrical cardioversion. - Correct Answer -A 57-year-old
woman has palpitations, chest discomfort, and tachycardia. The monitor shows a
regular wide-complex ORS at a rate of 180/min. She becomes diaphoretic, and her
blood pressure is 80/60 mm Hg. The next action is to:
1. Give amiodarone 300 mg IV push.
2. Perform immediate electrical cardioversion.
3. Establish IV access.
4. Obtain a 12-lead ECG.
4. Chest pain or shortness of breath is present. - Correct Answer -Bradycardia
requires treatment when:
1. The blood pressure is less than 100 mm Hg systolic with or without symptoms.
2. The heart rate is less than 60/min with or without symptoms.
3. The patient's 12-lead ECG show an MI.
4. Chest pain or shortness of breath is present.
