ACLS Exam 2026 Questions and Answers
Your patient is in cardiac arrest and has been intubated. To assess CPR quality,
which should you do?
A. Monitor the patient's PETCO 2
B. Obtain a 12-lead ECG
C. Check the patient's pulse
D. Obtain a chest x-ray - Correct answer-A. Monitor the patient's PETCO 2
Which facility is the most appropriate EMS destination for a patient with sudden
cardiac arrest who achieved return of spontaneous circulation in the field?
A. Comprehensive stroke care unit
B. Acute rehabilitation care unit
C. Acute long-term care unit
D. Coronary reperfusion-capable medical center - Correct answer-D. Coronary
reperfusion-capable medical center
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,Which of the following signs is a likely indicator of cardiac arrest in an
unresponsive patient?
A. Slow, weak pulse rate
B. Cyanosis
C. Agonal gasps
D. Irregular, weak pulse rate - Correct answer-C. Agonal gasps
To properly ventilate a patient with a perfusing rhythm, how often do you squeeze
the bag?
A. Once every 3 to 4 seconds
B. Once every 5 to 6 seconds
C. Once every 10 seconds D. Once every 12 seconds - Correct answer-B. Once
every 5 to 6 seconds
In addition to clinical assessment, which is the most reliable method to confirm
and monitor correct placement of an endotracheal tube?
A. Arterial blood gases
B. Chest radiography
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, C. Continuous waveform capnography
D. Hemoglobin levels - Correct answer-C. Continuous waveform capnography
You are caring for a patient with a suspected stroke whose symptoms started 2
hours ago. The CT scan was normal, with no signs of hemorrhage. The patient does
not have any contraindications to fibrinolytic therapy. Which treatment approach is
best for this patient?
A. Hold fibrinolytic therapy for 24 hours
B. Start fibrinolytic therapy as soon as possible
C. Order an echocardiogram before fibrinolytic administration
D. Wait for the results of the MRI - Correct answer-B. Start fibrinolytic therapy as
soon as possible
What is the recommended range from which a temperature should be selected and
maintained constantly to achieve targeted temperature management after cardiac
arrest?
A. 26°C to 28°C
B. 29°C to 31°C
C. 32°C to 36°C
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Your patient is in cardiac arrest and has been intubated. To assess CPR quality,
which should you do?
A. Monitor the patient's PETCO 2
B. Obtain a 12-lead ECG
C. Check the patient's pulse
D. Obtain a chest x-ray - Correct answer-A. Monitor the patient's PETCO 2
Which facility is the most appropriate EMS destination for a patient with sudden
cardiac arrest who achieved return of spontaneous circulation in the field?
A. Comprehensive stroke care unit
B. Acute rehabilitation care unit
C. Acute long-term care unit
D. Coronary reperfusion-capable medical center - Correct answer-D. Coronary
reperfusion-capable medical center
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,Which of the following signs is a likely indicator of cardiac arrest in an
unresponsive patient?
A. Slow, weak pulse rate
B. Cyanosis
C. Agonal gasps
D. Irregular, weak pulse rate - Correct answer-C. Agonal gasps
To properly ventilate a patient with a perfusing rhythm, how often do you squeeze
the bag?
A. Once every 3 to 4 seconds
B. Once every 5 to 6 seconds
C. Once every 10 seconds D. Once every 12 seconds - Correct answer-B. Once
every 5 to 6 seconds
In addition to clinical assessment, which is the most reliable method to confirm
and monitor correct placement of an endotracheal tube?
A. Arterial blood gases
B. Chest radiography
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
, C. Continuous waveform capnography
D. Hemoglobin levels - Correct answer-C. Continuous waveform capnography
You are caring for a patient with a suspected stroke whose symptoms started 2
hours ago. The CT scan was normal, with no signs of hemorrhage. The patient does
not have any contraindications to fibrinolytic therapy. Which treatment approach is
best for this patient?
A. Hold fibrinolytic therapy for 24 hours
B. Start fibrinolytic therapy as soon as possible
C. Order an echocardiogram before fibrinolytic administration
D. Wait for the results of the MRI - Correct answer-B. Start fibrinolytic therapy as
soon as possible
What is the recommended range from which a temperature should be selected and
maintained constantly to achieve targeted temperature management after cardiac
arrest?
A. 26°C to 28°C
B. 29°C to 31°C
C. 32°C to 36°C
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
