AHA ACLS Final Exam Newest Version 2025-
2026 UP-TO-DATE EXAM QUESTIONS AND
100% ACCURATE SOLUTIONS | Question And
VERIFIED ANSWERS - INSTANT PDF
DOWNLOAD.
Part 1: Initial Assessment and BLS
Question 1
You find an unresponsive patient who is not breathing. After activating the
emergency response system, you determine there is no pulse. What is your next
action?
A) Apply the AED
B) Open the airway
C) Start chest compressions at a rate of at least 100 per minute
D) Check for a medical alert bracelet
Correct Answer: C) Start chest compressions at a rate of at least 100 per minute
Explanation: The correct sequence for an unresponsive patient with no pulse and no
breathing is to activate emergency response, then immediately begin high-quality chest
compressions. Early CPR, starting with compressions, is the priority before applying an
AED or checking for other issues .
Question 2
What is the recommended compression depth for high-quality CPR in an adult?
,A) At least 1 inch (2.5 cm)
B) At least 2 inches (5 cm)
C) At least 2.4 inches (6 cm)
D) At least 3 inches (7.5 cm)
Correct Answer: B) At least 2 inches (5 cm)
Explanation: The AHA guidelines specify a compression depth of at least 2 inches (5 cm)
but no more than 2.4 inches (6 cm) for adult CPR. Adequate depth is essential for
generating sufficient blood flow to vital organs .
Question 3
What is the recommended compression-to-ventilation ratio for a single rescuer
during adult CPR BEFORE placement of an advanced airway?
A) 30:1
B) 30:2
C) 15:2
D) 15:1
Correct Answer: B) 30:2
*Explanation: The standard compression-to-ventilation ratio for adult CPR is 30:2 for a
single rescuer. This ratio balances the need for chest compressions to maintain
perfusion with the need for ventilation to provide oxygenation .*
Question 4
What is the recommended compression rate for high-quality CPR?
A) 60 to 80 compressions per minute
B) 80 to 100 compressions per minute
C) 100 to 120 compressions per minute
D) 120 to 140 compressions per minute
Correct Answer: C) 100 to 120 compressions per minute
*Explanation: The AHA recommends a compression rate of 100 to 120 compressions per
minute. Rates slower than 100/min do not generate adequate blood flow, and rates
faster than 120/min reduce compression depth due to incomplete chest recoil .*
,Question 5
Which action is a component of high-quality chest compressions?
A) Leaning on the chest between compressions
B) Allowing complete chest recoil after each compression
C) Compressing the chest at a depth of 1.5 inches
D) Interrupting compressions every 30 seconds for pulse checks
Correct Answer: B) Allowing complete chest recoil after each compression
Explanation: Complete chest recoil allows the heart to refill with blood between
compressions. Leaning on the chest prevents recoil, reduces venous return, and decreases
cardiac output. High-quality CPR requires allowing complete recoil after each
compression .
Question 6
Which best describes the proper technique for delivering ventilations during adult
CPR before an advanced airway is placed?
A) Each ventilation should last 2 seconds and cause visible chest rise
B) Each ventilation should last 1 second and cause visible chest rise
C) Deliver ventilations as quickly as possible
D) Deliver ventilations without pausing compressions
Correct Answer: B) Each ventilation should last 1 second and cause visible chest
rise
Explanation: Each rescue breath should be delivered over approximately 1 second and
should produce visible chest rise. Excessive volume or prolonged delivery increases the risk
of gastric inflation and regurgitation .
Question 7
When an advanced airway is in place during cardiac arrest, how often should
ventilations be delivered?
A) Every 3 to 4 seconds (15-20 breaths per minute)
B) Every 5 to 6 seconds (10-12 breaths per minute)
, C) Every 8 to 10 seconds (6-8 breaths per minute)
D) Ventilations are not needed once an advanced airway is placed
Correct Answer: B) Every 5 to 6 seconds (10-12 breaths per minute)
*Explanation: Once an advanced airway (endotracheal tube or supraglottic airway) is in
place, continuous chest compressions are provided without pauses for ventilation, and
ventilations are delivered at a rate of 1 breath every 5 to 6 seconds (10-12 breaths per
minute) .*
Question 8
What is the primary purpose of a medical emergency team or rapid response
team?
A) Improving care for patients admitted to critical care units
B) Improving patient outcomes by identifying and treating early clinical deterioration
C) Providing diagnostic consultation to emergency department patients
D) Providing online consultation to EMS personnel in the field
Correct Answer: B) Improving patient outcomes by identifying and treating early
clinical deterioration
Explanation: Rapid Response Teams (RRTs) or Medical Emergency Teams (METs) are
designed to identify and intervene early when patients show signs of clinical deterioration
before cardiac arrest occurs. This proactive approach has been shown to reduce in-hospital
cardiac arrest rates and improve outcomes .
Question 9
During a pause in CPR, you see a rhythm on the monitor. The patient has no pulse.
What is the next action?
