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AHA ACLS Written Certification Exam (2025 Edition): Realistic Practice Questions & Answer Guide for Advanced Cardiovascular Life Support Success

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This study guide provides a comprehensive review of commonly tested concepts found in the AHA ACLS Written Examination. It covers adult cardiac arrest algorithms, pharmacology, rhythm recognition, airway management, acute coronary syndromes, stroke management, team dynamics, and post–cardiac arrest care. The questions are designed as exam-style practice items to help healthcare professionals prepare for ACLS certification or recertification

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WRITTEN TEST ; AHA ACLS EXAM 2025 Real Exam Questions And
Answers
100% ACCURATE)

1. You find an unresponsive pt. who is not breathing. After

activating the emergency response system, you determine there is

no pulse. What is your next action? ans Start chest compressions of at least 100

per min.

2. You are evaluating a 58 year old man with chest pain. The BP is

92/50 and a heart rate of 92/min, non-labored respiratory rate is 14

breaths/min and the pulse O2 is 97%. What assessment step is most

important now? ans Obtaining a 12 lead ECG.


Identification of Chest Discomfort Suggestive of Ischemia

3. What is the preferred method of access for epi administration

during cardiac arrest in most pts? ans Peripheral IV

4. An AED does not promptly analyze a rythm. What is your next step?

ans Begin chest compressions.

5. You have completed 2 min of CPR. The ECG monitor displays the

lead below (PEA) and the pt. has no pulse. You partner resumes

chest compressions and an IV is in place. What management step is

your next priority? ans Administer 1mg of epinepherine

6. During a pause in CPR, you see a narrow complex rythm on the


, WRITTEN TEST ; AHA ACLS EXAM 2025 Real Exam Questions And
Answers
100% ACCURATE)

monitor. The pt. has no pulse. What is the next action? ans Resume

compressions

7. What is acommon but sometimes fatal mistake in cardiac

arrest manage-ment? ans Prolonged interruptions in chest compressions.

8. Which action is a componant of high-quality chest comressions?

ans Allowing com-plete chest recoil

9. Which action increases the chance of successful conversion of

ventricular fibrillation? ans Providing quality compressions immediately before a

defibrillation attempt.

10. Which situation BEST describes PEA? ans Sinus rythm without a pulse

11. What is the best strategy for perfoming high-quality CPR on a

pt.with an advanced airway in place? ans Provide continuous chest

compressionswithout pauses and 10 ventilations per minute.

12. 3 min after witnessing a cardiac arrest, one memeber of

your team in-serts an ET tube while another performs continuous

chest comressions. Dur-






, WRITTEN TEST ; AHA ACLS EXAM 2025 Real Exam Questions And
Answers
100% ACCURATE)

ing subsequent bentilation, you notice the presence of a wavefom

on the capnogrophy screen and a PETCO2 of 8 mm Hg. What is the

significance of this finding? ans Chest compressions may not be ettective.

13. The use of quantitative capnography in intubated pt's does

what? ans Allowsfor monitoring CPR quality

14. For the past 25 min, EMS crews have attempted resuscitation

of a pt who originally presented with V-FIB. After the 1st shock, the

ECG screen displayed asystole which has persisted despite 2 doses

of epi, a fluid bolus, and high quality CPR. What is your next treatment? ans

Consider terminating resuscitive ettorts after con-sulting medical control.

15. Which is a safe and effective practice within the defibrillation

sequence? ans Be sure O2 is NOT blowing over the pt's chest during shock.

16. During your assessment, your pt suddenly loses

consciousness. After call-ing for help and determining that the pt.

is not breathing, you are unsure whether the pt. has a pulse. What is

your next action? ans Begin chest compressions.

17. What is an advantage of using hands-free d-fib pads instead

of d-fib pad-dles? ans Hands-free allows for more rapid d-fib.

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