AHA ACLS CERTIFICATION EVALUATION
EXAMS 2026 FULL QUESTIONS AND VERIFIED
SOLUTIONS
● A patient is in pulseless ventricular tachycardia. Two shocks and 1
dose of epinephrine have been given. Which drug should be given next?.
Answer: Amiodarone 300mg
● 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 action is recommended
next?. Answer: Seek expert consultation
● What is the indication for the use of magnesium in cardiac arrest?.
Answer: Pulseless ventricular tachycardia-associated
● VA patient with STEMI has ongoing chest discomfort. Heparin 4000
units IV bolus and a heparin infusion of 1000 units per hour are being
administered. The patient did not take aspirin because he has a history of
gastritis, which was treated 5 years ago. What is your next action?.
Answer: Give aspirin 162-325mg to chew
, ● A monitored patient in the ICU developed a sudden onset of narrow-
complex tachycardia at a rate of 220/min. The patient's blood pressure is
128/58 mm Hg, the PETCO2 is 38 mm Hg, and the pulse oximetry
reading is 98%. There is vascular access in the left arm, and the patient
has not been given any vasoactive drugs. A 12-lead ECG confirms a
supraventricular tachycardia with no evidence of ischemia or infarction.
The heart rate has not responded to vagal maneuvers. What is your next
action?. Answer: Administer 6mg Adenosine IV push
● A patient has sinus bradycardia with a heart rate of 36/min. Atropine
has been administered to a total dose of 3 mg. A transcutaneous
pacemaker has failed to capture. The patient is confused, and her blood
pressure is 88/56 mm Hg. Which therapy is now indicated?. Answer: Epi
2-10 mcg/min
● Which intervention is most appropriate for the treatment of a patient in
asystole?. Answer: Epi
● A patient with possible STEMI has ongoing chest discomfort. What is
a contraindication to nitrate administration?. Answer: Use of a
phosphodiesterase within the previous 24 hours
● You arrive on the scene with the code team. High-quality CPR is in
progress. An AED has previously advised "no shock indicated." A
rhythm check now finds asystole. After resuming high-quality
compressions, which action do you take next?. Answer: Establish IV/IO
access
EXAMS 2026 FULL QUESTIONS AND VERIFIED
SOLUTIONS
● A patient is in pulseless ventricular tachycardia. Two shocks and 1
dose of epinephrine have been given. Which drug should be given next?.
Answer: Amiodarone 300mg
● 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 action is recommended
next?. Answer: Seek expert consultation
● What is the indication for the use of magnesium in cardiac arrest?.
Answer: Pulseless ventricular tachycardia-associated
● VA patient with STEMI has ongoing chest discomfort. Heparin 4000
units IV bolus and a heparin infusion of 1000 units per hour are being
administered. The patient did not take aspirin because he has a history of
gastritis, which was treated 5 years ago. What is your next action?.
Answer: Give aspirin 162-325mg to chew
, ● A monitored patient in the ICU developed a sudden onset of narrow-
complex tachycardia at a rate of 220/min. The patient's blood pressure is
128/58 mm Hg, the PETCO2 is 38 mm Hg, and the pulse oximetry
reading is 98%. There is vascular access in the left arm, and the patient
has not been given any vasoactive drugs. A 12-lead ECG confirms a
supraventricular tachycardia with no evidence of ischemia or infarction.
The heart rate has not responded to vagal maneuvers. What is your next
action?. Answer: Administer 6mg Adenosine IV push
● A patient has sinus bradycardia with a heart rate of 36/min. Atropine
has been administered to a total dose of 3 mg. A transcutaneous
pacemaker has failed to capture. The patient is confused, and her blood
pressure is 88/56 mm Hg. Which therapy is now indicated?. Answer: Epi
2-10 mcg/min
● Which intervention is most appropriate for the treatment of a patient in
asystole?. Answer: Epi
● A patient with possible STEMI has ongoing chest discomfort. What is
a contraindication to nitrate administration?. Answer: Use of a
phosphodiesterase within the previous 24 hours
● You arrive on the scene with the code team. High-quality CPR is in
progress. An AED has previously advised "no shock indicated." A
rhythm check now finds asystole. After resuming high-quality
compressions, which action do you take next?. Answer: Establish IV/IO
access
