Updated ACLS Final Exam 2026– Advanced
Cardiovascular Life Support 60 Multiple-Choice
Questions with Answer Key | PDF
1. What is the first step when a patient is found unresponsive?
A. Start CPR
B. Check pulse
C. Activate emergency response system
D. Open airway
Answer: C
Explanation: 👀 ** ACLS begins with scene safety, responsiveness check, and
activating emergency response before interventions.
2. Which rhythm is shockable?
A. Asystole
B. Pulseless electrical activity (PEA)
C. Ventricular fibrillation
D. Sinus bradycardia
Answer: C
Explanation: 👀 ** VF and pulseless VT are shockable rhythms.
3. Recommended compression depth for adults during CPR is:
A. 1–2 inches
B. At least 2 inches
,C. Exactly 1 inch
D. 3 inches
Answer: B
Explanation: 👀 ** High-quality CPR requires at least 2 inches depth.
4. Compression rate during adult CPR should be:
A. 60–80/min
B. 80–100/min
C. 100–120/min
D. >130/min
Answer: C
Explanation: 👀 ** AHA recommends 100–120 compressions/min.
5. After how many minutes should compressors rotate during CPR?
A. Every 1 minute
B. Every 2 minutes
C. Every 3 minutes
D. Every 5 minutes
Answer: B
Explanation: 👀 ** Rotate every 2 minutes to prevent fatigue.
6. First medication given in cardiac arrest (VF/pVT)?
A. Amiodarone
B. Lidocaine
, C. Epinephrine
D. Atropine
Answer: C
Explanation: 👀 ** Epinephrine 1 mg IV/IO every 3–5 minutes.
7. Epinephrine dose during cardiac arrest:
A. 0.5 mg IV
B. 1 mg IV/IO
C. 2 mg IV
D. 5 mg IV
Answer: B
Explanation: 👀 ** Standard ACLS dose is 1 mg IV/IO.
8. When should epinephrine be given for asystole/PEA?
A. After first shock
B. Immediately after CPR starts
C. After airway placement
D. After rhythm converts
Answer: B
Explanation: 👀 ** Epinephrine ASAP for non-shockable rhythms.
9. What is the correct shock energy for biphasic defibrillation?
A. 50 J
B. 100 J
Cardiovascular Life Support 60 Multiple-Choice
Questions with Answer Key | PDF
1. What is the first step when a patient is found unresponsive?
A. Start CPR
B. Check pulse
C. Activate emergency response system
D. Open airway
Answer: C
Explanation: 👀 ** ACLS begins with scene safety, responsiveness check, and
activating emergency response before interventions.
2. Which rhythm is shockable?
A. Asystole
B. Pulseless electrical activity (PEA)
C. Ventricular fibrillation
D. Sinus bradycardia
Answer: C
Explanation: 👀 ** VF and pulseless VT are shockable rhythms.
3. Recommended compression depth for adults during CPR is:
A. 1–2 inches
B. At least 2 inches
,C. Exactly 1 inch
D. 3 inches
Answer: B
Explanation: 👀 ** High-quality CPR requires at least 2 inches depth.
4. Compression rate during adult CPR should be:
A. 60–80/min
B. 80–100/min
C. 100–120/min
D. >130/min
Answer: C
Explanation: 👀 ** AHA recommends 100–120 compressions/min.
5. After how many minutes should compressors rotate during CPR?
A. Every 1 minute
B. Every 2 minutes
C. Every 3 minutes
D. Every 5 minutes
Answer: B
Explanation: 👀 ** Rotate every 2 minutes to prevent fatigue.
6. First medication given in cardiac arrest (VF/pVT)?
A. Amiodarone
B. Lidocaine
, C. Epinephrine
D. Atropine
Answer: C
Explanation: 👀 ** Epinephrine 1 mg IV/IO every 3–5 minutes.
7. Epinephrine dose during cardiac arrest:
A. 0.5 mg IV
B. 1 mg IV/IO
C. 2 mg IV
D. 5 mg IV
Answer: B
Explanation: 👀 ** Standard ACLS dose is 1 mg IV/IO.
8. When should epinephrine be given for asystole/PEA?
A. After first shock
B. Immediately after CPR starts
C. After airway placement
D. After rhythm converts
Answer: B
Explanation: 👀 ** Epinephrine ASAP for non-shockable rhythms.
9. What is the correct shock energy for biphasic defibrillation?
A. 50 J
B. 100 J
