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AHA ACLS Written Test 2025: Practice Questions and Verified Answers

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Pass your American Heart Association ACLS certification exam in 2025. This guide provides practice written test questions and answers for cardiac arrest, arrhythmias, and post-cardiac care algorithms.

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November 16, 2025
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Written in
2025/2026
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AHA ACLS Written Test Questions and Answers; All

Correct & Graded A _ Latest Update

You find an unresponsive pt. who is not breathing. After

activating the emergency response system, you determine there

is no pulse. What is your next action? .....ANSWER.....Start chest

compressions of at least 100 per min.

You are evaluating a 58 year old man with chest pain. The BP is

92/50 and a heart rate of 92/min, non-labored respiratory

rate is 14 breaths/min and the pulse O2 is 97%. What

assessment step is most important now? .....ANSWER.....Obtaining

a 12 lead ECG.




Identification of Chest Discomfort Suggestive of Ischemia

What is the preferred method of access for epi administration

during cardiac arrest in most pts? .....ANSWER.....Peripheral IV

,Page 2 of 28


An AED does not promptly analyze a rythm. What is your next

step? .....ANSWER.....Begin chest compressions.

You have completed 2 min of CPR. The ECG monitor displays the

lead below (PEA) and the pt. has no pulse. You partner resumes

chest compressions and an IV is in place. What management step

is your next priority? .....ANSWER.....Administer 1mg of

epinepherine

During a pause in CPR, you see a narrow complex rythm on the

monitor. The pt. has no pulse. What is the next action?

.....ANSWER.....Resume compressions

What is acommon but sometimes fatal mistake in cardiac arrest

management? .....ANSWER.....Prolonged interruptions in chest

compressions.

Which action is a componant of high-quality chest comressions?

.....ANSWER.....Allowing complete chest recoil

, Page 3 of 28


Which action increases the chance of successful conversion of

ventricular fibrillation? .....ANSWER.....Providing quality

compressions immediately before a defibrillation attempt.

Which situation BEST describes PEA? .....ANSWER.....Sinus rythm

without a pulse

What is the best strategy for perfoming high-quality CPR on a

pt.with an advanced airway in place? .....ANSWER.....Provide

continuous chest compressionswithout pauses and 10 ventilations

per minute.

3 min after witnessing a cardiac arrest, one memeber of your

team inserts an ET tube while another performs continuous chest

comressions. During subsequent bentilation, you notice the

presence of a wavefom on the capnogrophy screen and a

PETCO2 of 8 mm Hg. What is the significance of this finding?

.....ANSWER.....Chest compressions may not be effective.
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