ACLS Final Test Questions and Answers Guide
ACLS Final Test Questions and Answers 2025/2026
Instructions: Each question has one correct answer, marked with a right tick (✓).
,Section 1: Basic Life Support (BLS) and High-Quality CPR
1. What is the recommended depth of chest compressions for an adult victim?
A. At least 1 inch (2.5 cm)
B. At least 2 inches (5 cm) but not greater than 2.4 inches (6 cm) ✓
C. At least 2.5 inches (6 cm)
D. At least 1.5 inches (4 cm)
2. What is the recommended rate for performing chest compressions?
A. 60 to 80 compressions per minute
B. 80 to 100 compressions per minute
C. 100 to 120 compressions per minute ✓
D. 120 to 140 compressions per minute
3. The compression-to-ventilation ratio for two-rescuer CPR on an adult is:
A. 15:2
B. 30:2 ✓
C. 15:1
D. 30:1
4. The compression-to-ventilation ratio for two-rescuer CPR on a child or infant is:
A. 15:2 ✓
B. 30:2
C. 15:1
D. 30:1
5. What is the first action you should take when you find an unresponsive adult victim?
A. Check for a pulse.
B. Activate the emergency response system/get an AED.
C. Check for breathing.
D. Ensure the scene is safe. ✓
Section 2: Airway Management and Oxygenation
6. Which device is considered the most effective and definitive for securing an airway during
cardiac arrest?
A. Oropharyngeal airway (OPA)
B. Nasopharyngeal airway (NPA)
,C. Bag-mask device
D. Endotracheal tube (ETT) ✓
7. What is the correct initial ventilation rate for a patient with a secured advanced airway
(e.g., endotracheal tube) during CPR?
A. One breath every 3-5 seconds (10-12 breaths/min) ✓
B. One breath every 5-6 seconds (10-12 breaths/min)
C. One breath every 6-8 seconds (8-10 breaths/min)
D. Ventilations are given asynchronous with compressions at 20 breaths/min.
8. Which of the following is a sign of correct endotracheal tube placement?
A. Auscultation of breath sounds over the epigastrium.
B. Absence of condensation in the tube.
C. Persistent cyanosis.
D. End-tidal CO2 detection (waveform capnography) showing consistent waveforms. ✓
9. What is the recommended tidal volume when using a bag-mask device for an adult patient?
A. Enough to make the chest rise visibly (approx. 500-600 mL) ✓
B. As much volume as you can squeeze from the bag.
C. 200-300 mL.
D. Tidal volume is not important; only rate matters.
10. Routine use of cricoid pressure during intubation is:
A. Recommended for all patients.
B. No longer recommended due to potential complications. ✓
C. Only recommended in pediatric patients.
D. Required in trauma patients.
Section 3: Recognition and Management of Cardiac Rhythms
11. A patient is unconscious, pulseless, and the monitor shows this rhythm: Regular, organized
electrical activity at a rate of 60/min, but no pulse is palpated. This is:
A. Asystole
B. Ventricular Fibrillation
C. Pulseless Electrical Activity (PEA) ✓
D. Sinus Bradycardia
12. The primary treatment for Ventricular Fibrillation (VF) is:
A. Immediate defibrillation. ✓
, B. Immediate transcutaneous pacing.
C. A 2-minute cycle of CPR before rhythm check.
D. Administration of Amiodarone 300 mg IV.
13. Which rhythm is NOT considered a "shockable" rhythm in cardiac arrest?
A. Ventricular Fibrillation (VF)
B. Pulseless Ventricular Tachycardia (pVT)
C. Asystole ✓
D. Polymorphic Ventricular Tachycardia (Torsades de Pointes)
14. A patient is alert but dizzy with a BP of 80/50. The monitor shows a regular wide-complex
rhythm at a rate of 40/min. The appropriate initial intervention is:
A. Immediate synchronized cardioversion.
B. Transcutaneous pacing. ✓
C. Administration of Adenosine 6 mg IV.
D. Observation.
15. A stable patient presents with a regular, narrow-complex tachycardia at a rate of 160/min.
The first-line treatment is:
A. Synchronized cardioversion.
B. Vagal maneuvers. ✓
C. Amiodarone 150 mg IV.
D. Defibrillation at 200J.
16. A patient is in cardiac arrest. The rhythm check reveals Asystole. What is the next action?
A. Immediately confirm Asystole in a second lead, then resume CPR. ✓
B. Immediately defibrillate at 200J.
C. Administer Atropine 1 mg IV.
D. Check for a pulse for 10 seconds.
17. A patient with chest pain becomes unresponsive. The monitor shows coarse VF. After
verifying unresponsiveness and no pulse, you should:
A. Start CPR immediately for 2 minutes.
B. Charge the defibrillator and deliver a shock as soon as possible. ✓
C. Insert an advanced airway.
D. Administer Epinephrine 1 mg IV.
18. A patient with acute STEMI develops a rhythm that is irregular, has no discernible P waves,
and a variable ventricular rate. This is:
A. Atrial Flutter
ACLS Final Test Questions and Answers 2025/2026
Instructions: Each question has one correct answer, marked with a right tick (✓).
