ADVANCED LIFE SUPPORT (ALS) ONLINE SESSION FINAL EXAM QUESTIONS & ANSWERS SOLVED 100% CORRECT!! 2026/2027 2026/2027 | Page 1 | Passing Score: 84%
ADVANCED LIFE SUPPORT
ADVANCED LIFE SUPPORT (ALS) ONLINE SESSION FINAL EXAM
QUESTIONS & ANSWERS SOLVED 100% CORRECT!! 2026/2027
ADVANCED LIFE SUPPORT - Official Exam 2026/2027
75 84% CERTIFIED
QUESTIONS PASSING SCORE RECERTIFICATION
TABLE OF CONTENTS
Section 1 Airway Management & Ventilation Q1-15
Section 2 Cardiology & Resuscitation Q16-35
Section 3 Medical Emergencies Q36-50
Section 4 Trauma & Shock Q51-65
Section 5 Special Considerations & Operations Q66-75
Instructions: Select the single best answer for each question. This exam is designed for Advanced Life Support (ALS)
certification preparation. Passing score: 84% (63 questions correct).
ADVANCED LIFE SUPPORT (ALS) ONLINE SESSION FINAL EXAM QUESTIONS & ANSWERS SOLVED 100% CORRECT!! 2026/2027 -- 2026/2027 | Passing Score: 84% | Page 1
,SECTION 1 | Airway Management & Ventilation | Q1-Q15 | ADVANCED LIFE SUPPORT (ALS) ONLINE SESSION FINAL EXAM QUESTIONS &
ANSWERS SOLVED 100% CORRECT!! 2026/2027 2026/2027
Q1 Question 1 of 75
A 54-year-old male with a suspected cervical spine injury presents with stridor and difficulty breathing after a
motor vehicle crash. The patient is alert but cannot manage secretions. The paramedic decides to perform
rapid sequence intubation. What is the most appropriate airway approach for this patient?
A. Orotracheal intubation with manual in-line cervical stabilization
B. Nasotracheal intubation with in-line stabilization
C. Cricothyrotomy as the first-line approach
D. Blind nasotracheal intubation without sedation
Correct Answer: A
Rationale:
Orotracheal intubation with manual in-line cervical stabilization is the gold standard for airway management in patients
with suspected cervical spine injury. It allows direct visualization while maintaining spinal precautions. Choice A
(nasotracheal) is relatively contraindicated with cervical injury. Choice C is a last-resort surgical airway. Choice D is
unsafe without sedation in this scenario.
Q2 Question 2 of 75
A 68-year-old female with a history of COPD is receiving positive pressure ventilation via bag-valve mask. The
paramedic notices the patient's oxygen saturation is dropping despite adequate ventilation. The chest rise is
asymmetrical and breath sounds are absent on the left side. What is the most likely cause of the deterioration?
A. Tension pneumothorax on the left side
B. Right mainstem bronchus intubation
C. Mucous plugging of the left bronchus
D. Esophageal intubation
Correct Answer: A
Rationale:
The asymmetrical chest rise with absent breath sounds on one side following positive pressure ventilation strongly
suggests tension pneumothorax, especially in a patient with COPD who is at higher risk for barotrauma. Choice A
would cause absent sounds on the right. Choice D would cause no breath sounds bilaterally. Choice C would not
cause this acute deterioration pattern.
Q3 Question 3 of 75
A 42-year-old patient with severe facial trauma from an industrial accident presents with extensive bleeding
from the midface region. The patient is unresponsive and the paramedic cannot visualize the vocal cords due to
blood and tissue debris. After two failed intubation attempts, what is the most appropriate next step in airway
management?
A. Perform surgical cricothyrotomy
B. Attempt fiberoptic nasotracheal intubation
C. Continue bag-valve mask ventilation with an oral airway
D. Administer additional sedation and retry orotracheal intubation
Correct Answer: A
ADVANCED LIFE SUPPORT (ALS) ONLINE SESSION FINAL EXAM QUESTIONS & ANSWERS SOLVED 100% CORRECT!! 2026/2027 -- 2026/2027 | Passing Score: 84% | Page 2
, Rationale:
After failed intubation attempts with severe facial trauma and inability to visualize the airway, surgical cricothyrotomy
is the definitive rescue airway. The 'cannot intubate, cannot ventilate' scenario mandates immediate surgical airway
access. Choice A is impractical with active hemorrhage. Choice C may be insufficient for airway protection. Choice D
would delay definitive management.
