FINAL ACLS EXAM CERTIFICATION REVIEW
2026 MODE BASED LEARNING OUTCOME
GUARANTEED PASS
◉ 1 A member of the resuscitation team is preparing to administer
medications intravenously to a patient in cardiac arrest. The team
member follows each medication administration with a bolus of fluid.
How much would the team member give?
Select the correct answer to this question.
5 to 10 mL
10 to 20 mL
20 to 30 mL
30 to 40 mL. Answer: When administering medications during a cardiac
arrest, all medications administrated through the IV or intraosseous
infusion route should be followed by a 10- to 20-mL fluid bolus.
◉ The resuscitation team suspects that hyperkalemia is the cause of
cardiac arrest in a patient brought to the emergency department. Which
finding on a 12-lead ECG would confirm this suspicion?
Wide-complex ventricular rhythm and tall, peaked T waves
ST-segment changes, T-wave inversion
Flat T waves, prominent U waves and possibly prolonged QT intervals
,Narrow-complex ventricular tachycardia. Answer: Wide-complex
ventricular rhythm and tall, peaked T waves
In hyperkalemia the patient's 12-lead ECG rhythm strip will show wide-
complex ventricular rhythm and tall, peaked T waves.
◉ A patient with an ischemic stroke arrives at the emergency department
at 2 a.m. The patient's symptoms started about 12:30 a.m. After
completing the necessary assessments, the healthcare team diagnoses an
ischemic stroke, and the patient is determined to be a candidate for
fibrinolytic therapy. To achieve the best outcomes, the team should
initiate therapy for this patient no later than by which time?
Select the correct answer to this question.
3:00 a.m.
5:30 a.m.
6:00 a.m.
8:30 a.m.. Answer: 1
3:00 a.m.
◉ A resuscitation team is debriefing following a recent event. A patient
experienced cardiac arrest, and advanced cardiac life support was
initiated. The patient required the placement of an advanced airway to
maintain airway patency. Which statement indicates that the team
performed high-quality CPR?
, Select the correct answer to this question.
"We kept the rate of chest compressions to around 100 per minute but
adjusted their depth to 1.5 inches while giving 1 ventilation every 3
seconds."
"We delivered chest compressions at a rate of 80 to 100 per minute to a
depth of at least 2 inches and gave 1 ventilation every 6 seconds."
"We initiated chest compressions at a rate of 100 to 110 per minute to a
depth of 2.4 inches and then gave 1 ventilation every 10 seconds."
"We delivered 1 ventilation every 6 seconds and chest compressions at a
rate of 100 to 120 compressions per minute.". Answer: 4
"We delivered 1 ventilation every 6 seconds and chest compressions at a
rate of 100 to 120 compressions per minute."
◉ A patient with a suspected stroke arrives at the emergency department
at 7:10 p.m. The stroke team ensures that a comprehensive neurologic
assessment using the National Institutes of Health Stroke Scale (NIHSS)
is completed and that brain imaging is performed by which time?
7:20 p.m.
2026 MODE BASED LEARNING OUTCOME
GUARANTEED PASS
◉ 1 A member of the resuscitation team is preparing to administer
medications intravenously to a patient in cardiac arrest. The team
member follows each medication administration with a bolus of fluid.
How much would the team member give?
Select the correct answer to this question.
5 to 10 mL
10 to 20 mL
20 to 30 mL
30 to 40 mL. Answer: When administering medications during a cardiac
arrest, all medications administrated through the IV or intraosseous
infusion route should be followed by a 10- to 20-mL fluid bolus.
◉ The resuscitation team suspects that hyperkalemia is the cause of
cardiac arrest in a patient brought to the emergency department. Which
finding on a 12-lead ECG would confirm this suspicion?
Wide-complex ventricular rhythm and tall, peaked T waves
ST-segment changes, T-wave inversion
Flat T waves, prominent U waves and possibly prolonged QT intervals
,Narrow-complex ventricular tachycardia. Answer: Wide-complex
ventricular rhythm and tall, peaked T waves
In hyperkalemia the patient's 12-lead ECG rhythm strip will show wide-
complex ventricular rhythm and tall, peaked T waves.
◉ A patient with an ischemic stroke arrives at the emergency department
at 2 a.m. The patient's symptoms started about 12:30 a.m. After
completing the necessary assessments, the healthcare team diagnoses an
ischemic stroke, and the patient is determined to be a candidate for
fibrinolytic therapy. To achieve the best outcomes, the team should
initiate therapy for this patient no later than by which time?
Select the correct answer to this question.
3:00 a.m.
5:30 a.m.
6:00 a.m.
8:30 a.m.. Answer: 1
3:00 a.m.
◉ A resuscitation team is debriefing following a recent event. A patient
experienced cardiac arrest, and advanced cardiac life support was
initiated. The patient required the placement of an advanced airway to
maintain airway patency. Which statement indicates that the team
performed high-quality CPR?
, Select the correct answer to this question.
"We kept the rate of chest compressions to around 100 per minute but
adjusted their depth to 1.5 inches while giving 1 ventilation every 3
seconds."
"We delivered chest compressions at a rate of 80 to 100 per minute to a
depth of at least 2 inches and gave 1 ventilation every 6 seconds."
"We initiated chest compressions at a rate of 100 to 110 per minute to a
depth of 2.4 inches and then gave 1 ventilation every 10 seconds."
"We delivered 1 ventilation every 6 seconds and chest compressions at a
rate of 100 to 120 compressions per minute.". Answer: 4
"We delivered 1 ventilation every 6 seconds and chest compressions at a
rate of 100 to 120 compressions per minute."
◉ A patient with a suspected stroke arrives at the emergency department
at 7:10 p.m. The stroke team ensures that a comprehensive neurologic
assessment using the National Institutes of Health Stroke Scale (NIHSS)
is completed and that brain imaging is performed by which time?
7:20 p.m.
