1|Page
ACLS EXAM VERSION A (FULL TEST) || 2025
ACTUAL EXAM ALL QUESTIONS AND 100%
CORRECT ANSWERS GRADE A+|| LATEST AND
COMPLETE UPDATED VERSION 2025||
GUARANTEED PASS!!!
You are evaluating a 58-year-old man with chest pain. The blood pressure is 92/50
mm Hg, the heart rate is 92/min, the nonlabored respiratory rate is 14 breaths/min,
and the pulse oximetry reading is 97%. What assessment step is most important
now? ANSWER- Obtaining a 12 lead ECG.
What is the preferred method of access for epi administration during cardiac arrest
in most pts? ANSWER- Peripheral IV
You find an unresponsive pt. who is not breathing. After activating the emergency
response system, you determine there is no pulse. What is your next action?
ANSWER- Start chest compressions of at least 100 per min.
An AED does not promptly analyze a rythm. What is your next step? ANSWER-
Begin chest compressions.
A patient has a witnessed loss of consciousness. The lead II ECG reveals this
rhythm:
What is the appropriate next intervention? ANSWER- Defibrillation
What is the recommended energy dose for biphasic synchronized cardioversion of
atrial fibrillation? ANSWER- 120to200J
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Which of the following is an acceptable method of selecting an appropriately sized
oropharyngeal airway (OPA)? ANSWER- Measure from the corner of the mouth
to the angle of the mandible.
Which is a contraindication to nitroglycerin administration in the management of
acute coronary syndromes? ANSWER- Right ventricular infarction and
dysfunction
What is the recommended initial intervention for managing hypotension in the
immediate period after return of spontaneous circulation (ROSC)? ANSWER-
Administration of IV or IO fluid bolus
Which is an appropriate and important intervention to perform for a patient who
achieves ROSC during an out-of-hospital resuscitation? ANSWER-
✅Transport the patient to a facility capable of performing PCI.
What is the immediate danger of excessive ventilation during the post-cardiac
arrest period for patients who achieve ROSC? ANSWER- Decreased cerebral
blood flow
What is the recommended target temperature range for achieving therapeutic
hypothermia after cardiac arrest? ANSWER- 32°C to 34°C
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What is the recommended duration of therapeutic hypothermia after reaching the
target temperature? ANSWER- 12 to 24 hours
What is the danger of routinely administering high concentrations of oxygen
during the post- cardiac arrest period for patients who achieve ROSC? ANSWER-
Potential oxygen toxicity
What is the recommended dose of epinephrine for the treatment of hypotension in
a post- cardiac arrest patient who achieves ROSC? ANSWER- 0.1 to 0.5 mcg/kg
per minute IV infusion
You have completed 2 min of CPR. The ECG monitor displays the lead below
(PEA) and the patient has no pulse. You partner resumes chest compressions and
an IV is in place. What management step is your next priority? ANSWER-
✅Administer 1mg of epinephrine
A patient is in refractory ventricular fibrillation and has received multiple
appropriate defibrillation shocks, epinephrine 1 mg IV twice, and an initial dose of
300 mg amiodarone IV. The patient is intubated. A second dose of amiodarone is
now called for. The recommend second dose of amiodarone is ? ANSWER-
✅150 mg IV push
A patient is in refractory ventricular fibrillation. High CPR is in progress and
shocks have been given. One dose of epinephrine was given after the second
shock. An anti arrhythmic drug was given immediately after the the third shock.
ACLS EXAM VERSION A (FULL TEST) || 2025
ACTUAL EXAM ALL QUESTIONS AND 100%
CORRECT ANSWERS GRADE A+|| LATEST AND
COMPLETE UPDATED VERSION 2025||
GUARANTEED PASS!!!
You are evaluating a 58-year-old man with chest pain. The blood pressure is 92/50
mm Hg, the heart rate is 92/min, the nonlabored respiratory rate is 14 breaths/min,
and the pulse oximetry reading is 97%. What assessment step is most important
now? ANSWER- Obtaining a 12 lead ECG.
What is the preferred method of access for epi administration during cardiac arrest
in most pts? ANSWER- Peripheral IV
You find an unresponsive pt. who is not breathing. After activating the emergency
response system, you determine there is no pulse. What is your next action?
ANSWER- Start chest compressions of at least 100 per min.
An AED does not promptly analyze a rythm. What is your next step? ANSWER-
Begin chest compressions.
A patient has a witnessed loss of consciousness. The lead II ECG reveals this
rhythm:
What is the appropriate next intervention? ANSWER- Defibrillation
What is the recommended energy dose for biphasic synchronized cardioversion of
atrial fibrillation? ANSWER- 120to200J
,2|Page
Which of the following is an acceptable method of selecting an appropriately sized
oropharyngeal airway (OPA)? ANSWER- Measure from the corner of the mouth
to the angle of the mandible.
Which is a contraindication to nitroglycerin administration in the management of
acute coronary syndromes? ANSWER- Right ventricular infarction and
dysfunction
What is the recommended initial intervention for managing hypotension in the
immediate period after return of spontaneous circulation (ROSC)? ANSWER-
Administration of IV or IO fluid bolus
Which is an appropriate and important intervention to perform for a patient who
achieves ROSC during an out-of-hospital resuscitation? ANSWER-
✅Transport the patient to a facility capable of performing PCI.
What is the immediate danger of excessive ventilation during the post-cardiac
arrest period for patients who achieve ROSC? ANSWER- Decreased cerebral
blood flow
What is the recommended target temperature range for achieving therapeutic
hypothermia after cardiac arrest? ANSWER- 32°C to 34°C
, 3|Page
What is the recommended duration of therapeutic hypothermia after reaching the
target temperature? ANSWER- 12 to 24 hours
What is the danger of routinely administering high concentrations of oxygen
during the post- cardiac arrest period for patients who achieve ROSC? ANSWER-
Potential oxygen toxicity
What is the recommended dose of epinephrine for the treatment of hypotension in
a post- cardiac arrest patient who achieves ROSC? ANSWER- 0.1 to 0.5 mcg/kg
per minute IV infusion
You have completed 2 min of CPR. The ECG monitor displays the lead below
(PEA) and the patient has no pulse. You partner resumes chest compressions and
an IV is in place. What management step is your next priority? ANSWER-
✅Administer 1mg of epinephrine
A patient is in refractory ventricular fibrillation and has received multiple
appropriate defibrillation shocks, epinephrine 1 mg IV twice, and an initial dose of
300 mg amiodarone IV. The patient is intubated. A second dose of amiodarone is
now called for. The recommend second dose of amiodarone is ? ANSWER-
✅150 mg IV push
A patient is in refractory ventricular fibrillation. High CPR is in progress and
shocks have been given. One dose of epinephrine was given after the second
shock. An anti arrhythmic drug was given immediately after the the third shock.
