ACLS Final Studyguide & Actual Exam 2026–2027 | Latest
Questions & Verified Answers | Advanced Cardiac Life
Support Exam Prep PDF
A 30-year-old patient has been brought to the emergency department in cardiac
arrest. The cardiac monitor shows the following rhythm. Interpretation of this
rhythm would suggest which of the following as a possible precipitating factor? -
selected answer 👀 ** The rhythm is ventricular fibrillation. Precipitating causes
of ventricular fibrillation include electrocution, myocardial ischemia or infarction,
shock, stimulant overdose and ventricular tachycardia.
electrocution
A patient enters the emergency department in respiratory compromise. The
team is monitoring the patient using capnography and identifies that ETCO2
levels are initially 33 mmHg and later 40 mmHg. From these readings, the team
identifies that the patient is progressing in what stage of respiratory
compromise?
Respiratory acidosis
Respiratory failure
Respiratory distress
Respiratory arrest - selected answer 👀 ** 3
Capnography can objectively assess the severity of a patient's respiratory
distress. Early on, the patient will often hyperventilate, leading to hypocapnia
,that is reflected by a low ETCO2 value (less than 35 mmHg). As respiratory
distress increases, and the patient begins to tire, the ETCO2 value may return to
the normal range (35 to 45 mmHg). However, if the patient progresses to
respiratory failure, the ETCO2 level will increase to greater than 45 mmHg,
which indicates hypoventilation.
A patient comes to the emergency department complaining of palpitations and
"some shortness of breath." Cardiac monitoring is initiated and reveals the
following ECG rhythm strip. The provider interprets this strip as indicating which
arrhythmia?
Atrial fibrillation
Ventricular tachycardia
Ventricular fibrillation
Atrial flutter - selected answer 👀 ** Atrial flutter
A patient is experiencing respiratory distress secondary to an exacerbation of
chronic obstructive pulmonary disease. The patient begins to exhibit signs and
symptoms of worsening respiratory function and experiences respiratory arrest.
The team intervenes, delivering ventilations via BVM resuscitator. The team
would deliver 1 ventilation at which interval?
Every 3 to 4 seconds
Every 5 to 6 seconds
Every 7 to 8 seconds
, Every 8 to 9 seconds - selected answer 👀 ** The team would deliver 1
ventilation every 5 to 6 seconds. Each ventilation should last about 1 second
and make the chest begin to rise.
Assessment of a patient in the emergency department reveals that the patient is
experiencing respiratory compromise. From the assessment, the team identifies
that the patient is in the earliest stage of this condition. Which stage would this
be?
Select the correct answer to this question.
Respiratory distress
Respiratory arrest
Respiratory acidosis
Respiratory failure - selected answer 👀 ** Respiratory distress
Respiratory compromise occurs along a continuum, beginning with respiratory
distress, progressing to respiratory failure and then to respiratory arrest
After cardiac arrest and successful resuscitation, the patient has a return of
spontaneous circulation. The patient is unable to follow verbal commands.
Targeted temperature management is initiated. Which method(s) would be
appropriate for the resuscitation team to use?
Giving an ice-cold IV fluid bolus
Applying cooling blankets to the patient's body
Administering cool-mist oxygen therapy
Questions & Verified Answers | Advanced Cardiac Life
Support Exam Prep PDF
A 30-year-old patient has been brought to the emergency department in cardiac
arrest. The cardiac monitor shows the following rhythm. Interpretation of this
rhythm would suggest which of the following as a possible precipitating factor? -
selected answer 👀 ** The rhythm is ventricular fibrillation. Precipitating causes
of ventricular fibrillation include electrocution, myocardial ischemia or infarction,
shock, stimulant overdose and ventricular tachycardia.
electrocution
A patient enters the emergency department in respiratory compromise. The
team is monitoring the patient using capnography and identifies that ETCO2
levels are initially 33 mmHg and later 40 mmHg. From these readings, the team
identifies that the patient is progressing in what stage of respiratory
compromise?
Respiratory acidosis
Respiratory failure
Respiratory distress
Respiratory arrest - selected answer 👀 ** 3
Capnography can objectively assess the severity of a patient's respiratory
distress. Early on, the patient will often hyperventilate, leading to hypocapnia
,that is reflected by a low ETCO2 value (less than 35 mmHg). As respiratory
distress increases, and the patient begins to tire, the ETCO2 value may return to
the normal range (35 to 45 mmHg). However, if the patient progresses to
respiratory failure, the ETCO2 level will increase to greater than 45 mmHg,
which indicates hypoventilation.
A patient comes to the emergency department complaining of palpitations and
"some shortness of breath." Cardiac monitoring is initiated and reveals the
following ECG rhythm strip. The provider interprets this strip as indicating which
arrhythmia?
Atrial fibrillation
Ventricular tachycardia
Ventricular fibrillation
Atrial flutter - selected answer 👀 ** Atrial flutter
A patient is experiencing respiratory distress secondary to an exacerbation of
chronic obstructive pulmonary disease. The patient begins to exhibit signs and
symptoms of worsening respiratory function and experiences respiratory arrest.
The team intervenes, delivering ventilations via BVM resuscitator. The team
would deliver 1 ventilation at which interval?
Every 3 to 4 seconds
Every 5 to 6 seconds
Every 7 to 8 seconds
, Every 8 to 9 seconds - selected answer 👀 ** The team would deliver 1
ventilation every 5 to 6 seconds. Each ventilation should last about 1 second
and make the chest begin to rise.
Assessment of a patient in the emergency department reveals that the patient is
experiencing respiratory compromise. From the assessment, the team identifies
that the patient is in the earliest stage of this condition. Which stage would this
be?
Select the correct answer to this question.
Respiratory distress
Respiratory arrest
Respiratory acidosis
Respiratory failure - selected answer 👀 ** Respiratory distress
Respiratory compromise occurs along a continuum, beginning with respiratory
distress, progressing to respiratory failure and then to respiratory arrest
After cardiac arrest and successful resuscitation, the patient has a return of
spontaneous circulation. The patient is unable to follow verbal commands.
Targeted temperature management is initiated. Which method(s) would be
appropriate for the resuscitation team to use?
Giving an ice-cold IV fluid bolus
Applying cooling blankets to the patient's body
Administering cool-mist oxygen therapy