ACLS Exam A 2025-2026 complete questions and answers
Which of these tests should be performed for a pt with suspected stroke as early as possible but no
more than 20 min after hospital arrival? - Noncontrast CT scan of head
Which best describes this rhythm? - Monomorphic Vent Tach
Which is an acceptable method of selecting an appropriately sized oropharyngeal airway? - Measure
from the corner of the mouth to the angle of mandible
You are caring for a pt with a suspected stroke whose symptoms started 2 hours ago. The CT scan was
normal, with no signs of hemorrhage. The pt does not have any contraindications to fibrinolytic therapy.
Which treatment is best for this pt? - Give fibrinolytic therapy as soon as possible and consider
endovascular therapy
Which is the recommended next step after a defibrillation attempt? - Resume CPR, starting with chest
compressions
Which of the following signs is a likely indicator of cardiac arrest in an unresponsive pt? - Agonal gasps
You are evaluating a 58YO man with chest discomfort. His BP is 92/50 mmHG, his HR is 92/min, his
nonlabored RR is 14/min, and his pulse ox is 97%. Which assessment step is most important now? -
Obtaining a 12-lead ECG
During post-cardiac arrest care, which is the recommended duration of targeted temperature
management after reaching the correct temperature range? - At least 24 hours
Your rescue team arrives to find a 59YO man lying on the kitchen floor. You determine that he is
unresponsive. What is the next step in your assessment and management of this pt? - Check the pt's
breathing and pulse
, (SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting
"crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR
28/min, 89% RA. VTach changed to VFib.
On the basis of this pt's initial presentation, which condition do you suspect led to the cardiac arrest? -
Acute Coronary Syndrome
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting
"crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR
28/min, 89% RA. VTach changed to VFib.
In addition to defibrillation, which intervention should be performed immediately? - Chest compressions
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting
"crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR
28/min, 89% RA. VTach changed to VFib.
Despite 2 defib attempts, the pt remains in VFib. Which drug and dose should you administer FIRST to
this pt? - Epi 1mg
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting
"crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR
28/min, 89% RA. VTach changed to VFib.
Despite the drug provided above and continued CPR, the pt remains in VFib. Which other drug should be
administered NEXT? - Lido 1 to 1.5mg/kg
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting
"crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR
28/min, 89% RA. VTach changed to VFib.
Which of these tests should be performed for a pt with suspected stroke as early as possible but no
more than 20 min after hospital arrival? - Noncontrast CT scan of head
Which best describes this rhythm? - Monomorphic Vent Tach
Which is an acceptable method of selecting an appropriately sized oropharyngeal airway? - Measure
from the corner of the mouth to the angle of mandible
You are caring for a pt with a suspected stroke whose symptoms started 2 hours ago. The CT scan was
normal, with no signs of hemorrhage. The pt does not have any contraindications to fibrinolytic therapy.
Which treatment is best for this pt? - Give fibrinolytic therapy as soon as possible and consider
endovascular therapy
Which is the recommended next step after a defibrillation attempt? - Resume CPR, starting with chest
compressions
Which of the following signs is a likely indicator of cardiac arrest in an unresponsive pt? - Agonal gasps
You are evaluating a 58YO man with chest discomfort. His BP is 92/50 mmHG, his HR is 92/min, his
nonlabored RR is 14/min, and his pulse ox is 97%. Which assessment step is most important now? -
Obtaining a 12-lead ECG
During post-cardiac arrest care, which is the recommended duration of targeted temperature
management after reaching the correct temperature range? - At least 24 hours
Your rescue team arrives to find a 59YO man lying on the kitchen floor. You determine that he is
unresponsive. What is the next step in your assessment and management of this pt? - Check the pt's
breathing and pulse
, (SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting
"crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR
28/min, 89% RA. VTach changed to VFib.
On the basis of this pt's initial presentation, which condition do you suspect led to the cardiac arrest? -
Acute Coronary Syndrome
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting
"crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR
28/min, 89% RA. VTach changed to VFib.
In addition to defibrillation, which intervention should be performed immediately? - Chest compressions
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting
"crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR
28/min, 89% RA. VTach changed to VFib.
Despite 2 defib attempts, the pt remains in VFib. Which drug and dose should you administer FIRST to
this pt? - Epi 1mg
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting
"crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR
28/min, 89% RA. VTach changed to VFib.
Despite the drug provided above and continued CPR, the pt remains in VFib. Which other drug should be
administered NEXT? - Lido 1 to 1.5mg/kg
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting
"crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR
28/min, 89% RA. VTach changed to VFib.