A) Administer epinephrine
B) Check for a pulse again
C) Resume compressions
D) Prepare for defibrillation
Correct Answer: C) Resume compressions
2026 UP-TO-DATE EXAM QUESTIONS AND
100% ACCURATE SOLUTIONS | Question And
VERIFIED ANSWERS - INSTANT PDF
DOWNLOAD.
Part 1: Initial Assessment and BLS
Question 1
You find an unresponsive patient who is not breathing. After activating the
emergency response system, you determine there is no pulse. What is your next
action?
A) Apply the AED
B) Open the airway
C) Start chest compressions at a rate of at least 100 per minute
D) Check for a medical alert bracelet
Correct Answer: C) Start chest compressions at a rate of at least 100 per minute
Explanation: The correct sequence for an unresponsive patient with no pulse and no
breathing is to activate emergency response, then immediately begin high-quality chest
compressions. Early CPR, starting with compressions, is the priority before applying an
AED or checking for other issues .
Question 2
What is the recommended compression depth for high-quality CPR in an adult?
,A) At least 1 inch (2.5 cm)
B) At least 2 inches (5 cm)
C) At least 2.4 inches (6 cm)
D) At least 3 inches (7.5 cm)
Correct Answer: B) At least 2 inches (5 cm)
Explanation: The AHA guidelines specify a compression depth of at least 2 inches (5 cm)
but no more than 2.4 inches (6 cm) for adult CPR. Adequate depth is essential for
generating sufficient blood flow to vital organs .
Question 3
What is the recommended compression-to-ventilation ratio for a single rescuer
during adult CPR BEFORE placement of an advanced airway?
A) 30:1
B) 30:2
C) 15:2
D) 15:1
Correct Answer: B) 30:2
*Explanation: The standard compression-to-ventilation ratio for adult CPR is 30:2 for a
single rescuer. This ratio balances the need for chest compressions to maintain
perfusion with the need for ventilation to provide oxygenation .*
Question 4
What is the recommended compression rate for high-quality CPR?
A) 60 to 80 compressions per minute
B) 80 to 100 compressions per minute
C) 100 to 120 compressions per minute
D) 120 to 140 compressions per minute
Correct Answer: C) 100 to 120 compressions per minute
*Explanation: The AHA recommends a compression rate of 100 to 120 compressions per
minute. Rates slower than 100/min do not generate adequate blood flow, and rates
faster than 120/min reduce compression depth due to incomplete chest recoil .*
,Question 5
Which action is a component of high-quality chest compressions?
A) Leaning on the chest between compressions
B) Allowing complete chest recoil after each compression
C) Compressing the chest at a depth of 1.5 inches
D) Interrupting compressions every 30 seconds for pulse checks
Correct Answer: B) Allowing complete chest recoil after each compression
Explanation: Complete chest recoil allows the heart to refill with blood between
compressions. Leaning on the chest prevents recoil, reduces venous return, and decreases
cardiac output. High-quality CPR requires allowing complete recoil after each
compression .
Question 6
Which best describes the proper technique for delivering ventilations during adult
CPR before an advanced airway is placed?
A) Each ventilation should last 2 seconds and cause visible chest rise
B) Each ventilation should last 1 second and cause visible chest rise
C) Deliver ventilations as quickly as possible
D) Deliver ventilations without pausing compressions
Correct Answer: B) Each ventilation should last 1 second and cause visible chest
rise
Explanation: Each rescue breath should be delivered over approximately 1 second and
should produce visible chest rise. Excessive volume or prolonged delivery increases the risk
of gastric inflation and regurgitation .
Question 7
When an advanced airway is in place during cardiac arrest, how often should
ventilations be delivered?
A) Every 3 to 4 seconds (15-20 breaths per minute)
B) Every 5 to 6 seconds (10-12 breaths per minute)
, C) Every 8 to 10 seconds (6-8 breaths per minute)
D) Ventilations are not needed once an advanced airway is placed
Correct Answer: B) Every 5 to 6 seconds (10-12 breaths per minute)
*Explanation: Once an advanced airway (endotracheal tube or supraglottic airway) is in
place, continuous chest compressions are provided without pauses for ventilation, and
ventilations are delivered at a rate of 1 breath every 5 to 6 seconds (10-12 breaths per
minute) .*
Question 8
What is the primary purpose of a medical emergency team or rapid response
team?
A) Improving care for patients admitted to critical care units
B) Improving patient outcomes by identifying and treating early clinical deterioration
C) Providing diagnostic consultation to emergency department patients
D) Providing online consultation to EMS personnel in the field
Correct Answer: B) Improving patient outcomes by identifying and treating early
clinical deterioration
Explanation: Rapid Response Teams (RRTs) or Medical Emergency Teams (METs) are
designed to identify and intervene early when patients show signs of clinical deterioration
before cardiac arrest occurs. This proactive approach has been shown to reduce in-hospital
cardiac arrest rates and improve outcomes .
Question 9
During a pause in CPR, you see a rhythm on the monitor. The patient has no pulse.
What is the next action?
A) Administer epinephrine
B) Check for a pulse again
C) Resume compressions
D) Prepare for defibrillation
Correct Answer: C) Resume compressions
