ACLS RECERTIFICATION FINAL TEST
2026 QUESTIONS WITH CORRECT
ANSWERS GRADED A+
◍ Reentry supraventricular tachycardia.
Answer: Please identify the rhythm by selecting the best single answer.
◍ Do not give aspirin for at least 24 hours if rtPA is administered.
Answer: A 62-year-old man suddenly experienced difficulty speaking and
left-sided weakness. He was brought to the emergency department. He
meets initial criteria for fibrinolytic therapy, and a CT scan of the brain is
ordered. What are the guidelines for antiplatelet and fibrinolytic therapy?
◍ A 45M has coronary artery stents placed 2 days ago. Today, he is in severe
distress & crushing chest discomfort. he is pale, diaphoretic, & cool to the
touch. His radial pulse is very weak. Blood pressure is 64/40 mm Hg,
respiratory rate is 28 bpm & O2 is 89%. cardiac monitor initially showed
ventricular tachycardia, which quickly changed to v-fib. what would you
have done first if the patient had not gone into v-fib?a. give atropine 1mgb.
establish IVc. do a 12 leadd. performed synchronized cardioversion.
Answer: performed synchronized cardioversion
◍ Which is the maximum interval you should allow for an interruption in chest
compression?.
Answer: 10 seconds
◍ Give epinephrine 1 mg I
V. .
Answer: You arrive on the scene to find CPR in progress. Nursing staff
report that the patient was recovering from a pulmonary embolism and
suddenly collapsed. There is no pulse or spontaneous respirations.
, High-quality CPR and effective bag-mask ventilation are being provided.
An IV has been initiated. What would you do now?
◍ Which best describes the rhythm?.
Answer: monomorphic ventricular tachycardia
◍ Second-degree AV block (Mobitz II block).
Answer: Please identify the rhythm by selecting the best single answer.
◍ Pulseless electrical activity.
Answer: Please identify the rhythm by selecting the best single answer.
◍ 1 to 2 L of normal saline.
Answer: A patient has been resuscitated from cardiac arrest and is being
prepared for transport. She is intubated and is receiving 100% oxygen.
Blood pressure is 80/60 mm Hg. During the resuscitation, she received 2
doses of epinephrine 1 mg and 1 dose of aminodarone 300 mg IV. You now
observe the above rhythm on the cardiac monitor. The rhythm abnormality
is becoming more frequent and increasing in number. You should order:
◍ Lidocaine, epinephrine, vasopressin.
Answer: Your patient has been intubated. IV/IO access is not available.
Which combination of drugs can be administered by the endotracheal route?
◍ Which facility is the most appropriate EMS destination for a patient w/ a
sudden cardiac arrest who achieved return of spontaneous circulation in the
field?.
Answer: coronary reperfusion-capable medical center
◍ Give Aspirin 160 to 325 mg chewed immediately..
Answer: A patient with ST-segment elevation MI has ongoing chest
discomfort. Fibrinolytic therapy has been ordered. Heparin 4000 units IV
bolus was administered, and a heparin infusion of 1000 units per hour is
being administered. Aspirin was taken by the patient because he had a
history of gastritis treated 5 years ago. Your next action is?
◍ Polymorphic Ventricular Tachycardia.
2026 QUESTIONS WITH CORRECT
ANSWERS GRADED A+
◍ Reentry supraventricular tachycardia.
Answer: Please identify the rhythm by selecting the best single answer.
◍ Do not give aspirin for at least 24 hours if rtPA is administered.
Answer: A 62-year-old man suddenly experienced difficulty speaking and
left-sided weakness. He was brought to the emergency department. He
meets initial criteria for fibrinolytic therapy, and a CT scan of the brain is
ordered. What are the guidelines for antiplatelet and fibrinolytic therapy?
◍ A 45M has coronary artery stents placed 2 days ago. Today, he is in severe
distress & crushing chest discomfort. he is pale, diaphoretic, & cool to the
touch. His radial pulse is very weak. Blood pressure is 64/40 mm Hg,
respiratory rate is 28 bpm & O2 is 89%. cardiac monitor initially showed
ventricular tachycardia, which quickly changed to v-fib. what would you
have done first if the patient had not gone into v-fib?a. give atropine 1mgb.
establish IVc. do a 12 leadd. performed synchronized cardioversion.
Answer: performed synchronized cardioversion
◍ Which is the maximum interval you should allow for an interruption in chest
compression?.
Answer: 10 seconds
◍ Give epinephrine 1 mg I
V. .
Answer: You arrive on the scene to find CPR in progress. Nursing staff
report that the patient was recovering from a pulmonary embolism and
suddenly collapsed. There is no pulse or spontaneous respirations.
, High-quality CPR and effective bag-mask ventilation are being provided.
An IV has been initiated. What would you do now?
◍ Which best describes the rhythm?.
Answer: monomorphic ventricular tachycardia
◍ Second-degree AV block (Mobitz II block).
Answer: Please identify the rhythm by selecting the best single answer.
◍ Pulseless electrical activity.
Answer: Please identify the rhythm by selecting the best single answer.
◍ 1 to 2 L of normal saline.
Answer: A patient has been resuscitated from cardiac arrest and is being
prepared for transport. She is intubated and is receiving 100% oxygen.
Blood pressure is 80/60 mm Hg. During the resuscitation, she received 2
doses of epinephrine 1 mg and 1 dose of aminodarone 300 mg IV. You now
observe the above rhythm on the cardiac monitor. The rhythm abnormality
is becoming more frequent and increasing in number. You should order:
◍ Lidocaine, epinephrine, vasopressin.
Answer: Your patient has been intubated. IV/IO access is not available.
Which combination of drugs can be administered by the endotracheal route?
◍ Which facility is the most appropriate EMS destination for a patient w/ a
sudden cardiac arrest who achieved return of spontaneous circulation in the
field?.
Answer: coronary reperfusion-capable medical center
◍ Give Aspirin 160 to 325 mg chewed immediately..
Answer: A patient with ST-segment elevation MI has ongoing chest
discomfort. Fibrinolytic therapy has been ordered. Heparin 4000 units IV
bolus was administered, and a heparin infusion of 1000 units per hour is
being administered. Aspirin was taken by the patient because he had a
history of gastritis treated 5 years ago. Your next action is?
◍ Polymorphic Ventricular Tachycardia.
