ACLS Post Test Questions and Answers
with Expert Explanation (2026/2027
Update) Complete A+ Guide
Question: 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?
Options:
• give atropine 1mg
• establish IV
• do a 12 lead
• performed synchronized cardioversion
Correct Answer: performed synchronized cardioversion
Question: During post-cardiac arrest, which is recommended duration of targeted temp.
management after reaching the correct temperature range?
Options:
• at least 24 hours
• 0-8 hour
• at least 36 hours
• at least 48 hours
Correct Answer: at least 24 hours
Question: Which is the primary purpose of medical emergency team or rapid response
team?
Options:
• provide diagnostic consultation to emergency department patients
• provide online consultation to EMS personnel
• improving patient outcomes by identifying & treating early clinical deterioration
• improving care for patients admitted to critical care units
Correct Answer: improving patient outcomes by identifying & treating early clinical
deterioration
, Question: A patient is respiratory distress, 70/50, presents with lead 2 ECG shown.
appropriate treatment?
Options:
• defibrillation
• perform synchronized cardioversion
• administering adenosine 6mg IV pust
• perform vagal maneuvers
Correct Answer: perform synchronized cardioversion
Question: Which of these tests should be performed for a patient w/ suspected stroke w/in
25 mins of hospital arrival?
Options:
• coagulation studies
• cardiac enzymes
• noncontrast CT scan of the head
• 12 lead ECG
Correct Answer: noncontrast CT scan of the head
Question: Which of the following signs are likely indicator of cardiac arrest in an
unresponsive patient?
Options:
• slow, weak pulse rate
• cyanosis
• irregular, weak pulse
• agonal gasps
Correct Answer: agonal gasps
Question: A patient is being resuscitated in a very noisy environment. A team member
thinks he heard an order of 500mg of amiodarone IV. which is the best response from the
team member?
Answer: I have an order to give 500mg of amiodarone IV. Is this correct?
Question: Which is the recommended next step after a defibrillation attempt?
Answer: resume CPR, starting with chest compression
Question: A responder is caring for a patient with a history of congestive heart failure. The
patient is experiencing shortness of breath, 68/50 mmHg, heart rate 190/min. The patient's
lead 2 ECG is shown. Which best characterizes this patient's rhythm?
with Expert Explanation (2026/2027
Update) Complete A+ Guide
Question: 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?
Options:
• give atropine 1mg
• establish IV
• do a 12 lead
• performed synchronized cardioversion
Correct Answer: performed synchronized cardioversion
Question: During post-cardiac arrest, which is recommended duration of targeted temp.
management after reaching the correct temperature range?
Options:
• at least 24 hours
• 0-8 hour
• at least 36 hours
• at least 48 hours
Correct Answer: at least 24 hours
Question: Which is the primary purpose of medical emergency team or rapid response
team?
Options:
• provide diagnostic consultation to emergency department patients
• provide online consultation to EMS personnel
• improving patient outcomes by identifying & treating early clinical deterioration
• improving care for patients admitted to critical care units
Correct Answer: improving patient outcomes by identifying & treating early clinical
deterioration
, Question: A patient is respiratory distress, 70/50, presents with lead 2 ECG shown.
appropriate treatment?
Options:
• defibrillation
• perform synchronized cardioversion
• administering adenosine 6mg IV pust
• perform vagal maneuvers
Correct Answer: perform synchronized cardioversion
Question: Which of these tests should be performed for a patient w/ suspected stroke w/in
25 mins of hospital arrival?
Options:
• coagulation studies
• cardiac enzymes
• noncontrast CT scan of the head
• 12 lead ECG
Correct Answer: noncontrast CT scan of the head
Question: Which of the following signs are likely indicator of cardiac arrest in an
unresponsive patient?
Options:
• slow, weak pulse rate
• cyanosis
• irregular, weak pulse
• agonal gasps
Correct Answer: agonal gasps
Question: A patient is being resuscitated in a very noisy environment. A team member
thinks he heard an order of 500mg of amiodarone IV. which is the best response from the
team member?
Answer: I have an order to give 500mg of amiodarone IV. Is this correct?
Question: Which is the recommended next step after a defibrillation attempt?
Answer: resume CPR, starting with chest compression
Question: A responder is caring for a patient with a history of congestive heart failure. The
patient is experiencing shortness of breath, 68/50 mmHg, heart rate 190/min. The patient's
lead 2 ECG is shown. Which best characterizes this patient's rhythm?
