ACLS Final Exam 2025-2026 Actual Exam 300+ Verified Questions and Correct
Answers Advanced Cardiovascular Life Support Certification – Final Assessment
ACLS Final Exam 2025-2026 Actual Exam 300+
Verified Questions and Correct Answers Advanced
Cardiovascular Life Support Certification – Final
Assessment
The treatment of choice for symptomatic bradycardia with signs of poor
perfusion is..... - Correct Answer ✅ :Transcutaneous pacing
Which of the following statements about the use of magnesium in cardiac arrest
is most accurate? - Correct Answer ✅ :Magnesium is indicated for
VF/pulseless VT associated with torsades de pointes.
A patient with ST-segment elevation MI has ongoing chest discomfort.
Fibrinolytic therapy has
been ordered. Heparin 4000 units IV bolus was administered, and a heparin
infusion of 1000 units per hour is
being administered. Aspirin was not taken by the patient because he had a
history of gastritis treated
5 years ago. Your next action is to: - Correct Answer ✅ :Give
aspirin 160 to 325 mg chewed immediately.
A patient has sinus bradycardia with a heart rate of 36/min. Atropine has been
administered to a
total of 3 mg. A transcutaneous pacemaker has failed to capture. The patient is
confused, and her blood pressure
is 110/60 mm Hg. Which of the following is now indicated? - Correct Answer
✅ :Start epinephrine 2 to 10 mcg/min.
pg. 1
, ACLS Final Exam 2025-2026 Actual Exam 300+ Verified Questions and Correct
Answers Advanced Cardiovascular Life Support Certification – Final Assessment
A 62-year-old man suddenly experienced difficulty speaking and left-side
weakness. He was
brought to 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 aspirin for at least 24 hours if rtPA is
administered
A patient with possible ST-segment elevation MI has ongoing chest discomfort.
Which of the
following would be a contraindication to the administration of nitrates? -
Correct Answer ✅ :Use of a phosphodiesterase inhibitor within 12 hours
A patient is in cardiac arrest. Ventricular fibrillation has been refractory to a
second shock. Of the
following, which drug and dose should be administered first by the IV/IO route?
- Correct Answer ✅ :Epinephrine 1 mg
: A 35-year-old woman has palpitations, light-headedness, and a stable
tachycardia. The monitor
shows a regular narrow-complex QRS at a rate of 180/min. Vagal maneuvers
have not been effective in
terminating the rhythm. An IV has been established. What drug should be
administered IV? - Correct Answer ✅ :Adenosine 6 mg
A patient with sinus bradycardia and heart rate of 42/min has diaphoresis and a
blood pressure of 80/60 mm Hg. What is the initial dose of atropine? - Correct
Answer ✅ :0.5 mg
pg. 2
, ACLS Final Exam 2025-2026 Actual Exam 300+ Verified Questions and Correct
Answers Advanced Cardiovascular Life Support Certification – Final Assessment
A patient is in refractory ventricular fibrillation and has received multiple
appropriate
defibrillation shocks, epinephrine 1 mg IV twice, and an initial dose of 300 mg
amiodarone IV. The patient is
intubated. A second dose of amiodarone is now called for. The recommended
second dose of amiodarone is - Correct Answer ✅ :150 mg IV push
A patient with a possible acute coronary syndrome has ongoing chest
discomfort unresponsive to 3 sublingual nitroglycerin tablets. There are no
contraindications, and 4 mg of morphine sulfate was
administered. Shortly afterward, blood pressure falls to 88/60 mm Hg, and the
patient has increased chest discomfort. You should - Correct Answer ✅
:Give normal saline 250 mL to 500 mL fluid bolus
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. Which of the following actions is recommended? - Correct Answer ✅
:Seeking expert consultation
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 highquality compressions, your next action is to - Correct
Answer ✅ :Gain IV or IO access
pg. 3
, ACLS Final Exam 2025-2026 Actual Exam 300+ Verified Questions and Correct
Answers Advanced Cardiovascular Life Support Certification – Final Assessment
A patient is in pulseless ventricular tachycardia. Two shocks and 1 dose of
epinephrine have been given. Which is the next drug/dose to anticipate to
administer - Correct Answer ✅ :Amiodarone 300 mg Your 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 an
initial shock. What is the recommended route for drug administration during
CPR? - Correct Answer ✅ :iv.oi
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 57-year-old woman has palpitations, chest discomfort, and tachycardia. The
monitor shows a
regular wide-complex ORS at a rate of 180/min. She becomes diaphoretic, and
her blood pressure is 80/60 mm Hg. The next action is to: - Correct Answer
✅ :Perform immediate electrical cardioversion
Bradycardia requires treatment when - Correct Answer ✅ :Chest pain or
shortness of breath is present
pg. 4
Answers Advanced Cardiovascular Life Support Certification – Final Assessment
ACLS Final Exam 2025-2026 Actual Exam 300+
Verified Questions and Correct Answers Advanced
Cardiovascular Life Support Certification – Final
Assessment
The treatment of choice for symptomatic bradycardia with signs of poor
perfusion is..... - Correct Answer ✅ :Transcutaneous pacing
Which of the following statements about the use of magnesium in cardiac arrest
is most accurate? - Correct Answer ✅ :Magnesium is indicated for
VF/pulseless VT associated with torsades de pointes.
