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ACLS EXAM AND PRACTICE EXAM NEWEST 2026/ 2027
ACTUAL EXAM| AHA - ADVANCED CARDIOVASCULAR LIFE
SUPPORT (ACLS) EXAM WITH 100 REAL EXAM QUESTIONS
AND CORRECT VERIFIED ANSWERS/ ALREADY GRADED A+
Correct Answer - C. Perform synchronized cardioversion, ensuring
synchronization with the QRS complexes.
The patient has unstable tachycardia with a pulse—hypotension, chest
pressure, and altered mental status—with a regular wide-complex
rhythm. Synchronized cardioversion is indicated because the patient is
unstable.
pg. 1
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pg. 2
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Correct Answer - A. Adenosine 6 mg IV
The patient has a regular monomorphic wide-complex tachycardia but
remains hemodynamically stable. In a stable patient with regular,
monomorphic wide-complex tachycardia, adenosine may be considered
when the rhythm is suspected to be supraventricular with aberrancy. If
the rhythm does not respond or the patient becomes unstable, treatment
should escalate appropriately.
Correct Answer - B. Continue CPR and give epinephrine.
The monitor has changed to an organized rhythm, but no pulse is
present, indicating pulseless electrical activity (PEA). PEA is a non-
shockable rhythm, so the team should continue high-quality CPR,
administer epinephrine, and rapidly search for reversible causes rather
than defibrillating.
pg. 3
, 4|Page
Correct Answer - A. Transcutaneous pacing
The patient has symptomatic, hemodynamically unstable bradycardia
with hypotension and a high-grade AV block. Atropine has already
failed, so immediate transcutaneous pacing is appropriate while
preparing for more definitive pacing/vasoactive support.
pg. 4
ACLS EXAM AND PRACTICE EXAM NEWEST 2026/ 2027
ACTUAL EXAM| AHA - ADVANCED CARDIOVASCULAR LIFE
SUPPORT (ACLS) EXAM WITH 100 REAL EXAM QUESTIONS
AND CORRECT VERIFIED ANSWERS/ ALREADY GRADED A+
Correct Answer - C. Perform synchronized cardioversion, ensuring
synchronization with the QRS complexes.
The patient has unstable tachycardia with a pulse—hypotension, chest
pressure, and altered mental status—with a regular wide-complex
rhythm. Synchronized cardioversion is indicated because the patient is
unstable.
pg. 1
,2|Page
pg. 2
,3|Page
Correct Answer - A. Adenosine 6 mg IV
The patient has a regular monomorphic wide-complex tachycardia but
remains hemodynamically stable. In a stable patient with regular,
monomorphic wide-complex tachycardia, adenosine may be considered
when the rhythm is suspected to be supraventricular with aberrancy. If
the rhythm does not respond or the patient becomes unstable, treatment
should escalate appropriately.
Correct Answer - B. Continue CPR and give epinephrine.
The monitor has changed to an organized rhythm, but no pulse is
present, indicating pulseless electrical activity (PEA). PEA is a non-
shockable rhythm, so the team should continue high-quality CPR,
administer epinephrine, and rapidly search for reversible causes rather
than defibrillating.
pg. 3
, 4|Page
Correct Answer - A. Transcutaneous pacing
The patient has symptomatic, hemodynamically unstable bradycardia
with hypotension and a high-grade AV block. Atropine has already
failed, so immediate transcutaneous pacing is appropriate while
preparing for more definitive pacing/vasoactive support.
pg. 4
