ACLS & EKG Exam Review 2026 | Verified Q&A | Graded A+
1. What is the primary method used to confirm the placement of an
endotracheal tube during ACLS procedures?
Pulse oximetry
Chest X-ray
Capnography
Visual inspection
2. What is the initial airway management technique recommended for an
unconscious patient who is not breathing?
Endotracheal intubation
Nasal cannula
Jaw thrust maneuver
Head tilt-chin lift
3. What is the usual post- cardiac arrest target range for PETCO2 when
ventilating a patient who achieves return of spontaneous circulation (ROSC)?
35 to 40 mm Hg
45 to 50 mm Hg
40 to 45 mm Hg
30 to 35 mm Hg
,4. In a scenario where a patient has been resuscitated and shows an organized,
nonshockable rhythm, what should be your next steps in managing the
patient?
Immediately transfer the patient to surgery.
Continue monitoring the patient and provide supportive care while
preparing for potential advanced interventions.
Administer high doses of adrenaline to stimulate the heart.
Discontinue all interventions and observe the patient.
5. In a scenario where a patient has achieved ROSC but presents with
uncontrolled bleeding, what would be the most appropriate immediate
action regarding therapeutic hypothermia?
Delay therapeutic hypothermia until bleeding is controlled
Perform CPR to manage bleeding
Administer medications to induce hypothermia
Initiate therapeutic hypothermia immediately
6. Why is assessing the airway and breathing prioritized after observing low
blood pressure in a patient with chest pain?
Assessing the airway and breathing is not necessary if the heart rate is
normal.
Assessing the airway and breathing is crucial because low blood
pressure may indicate compromised circulation, which can affect
oxygen delivery.
Assessing the airway and breathing is only important in cases of
respiratory distress.
, Assessing the airway and breathing can wait until after obtaining a
medical history.
7. A patient with a HR of 45 complains of dizziness and cool clammy extremities.
What is the first drug of choice you would administer?
Atropine .5mg-1 mg
Epinephrine 1 mg IV push
Adenosine 6 mg IV push
Isuprel infusion 2019 mcg/kg/min
8. Endotracheal tube suctioning should be preceded by:
pulse oximetry.
hyperinflation for 60 seconds.
preoxygenation for 30 seconds.
instillation of 15 mL of sterile saline solution.
9. What is one key characteristic of high-quality chest compressions during
CPR?
Irregular rhythm
Slow pace
Shallow compressions
Adequate depth
10. You are administering CPR to a 35-year-old female who lost consciousness
while using the elliptical machine at the gym. Which of the following are
signs of effective CPR?
Oxygen saturation is constant between 70% and 80%.
, The abdomen swells with artificial respiration.
The chest rises and falls with ventilation.
The heart rate becomes irregular.
11. An AED advises a shock for a pulseless patient lying in snow. What is the next
action?
Move the patient off the snow to bare ground and deliver the shock.
Remove any snow beneath the patient and then administer the shock.
Place a backboard beneath the patient and administer the shock.
Administer the shock immediately and continue as directed by the
AED.
12. Why is it critical to initiate chest compressions immediately after confirming a
patient is not breathing?
Chest compressions can be delayed until defibrillation is available.
Chest compressions are only necessary if a pulse is absent.
Chest compressions are primarily for comfort and do not affect
survival.
Immediate chest compressions help maintain blood flow to vital
organs.
13. The code blue team is working on a patient in cardiac arrest. After charging
the defibrillator, providing a clearing chant and checking to make sure no
one is touching the bed or the patient, the telemetry nurse defibrillates the
patient. Which of the following actions should immediately follow?
Administer intravenous atropine
Perform a rhythm or pulse check
1. What is the primary method used to confirm the placement of an
endotracheal tube during ACLS procedures?
Pulse oximetry
Chest X-ray
Capnography
Visual inspection
2. What is the initial airway management technique recommended for an
unconscious patient who is not breathing?
Endotracheal intubation
Nasal cannula
Jaw thrust maneuver
Head tilt-chin lift
3. What is the usual post- cardiac arrest target range for PETCO2 when
ventilating a patient who achieves return of spontaneous circulation (ROSC)?
35 to 40 mm Hg
45 to 50 mm Hg
40 to 45 mm Hg
30 to 35 mm Hg
,4. In a scenario where a patient has been resuscitated and shows an organized,
nonshockable rhythm, what should be your next steps in managing the
patient?
Immediately transfer the patient to surgery.
Continue monitoring the patient and provide supportive care while
preparing for potential advanced interventions.
Administer high doses of adrenaline to stimulate the heart.
Discontinue all interventions and observe the patient.
5. In a scenario where a patient has achieved ROSC but presents with
uncontrolled bleeding, what would be the most appropriate immediate
action regarding therapeutic hypothermia?
Delay therapeutic hypothermia until bleeding is controlled
Perform CPR to manage bleeding
Administer medications to induce hypothermia
Initiate therapeutic hypothermia immediately
6. Why is assessing the airway and breathing prioritized after observing low
blood pressure in a patient with chest pain?
Assessing the airway and breathing is not necessary if the heart rate is
normal.
Assessing the airway and breathing is crucial because low blood
pressure may indicate compromised circulation, which can affect
oxygen delivery.
Assessing the airway and breathing is only important in cases of
respiratory distress.
, Assessing the airway and breathing can wait until after obtaining a
medical history.
7. A patient with a HR of 45 complains of dizziness and cool clammy extremities.
What is the first drug of choice you would administer?
Atropine .5mg-1 mg
Epinephrine 1 mg IV push
Adenosine 6 mg IV push
Isuprel infusion 2019 mcg/kg/min
8. Endotracheal tube suctioning should be preceded by:
pulse oximetry.
hyperinflation for 60 seconds.
preoxygenation for 30 seconds.
instillation of 15 mL of sterile saline solution.
9. What is one key characteristic of high-quality chest compressions during
CPR?
Irregular rhythm
Slow pace
Shallow compressions
Adequate depth
10. You are administering CPR to a 35-year-old female who lost consciousness
while using the elliptical machine at the gym. Which of the following are
signs of effective CPR?
Oxygen saturation is constant between 70% and 80%.
, The abdomen swells with artificial respiration.
The chest rises and falls with ventilation.
The heart rate becomes irregular.
11. An AED advises a shock for a pulseless patient lying in snow. What is the next
action?
Move the patient off the snow to bare ground and deliver the shock.
Remove any snow beneath the patient and then administer the shock.
Place a backboard beneath the patient and administer the shock.
Administer the shock immediately and continue as directed by the
AED.
12. Why is it critical to initiate chest compressions immediately after confirming a
patient is not breathing?
Chest compressions can be delayed until defibrillation is available.
Chest compressions are only necessary if a pulse is absent.
Chest compressions are primarily for comfort and do not affect
survival.
Immediate chest compressions help maintain blood flow to vital
organs.
13. The code blue team is working on a patient in cardiac arrest. After charging
the defibrillator, providing a clearing chant and checking to make sure no
one is touching the bed or the patient, the telemetry nurse defibrillates the
patient. Which of the following actions should immediately follow?
Administer intravenous atropine
Perform a rhythm or pulse check
