NEW 2025/2026 ACLS Written Exam Study Guide | Complete
200 Practice Questions with Verified Answers and Rationale |
Updated Review Edition!!!
,
,NEW 2025/2026 ACLS Written Exam Study Guide | Complete 200 Practice
Questions with Verified Answers and Rationale | Updated Review Edition!!!
1. What is the first step in managing an unresponsive adult patient?
A. Start chest compressions
B. Check for pulse
C. Activate emergency response system and get AED
D. Give epinephrine
-ANSWER-: C. Activate emergency response system and get AED
Rationale: Activating the emergency response system ensures additional help and
early defibrillation, which significantly improves survival in cardiac arrest.
2. What is the correct compression-to-ventilation ratio in adult CPR with no
advanced airway?
A. 15:2
B. 30:2
C. 10:1
D. Continuous compressions only
-ANSWER-: B. 30:2
Rationale: The recommended ratio for adults without an advanced airway is 30
compressions to 2 breaths to maintain circulation and oxygenation.
3. What depth should chest compressions be for adults?
A. 1 inch
B. At least 2 inches
C. 3 inches
D. ½ inch
, -ANSWER-: B. At least 2 inches
Rationale: Compressions must be at least 2 inches (5 cm) deep to generate
adequate blood flow during cardiac arrest.
4. What rhythm is shockable?
A. Asystole
B. PEA
C. Ventricular fibrillation
D. Sinus rhythm
-ANSWER-: C. Ventricular fibrillation
Rationale: Ventricular fibrillation is a chaotic rhythm requiring immediate
defibrillation. Asystole and PEA are non-shockable.
5. What medication is given first in asystole?
A. Amiodarone
B. Epinephrine
C. Atropine
D. Adenosine
-ANSWER-: B. Epinephrine
Rationale: Epinephrine 1 mg IV/IO every 3–5 minutes improves coronary
perfusion pressure in asystole.
6. How often should rhythm checks occur during CPR?
A. Every 30 seconds
B. Every 1 minute
200 Practice Questions with Verified Answers and Rationale |
Updated Review Edition!!!
,
,NEW 2025/2026 ACLS Written Exam Study Guide | Complete 200 Practice
Questions with Verified Answers and Rationale | Updated Review Edition!!!
1. What is the first step in managing an unresponsive adult patient?
A. Start chest compressions
B. Check for pulse
C. Activate emergency response system and get AED
D. Give epinephrine
-ANSWER-: C. Activate emergency response system and get AED
Rationale: Activating the emergency response system ensures additional help and
early defibrillation, which significantly improves survival in cardiac arrest.
2. What is the correct compression-to-ventilation ratio in adult CPR with no
advanced airway?
A. 15:2
B. 30:2
C. 10:1
D. Continuous compressions only
-ANSWER-: B. 30:2
Rationale: The recommended ratio for adults without an advanced airway is 30
compressions to 2 breaths to maintain circulation and oxygenation.
3. What depth should chest compressions be for adults?
A. 1 inch
B. At least 2 inches
C. 3 inches
D. ½ inch
, -ANSWER-: B. At least 2 inches
Rationale: Compressions must be at least 2 inches (5 cm) deep to generate
adequate blood flow during cardiac arrest.
4. What rhythm is shockable?
A. Asystole
B. PEA
C. Ventricular fibrillation
D. Sinus rhythm
-ANSWER-: C. Ventricular fibrillation
Rationale: Ventricular fibrillation is a chaotic rhythm requiring immediate
defibrillation. Asystole and PEA are non-shockable.
5. What medication is given first in asystole?
A. Amiodarone
B. Epinephrine
C. Atropine
D. Adenosine
-ANSWER-: B. Epinephrine
Rationale: Epinephrine 1 mg IV/IO every 3–5 minutes improves coronary
perfusion pressure in asystole.
6. How often should rhythm checks occur during CPR?
A. Every 30 seconds
B. Every 1 minute
