ACLS: FINAL TEST QUESTIONS AND ANSWERS
2026 RATED A+
1. Which type of atrioventricular block best describes this rhythm? - CORRECT ANSWER -C)
Second-degree type II
2. Your patient is in cardiac arrest and has been intubated. To assess CPR quality, which should
you do? - CORRECT ANSWER -A) Monitor the patient's PETCO2
3. Which facility is the most appropriate EMS destination for a patient with sudden cardiac who
achieved return of spontaneous circulation in the field? - CORRECT ANSWER -D) Coronary
reperfusion-capable medical center
4. Which of the following signs is a likely indicator of cardiac arrest in an unresponsive patient? -
CORRECT ANSWER -C) Agonal gasps
5. Which type of atrioventricular block best describes this rhythm? - CORRECT ANSWER -B)
Second-degree atrioventricular block type I
6. To properly ventilate a patient with a perfusing rhythm, how often do you squeeze the bag? -
CORRECT ANSWER -B) Once every 5 to 6 seconds.
7. In addition to clinical assessment, which is the most reliable method to confirm and monitor
correct placement of an endotracheal tube? - CORRECT ANSWER -C) Continuous waveform
capnography
8. You are caring for a patient with a suspected stroke whose symptoms started 2 hours ago.
The CT scan was normal, with no signs of hemorrhage. The patient does not have any
contraindications to fibrinolytic therapy. Which treatment is the best for this patient? - CORRECT
ANSWER -B) Start fibrinolytic therapy as soon as possible.
, 9. Which best describes this rhythm? - CORRECT ANSWER -D) Third-degree atrioventricular
block.
10. What is the recommended range from which a temperature should be selected and
maintained constantly to achieve targeted temperature management after cardiac arrest? -
CORRECT ANSWER -C) 32 to 36 Degrees Celsius
11. Which is the recommended first intravenous dose of amiodarone for a patient with
refractory ventricular fibrillation? - CORRECT ANSWER -D) 300 mg
12. What is the primary of a medical emergency team or rapid response team? - CORRECT
ANSWER -B) Improving patient outcomes by identifying and treating early clinical deterioration.
13. What is the recommended next step after a defibrillation attempt? - CORRECT ANSWER -D)
Resume CPR, starting with chest compressions
14. EMS providers are treating a patient with suspected stroke. According to the Adult
Suspected Stroke Algorithm, which critical action performed by the EMS team will expedite this
patient's care on arrival and reduce the time to treatment? - CORRECT ANSWER -A) Alert the
hospital.
15. A responder is caring for a patient with a history of congestive heart failure. The patient is
experiencing shortness of breath, a blood pressure of 68/50 mmHg, and a heart rate of
190/min. The patient's lead II ECG is displayed here. Which best characterizes this patient's
rhythm? - CORRECT ANSWER -D) Unstable supraventricular tachycardia
16. Your rescue team arrives to find a 59-year-old man lying on the kitchen floor. You determine
that he is unresponsive. Which is the next step in your assessment and management of this
patient? - CORRECT ANSWER -B) Check the patient's breathing and pulse.
2026 RATED A+
1. Which type of atrioventricular block best describes this rhythm? - CORRECT ANSWER -C)
Second-degree type II
2. Your patient is in cardiac arrest and has been intubated. To assess CPR quality, which should
you do? - CORRECT ANSWER -A) Monitor the patient's PETCO2
3. Which facility is the most appropriate EMS destination for a patient with sudden cardiac who
achieved return of spontaneous circulation in the field? - CORRECT ANSWER -D) Coronary
reperfusion-capable medical center
4. Which of the following signs is a likely indicator of cardiac arrest in an unresponsive patient? -
CORRECT ANSWER -C) Agonal gasps
5. Which type of atrioventricular block best describes this rhythm? - CORRECT ANSWER -B)
Second-degree atrioventricular block type I
6. To properly ventilate a patient with a perfusing rhythm, how often do you squeeze the bag? -
CORRECT ANSWER -B) Once every 5 to 6 seconds.
7. In addition to clinical assessment, which is the most reliable method to confirm and monitor
correct placement of an endotracheal tube? - CORRECT ANSWER -C) Continuous waveform
capnography
8. You are caring for a patient with a suspected stroke whose symptoms started 2 hours ago.
The CT scan was normal, with no signs of hemorrhage. The patient does not have any
contraindications to fibrinolytic therapy. Which treatment is the best for this patient? - CORRECT
ANSWER -B) Start fibrinolytic therapy as soon as possible.
, 9. Which best describes this rhythm? - CORRECT ANSWER -D) Third-degree atrioventricular
block.
10. What is the recommended range from which a temperature should be selected and
maintained constantly to achieve targeted temperature management after cardiac arrest? -
CORRECT ANSWER -C) 32 to 36 Degrees Celsius
11. Which is the recommended first intravenous dose of amiodarone for a patient with
refractory ventricular fibrillation? - CORRECT ANSWER -D) 300 mg
12. What is the primary of a medical emergency team or rapid response team? - CORRECT
ANSWER -B) Improving patient outcomes by identifying and treating early clinical deterioration.
13. What is the recommended next step after a defibrillation attempt? - CORRECT ANSWER -D)
Resume CPR, starting with chest compressions
14. EMS providers are treating a patient with suspected stroke. According to the Adult
Suspected Stroke Algorithm, which critical action performed by the EMS team will expedite this
patient's care on arrival and reduce the time to treatment? - CORRECT ANSWER -A) Alert the
hospital.
15. A responder is caring for a patient with a history of congestive heart failure. The patient is
experiencing shortness of breath, a blood pressure of 68/50 mmHg, and a heart rate of
190/min. The patient's lead II ECG is displayed here. Which best characterizes this patient's
rhythm? - CORRECT ANSWER -D) Unstable supraventricular tachycardia
16. Your rescue team arrives to find a 59-year-old man lying on the kitchen floor. You determine
that he is unresponsive. Which is the next step in your assessment and management of this
patient? - CORRECT ANSWER -B) Check the patient's breathing and pulse.
