ACLS PRETEST PHARMACOLOGY AND
PRACTICAL APPLICATION EXAM SCRIPT 2026
COMPLETE SOLUTIONS VERIFIED
◉ A 45-year-old woman with a history of palpitations develops
light-headedness and palpitations. She has received adensoine 6mg
IV for the rhythm shown here, without conversion of the rhythm.
She is now extremely apprehensive. Her blood pressure si
128/70mm Hg. What is the next appropriate intervention? Answer:
Administer adenosine 12 mg IV
◉ Your patient is not responsive and is not breathing, You can
palpate a carotid pulse. Which action do you take next? Answer:
Start rescue breathing
◉ You arrive on the scene to find CPR in progress. Nursing staff
report the patient was recovering from a pulmonary embolism and
suddenly collapsed. Two shocks have been delivered, and an IV has
been initiated. What do you administer now? Answer: Epinephrine 1
mg IV
◉ You are the code team leader and arrive to find a patient with CPR
in progress. On the next rhythm check, you see the rhythm shown
here. Team members tell you that the patient was well but reported
chest discomfort and then collapsed. She has no pulse or
,respirations. Bag-mask ventilations are producing visible chest rise,
and IV access has been established, Which intervention would be
your next action? Answer: Epinephrine 1mg
◉ What is recommended depth of chest compressions for an adult
victim? Answer: At least 2 inches
◉ How does complete chest recoil contribute to effective CPR?
Answer: Allows maximum blood return to the heart
◉ What is the recommended compression rate for high-quality CPR?
Answer: 100-120 compressions per minute
◉ A patient becomes unresponsive. You are uncertain if a faint pulse
is present. They rhythm shown here is seen on the cardiac monitor.
An IV is in pace. Which action do you take next? Answer: Start high-
quality CPR
◉ A patient has been resuscitated from cardiac arrest. During post-
ROSC treatment, the patient becomes unresponsive, with the rhythm
shown here. Which action is indicated next? Answer: Give an
immediate unsynchronized high-energy shock (defibrillation dose)
◉ How often should you switch chest compressors to avoid fatigue?
Answer: About every 2 minutes
, ◉ You are caring for a 66-year-old man with a history of a large
intracerebral hemorrhage 2 months ago. He is being evaluated for
another acute stroke. The CT scan is negative for hemorrhage. The
patient is receiving oxygen via nasal cannula at 2 L/min, and an IV
has been established. His blood pressure is 180/100 mm Hg. Which
drug do you anticipate giving to this patient?
Aspirin
Glucose (D50)
Nicardipiner
tPA Answer: Aspirin
◉ In which situation does bradycardia require treatment?
12-lead ECG showing a normal sinus rhythm
Hypotension
Diastolic blood pressure greater than 90 mm Hg
Systolic blood pressure greater than 100 mm Hg Answer:
Hypotension
PRACTICAL APPLICATION EXAM SCRIPT 2026
COMPLETE SOLUTIONS VERIFIED
◉ A 45-year-old woman with a history of palpitations develops
light-headedness and palpitations. She has received adensoine 6mg
IV for the rhythm shown here, without conversion of the rhythm.
She is now extremely apprehensive. Her blood pressure si
128/70mm Hg. What is the next appropriate intervention? Answer:
Administer adenosine 12 mg IV
◉ Your patient is not responsive and is not breathing, You can
palpate a carotid pulse. Which action do you take next? Answer:
Start rescue breathing
◉ You arrive on the scene to find CPR in progress. Nursing staff
report the patient was recovering from a pulmonary embolism and
suddenly collapsed. Two shocks have been delivered, and an IV has
been initiated. What do you administer now? Answer: Epinephrine 1
mg IV
◉ You are the code team leader and arrive to find a patient with CPR
in progress. On the next rhythm check, you see the rhythm shown
here. Team members tell you that the patient was well but reported
chest discomfort and then collapsed. She has no pulse or
,respirations. Bag-mask ventilations are producing visible chest rise,
and IV access has been established, Which intervention would be
your next action? Answer: Epinephrine 1mg
◉ What is recommended depth of chest compressions for an adult
victim? Answer: At least 2 inches
◉ How does complete chest recoil contribute to effective CPR?
Answer: Allows maximum blood return to the heart
◉ What is the recommended compression rate for high-quality CPR?
Answer: 100-120 compressions per minute
◉ A patient becomes unresponsive. You are uncertain if a faint pulse
is present. They rhythm shown here is seen on the cardiac monitor.
An IV is in pace. Which action do you take next? Answer: Start high-
quality CPR
◉ A patient has been resuscitated from cardiac arrest. During post-
ROSC treatment, the patient becomes unresponsive, with the rhythm
shown here. Which action is indicated next? Answer: Give an
immediate unsynchronized high-energy shock (defibrillation dose)
◉ How often should you switch chest compressors to avoid fatigue?
Answer: About every 2 minutes
, ◉ You are caring for a 66-year-old man with a history of a large
intracerebral hemorrhage 2 months ago. He is being evaluated for
another acute stroke. The CT scan is negative for hemorrhage. The
patient is receiving oxygen via nasal cannula at 2 L/min, and an IV
has been established. His blood pressure is 180/100 mm Hg. Which
drug do you anticipate giving to this patient?
Aspirin
Glucose (D50)
Nicardipiner
tPA Answer: Aspirin
◉ In which situation does bradycardia require treatment?
12-lead ECG showing a normal sinus rhythm
Hypotension
Diastolic blood pressure greater than 90 mm Hg
Systolic blood pressure greater than 100 mm Hg Answer:
Hypotension
