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ACLS Practice Test Questions with Correct Answers 2026 | AHA Advanced Cardiovascular Life Support – 2026/2027 Exam Prep

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Prepare for your ACLS certification exam with this 2026 practice test featuring verified correct answers. 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, symptomatic bradycardia/tachycardia, acute coronary syndrome, stroke management, post-cardiac arrest care, airway management, pharmacology (epinephrine, amiodarone, adenosine, atropine, dopamine), and team dynamics. Ideal for initial certification or recertification.

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,ACLS PRACTICE TEST QUESTIONS WITH
CORRECT ANSWERS 2026
The latest guidelines for CPR call for continuous at 100-120min and at least 2" deep. Once
intubated, the compressions are continuous and the ventilating team member provides a
breath each 6 seconds. To effectively accomplish this, the team should:



a. Have compressions done by male technicians only

b. Provide team members with leather gloves for compressions

c. Change compressors about every 2 minutes

d. Have the ventilation and compression members rest every 5 minutes - CORRECT ANSWER -c.
Change compressors about every 2 minutes



Tracheal intubation has just been attempted for a victim of respiratory arrest. During bag valve
ventilation, you have difficulty auscultating lung sounds and the end tidal CO2 (Pet CO2) reading
is "0". Which of the following is the most likely explanation for these findings?



a. Esophageal Intubation

b. Intubation of the left main bronchus

c. Intubation of the right main bronchus

d. Bilateral tension pneumothorax - CORRECT ANSWER -a. Esophageal Intubation



An initial pulse check or a pulse check between 2 minute cycles of CPR should take no longer
than

a. 60 seconds

b. 2 minutes

c. 10 seconds

d. There is no limit - CORRECT ANSWER -c. 10 seconds

, Fibrinolytics may be used to clear blockage in an ischemic stroke. The patient must have
continual neurological assessments, ruled out non stroke causes and a CT scan showing no
bleeding. The key is the symptoms must have STARTED less than?



a. 3 hours ago

b. 30 minutes ago

c. 4.5 days ago

d. There is no limit - CORRECT ANSWER -a. 3 hours ago



A patient remains in VF after a defibrillation shock, tracheal intubation, CPR, Epinephrine 1mg
IV, and another shock. Which of the following drug-dose combinations should this patient
receive next?



a. Amiodarone 300mg

b. Lidocaine 3mg/kg

c. Procainamide 20-50mg/min, up to a total dose of 17mg/kg

d. Magnesium 10g - CORRECT ANSWER -a. Amiodarone 300mg



You are part of a team resuscitating a 48 year old patient in ventricular fibrillation. After delivery
of each shock, what should you do?



a. Allow the team leader to analyze the rhythm

b. Check for a pulse, and if no pulse, begin chest compressions

c. Immediately begin CPR, starting with chest compressions

d. Wait for arrival of an ICU team, stopping every 3 minutes to analyze the rhythm - CORRECT
ANSWER -c. Immediately begin CPR, starting with chest compressions

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