AHA ACLS WRITTEN TEST 2026 UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
Question:
You are evaluating a 58 year old man with chest pain. The
BP is 92/50 and a heart rate of 92/min, non-labored
respiratory rate is 14 breaths/min and the pulse O2 is 97%.
What assessment step is most important now?
Answer:
Obtaining a 12 lead ECG.
Identification of Chest Discomfort Suggestive of Ischemia
Question:
For the past 25 min, EMS crews have attempted
resuscitation of a pt who originally presented with V-FIB.
After the 1st shock, the ECG screen displayed asystole
which has persisted despite 2 doses of epi, a fluid bolus,
and high quality CPR. What is your next treatment?
Answer:
Consider terminating resuscitive efforts after consulting medical control.
Question:
Which is a safe and effective practice within the
defibrillation sequence?
Answer:
Be sure O2 is NOT blowing over the pt's chest during shock.
Question:
What is an advantage of using hands-free d-fib pads
instead of d-fib paddles?
Answer:
Hands-free allows for more rapid d-fib.
Question:
What action is recommended to help minimize
interruptions in chest compressions during CPR?
Answer:
Continue CPR while charging the defibrillator.
Foundational Facts: Resume CPR While Manual Defibrillator is Charging
Question:
What is the purpose of a medical emergency team (MET)
or rapid response team?
Answer:
Improving patient outcomes by identifying and treating early clinical
deterioration.
, Foundational Facts: Medical Emergency Teams (METs) and Rapid Response Teams
(RRTs)
Question:
Which action improves the quality of chest compressions
delivered during resuscitave attemepts?
Answer:
Shitch providers about every 2 min or every 5 compression cycles.
Question:
What is the appropriate ventilation strategy for an adult in
respiratory arrest with a pulse of 80 beats/min?
Answer:
1 breath every 5-6 seconds
Question:
A pt. presents to the ER with a new onset of dizziness and
fatugue. Onexamination, the pt's heart rate is 35
beats/min, BP is 70/50, resp. rate is 22 per min, O2 sat is
95%. What is the appropriate 1st medication?
Answer:
Atropine 0.5mg
Question:
A pt. presents to the ER with dizziness and SOB with a
sinus brady of 40/min. The initial atropine dose was
ineffective and your monitor does not provide TCP. What
is the appropriate dose of Dopamine for this pt?
Answer:
2-10mcg/kg/min
Question:
A pt. has an onset of dizziness. The pt.s heart rate is 180,
BP is 110/70, resp. rate is 18, O2 sat is 98%. This is a reg
narrow complex tach rythm. What is the next
intervention?
Answer:
Vagal manuever.
Question:
A monitored pt. in the ICU developed a suddent onset of
narrow complex tach at a rate of 220/min. The pt's BP is
128/58, the PETCO2 is 38mm Hg, and the O2 sat is 98%.
There is an EJ established for vascular access. The pt.
denies taking any vasodialators. A 12 lead shows no
ischemia or infarction. Vagal manuevers are ineffective.
QUESTIONS AND CORRECT ANSWERS
Question:
You are evaluating a 58 year old man with chest pain. The
BP is 92/50 and a heart rate of 92/min, non-labored
respiratory rate is 14 breaths/min and the pulse O2 is 97%.
What assessment step is most important now?
Answer:
Obtaining a 12 lead ECG.
Identification of Chest Discomfort Suggestive of Ischemia
Question:
For the past 25 min, EMS crews have attempted
resuscitation of a pt who originally presented with V-FIB.
After the 1st shock, the ECG screen displayed asystole
which has persisted despite 2 doses of epi, a fluid bolus,
and high quality CPR. What is your next treatment?
Answer:
Consider terminating resuscitive efforts after consulting medical control.
Question:
Which is a safe and effective practice within the
defibrillation sequence?
Answer:
Be sure O2 is NOT blowing over the pt's chest during shock.
Question:
What is an advantage of using hands-free d-fib pads
instead of d-fib paddles?
Answer:
Hands-free allows for more rapid d-fib.
Question:
What action is recommended to help minimize
interruptions in chest compressions during CPR?
Answer:
Continue CPR while charging the defibrillator.
Foundational Facts: Resume CPR While Manual Defibrillator is Charging
Question:
What is the purpose of a medical emergency team (MET)
or rapid response team?
Answer:
Improving patient outcomes by identifying and treating early clinical
deterioration.
, Foundational Facts: Medical Emergency Teams (METs) and Rapid Response Teams
(RRTs)
Question:
Which action improves the quality of chest compressions
delivered during resuscitave attemepts?
Answer:
Shitch providers about every 2 min or every 5 compression cycles.
Question:
What is the appropriate ventilation strategy for an adult in
respiratory arrest with a pulse of 80 beats/min?
Answer:
1 breath every 5-6 seconds
Question:
A pt. presents to the ER with a new onset of dizziness and
fatugue. Onexamination, the pt's heart rate is 35
beats/min, BP is 70/50, resp. rate is 22 per min, O2 sat is
95%. What is the appropriate 1st medication?
Answer:
Atropine 0.5mg
Question:
A pt. presents to the ER with dizziness and SOB with a
sinus brady of 40/min. The initial atropine dose was
ineffective and your monitor does not provide TCP. What
is the appropriate dose of Dopamine for this pt?
Answer:
2-10mcg/kg/min
Question:
A pt. has an onset of dizziness. The pt.s heart rate is 180,
BP is 110/70, resp. rate is 18, O2 sat is 98%. This is a reg
narrow complex tach rythm. What is the next
intervention?
Answer:
Vagal manuever.
Question:
A monitored pt. in the ICU developed a suddent onset of
narrow complex tach at a rate of 220/min. The pt's BP is
128/58, the PETCO2 is 38mm Hg, and the O2 sat is 98%.
There is an EJ established for vascular access. The pt.
denies taking any vasodialators. A 12 lead shows no
ischemia or infarction. Vagal manuevers are ineffective.