A patient with ST-segment elevation MI has ongoing chest discomfort.
Fibrinolytic therapy has
been ordered. Heparin 4000 units IV bolus was administered, and a heparin
infusion of 1000 units per hour is
being administered. Aspirin was not taken by the patient because he had a
history of gastritis treated
5 years ago. Your next action is to: - Correct Answer ✅ :Give
aspirin 160 to 325 mg chewed immediately.
A patient has sinus bradycardia with a heart rate of 36/min. Atropine has been
administered to a
total of 3 mg. A transcutaneous pacemaker has failed to capture. The patient is
confused, and her blood pressure
is 110/60 mm Hg. Which of the following is now indicated? - Correct Answer
✅ :Start epinephrine 2 to 10 mcg/min.
pg. 1
, ACLS Final Exam 2025-2026 Actual Exam 300+ Verified Questions and Correct
Answers Advanced Cardiovascular Life Support Certification – Final Assessment
A 62-year-old man suddenly experienced difficulty speaking and left-side
weakness. He was
brought to 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 aspirin for at least 24 hours if rtPA is
administered
A patient with possible ST-segment elevation MI has ongoing chest discomfort.
Which of the
following would be a contraindication to the administration of nitrates? -
Correct Answer ✅ :Use of a phosphodiesterase inhibitor within 12 hours
A patient is in cardiac arrest. Ventricular fibrillation has been refractory to a
second shock. Of the
following, which drug and dose should be administered first by the IV/IO route?
- Correct Answer ✅ :Epinephrine 1 mg
: A 35-year-old woman has palpitations, light-headedness, and a stable
tachycardia. The monitor
shows a regular narrow-complex QRS at a rate of 180/min. Vagal maneuvers
have not been effective in
terminating the rhythm. An IV has been established. What drug should be
administered IV? - Correct Answer ✅ :Adenosine 6 mg
A patient with sinus bradycardia and heart rate of 42/min has diaphoresis and a
blood pressure of 80/60 mm Hg. What is the initial dose of atropine? - Correct
Answer ✅ :0.5 mg
pg. 2
, ACLS Final Exam 2025-2026 Actual Exam 300+ Verified Questions and Correct
Answers Advanced Cardiovascular Life Support Certification – Final Assessment
A patient is in refractory ventricular fibrillation and has received multiple
appropriate
defibrillation shocks, epinephrine 1 mg IV twice, and an initial dose of 300 mg
amiodarone IV. The patient is
intubated. A second dose of amiodarone is now called for. The recommended
second dose of amiodarone is - Correct Answer ✅ :150 mg IV push
A patient with a possible acute coronary syndrome has ongoing chest
discomfort unresponsive to 3 sublingual nitroglycerin tablets. There are no
contraindications, and 4 mg of morphine sulfate was
administered. Shortly afterward, blood pressure falls to 88/60 mm Hg, and the
patient has increased chest discomfort. You should - Correct Answer ✅
:Give normal saline 250 mL to 500 mL fluid bolus
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. Which of the following actions is recommended? - Correct Answer ✅
:Seeking expert consultation
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 highquality compressions, your next action is to - Correct
Answer ✅ :Gain IV or IO access
pg. 3
, ACLS Final Exam 2025-2026 Actual Exam 300+ Verified Questions and Correct
Answers Advanced Cardiovascular Life Support Certification – Final Assessment
A patient is in pulseless ventricular tachycardia. Two shocks and 1 dose of
epinephrine have been given. Which is the next drug/dose to anticipate to
administer - Correct Answer ✅ :Amiodarone 300 mg Your 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 an
initial shock. What is the recommended route for drug administration during
CPR? - Correct Answer ✅ :iv.oi
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 57-year-old woman has palpitations, chest discomfort, and tachycardia. The
monitor shows a
regular wide-complex ORS at a rate of 180/min. She becomes diaphoretic, and
her blood pressure is 80/60 mm Hg. The next action is to: - Correct Answer
✅ :Perform immediate electrical cardioversion
Bradycardia requires treatment when - Correct Answer ✅ :Chest pain or
shortness of breath is present
pg. 4
