ACLS EXAM VERSION A QUESTIONS WITH
100% VERIFIED ANSWERS 2026 A+
GRADE/ACTUAL EXAM
1. You are evaluating a 58-year-old man with chest pain. The blood pressure is 92/50
mm Hg, the heart rate is 92/min, the nonlabored respiratory rate is 14 breaths/min,
and the pulse oximetry reading is 97%. What assessment step is most important
now?
A. PETCO2
B. Chest x-ray
C. Laboratory testing
D. Obtaining a 12-lead ECG
2. What is the preferred method of access for epinephrine administration during
cardiac arrest in most patients?
A. Intraosseous
B. Endotracheal
C. Central intravenous
D. Peripheral intravenous
,ACLS Exam Version A
3. An activated AED does not promptly analyze the rhythm. What is your next
action?
A. Begin chest compressions.
B. Discontinue the resuscitation attempt.
C. Check all AED connections and reanalyze.
D. Rotate AED electrodes to an alternate position.
4. You find an unresponsive patient who is not breathing. After activating
the emergency response system, you determine that there is no pulse. What is
your next action?
Open the airway with a head tilt–chin lift.
Administer epinephrine at a dose of 1 mg/kg.
Deliver 2 rescue breaths each over 1 second.
Start chest compressions at a rate of at least 100/min.
5. You have completed 2 minutes of CPR. The ECG monitor
displays the lead II rhythm below, and the patient has no
pulse. Another member of your team resumes chest
compressions, and an IV is in place. What management step is your next priority?
A. Give 0.5 mg of atropine.
B. Insert an advanced airway.
C. Administer 1 mg of epinephrine. D. Administer a dopamine infusion.
6. During a pause in CPR, you see this lead II ECG rhythm on the monitor. The patient
has no pulse. What is the next action?
, A. Establish vascular access.
B. Obtain the patient’s history.
C. Resume chest compressions.
D. Terminate the resuscitative effort.
7. What is a common but sometimes fatal mistake in cardiac arrest management?
A. Failure to obtain vascular access
B. Prolonged periods of no ventilations
C. Failure to perform endotracheal intubation
D. Prolonged interruptions in chest compressions
8. Which action is a component of high-quality chest compressions?
A. Allowing complete chest recoil
B. Chest compressions without ventilation
C. 60 to 100 compressions per minute with a 15:2 ratio
D. Uninterrupted compressions at a depth of 1½ inches
9. Which action increases the chance of successful conversion of ventricular
fibrillation?
A. Pausing chest compressions immediately after a defibrillation attempt B. Administering 4
quick ventilations immediately before a defibrillation
attempt
C. Using manual defibrillator paddles with light pressure against
the chest
D. Providing quality compressions immediately before a defibrillation
attempt
10. Which situation BEST describes pulseless electrical activity?
A. Asystole without a pulse
B. Sinus rhythm without a pulse
C. Torsades de pointes with a pulse
D. Ventricular tachycardia with a pulse
11. What is the BEST strategy for performing high-quality CPRon a patient with an
advanced airway in place?
A. Provide compressions and ventilations with a 15:2 ratio.
B. Provide compressions and ventilations with a 30:2 ratio.
C. Provide a single ventilation every 6 seconds during the compression pause.
D. Provide continuous chest compressions without pauses and 10 ventilations per minute.
12. Three minutes after witnessing a cardiac arrest, one member of your team inserts
an endotracheal tube while another performs continuous chest compressions.
During subsequent ventilation, you notice the presence of a waveform on the
capnography screen and a PETCO2 level of 8 mm Hg. What is the significance of this
finding?
100% VERIFIED ANSWERS 2026 A+
GRADE/ACTUAL EXAM
1. You are evaluating a 58-year-old man with chest pain. The blood pressure is 92/50
mm Hg, the heart rate is 92/min, the nonlabored respiratory rate is 14 breaths/min,
and the pulse oximetry reading is 97%. What assessment step is most important
now?
A. PETCO2
B. Chest x-ray
C. Laboratory testing
D. Obtaining a 12-lead ECG
2. What is the preferred method of access for epinephrine administration during
cardiac arrest in most patients?
A. Intraosseous
B. Endotracheal
C. Central intravenous
D. Peripheral intravenous
,ACLS Exam Version A
3. An activated AED does not promptly analyze the rhythm. What is your next
action?
A. Begin chest compressions.
B. Discontinue the resuscitation attempt.
C. Check all AED connections and reanalyze.
D. Rotate AED electrodes to an alternate position.
4. You find an unresponsive patient who is not breathing. After activating
the emergency response system, you determine that there is no pulse. What is
your next action?
Open the airway with a head tilt–chin lift.
Administer epinephrine at a dose of 1 mg/kg.
Deliver 2 rescue breaths each over 1 second.
Start chest compressions at a rate of at least 100/min.
5. You have completed 2 minutes of CPR. The ECG monitor
displays the lead II rhythm below, and the patient has no
pulse. Another member of your team resumes chest
compressions, and an IV is in place. What management step is your next priority?
A. Give 0.5 mg of atropine.
B. Insert an advanced airway.
C. Administer 1 mg of epinephrine. D. Administer a dopamine infusion.
6. During a pause in CPR, you see this lead II ECG rhythm on the monitor. The patient
has no pulse. What is the next action?
, A. Establish vascular access.
B. Obtain the patient’s history.
C. Resume chest compressions.
D. Terminate the resuscitative effort.
7. What is a common but sometimes fatal mistake in cardiac arrest management?
A. Failure to obtain vascular access
B. Prolonged periods of no ventilations
C. Failure to perform endotracheal intubation
D. Prolonged interruptions in chest compressions
8. Which action is a component of high-quality chest compressions?
A. Allowing complete chest recoil
B. Chest compressions without ventilation
C. 60 to 100 compressions per minute with a 15:2 ratio
D. Uninterrupted compressions at a depth of 1½ inches
9. Which action increases the chance of successful conversion of ventricular
fibrillation?
A. Pausing chest compressions immediately after a defibrillation attempt B. Administering 4
quick ventilations immediately before a defibrillation
attempt
C. Using manual defibrillator paddles with light pressure against
the chest
D. Providing quality compressions immediately before a defibrillation
attempt
10. Which situation BEST describes pulseless electrical activity?
A. Asystole without a pulse
B. Sinus rhythm without a pulse
C. Torsades de pointes with a pulse
D. Ventricular tachycardia with a pulse
11. What is the BEST strategy for performing high-quality CPRon a patient with an
advanced airway in place?
A. Provide compressions and ventilations with a 15:2 ratio.
B. Provide compressions and ventilations with a 30:2 ratio.
C. Provide a single ventilation every 6 seconds during the compression pause.
D. Provide continuous chest compressions without pauses and 10 ventilations per minute.
12. Three minutes after witnessing a cardiac arrest, one member of your team inserts
an endotracheal tube while another performs continuous chest compressions.
During subsequent ventilation, you notice the presence of a waveform on the
capnography screen and a PETCO2 level of 8 mm Hg. What is the significance of this
finding?