Q4 Question 4 of 75
A 35-year-old asthmatic patient in severe respiratory distress has been intubated in the field. During transport,
the capnography waveform suddenly drops from 38 mmHg to 10 mmHg with loss of the characteristic square
waveform. The patient's oxygen saturation remains at 92%. What is the most likely interpretation of this
capnography change?
A. Ventilator circuit disconnection
B. Mucous plug obstructing the endotracheal tube
C. Displacement of the endotracheal tube into the esophagus
D. Decreased cardiac output causing reduced CO2 delivery
Correct Answer: A
Rationale:
A sudden dramatic drop in EtCO2 with loss of the square waveform while SpO2 remains stable most likely indicates
circuit disconnection rather than esophageal intubation. With esophageal placement, SpO2 would also decline.
Choice A would cause a gradual change. Choice C would cause a more gradual decline. The acute drop with
maintained saturation points to a disconnection issue.
Q5 Question 5 of 75
A 72-year-old patient with a history of sleep apnea and obesity presents with signs of upper airway obstruction
after sedation for a procedure. The patient has a thick neck and a Mallampati Class IV airway. The provider
attempts a supraglottic airway device but cannot achieve adequate ventilation. What airway adjunct should be
prepared next?
A. Video laryngoscope with a hyperangulated blade
B. Laryngeal mask airway one size larger
C. Needle cricothyrotomy with jet insufflation
D. Nasopharyngeal airway with bag-valve mask
Correct Answer: A
Rationale:
In a difficult airway scenario with failed supraglottic airway, video laryngoscopy with a hyperangulated blade provides
the best chance for successful orotracheal intubation. It offers superior visualization compared to direct laryngoscopy
in patients with difficult anatomy. Choice B is unlikely to succeed if the first LMA failed. Choice C is a last resort.
Choice D is insufficient for airway protection.
ADVANCED LIFE SUPPORT (ALS) ONLINE SESSION FINAL EXAM QUESTIONS & ANSWERS SOLVED 100% CORRECT!! 2026/2027 -- 2026/2027 | Passing Score: 84% | Page 3
ADVANCED LIFE SUPPORT
ADVANCED LIFE SUPPORT (ALS) ONLINE SESSION FINAL EXAM
QUESTIONS & ANSWERS SOLVED 100% CORRECT!! 2026/2027
ADVANCED LIFE SUPPORT - Official Exam 2026/2027
75 84% CERTIFIED
QUESTIONS PASSING SCORE RECERTIFICATION
TABLE OF CONTENTS
Section 1 Airway Management & Ventilation Q1-15
Section 2 Cardiology & Resuscitation Q16-35
Section 3 Medical Emergencies Q36-50
Section 4 Trauma & Shock Q51-65
Section 5 Special Considerations & Operations Q66-75
Instructions: Select the single best answer for each question. This exam is designed for Advanced Life Support (ALS)
certification preparation. Passing score: 84% (63 questions correct).
ADVANCED LIFE SUPPORT (ALS) ONLINE SESSION FINAL EXAM QUESTIONS & ANSWERS SOLVED 100% CORRECT!! 2026/2027 -- 2026/2027 | Passing Score: 84% | Page 1
,SECTION 1 | Airway Management & Ventilation | Q1-Q15 | ADVANCED LIFE SUPPORT (ALS) ONLINE SESSION FINAL EXAM QUESTIONS &
ANSWERS SOLVED 100% CORRECT!! 2026/2027 2026/2027
Q1 Question 1 of 75
A 54-year-old male with a suspected cervical spine injury presents with stridor and difficulty breathing after a
motor vehicle crash. The patient is alert but cannot manage secretions. The paramedic decides to perform
rapid sequence intubation. What is the most appropriate airway approach for this patient?
A. Orotracheal intubation with manual in-line cervical stabilization
B. Nasotracheal intubation with in-line stabilization
C. Cricothyrotomy as the first-line approach
D. Blind nasotracheal intubation without sedation
Correct Answer: A
Rationale:
Orotracheal intubation with manual in-line cervical stabilization is the gold standard for airway management in patients
with suspected cervical spine injury. It allows direct visualization while maintaining spinal precautions. Choice A
(nasotracheal) is relatively contraindicated with cervical injury. Choice C is a last-resort surgical airway. Choice D is
unsafe without sedation in this scenario.
