ACLS PRACTICE 95 QUESTIONS AND ANSWERS 2026/2027.
ADVANCED CARDIAC LIFE SUPPORT VERIFIED QUESTIONS
Exam
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? -
<<<<Answers>>>>Start chest compressions of
at least 100 per min.
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? -
<<<<Answers>>>>Obtaining a 12 lead ECG.
What is the preferred method of access for epi
administration during cardiac arrest in most
pts? - <<<<Answers>>>>Peripheral IV
,An AED does not promptly analyze a rythm.
What is your next step? -
<<<<Answers>>>>Begin chest compressions.
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? -
<<<<Answers>>>>Administer 1mg of
epinephrine
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? -
<<<<Answers>>>>Resume compressions
What is a common but sometimes fatal
mistake in cardiac arrest management? -
<<<<Answers>>>>Prolonged interruptions in
chest compressions.
Which action is a componant of high-quality
chest comressions? -
,<<<<Answers>>>>Allowing complete chest
recoil
Which action increases the chance of
successful conversion of ventricular
fibrillation? - <<<<Answers>>>>Providing
quality compressions immediately before a
defibrillation attempt.
Which situation BEST describes pulseless
electrical activity? - <<<<Answers>>>>Sinus
rythm without a pulse
What is the BEST strategy for performing high-
quality CPR on a patient with an advanced
airway in place? - <<<<Answers>>>>Provide
continuous chest compressions without
pauses and 10 ventilations per minute.
Three minutes after witnessing a cardiac
arrest, one member of your team inserts an
endotracheal tube while another performs
continuous chest compressions. During
subsequent ventilation, you notice the
presence of a waveform on the capnography
, screen and a PETCO2 level of 8 mm Hg. What
is the significance of this finding? -
<<<<Answers>>>>Chest compressions may not
be effective.
The use of quantitative capnography in
intubated patients - <<<<Answers>>>>allows
for monitoring of CPR quality.
For the past 25 minutes, an EMS crew has
attempted resuscitation of a patient who
originally presented in ventricular fibrillation.
After the first shock, the ECG screen displayed
asystole, which has persisted despite 2 doses
of epinephrine, a fluid bolus, and high-quality
CPR. What is your next treatment? -
<<<<Answers>>>>Consider terminating
resuscitive efforts after consulting medical
control.
Which is a safe and effective practice within
the defibrillation sequence? -
<<<<Answers>>>>Be sure oxygen is not
blowing over the patient's chest during the
shock.
ADVANCED CARDIAC LIFE SUPPORT VERIFIED QUESTIONS
Exam
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? -
<<<<Answers>>>>Start chest compressions of
at least 100 per min.
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? -
<<<<Answers>>>>Obtaining a 12 lead ECG.
What is the preferred method of access for epi
administration during cardiac arrest in most
pts? - <<<<Answers>>>>Peripheral IV
,An AED does not promptly analyze a rythm.
What is your next step? -
<<<<Answers>>>>Begin chest compressions.
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? -
<<<<Answers>>>>Administer 1mg of
epinephrine
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? -
<<<<Answers>>>>Resume compressions
What is a common but sometimes fatal
mistake in cardiac arrest management? -
<<<<Answers>>>>Prolonged interruptions in
chest compressions.
Which action is a componant of high-quality
chest comressions? -
,<<<<Answers>>>>Allowing complete chest
recoil
Which action increases the chance of
successful conversion of ventricular
fibrillation? - <<<<Answers>>>>Providing
quality compressions immediately before a
defibrillation attempt.
Which situation BEST describes pulseless
electrical activity? - <<<<Answers>>>>Sinus
rythm without a pulse
What is the BEST strategy for performing high-
quality CPR on a patient with an advanced
airway in place? - <<<<Answers>>>>Provide
continuous chest compressions without
pauses and 10 ventilations per minute.
Three minutes after witnessing a cardiac
arrest, one member of your team inserts an
endotracheal tube while another performs
continuous chest compressions. During
subsequent ventilation, you notice the
presence of a waveform on the capnography
, screen and a PETCO2 level of 8 mm Hg. What
is the significance of this finding? -
<<<<Answers>>>>Chest compressions may not
be effective.
The use of quantitative capnography in
intubated patients - <<<<Answers>>>>allows
for monitoring of CPR quality.
For the past 25 minutes, an EMS crew has
attempted resuscitation of a patient who
originally presented in ventricular fibrillation.
After the first shock, the ECG screen displayed
asystole, which has persisted despite 2 doses
of epinephrine, a fluid bolus, and high-quality
CPR. What is your next treatment? -
<<<<Answers>>>>Consider terminating
resuscitive efforts after consulting medical
control.
Which is a safe and effective practice within
the defibrillation sequence? -
<<<<Answers>>>>Be sure oxygen is not
blowing over the patient's chest during the
shock.
