ACLS Exam A 2026 Questions with Correct
Answers Rated A+
Which of these tests should be performed for a pt with suspected stroke as early as possible but
no more than 20 min after hospital arrival? - CORRECT ANSWER -Noncontrast CT scan of head
Which best describes this rhythm? - CORRECT ANSWER -Monomorphic Vent Tach
Which is an acceptable method of selecting an appropriately sized oropharyngeal airway? -
CORRECT ANSWER -Measure from the corner of the mouth to the angle of mandible
You are caring for a pt with a suspected stroke whose symptoms started 2 hours ago. The CT
scan was normal, with no signs of hemorrhage. The pt does not have any contraindications to
fibrinolytic therapy. Which treatment is best for this pt? - CORRECT ANSWER -Give fibrinolytic
therapy as soon as possible and consider endovascular therapy
Which is the recommended next step after a defibrillation attempt? - CORRECT ANSWER -
Resume CPR, starting with chest compressions
Which of the following signs is a likely indicator of cardiac arrest in an unresponsive pt? -
CORRECT ANSWER -Agonal gasps
You are evaluating a 58YO man with chest discomfort. His BP is 92/50 mmHG, his HR is 92/min,
his nonlabored RR is 14/min, and his pulse ox is 97%. Which assessment step is most important
now? - CORRECT ANSWER -Obtaining a 12-lead ECG
During post-cardiac arrest care, which is the recommended duration of targeted temperature
management after reaching the correct temperature range? - CORRECT ANSWER -At least 24
hours
, Your rescue team arrives to find a 59YO man lying on the kitchen floor. You determine that he is
unresponsive. What is the next step in your assessment and management of this pt? - CORRECT
ANSWER -Check the pt's breathing and pulse
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is
reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP
64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib.
On the basis of this pt's initial presentation, which condition do you suspect led to the cardiac
arrest? - CORRECT ANSWER -Acute Coronary Syndrome
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is
reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP
64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib.
In addition to defibrillation, which intervention should be performed immediately? - CORRECT
ANSWER -Chest compressions
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is
reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP
64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib.
Despite 2 defib attempts, the pt remains in VFib. Which drug and dose should you administer
FIRST to this pt? - CORRECT ANSWER -Epi 1mg
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is
reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP
64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib.
Answers Rated A+
Which of these tests should be performed for a pt with suspected stroke as early as possible but
no more than 20 min after hospital arrival? - CORRECT ANSWER -Noncontrast CT scan of head
Which best describes this rhythm? - CORRECT ANSWER -Monomorphic Vent Tach
Which is an acceptable method of selecting an appropriately sized oropharyngeal airway? -
CORRECT ANSWER -Measure from the corner of the mouth to the angle of mandible
You are caring for a pt with a suspected stroke whose symptoms started 2 hours ago. The CT
scan was normal, with no signs of hemorrhage. The pt does not have any contraindications to
fibrinolytic therapy. Which treatment is best for this pt? - CORRECT ANSWER -Give fibrinolytic
therapy as soon as possible and consider endovascular therapy
Which is the recommended next step after a defibrillation attempt? - CORRECT ANSWER -
Resume CPR, starting with chest compressions
Which of the following signs is a likely indicator of cardiac arrest in an unresponsive pt? -
CORRECT ANSWER -Agonal gasps
You are evaluating a 58YO man with chest discomfort. His BP is 92/50 mmHG, his HR is 92/min,
his nonlabored RR is 14/min, and his pulse ox is 97%. Which assessment step is most important
now? - CORRECT ANSWER -Obtaining a 12-lead ECG
During post-cardiac arrest care, which is the recommended duration of targeted temperature
management after reaching the correct temperature range? - CORRECT ANSWER -At least 24
hours
, Your rescue team arrives to find a 59YO man lying on the kitchen floor. You determine that he is
unresponsive. What is the next step in your assessment and management of this pt? - CORRECT
ANSWER -Check the pt's breathing and pulse
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is
reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP
64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib.
On the basis of this pt's initial presentation, which condition do you suspect led to the cardiac
arrest? - CORRECT ANSWER -Acute Coronary Syndrome
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is
reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP
64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib.
In addition to defibrillation, which intervention should be performed immediately? - CORRECT
ANSWER -Chest compressions
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is
reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP
64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib.
Despite 2 defib attempts, the pt remains in VFib. Which drug and dose should you administer
FIRST to this pt? - CORRECT ANSWER -Epi 1mg
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is
reporting "crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP
64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib.
