ACLS Written Exam Questions And Correct Verified Answers
New Version 2026 Graded A+
26
20
For the past 25 minutes, an EMS crew has attempted resuscitation of a patient who originally presented in
ventricular fibrillation. After the first shock, the ECG screen displayed asystole, which has persisted despite 2
s
doses of epinephrine, a fluid bolus, and high-quality CPR. What is your next treatment? -ANSWER- Consider terminating resuscitive efforts
after consulting medical control.
am
Which is a safe and effective practice within the defibrillation sequence? -ANSWER- Be sure oxygen is not blowing over the patient's chest
during the shock.
Ex
During your assessment, your patient suddenly loses consciousness. After calling for help and determining that the patient is not breathing,
you are unsure whether the patient has a pulse. What is your next action? -ANSWER- Begin chest compressions.
What is an advantage of using hands-free defibrillation pads instead of defibrillation paddles? -ANSWER- Hands-free pads allow for a more
s
rapid defibrillation.
rt
What action is recommended to help minimize interruptions in chest compressions during CPR? -ANSWER- Continue CPR while charging the
defibrillator.
pe
Which action is a componant of high-quality chest comressions? -ANSWER- Allowing complete chest recoil
Which action increases the chance of successful conversion of ventricular fibrillation? -ANSWER- Providing quality compressions immediately
Ex
before a defibrillation attempt.
Which situation BEST describes pulseless electrical activity? -ANSWER- Sinus rythm without a pulse
What is the BEST strategy for performing high-quality CPR on a patient with an advanced airway in place? -ANSWER- Provide continuous chest
compressions without pauses and 10 ventilations per minute.
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? -ANSWER- Chest compressions may not be effective.
, 26
You find an unresponsive pt. who is not breathing. After Start chest compressions of at least 100 per min.
activating the emergency response system, you
determine there is no pulse. What is your next action?
20
You are evaluating a 58-year-old man with chest pain. Obtaining a 12 lead ECG.
The blood pressure is 92/50 mm Hg, the heart rate is 92/min,
the nonlabored respiratory rate is 14 breaths/min,
s
and the pulse oximetry reading is 97%. What assessment step is
most important now?
am
What is the preferred method of access for epi Peripheral IV
administration during cardiac arrest in most pts?
Ex
s
rt
pe
An AED does not promptly analyze a rythm. What is your next step? Begin chest compressions.
You have completed 2 minutes of CPR. The ECG monitor displays Administer Img of epinephrine
Ex
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?
During a pause in CPR, you see this lead II ECG rhythm on the Resume compressions
monitor. The patient has no pulse. What is the next action?
What is a common but sometimes fatal mistake in cardiac arrest Prolonged interruptions in chest compressions.
management?
New Version 2026 Graded A+
26
20
For the past 25 minutes, an EMS crew has attempted resuscitation of a patient who originally presented in
ventricular fibrillation. After the first shock, the ECG screen displayed asystole, which has persisted despite 2
s
doses of epinephrine, a fluid bolus, and high-quality CPR. What is your next treatment? -ANSWER- Consider terminating resuscitive efforts
after consulting medical control.
am
Which is a safe and effective practice within the defibrillation sequence? -ANSWER- Be sure oxygen is not blowing over the patient's chest
during the shock.
Ex
During your assessment, your patient suddenly loses consciousness. After calling for help and determining that the patient is not breathing,
you are unsure whether the patient has a pulse. What is your next action? -ANSWER- Begin chest compressions.
What is an advantage of using hands-free defibrillation pads instead of defibrillation paddles? -ANSWER- Hands-free pads allow for a more
s
rapid defibrillation.
rt
What action is recommended to help minimize interruptions in chest compressions during CPR? -ANSWER- Continue CPR while charging the
defibrillator.
pe
Which action is a componant of high-quality chest comressions? -ANSWER- Allowing complete chest recoil
Which action increases the chance of successful conversion of ventricular fibrillation? -ANSWER- Providing quality compressions immediately
Ex
before a defibrillation attempt.
Which situation BEST describes pulseless electrical activity? -ANSWER- Sinus rythm without a pulse
What is the BEST strategy for performing high-quality CPR on a patient with an advanced airway in place? -ANSWER- Provide continuous chest
compressions without pauses and 10 ventilations per minute.
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? -ANSWER- Chest compressions may not be effective.
, 26
You find an unresponsive pt. who is not breathing. After Start chest compressions of at least 100 per min.
activating the emergency response system, you
determine there is no pulse. What is your next action?
20
You are evaluating a 58-year-old man with chest pain. Obtaining a 12 lead ECG.
The blood pressure is 92/50 mm Hg, the heart rate is 92/min,
the nonlabored respiratory rate is 14 breaths/min,
s
and the pulse oximetry reading is 97%. What assessment step is
most important now?
am
What is the preferred method of access for epi Peripheral IV
administration during cardiac arrest in most pts?
Ex
s
rt
pe
An AED does not promptly analyze a rythm. What is your next step? Begin chest compressions.
You have completed 2 minutes of CPR. The ECG monitor displays Administer Img of epinephrine
Ex
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?
During a pause in CPR, you see this lead II ECG rhythm on the Resume compressions
monitor. The patient has no pulse. What is the next action?
What is a common but sometimes fatal mistake in cardiac arrest Prolonged interruptions in chest compressions.
management?
