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ACLS Healthcare Provider Exam – Questions and Answer

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This set of ACLS (Advanced Cardiovascular Life Support) Healthcare Provider exam questions and answers is designed to help learners review core concepts tested in certification exams. It covers cardiac arrest algorithms, ECG rhythms, medications, airway management, and post–cardiac arrest care, with clear, exam-focused answers.

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ACLS Healthcare Provider Exam QUESTIONS
AND ANSWERS (VERIFIED ANSWERS) Q&A
2026|INSTANT DOWNLOAD PDF
Question 1:
Which of the following is the recommended first step when
you find an adult unresponsive and not breathing normally?
A. Start chest compressions immediately
B. Check for a pulse for 10–15 seconds
C. Activate the emergency response system and get an AED
D. Give two rescue breaths
Rationale: The first step is to ensure help and equipment are
available. Early activation of the emergency response system
improves survival.
Correct Answer: C


Question 2:
During adult cardiac arrest, what is the recommended
compression rate?
A. 60–80 per minute
B. 80–100 per minute
C. 100–120 per minute
D. 120–140 per minute
Rationale: High-quality CPR requires compressions at 100–120
per minute to maximize perfusion.

,Correct Answer: C


Question 3:
Which of the following is part of high-quality CPR?
A. Allowing full chest recoil
B. Minimizing interruptions in compressions
C. Compressing at least 2 inches (5 cm) deep
D. Using shallow compressions to avoid injury
Rationale: Effective CPR requires deep, fast compressions with
full recoil and minimal interruptions.
Correct Answer: A, B, C


Question 4:
For a patient in ventricular fibrillation (VF), the first treatment
is:
A. Administer epinephrine
B. Perform defibrillation
C. Give amiodarone
D. Start bag-mask ventilation
Rationale: VF is a shockable rhythm; early defibrillation
significantly improves survival.
Correct Answer: B

,Question 5:
Which medications are recommended for refractory
VF/pulseless VT after defibrillation attempts?
A. Epinephrine 1 mg IV/IO every 3–5 min
B. Amiodarone 300 mg IV/IO bolus first dose
C. Atropine 1 mg IV/IO
D. Lidocaine 1–1.5 mg/kg IV/IO
Rationale: Epinephrine and antiarrhythmic drugs like
amiodarone or lidocaine are used for shock-resistant VF/VT.
Correct Answer: A, B, D


Question 6:
During ACLS, the preferred vascular access route is:
A. Oral
B. Intravenous (IV)
C. Intraosseous (IO)
D. Intramuscular (IM)
Rationale: IV access is preferred; if IV is not available, IO is a
fast alternative for medication delivery.
Correct Answer: B, C


Question 7:
For a patient with asystole, the next step is:
A. Immediate defibrillation

, B. High-quality CPR and epinephrine
C. Amiodarone administration
D. Cardioversion
Rationale: Asystole is non-shockable; CPR and epinephrine are
indicated, not defibrillation.
Correct Answer: B


Question 8:
When using an AED, you should:
A. Turn it on and follow voice prompts
B. Ensure no one is touching the patient before shock
C. Place pads correctly on the chest
D. Immediately resume CPR after shock
Rationale: Following AED prompts and ensuring safety are
critical; immediate CPR resumes after shock.
Correct Answer: A, B, C, D


Question 9:
Which of the following are signs of poor-quality CPR?
A. Chest compressions too shallow
B. Interruptions >10 seconds
C. Full chest recoil after each compression
D. Rate <100 per minute

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