Q2 Question 2 of 75
A 68-year-old female with a history of COPD is receiving positive pressure ventilation via bag-valve mask. The
paramedic notices the patient's oxygen saturation is dropping despite adequate ventilation. The chest rise is
asymmetrical and breath sounds are absent on the left side. What is the most likely cause of the deterioration?
A. Tension pneumothorax on the left side
B. Right mainstem bronchus intubation
C. Mucous plugging of the left bronchus
D. Esophageal intubation
Correct Answer: A
Rationale:
The asymmetrical chest rise with absent breath sounds on one side following positive pressure ventilation strongly
suggests tension pneumothorax, especially in a patient with COPD who is at higher risk for barotrauma. Choice A
would cause absent sounds on the right. Choice D would cause no breath sounds bilaterally. Choice C would not
cause this acute deterioration pattern.
Q3 Question 3 of 75
A 42-year-old patient with severe facial trauma from an industrial accident presents with extensive bleeding
from the midface region. The patient is unresponsive and the paramedic cannot visualize the vocal cords due to
blood and tissue debris. After two failed intubation attempts, what is the most appropriate next step in airway
management?
A. Perform surgical cricothyrotomy
B. Attempt fiberoptic nasotracheal intubation
C. Continue bag-valve mask ventilation with an oral airway
D. Administer additional sedation and retry orotracheal intubation
Correct Answer: A
ADVANCED LIFE SUPPORT (ALS) ONLINE SESSION FINAL EXAM QUESTIONS & ANSWERS SOLVED 100% CORRECT!! 2026/2027 -- 2026/2027 | Passing Score: 84% | Page 2
, Rationale:
After failed intubation attempts with severe facial trauma and inability to visualize the airway, surgical cricothyrotomy
is the definitive rescue airway. The 'cannot intubate, cannot ventilate' scenario mandates immediate surgical airway
access. Choice A is impractical with active hemorrhage. Choice C may be insufficient for airway protection. Choice D
would delay definitive management.
Q4 Question 4 of 75
A 35-year-old asthmatic patient in severe respiratory distress has been intubated in the field. During transport,
the capnography waveform suddenly drops from 38 mmHg to 10 mmHg with loss of the characteristic square
waveform. The patient's oxygen saturation remains at 92%. What is the most likely interpretation of this
capnography change?
A. Ventilator circuit disconnection
B. Mucous plug obstructing the endotracheal tube
C. Displacement of the endotracheal tube into the esophagus
D. Decreased cardiac output causing reduced CO2 delivery
Correct Answer: A
Rationale:
A sudden dramatic drop in EtCO2 with loss of the square waveform while SpO2 remains stable most likely indicates
circuit disconnection rather than esophageal intubation. With esophageal placement, SpO2 would also decline.
Choice A would cause a gradual change. Choice C would cause a more gradual decline. The acute drop with
maintained saturation points to a disconnection issue.
Q5 Question 5 of 75
A 72-year-old patient with a history of sleep apnea and obesity presents with signs of upper airway obstruction
after sedation for a procedure. The patient has a thick neck and a Mallampati Class IV airway. The provider
attempts a supraglottic airway device but cannot achieve adequate ventilation. What airway adjunct should be
prepared next?
A. Video laryngoscope with a hyperangulated blade
B. Laryngeal mask airway one size larger
C. Needle cricothyrotomy with jet insufflation
D. Nasopharyngeal airway with bag-valve mask
Correct Answer: A
Rationale:
In a difficult airway scenario with failed supraglottic airway, video laryngoscopy with a hyperangulated blade provides
the best chance for successful orotracheal intubation. It offers superior visualization compared to direct laryngoscopy
in patients with difficult anatomy. Choice B is unlikely to succeed if the first LMA failed. Choice C is a last resort.
Choice D is insufficient for airway protection.
ADVANCED LIFE SUPPORT (ALS) ONLINE SESSION FINAL EXAM QUESTIONS & ANSWERS SOLVED 100% CORRECT!! 2026/2027 -- 2026/2027 | Passing Score: 84% | Page 3
