ACLS POST TEST COMPREHENSIVE STUDY GUIDE WITH
HIGH-YIELD ACTUAL QUESTIONS, DETAILED ANSWER
EXPLANATIONS, ADVANCED CARDIOVASCULAR LIFE
SUPPORT ALGORITHMS, RHYTHM RECOGNITION
REVIEW, EMERGENCY RESPONSE PRINCIPLES, TEST-
TAKING STRATEGIES, AND COMPLETE CERTIFICATION
SUCCESS TOOLKIT | UPDATED FOR 2026/2027 | LATEST
EDITION
Your patient is in cardiac arrest and has been intubated. to assess CPR
quality, you should - ANSWER-monitor the patient's PETCO2
In addition to clinical assessment, which is the most reliable method to
confirm & monitor correct placement of an endotracheal tube? -
ANSWERcontinous waveform capnography
A 45M had coronary artery stents placed 2 days ago. Today he is in
severe distress and reporting "crushing" chest discomfort. He is pale,
diphoretic, and cool to the touch. His radial pulse is very weak, blood
pressure is 64/40, respiratory is 28 bpm/min and O2 set is 89% on room
air. - ANSWER-answer has to do with acute coronary syndrome
A 45M had coronary artery stents placed 2 days ago. Today he is in
severe distress and reporting "crushing" chest discomfort. He is pale,
diphoretic, and cool to the touch. His radial pulse is very weak, blood
pressure is 64/40, respiratory is 28 bpm/min and O2 set is 89% on room
air. When applied, the cardiac monitor initially showed ventricular
,tachycardia, which then quickly changed to ventricular fibrillation.
What do we do?
a. chest compression
b. vasoactive meds
c. vascular access
d. advanced airway - ANSWER-a. chest compression
A 45M had coronary artery stents placed 2 days ago. Today he is in
severe distress and reporting "crushing" chest discomfort. He is pale,
diphoretic, and cool to the touch. His radial pulse is very weak, blood
pressure is 64/40, respiratory is 28 bpm/min and O2 set is 89% on room
air. Despite 2 defib attempt, the patient remains in V-fib. Which drug &
dose should be given?
a. lidocaine 1 mg/kg
b. amiodarone 300mg
c. epi 1mg
d. atropine 1 mg - ANSWER-epi 1 mg
A 45M had coronary artery stents placed 2 days ago. Today he is in
severe distress and reporting "crushing" chest discomfort. He is pale,
diphoretic, and cool to the touch. His radial pulse is very weak, blood
pressure is 64/40, respiratory is 28 bpm/min and O2 set is 89% on room
air. despite the drug provided above & continuous CPR, the patient
remains in v-fib. which drug should be given next?
a. atropine 1mg
,b. mag sulfate 1g
c. amiodarone 300mg
d. epi 1 mg - ANSWER-c. amiodarone 300mg
A 45M had coronary artery stents placed 2 days ago. Today he is in
severe distress and reporting "crushing" chest discomfort. He is pale,
diphoretic, and cool to the touch. His radial pulse is very weak, blood
pressure is 64/40, respiratory is 28 bpm/min and O2 set is 89% on room
air. The patient has returned of spontaneous circulation (ROSC) & is not
able to follow commands. Which immediate post-cardiac arrest care
intervention do you choose for the patient?
a. extubate
b. check glucose
c. give epi
d. initiate targeted temp. management - ANSWER-initiate targeted
temperature management
(the guideline no longer has post-arrest optimal glucose level)
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 1mg
, b. establish IV
c. do a 12 lead
d. performed synchronized cardioversion - ANSWER-performed
synchronized cardioversion
During post-cardiac arrest, which is recommended duration of targeted
temp. management after reaching the correct temperature range?
a. at least 24 hours
b. 0-8 hour
c. at least 36 hours
d. at least 48 hours - ANSWER-at least 24 hours
which is the primary purpose of medical emergency team or rapid
response team?
a. provide diagnostic consultation to emergency department patients
b. provide online consultation to EMS personnel
c. improving patient outcomes by identifying & treating early clinical
deterioration
d. improving care for patients admitted to critical care units - ANSWER-
c.
