WRITTEN TEST ; AHA ACLS EXAM 2026 Real Exam Questions And
Answers ( 100% ACCURATE) GET IT RIGHT!!
1. Why is obtaining a 12-lead ECG crucial for a patient with chest pain and low
blood pressure?
It assesses the patient's neurological status.
It helps identify potential cardiac ischemia or arrhythmias.
It evaluates the patient's hydration status.
It determines the patient's oxygen saturation levels.
2. What initial energy level would you recommend to a physician preparing to
perform cardioversion using a biphasic defibrillator on a patient in atrial
fibrillation?.
120 to 200 joules
360 joules
150 to 100 joules
250 to 300 joules
3. An unresponsive, pulse less, apneic patient presents with ventricular
tachycardia on the cardiac monitor. After defibrillating the patient, you
should:
reassess the cardiac rhythm to see if it has changed
deliver another shock if his cardiac rhythm is unchanged
resume CPR and reassess the patient after 2 minutes
take no more than 10 seconds to assess for a pulse
,4. If a patient in cardiac arrest shows a PETCO2 of 8 mm Hg after 3 minutes of
CPR, what immediate action should the resuscitation team consider to
improve the situation?
Increase the quality of chest compressions
Change the defibrillation pads
Prepare for intubation
Administer more medication immediately
5. What is one key indicator that CPR is being performed ineffectively?
Rapid heart rate
Inadequate chest compressions
Increased blood pressure
Patient responsiveness
6. You are caring for a 65 year old who collapsed outside of the hospital and
was brought in to the emergency department. During CPR, quantitative
waveform capnography shows a PETCO2 level < 10 mm HG. Which of the
following is the correct response to this finding?
Attempt to improve the quality of CPR.
Decrease the amount of oxygen being delivered.
Increase the amount of oxygen being delivered.
Do nothing; this is normal.
7. In a scenario where a patient has just achieved ROSC but presents with
severe hypotension, what would be the most appropriate first step in
management?
, Prepare for intubation
Administer high-dose atropine
Initiate fluid resuscitation
Start immediate chest compressions
8. What is the assisted ventilation rate for patients in respiratory arrest with a
perfusing rhythm?
8 to 10 breaths per minute
15 to 20 breaths per minute
5 to 7 breaths per minute
10 to 12 breaths per minute
9. The dose for Adenosine in the treatment of a tachycardia patient is
None of the above
12mg rapid IVP may repeat x1 with 6mg
12mg rapid IVP may repeat 1x
6mg rapid IVP with a second dose of 12 mg as needed
10. In a scenario where a patient experiences cardiac arrest, which intervention
should be prioritized immediately after calling for help?
Using a defibrillator
Administering medications
Checking for a pulse
Initiating high-quality chest compressions
, 11. Describe the significance of verbal acknowledgment in a resuscitation team
during medication administration.
Verbal acknowledgment is only important for documentation
purposes.
Verbal acknowledgment is unnecessary in high-pressure situations.
Verbal acknowledgment ensures clear communication and confirms
that the medication has been administered correctly.
Verbal acknowledgment delays the resuscitation process.
12. According to 2012 RECOVER guidelines for post cardiac-arrest care, mild
therapeutic hypothermia refers to a core temperature of:
28-30C
32-34C
30-32C
34-36C
13. Describe why excessive ventilation can be harmful to patients who have
achieved ROSC after cardiac arrest.
Excessive ventilation helps to increase oxygen levels in the blood
after ROSC.
Excessive ventilation prevents the accumulation of carbon dioxide in
the lungs after ROSC.
Excessive ventilation has no significant effect on patients after ROSC.
Excessive ventilation can lead to increased intrathoracic pressure,
reducing blood flow to the heart and compromising cardiac output.
Answers ( 100% ACCURATE) GET IT RIGHT!!
1. Why is obtaining a 12-lead ECG crucial for a patient with chest pain and low
blood pressure?
It assesses the patient's neurological status.
It helps identify potential cardiac ischemia or arrhythmias.
It evaluates the patient's hydration status.
It determines the patient's oxygen saturation levels.
2. What initial energy level would you recommend to a physician preparing to
perform cardioversion using a biphasic defibrillator on a patient in atrial
fibrillation?.
120 to 200 joules
360 joules
150 to 100 joules
250 to 300 joules
3. An unresponsive, pulse less, apneic patient presents with ventricular
tachycardia on the cardiac monitor. After defibrillating the patient, you
should:
reassess the cardiac rhythm to see if it has changed
deliver another shock if his cardiac rhythm is unchanged
resume CPR and reassess the patient after 2 minutes
take no more than 10 seconds to assess for a pulse
,4. If a patient in cardiac arrest shows a PETCO2 of 8 mm Hg after 3 minutes of
CPR, what immediate action should the resuscitation team consider to
improve the situation?
Increase the quality of chest compressions
Change the defibrillation pads
Prepare for intubation
Administer more medication immediately
5. What is one key indicator that CPR is being performed ineffectively?
Rapid heart rate
Inadequate chest compressions
Increased blood pressure
Patient responsiveness
6. You are caring for a 65 year old who collapsed outside of the hospital and
was brought in to the emergency department. During CPR, quantitative
waveform capnography shows a PETCO2 level < 10 mm HG. Which of the
following is the correct response to this finding?
Attempt to improve the quality of CPR.
Decrease the amount of oxygen being delivered.
Increase the amount of oxygen being delivered.
Do nothing; this is normal.
7. In a scenario where a patient has just achieved ROSC but presents with
severe hypotension, what would be the most appropriate first step in
management?
, Prepare for intubation
Administer high-dose atropine
Initiate fluid resuscitation
Start immediate chest compressions
8. What is the assisted ventilation rate for patients in respiratory arrest with a
perfusing rhythm?
8 to 10 breaths per minute
15 to 20 breaths per minute
5 to 7 breaths per minute
10 to 12 breaths per minute
9. The dose for Adenosine in the treatment of a tachycardia patient is
None of the above
12mg rapid IVP may repeat x1 with 6mg
12mg rapid IVP may repeat 1x
6mg rapid IVP with a second dose of 12 mg as needed
10. In a scenario where a patient experiences cardiac arrest, which intervention
should be prioritized immediately after calling for help?
Using a defibrillator
Administering medications
Checking for a pulse
Initiating high-quality chest compressions
, 11. Describe the significance of verbal acknowledgment in a resuscitation team
during medication administration.
Verbal acknowledgment is only important for documentation
purposes.
Verbal acknowledgment is unnecessary in high-pressure situations.
Verbal acknowledgment ensures clear communication and confirms
that the medication has been administered correctly.
Verbal acknowledgment delays the resuscitation process.
12. According to 2012 RECOVER guidelines for post cardiac-arrest care, mild
therapeutic hypothermia refers to a core temperature of:
28-30C
32-34C
30-32C
34-36C
13. Describe why excessive ventilation can be harmful to patients who have
achieved ROSC after cardiac arrest.
Excessive ventilation helps to increase oxygen levels in the blood
after ROSC.
Excessive ventilation prevents the accumulation of carbon dioxide in
the lungs after ROSC.
Excessive ventilation has no significant effect on patients after ROSC.
Excessive ventilation can lead to increased intrathoracic pressure,
reducing blood flow to the heart and compromising cardiac output.
