Advanced Cardiovascular Life Support Exam
(2025/2026) UPDATE|EXAM QUESTIONS WITH
MULTIPLE CHOICES |VERIFIED & REVISED ANSWERS
(NEW)!!
1. You find an unresponsive patient who is not breathing. After activating the emergency response
system, you determine that there is no pulse. What is your next action?
Open the airway with a head tilt-chin lift.
Administer epinephrine at a dose of 1 mg/kg.
Deliver 2 rescue breaths each over 1 second.
Start chest compressions at a rate of at least 100/min. - CORRECT ANSWER Start chest
compressions at a rate of at least 100/min.
2. 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?
PETCO2
Chest x-ray
Laboratory testing
Obtaining a 12-lead ECG - CORRECT ANSWER Obtaining a 12-lead ECG
3. What is the preferred method of access for epinephrine administration during cardiac arrest in most
patients?
Intraosseous
Endotracheal
Central intravenous
Peripheral intravenous - CORRECT ANSWER Peripheral intravenous
,4. An activated AED does not promptly analyze the rhythm. What is your next action?
Begin chest compressions.
Discontinue the resuscitation attempt.
Check all AED connections and reanalyze.
Rotate AED electrodes to an alternate position. - CORRECT ANSWER Begin chest compressions.
5. You have completed 2 minutes of CPR. The ECG monitor displays the lead II rhythm below, and the
patient has no pulse. Another member of your team resumes chest compressions, and an IV is in place.
What management step is your next priority?
Give 0.5 mg of atropine.
Insert an advanced airway.
Administer 1 mg of epinephrine.
Administer a dopamine infusion. - CORRECT ANSWER Administer 1 mg of epinephrine.
6. During a pause in CPR, you see this lead II ECG rhythm on the monitor. The patient has no pulse. What
is the next action?
Establish vascular access.
Obtain the patient's history.
Resume chest compressions.
Terminate the resuscitative effort. - CORRECT ANSWER Resume chest compressions.
7. What is a common but sometimes fatal mistake in cardiac arrest management?
Failure to obtain vascular access
Prolonged periods of no ventilations
Failure to perform endotracheal intubation
, Prolonged interruptions in chest compressions - CORRECT ANSWER Prolonged interruptions in
chest compressions
8. Which action is a component of high-quality chest compressions?
Allowing complete chest recoil
Chest compressions without ventilation
60 to 100 compressions per minute with a 15:2 ratio
Uninterrupted compressions at a depth of 11⁄2 inches - CORRECT ANSWER Allowing complete
chest recoil
9. Which action increases the chance of successful conversion of ventricular fibrillation?
Pausing chest compressions immediately after a defibrillation attempt
Administering 4 quick ventilations immediately before a defibrillation attempt
Using manual defibrillator paddles with light pressure against the chest
Providing quality compressions immediately before a defibrillation attempt - CORRECT ANSWER
Providing quality compressions immediately before a defibrillation attempt
10. Which situation BEST describes pulseless electrical activity?
Asystole without a pulse
Sinus rhythm without a pulse
Torsades de pointes with a pulse
Ventricular tachycardia with a pulse - CORRECT ANSWER Sinus rhythm without a pulse
11. What is the BEST strategy for performing high-quality CPR on a patient with an advanced airway in
place?
Provide compressions and ventilations with a 15:2 ratio.
(2025/2026) UPDATE|EXAM QUESTIONS WITH
MULTIPLE CHOICES |VERIFIED & REVISED ANSWERS
(NEW)!!
1. You find an unresponsive patient who is not breathing. After activating the emergency response
system, you determine that there is no pulse. What is your next action?
Open the airway with a head tilt-chin lift.
Administer epinephrine at a dose of 1 mg/kg.
Deliver 2 rescue breaths each over 1 second.
Start chest compressions at a rate of at least 100/min. - CORRECT ANSWER Start chest
compressions at a rate of at least 100/min.
2. 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?
PETCO2
Chest x-ray
Laboratory testing
Obtaining a 12-lead ECG - CORRECT ANSWER Obtaining a 12-lead ECG
3. What is the preferred method of access for epinephrine administration during cardiac arrest in most
patients?
Intraosseous
Endotracheal
Central intravenous
Peripheral intravenous - CORRECT ANSWER Peripheral intravenous
,4. An activated AED does not promptly analyze the rhythm. What is your next action?
Begin chest compressions.
Discontinue the resuscitation attempt.
Check all AED connections and reanalyze.
Rotate AED electrodes to an alternate position. - CORRECT ANSWER Begin chest compressions.
5. You have completed 2 minutes of CPR. The ECG monitor displays the lead II rhythm below, and the
patient has no pulse. Another member of your team resumes chest compressions, and an IV is in place.
What management step is your next priority?
Give 0.5 mg of atropine.
Insert an advanced airway.
Administer 1 mg of epinephrine.
Administer a dopamine infusion. - CORRECT ANSWER Administer 1 mg of epinephrine.
6. During a pause in CPR, you see this lead II ECG rhythm on the monitor. The patient has no pulse. What
is the next action?
Establish vascular access.
Obtain the patient's history.
Resume chest compressions.
Terminate the resuscitative effort. - CORRECT ANSWER Resume chest compressions.
7. What is a common but sometimes fatal mistake in cardiac arrest management?
Failure to obtain vascular access
Prolonged periods of no ventilations
Failure to perform endotracheal intubation
, Prolonged interruptions in chest compressions - CORRECT ANSWER Prolonged interruptions in
chest compressions
8. Which action is a component of high-quality chest compressions?
Allowing complete chest recoil
Chest compressions without ventilation
60 to 100 compressions per minute with a 15:2 ratio
Uninterrupted compressions at a depth of 11⁄2 inches - CORRECT ANSWER Allowing complete
chest recoil
9. Which action increases the chance of successful conversion of ventricular fibrillation?
Pausing chest compressions immediately after a defibrillation attempt
Administering 4 quick ventilations immediately before a defibrillation attempt
Using manual defibrillator paddles with light pressure against the chest
Providing quality compressions immediately before a defibrillation attempt - CORRECT ANSWER
Providing quality compressions immediately before a defibrillation attempt
10. Which situation BEST describes pulseless electrical activity?
Asystole without a pulse
Sinus rhythm without a pulse
Torsades de pointes with a pulse
Ventricular tachycardia with a pulse - CORRECT ANSWER Sinus rhythm without a pulse
11. What is the BEST strategy for performing high-quality CPR on a patient with an advanced airway in
place?
Provide compressions and ventilations with a 15:2 ratio.