improving patient outcomes by identifying & treating early clinical
deterioration
Which type of atrioventricular (AV) block best describes this rhythm? -
ANSWER-Second degree type II
HIGH-YIELD ACTUAL QUESTIONS, DETAILED ANSWER
EXPLANATIONS, ADVANCED CARDIOVASCULAR LIFE
SUPPORT ALGORITHMS, RHYTHM RECOGNITION
REVIEW, EMERGENCY RESPONSE PRINCIPLES, TEST-
TAKING STRATEGIES, AND COMPLETE CERTIFICATION
SUCCESS TOOLKIT | UPDATED FOR 2026/2027 | LATEST
EDITION
Your patient is in cardiac arrest and has been intubated. to assess CPR
quality, you should - ANSWER-monitor the patient's PETCO2
In addition to clinical assessment, which is the most reliable method to
confirm & monitor correct placement of an endotracheal tube? -
ANSWERcontinous waveform capnography
A 45M had coronary artery stents placed 2 days ago. Today he is in
severe distress and reporting "crushing" chest discomfort. He is pale,
diphoretic, and cool to the touch. His radial pulse is very weak, blood
pressure is 64/40, respiratory is 28 bpm/min and O2 set is 89% on room
air. - ANSWER-answer has to do with acute coronary syndrome
A 45M had coronary artery stents placed 2 days ago. Today he is in
severe distress and reporting "crushing" chest discomfort. He is pale,
diphoretic, and cool to the touch. His radial pulse is very weak, blood
pressure is 64/40, respiratory is 28 bpm/min and O2 set is 89% on room
air. When applied, the cardiac monitor initially showed ventricular
,tachycardia, which then quickly changed to ventricular fibrillation.
What do we do?
a. chest compression
b. vasoactive meds
c. vascular access
d. advanced airway - ANSWER-a. chest compression
A 45M had coronary artery stents placed 2 days ago. Today he is in
severe distress and reporting "crushing" chest discomfort. He is pale,
diphoretic, and cool to the touch. His radial pulse is very weak, blood
pressure is 64/40, respiratory is 28 bpm/min and O2 set is 89% on room
air. Despite 2 defib attempt, the patient remains in V-fib. Which drug &
dose should be given?
a. lidocaine 1 mg/kg
b. amiodarone 300mg
c. epi 1mg
d. atropine 1 mg - ANSWER-epi 1 mg
A 45M had coronary artery stents placed 2 days ago. Today he is in
severe distress and reporting "crushing" chest discomfort. He is pale,
diphoretic, and cool to the touch. His radial pulse is very weak, blood
pressure is 64/40, respiratory is 28 bpm/min and O2 set is 89% on room
air. despite the drug provided above & continuous CPR, the patient
remains in v-fib. which drug should be given next?
a. atropine 1mg
,b. mag sulfate 1g
c. amiodarone 300mg
d. epi 1 mg - ANSWER-c. amiodarone 300mg
A 45M had coronary artery stents placed 2 days ago. Today he is in
severe distress and reporting "crushing" chest discomfort. He is pale,
diphoretic, and cool to the touch. His radial pulse is very weak, blood
pressure is 64/40, respiratory is 28 bpm/min and O2 set is 89% on room
air. The patient has returned of spontaneous circulation (ROSC) & is not
able to follow commands. Which immediate post-cardiac arrest care
intervention do you choose for the patient?
a. extubate
b. check glucose
c. give epi
d. initiate targeted temp. management - ANSWER-initiate targeted
temperature management
(the guideline no longer has post-arrest optimal glucose level)
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 1mg
, b. establish IV
c. do a 12 lead
d. performed synchronized cardioversion - ANSWER-performed
synchronized cardioversion
During post-cardiac arrest, which is recommended duration of targeted
temp. management after reaching the correct temperature range?
a. at least 24 hours
b. 0-8 hour
c. at least 36 hours
d. at least 48 hours - ANSWER-at least 24 hours
which is the primary purpose of medical emergency team or rapid
response team?
a. provide diagnostic consultation to emergency department patients
b. provide online consultation to EMS personnel
c. improving patient outcomes by identifying & treating early clinical
deterioration
d. improving care for patients admitted to critical care units - ANSWER-
c.
improving patient outcomes by identifying & treating early clinical
deterioration
Which type of atrioventricular (AV) block best describes this rhythm? -
ANSWER-Second degree type II
