AHA ACLS WRITTEN TEST EXAM
QUESTIONS AND ANSWERS. VERIFIED
2026.
You find an unresponsive pt. who is not breathing. After activating the emergency response
system, you determine there is no pulse. What is your next action? - ANS Start chest
compressions of at least 100 per min.
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? - ANS Obtaining a 12 lead ECG.
What is the preferred method of access for epi administration during cardiac arrest in most pts?
- ANS Peripheral IV
An AED does not promptly analyze a rythm. What is your next step? - ANS 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? - ANS Administer 1mg of epinepherine
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, During a pause in CPR, you see a narrow complex rythm on the monitor. The pt. has no pulse.
What is the next action? - ANS Resume compressions
What is acommon but sometimes fatal mistake in cardiac arrest management? -
ANS Prolonged interruptions in chest compressions.
Which action is a componant of high-quality chest comressions? - ANS Allowing complete
chest recoil
Which action increases the chance of successful conversion of ventricular fibrillation? -
ANS Providing quality compressions immediately before a defibrillation attempt.
Which situation BEST describes PEA? - ANS Sinus rythm without a pulse
What is the best strategy for perfoming high-quality CPR on a pt.with an advanced airway in
place? - ANS 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? - ANS Chest compressions may not be effective.
The use of quantitative capnography in intubated pt's does what? - ANS Allowsfor monitoring
CPR quality
For the past 25 min, EMS crews have attemptedresuscitation of a pt who originally presented
with V-FIB. After the 1st shock, the ECG screen displayed asystole which has persisted despite 2
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
QUESTIONS AND ANSWERS. VERIFIED
2026.
You find an unresponsive pt. who is not breathing. After activating the emergency response
system, you determine there is no pulse. What is your next action? - ANS Start chest
compressions of at least 100 per min.
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? - ANS Obtaining a 12 lead ECG.
What is the preferred method of access for epi administration during cardiac arrest in most pts?
- ANS Peripheral IV
An AED does not promptly analyze a rythm. What is your next step? - ANS 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? - ANS Administer 1mg of epinepherine
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, During a pause in CPR, you see a narrow complex rythm on the monitor. The pt. has no pulse.
What is the next action? - ANS Resume compressions
What is acommon but sometimes fatal mistake in cardiac arrest management? -
ANS Prolonged interruptions in chest compressions.
Which action is a componant of high-quality chest comressions? - ANS Allowing complete
chest recoil
Which action increases the chance of successful conversion of ventricular fibrillation? -
ANS Providing quality compressions immediately before a defibrillation attempt.
Which situation BEST describes PEA? - ANS Sinus rythm without a pulse
What is the best strategy for perfoming high-quality CPR on a pt.with an advanced airway in
place? - ANS 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? - ANS Chest compressions may not be effective.
The use of quantitative capnography in intubated pt's does what? - ANS Allowsfor monitoring
CPR quality
For the past 25 min, EMS crews have attemptedresuscitation of a pt who originally presented
with V-FIB. After the 1st shock, the ECG screen displayed asystole which has persisted despite 2
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