,Section 1: Basic Life Support (BLS) and High-Quality CPR
1. What is the recommended depth of chest compressions for an adult victim?
A. At least 1 inch (2.5 cm)
B. At least 2 inches (5 cm) but not greater than 2.4 inches (6 cm) ✓
C. At least 2.5 inches (6 cm)
D. At least 1.5 inches (4 cm)
2. What is the recommended rate for performing chest compressions?
A. 60 to 80 compressions per minute
B. 80 to 100 compressions per minute
C. 100 to 120 compressions per minute ✓
D. 120 to 140 compressions per minute
3. The compression-to-ventilation ratio for two-rescuer CPR on an adult is:
A. 15:2
B. 30:2 ✓
C. 15:1
D. 30:1
4. The compression-to-ventilation ratio for two-rescuer CPR on a child or infant is:
A. 15:2 ✓
B. 30:2
C. 15:1
D. 30:1
5. What is the first action you should take when you find an unresponsive adult victim?
A. Check for a pulse.
B. Activate the emergency response system/get an AED.
C. Check for breathing.
D. Ensure the scene is safe. ✓
Section 2: Airway Management and Oxygenation
6. Which device is considered the most effective and definitive for securing an airway during
cardiac arrest?
A. Oropharyngeal airway (OPA)
B. Nasopharyngeal airway (NPA)
,C. Bag-mask device
D. Endotracheal tube (ETT) ✓
7. What is the correct initial ventilation rate for a patient with a secured advanced airway
(e.g., endotracheal tube) during CPR?
A. One breath every 3-5 seconds (10-12 breaths/min) ✓
B. One breath every 5-6 seconds (10-12 breaths/min)
C. One breath every 6-8 seconds (8-10 breaths/min)
D. Ventilations are given asynchronous with compressions at 20 breaths/min.
8. Which of the following is a sign of correct endotracheal tube placement?
A. Auscultation of breath sounds over the epigastrium.
B. Absence of condensation in the tube.
C. Persistent cyanosis.
D. End-tidal CO2 detection (waveform capnography) showing consistent waveforms. ✓
9. What is the recommended tidal volume when using a bag-mask device for an adult patient?
A. Enough to make the chest rise visibly (approx. 500-600 mL) ✓
B. As much volume as you can squeeze from the bag.
C. 200-300 mL.
D. Tidal volume is not important; only rate matters.
10. Routine use of cricoid pressure during intubation is:
A. Recommended for all patients.
B. No longer recommended due to potential complications. ✓
C. Only recommended in pediatric patients.
D. Required in trauma patients.
Section 3: Recognition and Management of Cardiac Rhythms
11. A patient is unconscious, pulseless, and the monitor shows this rhythm: Regular, organized
electrical activity at a rate of 60/min, but no pulse is palpated. This is:
A. Asystole
B. Ventricular Fibrillation
C. Pulseless Electrical Activity (PEA) ✓
D. Sinus Bradycardia
12. The primary treatment for Ventricular Fibrillation (VF) is:
A. Immediate defibrillation. ✓
, B. Immediate transcutaneous pacing.
C. A 2-minute cycle of CPR before rhythm check.
D. Administration of Amiodarone 300 mg IV.
13. Which rhythm is NOT considered a "shockable" rhythm in cardiac arrest?
A. Ventricular Fibrillation (VF)
B. Pulseless Ventricular Tachycardia (pVT)
C. Asystole ✓
D. Polymorphic Ventricular Tachycardia (Torsades de Pointes)
14. A patient is alert but dizzy with a BP of 80/50. The monitor shows a regular wide-complex
rhythm at a rate of 40/min. The appropriate initial intervention is:
A. Immediate synchronized cardioversion.
B. Transcutaneous pacing. ✓
C. Administration of Adenosine 6 mg IV.
D. Observation.
15. A stable patient presents with a regular, narrow-complex tachycardia at a rate of 160/min.
The first-line treatment is:
A. Synchronized cardioversion.
B. Vagal maneuvers. ✓
C. Amiodarone 150 mg IV.
D. Defibrillation at 200J.
16. A patient is in cardiac arrest. The rhythm check reveals Asystole. What is the next action?
A. Immediately confirm Asystole in a second lead, then resume CPR. ✓
B. Immediately defibrillate at 200J.
C. Administer Atropine 1 mg IV.
D. Check for a pulse for 10 seconds.
17. A patient with chest pain becomes unresponsive. The monitor shows coarse VF. After
verifying unresponsiveness and no pulse, you should:
A. Start CPR immediately for 2 minutes.
B. Charge the defibrillator and deliver a shock as soon as possible. ✓
C. Insert an advanced airway.
D. Administer Epinephrine 1 mg IV.
18. A patient with acute STEMI develops a rhythm that is irregular, has no discernible P waves,
and a variable ventricular rate. This is:
A. Atrial Flutter
