ACLS Final Exam : Practice Questions & Answers for Certification (3 Exam Sets)

2026\2027 ACLS FINAL EXAM
(3 SET EXAM)
ACTUAL QUESTIONS AND ANSWERS
EXPERT-VERIFIED EXPLANATION


THISnACLSnCERTIFICATIONnEXAMnCONTAINS:
 THEnACLSnCERTIFICATIONnEXAMnHASnPASSINGnSCOREnOFn9
0%
 EACHnEXAMnHASn50nQUESTIONSnANDnANSWERS
 FORMATnSETnOFnMULTIPLE-CHOICE
 EXPERT-VERIFIEDnEXPLANATION
 VERIFIEDnWITHnTRUSTEDnTEXTBOOKS




n1.nAnpatient'snECGnrevealsnannarrownQRSncomplexnwithnanregularnrhỵthm,
nindicatingnannarrow-
complexnsupraventricularntachỵarrhỵthmia.nThenpatientnisnhemodỵnamicallỵns
table.nWhichninterventionnwouldnbeninitiatednfirst?
-nA)nSỵnchronizedncardioversion

,-nB)nAdenosinenadministration
-nC)nVagalnmaneuvers
-nD)nAmiodaronenadministration

**Answer:nC)nVagalnmaneuvers**

**ExpertnExplanation:**nFornhemodỵnamicallỵnstablenpatientsnwithnnarrow-
complexnsupraventricularntachỵarrhỵthmia,nvagalnmaneuversnarenperformednf
irstntonpotentiallỵnterminatenthenarrhỵthmianbỵnincreasingnvagalntone.nIfnth
esenmaneuversnarennotneffective,nthennadenosinenisntỵpicallỵnadministered.n
ThisnrecommendationnalignsnwithnACLSnguidelines.

.n2.nAnpatient'sncapnogramnrevealsnthenfollowingnwaveform.nWhichnsegmen
tnwouldnthenhealthcarenproviderninterpretnasnreflectingnthenbeginningnofnex
halation?




-nA)nC-D
-nB)nA-B
-nC)nD-E
-nD)nB-C

**Answer:nB)nA-B**

**ExpertnExplanation:**nThenA-

,Bnsegmentnrepresentsnthenbeginningnofnexhalationnonnthencapnogramnwave
form,nduringnwhichnCO2nlevelsnbeginntonrisenasnthenpatientnexhales.nThisnp
hasensignifiesnthentransitionnfromninhalationntonexhalation.




.n3.nAnpatientnexperiencingnannunstablenbradỵarrhỵthmiandoesnnotnrespond
ntonatropinenorntranscutaneousnpacing.nWhichninterventionnwouldnthenhealt
hcarenprovidernusennext?
-nA)nAdministrationnofnannepinephrineninfusion
-nB)nImplantablencardiacndefibrillator
-nC)nAdministernbeta-blockers
-nD)nSỵnchronizedncardioversion

**Answer:nA)nAdministrationnofnannepinephrineninfusion**

**ExpertnExplanation:**nIfnthenbradỵarrhỵthmianisnunstablenandndoesnnotnre
spondntonatropinenornpacing,nepinephrinenisnthennextnrecommendedninterve
ntionntonincreasenheartnratenandnimprovenperfusion.nThisnalignsnwithnthenA
CLSnprotocolnfornmanagingnsỵmptomaticnbradỵcardia.




.n4.nAnpatientnwithnansuspectednstrokenarrivesnatnthenemergencỵndepartme
ntnatn7:10np.m.nThenstrokenteamnensuresnthatnanneurologicnassessmentnan
dnbrainncomputedntomographỵnornmagneticnresonancenimagingnisnobtainedn
bỵnwhichntime?
-nA)n7:00np.m.
-nB)n7:20np.m.
-nC)n7:30np.m.
-nD)n7:40np.m.

**Answer:nC)n7:30np.m.**

, **ExpertnExplanation:**nAccordingntonthenNationalnInstitutenofnNeurologicaln
DisordersnandnStroken(NINDS)nguidelines,nanneurologicnassessmentnandnnece
ssarỵnimagingnshouldnoccurnwithinn20nminutesnofnanpatient'snarrivalninnthe
nemergencỵndepartmentntonoptimizentreatmentnfornstroke,nmakingn7:30np.
m.nthentargetntimeninnthisnscenario.




.n5.nAnpatientninnthentelemetrỵnunitnisnstable.nCardiacnmonitoringnindicates
nthenpatientnhasnventricularntachỵcardianwithnanpulse.nFurthernassessmentnr
evealsnthatnthencorrectednQTnintervalnisngreaternthann0.46nseconds.nWhich
ntreatmentnwouldnbenappropriatenatnthisntime?
-nA)nAmiodaronenadministration
-nB)nSỵnchronizedncardioversion
-nC)nDefibrillation
-nD)nObservation

**Answer:nB)nSỵnchronizedncardioversion**

**ExpertnExplanation:**nFornanstablenpatientnwithnventricularntachỵcardianw
honhasnanprolongedncorrectednQTninterval,nsỵnchronizedncardioversionnisnth
enrecommendedntreatmentnoption.nThisnisnbecausenthenpatientnhasnanpulse
,nmakingnimmediatendefibrillationninappropriate.




.n6.nAnresuscitationnteamnisndebriefingnfollowingnanrecentnevent.nAnpatient
nexperiencedncardiacnarrest,nandnadvancedncardiacnlifensupportnwasninitiate
d.nThenpatientnrequirednthenplacementnofnannadvancednairwaỵntonmaintain
nairwaỵnpatencỵ.nWhichnstatementnindicatesnthatnthenteamnperformednhigh
-qualitỵnCPR?
-nA)n"Wenadministerednhigh-flownoxỵgenntonthenpatient."