ACLS Post Test (Latest 2026/2027
Update) Complete Questions and
Guide Answers, 100% Verified
Graded A+
Question 1: You are caring for a patient with a suspected
stroke whose symptoms started 2 hours ago. The CT was
normal with no sign of hemorrhage. The patient does not have
any contraindications to fibrinolytic therapy. Which treatment
is best?
A. Start fibrinolytic therapy ASAP
B. Hold fibrinolytic therapy for 24 hours
C. Order an echocardiogram before fibrinolytic administration
D. Wait for MRI results
Correct Answer: A. Start fibrinolytic therapy ASAP
Rationale: When an eligible patient presents with acute
ischemic stroke symptoms within the appropriate treatment
window, brain imaging shows no hemorrhage, and there are
no contraindications, fibrinolytic therapy should be initiated as
,rapidly as possible. Additional imaging such as MRI or
echocardiography should not unnecessarily delay time-
sensitive reperfusion therapy.
Question 2: For a STEMI patient, what is the maximum goal
time for emergency department door-to-balloon time for PCI?
A. 150 minutes
B. 180 minutes
C. 120 minutes
D. 90 minutes
Correct Answer: D. 90 minutes
Rationale: For a STEMI patient presenting directly to a PCI-
capable facility, the goal is to achieve timely reperfusion, with
a door-to-device/balloon goal of 90 minutes or less.
Minimizing delays in reperfusion is critical because prolonged
coronary occlusion increases myocardial injury and mortality.
Question 3: Which is the recommended oral dose of aspirin
(ASA) for a patient with suspected acute coronary syndrome
(ACS)?
,A. 81 mg
B. 325–650 mg
C. 160–325 mg
D. 40 mg
Correct Answer: C. 160–325 mg
Rationale: A patient with suspected ACS who has no
contraindication to aspirin should receive an initial loading
dose of 160–325 mg, preferably chewed, to promote rapid
absorption and platelet inhibition.
Question 4: What is the recommended adult chest
compression rate during CPR?
A. 60–80/min
B. 80–100/min
C. 100–120/min
D. 120–140/min
Correct Answer: 100–120/min
Rationale: High-quality adult CPR requires chest
compressions at a rate of 100–120 compressions/min. The
correct rate, combined with adequate depth, complete recoil,
, and minimal interruptions, maximizes coronary and cerebral
perfusion.
Question 5: What is an effect of excessive ventilation during
CPR?
A. Decreased cardiac output
B. Decreased intrathoracic pressure
C. Increased perfusion pressure
D. Increased venous return
Correct Answer: A. Decreased cardiac output
Rationale: Excessive ventilation increases intrathoracic
pressure, which reduces venous return to the heart. Reduced
venous return decreases cardiac output and can compromise
coronary and cerebral perfusion during CPR.
Question 6: What temperature range is used to achieve
targeted temperature management after cardiac arrest?
A. 28–30°C
B. 30–32°C
Update) Complete Questions and
Guide Answers, 100% Verified
Graded A+
Question 1: You are caring for a patient with a suspected
stroke whose symptoms started 2 hours ago. The CT was
normal with no sign of hemorrhage. The patient does not have
any contraindications to fibrinolytic therapy. Which treatment
is best?
A. Start fibrinolytic therapy ASAP
B. Hold fibrinolytic therapy for 24 hours
C. Order an echocardiogram before fibrinolytic administration
D. Wait for MRI results
Correct Answer: A. Start fibrinolytic therapy ASAP
Rationale: When an eligible patient presents with acute
ischemic stroke symptoms within the appropriate treatment
window, brain imaging shows no hemorrhage, and there are
no contraindications, fibrinolytic therapy should be initiated as
,rapidly as possible. Additional imaging such as MRI or
echocardiography should not unnecessarily delay time-
sensitive reperfusion therapy.
Question 2: For a STEMI patient, what is the maximum goal
time for emergency department door-to-balloon time for PCI?
A. 150 minutes
B. 180 minutes
C. 120 minutes
D. 90 minutes
Correct Answer: D. 90 minutes
Rationale: For a STEMI patient presenting directly to a PCI-
capable facility, the goal is to achieve timely reperfusion, with
a door-to-device/balloon goal of 90 minutes or less.
Minimizing delays in reperfusion is critical because prolonged
coronary occlusion increases myocardial injury and mortality.
Question 3: Which is the recommended oral dose of aspirin
(ASA) for a patient with suspected acute coronary syndrome
(ACS)?
,A. 81 mg
B. 325–650 mg
C. 160–325 mg
D. 40 mg
Correct Answer: C. 160–325 mg
Rationale: A patient with suspected ACS who has no
contraindication to aspirin should receive an initial loading
dose of 160–325 mg, preferably chewed, to promote rapid
absorption and platelet inhibition.
Question 4: What is the recommended adult chest
compression rate during CPR?
A. 60–80/min
B. 80–100/min
C. 100–120/min
D. 120–140/min
Correct Answer: 100–120/min
Rationale: High-quality adult CPR requires chest
compressions at a rate of 100–120 compressions/min. The
correct rate, combined with adequate depth, complete recoil,
, and minimal interruptions, maximizes coronary and cerebral
perfusion.
Question 5: What is an effect of excessive ventilation during
CPR?
A. Decreased cardiac output
B. Decreased intrathoracic pressure
C. Increased perfusion pressure
D. Increased venous return
Correct Answer: A. Decreased cardiac output
Rationale: Excessive ventilation increases intrathoracic
pressure, which reduces venous return to the heart. Reduced
venous return decreases cardiac output and can compromise
coronary and cerebral perfusion during CPR.
Question 6: What temperature range is used to achieve
targeted temperature management after cardiac arrest?
A. 28–30°C
B. 30–32°C
