Acls exam versionB latest update 202
5/2026 50 questions and answers
AdvancedCardiovascularLife Support Exam Version
B (50 questions)
Pleasedo not mark on this exam.Recordthebestansweron theseparateanswersheet.
1. Whatshouldbedoneto minimizeinterruptionsin chestcompressionsduring CPR?
A. Performpulsechecksonly afterdefibrillation.
B. ContinueCPR whilethedefibrillatoris charging.
C. AdministerIV medicationsonly whenbreathsaregiven.
D. Continueto useAED evenafterthearrivalof a manualdefibrillator.
2. Which conditionis an indicationto stopor withholdresuscitativeefforts?
A. Unwitnessedarrest
B. Safetythreatto providers
C. Patientagegreaterthan85 years
D. No returnof spontaneouscirculationafter10 minutesof CPR
3. After verifyingtheabsenceof a pulse,you initiateCPR withadequatebag-mask ventilation. The
patient’s lead II ECG appears below. What is your next action?
A. IV or IO access
B. Endotrachealtubeplacement
C. Consultationwithcardiologyfor possiblePCI
D. Applicationof a transcutaneous
pacemaker
4. After verifying unresponsivenessand abnormalbreathing,you activate the emergency
response team. What is your next action?
A. Retrievean AED.
,B. Check for a pulse.
C. Deliver2 rescuebreaths.
D. Administera precordialthump.
, 5. What is the recommendation on the use of cricoid pressure to prevent aspiration during cardiac arrest?
A. Not recommendedfor routineuse
B. Recommendedduringeveryresuscitationattempt
C. Recommendedwhenthepatientis vomiting
D. Recommendedonly for supraglotticairwayinsertion
6. WhatsurvivaladvantagesdoesCPR provideto a patientin ventricularfibrillation?
A. Increasesthedefibrillationthreshold
B. Directlyrestoresan organizedrhythm
C. Opposestheharmfuleffectsof epinephrine
D. Producesa smallamountof bloodflowto theheart
7. Whatis therecommendedcompressionratefor performingCPR?
A. 60 to 80 per minute
B. 80 to 100per minute
C. About 100per minute
D. At least100per minute
8. EMS personnel arrive to find a patient in cardiac arrest. Bystanders are performing CPR. After
attaching a cardiac monitor, the responder observes the following rhythm strip. What is the most
important early intervention?
A. Defibrillation
B. Endotrachealintubation
C. Epinephrineadministration
D. Antiarrhythmicadministration
9. A patient remains in ventricularfibrillation despite1 shock and 2 minutes of continuous CPR.
The next intervention is to
A. administeramiodarone.
B. administera secondshock.
C. administerepinephrine.
5/2026 50 questions and answers
AdvancedCardiovascularLife Support Exam Version
B (50 questions)
Pleasedo not mark on this exam.Recordthebestansweron theseparateanswersheet.
1. Whatshouldbedoneto minimizeinterruptionsin chestcompressionsduring CPR?
A. Performpulsechecksonly afterdefibrillation.
B. ContinueCPR whilethedefibrillatoris charging.
C. AdministerIV medicationsonly whenbreathsaregiven.
D. Continueto useAED evenafterthearrivalof a manualdefibrillator.
2. Which conditionis an indicationto stopor withholdresuscitativeefforts?
A. Unwitnessedarrest
B. Safetythreatto providers
C. Patientagegreaterthan85 years
D. No returnof spontaneouscirculationafter10 minutesof CPR
3. After verifyingtheabsenceof a pulse,you initiateCPR withadequatebag-mask ventilation. The
patient’s lead II ECG appears below. What is your next action?
A. IV or IO access
B. Endotrachealtubeplacement
C. Consultationwithcardiologyfor possiblePCI
D. Applicationof a transcutaneous
pacemaker
4. After verifying unresponsivenessand abnormalbreathing,you activate the emergency
response team. What is your next action?
A. Retrievean AED.
,B. Check for a pulse.
C. Deliver2 rescuebreaths.
D. Administera precordialthump.
, 5. What is the recommendation on the use of cricoid pressure to prevent aspiration during cardiac arrest?
A. Not recommendedfor routineuse
B. Recommendedduringeveryresuscitationattempt
C. Recommendedwhenthepatientis vomiting
D. Recommendedonly for supraglotticairwayinsertion
6. WhatsurvivaladvantagesdoesCPR provideto a patientin ventricularfibrillation?
A. Increasesthedefibrillationthreshold
B. Directlyrestoresan organizedrhythm
C. Opposestheharmfuleffectsof epinephrine
D. Producesa smallamountof bloodflowto theheart
7. Whatis therecommendedcompressionratefor performingCPR?
A. 60 to 80 per minute
B. 80 to 100per minute
C. About 100per minute
D. At least100per minute
8. EMS personnel arrive to find a patient in cardiac arrest. Bystanders are performing CPR. After
attaching a cardiac monitor, the responder observes the following rhythm strip. What is the most
important early intervention?
A. Defibrillation
B. Endotrachealintubation
C. Epinephrineadministration
D. Antiarrhythmicadministration
9. A patient remains in ventricularfibrillation despite1 shock and 2 minutes of continuous CPR.
The next intervention is to
A. administeramiodarone.
B. administera secondshock.
C. administerepinephrine.
