ACLS Exam 2026 Questions and Answers
A patient with sinus bradycardia and a heart rate of 42 bpm has diaphoresis and a
BP of 80/60 mm Hg. What is the initial dose of atropine? - Correct answer-0.5 mg
When can you use magnesium in cardiac arrest? - Correct answer-VF/pulseless VT
associated with torsades de pointes
A patient has a rapid irregular wide-complex tachycardia. The ventricular rate is
138/min. He is asymptomatic, with a blood pressure of 110/70 mm Hg. He has a
history of angina. What should you do? - Correct answer-Seek expert consultation
A patient with possible ST-segment elevation MI has ongoing chest discomfort.
What is a containdication to the administration of nitrates? - Correct answer-
Phosphodiesterase inhibitor within 12 hours
Bradycardia requires treatment when? - Correct answer-Chest pain or shortness of
breath
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
, You patient has been intubated. IV/IO access is not available. Which combination
of drugs can be administered by the endotracheal route? - Correct answer-
Lidocaine, epinephrine, vasopressin
A patient is in cardiac arrest. Ventricular fibrillation has been refractory to a second
shock. Which drug and dose should be administered first by the IV/IO route? -
Correct answer-Epinephrine 1 mg
A patient is in refractory ventricular fibrillation. High quality CPR is in progress,
and shocks have been given. One dose of epinephrine was given after the second
shock. An antiarrhythmic drug was given immediately after the third shock. What
drug should the team leader request to be prepared for administration next? -
Correct answer-Second dose of epinephrine 1 mg
A 62 year old man suddenly experienced difficulty speaking and left-sided
weakness. He was brought into the emergency department. He meets initial criteria
for fibrinolytic therapy, and a CT scan of the brain is ordered. What are the
guidelines for antiplatelet and fibrinolytic therapy? - Correct answer-Do not give
ASA for at least 24 hours if rtPA is administered
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
A patient with sinus bradycardia and a heart rate of 42 bpm has diaphoresis and a
BP of 80/60 mm Hg. What is the initial dose of atropine? - Correct answer-0.5 mg
When can you use magnesium in cardiac arrest? - Correct answer-VF/pulseless VT
associated with torsades de pointes
A patient has a rapid irregular wide-complex tachycardia. The ventricular rate is
138/min. He is asymptomatic, with a blood pressure of 110/70 mm Hg. He has a
history of angina. What should you do? - Correct answer-Seek expert consultation
A patient with possible ST-segment elevation MI has ongoing chest discomfort.
What is a containdication to the administration of nitrates? - Correct answer-
Phosphodiesterase inhibitor within 12 hours
Bradycardia requires treatment when? - Correct answer-Chest pain or shortness of
breath
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
, You patient has been intubated. IV/IO access is not available. Which combination
of drugs can be administered by the endotracheal route? - Correct answer-
Lidocaine, epinephrine, vasopressin
A patient is in cardiac arrest. Ventricular fibrillation has been refractory to a second
shock. Which drug and dose should be administered first by the IV/IO route? -
Correct answer-Epinephrine 1 mg
A patient is in refractory ventricular fibrillation. High quality CPR is in progress,
and shocks have been given. One dose of epinephrine was given after the second
shock. An antiarrhythmic drug was given immediately after the third shock. What
drug should the team leader request to be prepared for administration next? -
Correct answer-Second dose of epinephrine 1 mg
A 62 year old man suddenly experienced difficulty speaking and left-sided
weakness. He was brought into the emergency department. He meets initial criteria
for fibrinolytic therapy, and a CT scan of the brain is ordered. What are the
guidelines for antiplatelet and fibrinolytic therapy? - Correct answer-Do not give
ASA for at least 24 hours if rtPA is administered
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
