ACLS POST TEST ACTUAL EXAMS 3 SCRIPT
2026 QUESTIONS AND SOLUTIONS
COMPREHENSIVE STUDY SHEET FULL
PRACTICE SET
◉ 3 min after witnessing a cardiac arrest, one memeber of your
team inserts an ET tube while another performs continuous chest
comressions. During subsequent bentilation, you notice the
presence of a wavefom on the capnogrophy screen and a PETCO2 of
8 mm Hg. What is the significance of this finding?
Answer: Chest compressions may not be effective.
◉ The use of quantitative capnography in intubated pt's does what?
Answer: Allowsfor monitoring CPR quality
◉ For the past 25 min, EMS crews have attempted resuscitation of a
pt who originally presented with V-FIB. After the 1st shock, the ECG
screen displayed asystole which has persisted despite 2 doses of epi,
a fluid bolus, and high quality CPR. What is your next treatment?
Answer: Consider terminating resuscitive efforts after consulting
medical control.
,◉ Which is a safe and effective practice within the defibrillation
sequence?
Answer: Be sure O2 is NOT blowing over the pt's chest during shock.
◉ During your assessment, your pt suddenly loses consciousness.
After calling for help and determining that the pt. is not breathing,
you are unsure whether the pt. has a pulse. What is your next action?
Answer: Begin chest compressions.
◉ What is an advantage of using hands-free d-fib pads instead of d-
fib paddles?
Answer: Hands-free allows for more rapid d-fib.
◉ What action is recommended to help minimize interruptions in
chest compressions during CPR?
Answer: Continue CPR while charging the defibrillator.
Foundational Facts: Resume CPR While Manual Defibrillator is
Charging
◉ Which action is included in the BLS survey?
Answer: Early defibrillation
,◉ Which drug and dose are recommended for the management of a
pt. in refractory V-FIB?
Answer: Amiodarone 300mg
◉ What is the appropriate intervalfor an interruption in chest
compressions?
Answer: 10 seconds or less
◉ Which of the following is a sign of effective CPR?
Answer: PETCO2 = or > 10mm Hg
◉ What is the purpose of a medical emergency team (MET) or rapid
response team?
Answer: Improving patient outcomes by identifying and treating
early clinical deterioration.
Foundational Facts: Medical Emergency Teams (METs) and Rapid
Response Teams (RRTs)
◉ Which action improves the quality of chest compressions
delivered during resuscitave attemepts?
Answer: Shitch providers about every 2 min or every 5 compression
cycles.
, ◉ What is the appropriate ventilation strategy for an adult in
respiratory arrest with a pulse of 80 beats/min?
Answer: 1 breath every 5-6 seconds
◉ A pt. presents to the ER with a new onset of dizziness and fatugue.
Onexamination, the pt's heart rate is 35 beats/min, BP is 70/50,
resp. rate is 22 per min, O2 sat is 95%. What is the appropriate 1st
medication?
Answer: Atropine 0.5mg
◉ A pt. presents to the ER with dizziness and SOB with a sinus brady
of 40/min. The initial atropine dose was ineffective and your
monitor does not provide TCP. What is the appropriate dose of
Dopamine for this pt?
Answer: 2-10mcg/kg/min
◉ A pt. has an onset of dizziness. The pt.s heart rate is 180, BP is
110/70, resp. rate is 18, O2 sat is 98%. This is a reg narrow complex
tach rythm. What is the next intervention?
Answer: Vagal manuever.
◉ A monitored pt. in the ICU developed a suddent onset of narrow
complex tach at a rate of 220/min. The pt's BP is 128/58, the
PETCO2 is 38mm Hg, and the O2 sat is 98%. There is an EJ
established for vascular access. The pt. denies taking any
2026 QUESTIONS AND SOLUTIONS
COMPREHENSIVE STUDY SHEET FULL
PRACTICE SET
◉ 3 min after witnessing a cardiac arrest, one memeber of your
team inserts an ET tube while another performs continuous chest
comressions. During subsequent bentilation, you notice the
presence of a wavefom on the capnogrophy screen and a PETCO2 of
8 mm Hg. What is the significance of this finding?
Answer: Chest compressions may not be effective.
◉ The use of quantitative capnography in intubated pt's does what?
Answer: Allowsfor monitoring CPR quality
◉ For the past 25 min, EMS crews have attempted resuscitation of a
pt who originally presented with V-FIB. After the 1st shock, the ECG
screen displayed asystole which has persisted despite 2 doses of epi,
a fluid bolus, and high quality CPR. What is your next treatment?
Answer: Consider terminating resuscitive efforts after consulting
medical control.
,◉ Which is a safe and effective practice within the defibrillation
sequence?
Answer: Be sure O2 is NOT blowing over the pt's chest during shock.
◉ During your assessment, your pt suddenly loses consciousness.
After calling for help and determining that the pt. is not breathing,
you are unsure whether the pt. has a pulse. What is your next action?
Answer: Begin chest compressions.
◉ What is an advantage of using hands-free d-fib pads instead of d-
fib paddles?
Answer: Hands-free allows for more rapid d-fib.
◉ What action is recommended to help minimize interruptions in
chest compressions during CPR?
Answer: Continue CPR while charging the defibrillator.
Foundational Facts: Resume CPR While Manual Defibrillator is
Charging
◉ Which action is included in the BLS survey?
Answer: Early defibrillation
,◉ Which drug and dose are recommended for the management of a
pt. in refractory V-FIB?
Answer: Amiodarone 300mg
◉ What is the appropriate intervalfor an interruption in chest
compressions?
Answer: 10 seconds or less
◉ Which of the following is a sign of effective CPR?
Answer: PETCO2 = or > 10mm Hg
◉ What is the purpose of a medical emergency team (MET) or rapid
response team?
Answer: Improving patient outcomes by identifying and treating
early clinical deterioration.
Foundational Facts: Medical Emergency Teams (METs) and Rapid
Response Teams (RRTs)
◉ Which action improves the quality of chest compressions
delivered during resuscitave attemepts?
Answer: Shitch providers about every 2 min or every 5 compression
cycles.
, ◉ What is the appropriate ventilation strategy for an adult in
respiratory arrest with a pulse of 80 beats/min?
Answer: 1 breath every 5-6 seconds
◉ A pt. presents to the ER with a new onset of dizziness and fatugue.
Onexamination, the pt's heart rate is 35 beats/min, BP is 70/50,
resp. rate is 22 per min, O2 sat is 95%. What is the appropriate 1st
medication?
Answer: Atropine 0.5mg
◉ A pt. presents to the ER with dizziness and SOB with a sinus brady
of 40/min. The initial atropine dose was ineffective and your
monitor does not provide TCP. What is the appropriate dose of
Dopamine for this pt?
Answer: 2-10mcg/kg/min
◉ A pt. has an onset of dizziness. The pt.s heart rate is 180, BP is
110/70, resp. rate is 18, O2 sat is 98%. This is a reg narrow complex
tach rythm. What is the next intervention?
Answer: Vagal manuever.
◉ A monitored pt. in the ICU developed a suddent onset of narrow
complex tach at a rate of 220/min. The pt's BP is 128/58, the
PETCO2 is 38mm Hg, and the O2 sat is 98%. There is an EJ
established for vascular access. The pt. denies taking any
