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Advanced Cardiac Life Support (ACLS) Exam Questions and Correct Answers

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Comprehensive study and exam preparation resource for Advanced Cardiac Life Support (ACLS), covering adult cardiac arrest algorithms, high-quality CPR, airway and ventilation management, defibrillation and cardioversion, bradycardia and tachycardia, acute coronary syndromes, stroke recognition, post-cardiac-arrest care, cardiac rhythm interpretation, medications, and team dynamics.

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ADVANCED CARDIAC LIFE SUPPORT (ACLS) EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) Q&A 2027|INSTANT DOWNLOAD PDF

1. What is the primary goal of high-quality CPR during adult
cardiac arrest?
A. Restore normal blood pressure immediately
B. Maintain circulation and oxygen delivery to vital organs
C. Produce spontaneous breathing
D. Prevent all cardiac arrhythmias
Answer: B. Maintain circulation and oxygen delivery to vital
organs
Rationale: High-quality CPR provides artificial circulation and
ventilation, helping maintain myocardial and cerebral perfusion
until ROSC or definitive treatment occurs.


2. What is the recommended adult chest-compression rate
during CPR?
A. 60–80/min
B. 80–90/min
C. 100–120/min
D. 130–150/min

,Answer: C. 100–120/min
Rationale: Adult CPR should use a compression rate of 100–
120/min while minimizing interruptions.


3. What is the recommended minimum depth for adult chest
compressions?
A. 1 inch (2.5 cm)
B. 1.5 inches (4 cm)
C. 2 inches (5 cm)
D. 3 inches (7.5 cm)
Answer: C. 2 inches (5 cm)
Rationale: Adult compressions should be at least 2 inches (5
cm) deep while avoiding excessive depth.


4. Which finding most strongly indicates cardiac arrest?
A. Slow pulse with normal consciousness
B. Unresponsiveness with absent or abnormal breathing and no
definite pulse
C. Hypertension with headache
D. Chest pain with a strong pulse
Answer: B. Unresponsiveness with absent or abnormal
breathing and no definite pulse
Rationale: Cardiac arrest should be rapidly recognized and CPR
initiated when appropriate.

,5. What should be done immediately after recognizing an
adult cardiac arrest?
A. Obtain a 12-lead ECG before CPR
B. Begin high-quality CPR and activate the emergency response
system
C. Give atropine
D. Administer adenosine
Answer: B. Begin high-quality CPR and activate the emergency
response system
Rationale: Immediate CPR and rapid activation of the
emergency response system are fundamental components of
resuscitation.


6. Which rhythm is shockable during cardiac arrest?
A. Asystole
B. Pulseless electrical activity
C. Ventricular fibrillation
D. Sinus bradycardia
Answer: C. Ventricular fibrillation
Rationale: VF and pulseless ventricular tachycardia are
shockable cardiac-arrest rhythms.

, 7. Which rhythm is also treated with defibrillation when the
patient has no pulse?
A. Pulseless ventricular tachycardia
B. Sinus tachycardia
C. Atrial fibrillation
D. First-degree AV block
Answer: A. Pulseless ventricular tachycardia
Rationale: Pulseless VT is a shockable rhythm and requires
defibrillation with ongoing CPR.


8. Which cardiac-arrest rhythm is nonshockable?
A. Ventricular fibrillation
B. Pulseless ventricular tachycardia
C. Asystole
D. Torsades de pointes
Answer: C. Asystole
Rationale: Asystole is managed with high-quality CPR,
epinephrine, and identification and treatment of reversible
causes rather than defibrillation.


9. Which other rhythm is classified as nonshockable cardiac
arrest?
A. PEA
B. VF

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