AHA ACLS WRITTEN TEST 4 FINAL PAPER 2026
QUESTIONS WITH COMPLETE SOLUTIONS
GRADED A+
◉ You are evaluating a 58 year old man with chest pain. The BP is
92/50 and a heart rate of 92/min, non-labored respiratory rate is 14
breaths/min and the pulse O2 is 97%. What assessment step is most
important now? Answer: Obtaining a 12 lead ECG.
Identification of Chest Discomfort Suggestive of Ischemia
◉ What is the preferred method of access for epi administration
during cardiac arrest in most pts? Answer: Peripheral IV
◉ An AED does not promptly analyze a rythm. What is your next
step? Answer: Begin chest compressions.
◉ You have completed 2 min of CPR. The ECG monitor displays the
lead below (PEA) and the pt. has no pulse. You partner resumes
chest compressions and an IV is in place. What management step is
your next priority? Answer: Administer 1mg of epinepherine
,◉ During a pause in CPR, you see a narrow complex rythm on the
monitor. The pt. has no pulse. What is the next action? Answer:
Resume compressions
◉ What is acommon but sometimes fatal mistake in cardiac arrest
management? Answer: Prolonged interruptions in chest
compressions.
◉ Which action is a componant of high-quality chest comressions?
Answer: Allowing complete chest recoil
◉ Which action increases the chance of successful conversion of
ventricular fibrillation? Answer: Providing quality compressions
immediately before a defibrillation attempt.
◉ Which situation BEST describes PEA? Answer: Sinus rythm
without a pulse
◉ What is the best strategy for perfoming high-quality CPR on a
pt.with an advanced airway in place? Answer: Provide continuous
chest compressionswithout pauses and 10 ventilations per minute.
◉ 3 min after witnessing a cardiac arrest, one memeber of your
team inserts an ET tube while another performs continuous chest
comressions. During subsequent bentilation, you notice the
, presence of a wavefom on the capnogrophy screen and a PETCO2 of
8 mm Hg. What is the significance of this finding? Answer: Chest
compressions may not be effective.
◉ The use of quantitative capnography in intubated pt's does what?
Answer: Allowsfor monitoring CPR quality
◉ For the past 25 min, EMS crews have attempted resuscitation of a
pt who originally presented with V-FIB. After the 1st shock, the ECG
screen displayed asystole which has persisted despite 2 doses of epi,
a fluid bolus, and high quality CPR. What is your next treatment?
Answer: Consider terminating resuscitive efforts after consulting
medical control.
◉ Which is a safe and effective practice within the defibrillation
sequence? Answer: Be sure O2 is NOT blowing over the pt's chest
during shock.
◉ During your assessment, your pt suddenly loses consciousness.
After calling for help and determining that the pt. is not breathing,
you are unsure whether the pt. has a pulse. What is your next action?
Answer: Begin chest compressions.
◉ What is an advantage of using hands-free d-fib pads instead of d-
fib paddles? Answer: Hands-free allows for more rapid d-fib.
QUESTIONS WITH COMPLETE SOLUTIONS
GRADED A+
◉ You are evaluating a 58 year old man with chest pain. The BP is
92/50 and a heart rate of 92/min, non-labored respiratory rate is 14
breaths/min and the pulse O2 is 97%. What assessment step is most
important now? Answer: Obtaining a 12 lead ECG.
Identification of Chest Discomfort Suggestive of Ischemia
◉ What is the preferred method of access for epi administration
during cardiac arrest in most pts? Answer: Peripheral IV
◉ An AED does not promptly analyze a rythm. What is your next
step? Answer: Begin chest compressions.
◉ You have completed 2 min of CPR. The ECG monitor displays the
lead below (PEA) and the pt. has no pulse. You partner resumes
chest compressions and an IV is in place. What management step is
your next priority? Answer: Administer 1mg of epinepherine
,◉ During a pause in CPR, you see a narrow complex rythm on the
monitor. The pt. has no pulse. What is the next action? Answer:
Resume compressions
◉ What is acommon but sometimes fatal mistake in cardiac arrest
management? Answer: Prolonged interruptions in chest
compressions.
◉ Which action is a componant of high-quality chest comressions?
Answer: Allowing complete chest recoil
◉ Which action increases the chance of successful conversion of
ventricular fibrillation? Answer: Providing quality compressions
immediately before a defibrillation attempt.
◉ Which situation BEST describes PEA? Answer: Sinus rythm
without a pulse
◉ What is the best strategy for perfoming high-quality CPR on a
pt.with an advanced airway in place? Answer: Provide continuous
chest compressionswithout pauses and 10 ventilations per minute.
◉ 3 min after witnessing a cardiac arrest, one memeber of your
team inserts an ET tube while another performs continuous chest
comressions. During subsequent bentilation, you notice the
, presence of a wavefom on the capnogrophy screen and a PETCO2 of
8 mm Hg. What is the significance of this finding? Answer: Chest
compressions may not be effective.
◉ The use of quantitative capnography in intubated pt's does what?
Answer: Allowsfor monitoring CPR quality
◉ For the past 25 min, EMS crews have attempted resuscitation of a
pt who originally presented with V-FIB. After the 1st shock, the ECG
screen displayed asystole which has persisted despite 2 doses of epi,
a fluid bolus, and high quality CPR. What is your next treatment?
Answer: Consider terminating resuscitive efforts after consulting
medical control.
◉ Which is a safe and effective practice within the defibrillation
sequence? Answer: Be sure O2 is NOT blowing over the pt's chest
during shock.
◉ During your assessment, your pt suddenly loses consciousness.
After calling for help and determining that the pt. is not breathing,
you are unsure whether the pt. has a pulse. What is your next action?
Answer: Begin chest compressions.
◉ What is an advantage of using hands-free d-fib pads instead of d-
fib paddles? Answer: Hands-free allows for more rapid d-fib.
