ACLS RED CROSS FINAL EXAM 2026 FINAL
ASSESSMENT PAPER ADVANCED LIFE SUPPORT
PROTOCOLS COMPREHENSIVE QUESTIONS
AND ANSWERS VERIFIED A+
◉ A patient with dyspnea and a change in mental status arrives at
the emergency department. The healthcare team completes the
necessary assessments and begins to care for the patient, including
initiating cardiac monitoring, pulse oximetry, supplemental oxygen
and vascular access. The team reviews the patient's ECG rhythm
strip, as shown in the following figure. Which agent would the team
most likely administer? Answer: Atropine 0.5 mg every 4 to 5
minutes
◉ A patient experiencing an unstable bradyarrhythmia does not
respond to atropine or transcutaneous pacing. Which intervention
would the healthcare provider use next? Answer: Administration of
an epinephrine infusion
◉ A patient's ECG reveals a tachyarrhythmia. The patient is
hemodynamically stable and has a heart rate ranging from 120 to
135 beats per minute. Based on the findings of the secondary
assessment, which statement(s) by the patient would the team
interpret as a possible contributing cause? Answer: 1. "I've had a
terrible cold with a horrible cough and fever the past week."
, 2. "I've been so anxious lately because I just lost my job."
3. "I've been vomiting for the past 2 days from a gastrointestinal
bug."
◉ A patient's ECG reveals a narrow QRS complex with a regular
rhythm, indicating a narrow-complex supraventricular
tachyarrhythmia. The patient is hemodynamically stable. Which
intervention would be initiated first? Answer: Vagal maneuvers
◉ A patient in the telemetry unit is stable. Cardiac monitoring
indicates the patient has ventricular tachycardia with a pulse.
Further assessment reveals that the corrected QT interval is greater
than 0.46 seconds. Which treatment would be appropriate at this
time? Answer: Synchronized cardioversion
◉ An ECG strip of a patient in the emergency department reveals the
following rhythm. Which feature would the healthcare provider
interpret as indicating atrial fibrillation? Answer: Absence of
discrete P waves and presence of irregularly irregular QRS
complexes
◉ A patient is brought into the emergency department. The patient
does not have a pulse. The cardiac monitor shows the following
rhythm. The team interprets this as which condition? Answer:
Ventricular tachycardia
ASSESSMENT PAPER ADVANCED LIFE SUPPORT
PROTOCOLS COMPREHENSIVE QUESTIONS
AND ANSWERS VERIFIED A+
◉ A patient with dyspnea and a change in mental status arrives at
the emergency department. The healthcare team completes the
necessary assessments and begins to care for the patient, including
initiating cardiac monitoring, pulse oximetry, supplemental oxygen
and vascular access. The team reviews the patient's ECG rhythm
strip, as shown in the following figure. Which agent would the team
most likely administer? Answer: Atropine 0.5 mg every 4 to 5
minutes
◉ A patient experiencing an unstable bradyarrhythmia does not
respond to atropine or transcutaneous pacing. Which intervention
would the healthcare provider use next? Answer: Administration of
an epinephrine infusion
◉ A patient's ECG reveals a tachyarrhythmia. The patient is
hemodynamically stable and has a heart rate ranging from 120 to
135 beats per minute. Based on the findings of the secondary
assessment, which statement(s) by the patient would the team
interpret as a possible contributing cause? Answer: 1. "I've had a
terrible cold with a horrible cough and fever the past week."
, 2. "I've been so anxious lately because I just lost my job."
3. "I've been vomiting for the past 2 days from a gastrointestinal
bug."
◉ A patient's ECG reveals a narrow QRS complex with a regular
rhythm, indicating a narrow-complex supraventricular
tachyarrhythmia. The patient is hemodynamically stable. Which
intervention would be initiated first? Answer: Vagal maneuvers
◉ A patient in the telemetry unit is stable. Cardiac monitoring
indicates the patient has ventricular tachycardia with a pulse.
Further assessment reveals that the corrected QT interval is greater
than 0.46 seconds. Which treatment would be appropriate at this
time? Answer: Synchronized cardioversion
◉ An ECG strip of a patient in the emergency department reveals the
following rhythm. Which feature would the healthcare provider
interpret as indicating atrial fibrillation? Answer: Absence of
discrete P waves and presence of irregularly irregular QRS
complexes
◉ A patient is brought into the emergency department. The patient
does not have a pulse. The cardiac monitor shows the following
rhythm. The team interprets this as which condition? Answer:
Ventricular tachycardia
