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ACLS Final Exam Questions with Correct Answers 2026 | AHA Advanced Cardiovascular Life Support – 2026/2027 Certification Test Bank

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Pass your ACLS final exam with this 2026 updated question bank featuring verified correct answers and detailed rationales. Aligned with the 2026/2027 American Heart Association (AHA) guidelines, this resource covers high-quality CPR, cardiac arrest algorithms (VF/pVT, PEA, asystole), rhythm recognition (heart blocks, SVT, VT), symptomatic bradycardia/tachycardia management, acute coronary syndrome, stroke management, post-cardiac arrest care, airway management, pharmacology (epinephrine, amiodarone, adenosine, atropine, dopamine), team dynamics, and megacode scenarios. Ideal for initial certification or recertification.

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, ACLS FINAL EXAM QUESTIONS WITH
CORRECT ANSWERS 2026
A patient experiences cardiac arrest, and the resuscitation team initiates ventilations using a
bag-valve-mask (BVM) resuscitator. The development of which condition during the provision of
care would lead the team to suspect that improper BVM technique is being used?



Hypertension

Esophageal injury

Pneumothorax

Rib fracture - CORRECT ANSWER -Pneumothorax



Complications can occur with the use of a BVM resuscitator due to improper technique.
Delivering excessive volume or ventilating too fast creates excessive pressure that can damage
the airways, lungs and other organs. Excessive volume can lead to tension pneumothorax.



A person suddenly collapses while sitting in the sunroom of a healthcare facility. A healthcare
provider observes the event and hurries over to assess the situation. The healthcare provider
performs which assessment first?



Rapid assessment

Basic life support assessment

Secondary assessment

Primary assessment - CORRECT ANSWER -Rapid assessment



A systematic approach to assessment is necessary. The healthcare provider should first perform
a rapid assessment. A rapid assessment is a visual survey to ensure safety, form an initial
impression about the patient's condition (including looking for life-threatening bleeding), and

, determine the need for additional resources. This would be followed by a primary assessment
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and then a secondary assessment.
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A patient is receiving ventilation support via bag-valve-mask (BVM) resuscitator. Capnography is
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established and a blood gas is obtained to evaluate the adequacy of the ventilations. Which
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arterial carbon dioxide (PaCO2) value signifies adequate ventilations?
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10 to 15 mmHg
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20 to 25 mmHg
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25 to 30 mmHg
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35 to 45 mmHg - CORRECT ANSWER -35 to 45 mmHg
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Arterial carbon dioxide (PaCO2) values in the range of 35 to 45 mmHg confirm adequacy of ventilation.
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A resuscitation team is debriefing following a recent event. A patient experienced cardiac arrest,
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and advanced life support was initiated. The patient required the placement of an advanced
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airway to maintain airway patency. Which statement indicates that the team performed high-
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quality CPR?
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"We initiated chest compressions at a rate of 100 to 110 per minute to a depth of 2.4 inches and then
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gave 1 ventilation every 10 seconds."
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"We provided chest compressions at a rate of 100 to 120 compressions per minute while giving 1
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ventilation every 6 seconds without pausing compressions."
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"We provided chest compressions at a rate of 80 to 120 per minute to a depth of at least 2 inches
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and gave 1 ventilation every 6 seconds without pausing compressions."
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"We kept the rate of chest compressions to around 100 per minute but adjusted their depth to
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1.5 inches while giving 1 ventilation every 3 seconds without pausing compression - CORRECT
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ANSWER -"We provided chest compressions at a rate of 100 to 120 compressions per minute
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while giving 1 ventilation every 6 seconds without pausing compressions."
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