ACLS Post-Test 50 Questions & Answers update

ACLS Post-Test (2026\2027 update) 50 QUESTIONS AND
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ANSwers
Q1. A 48-year-
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old man became unresponsive shortly after presenting to you with nausea and generalized che
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st discomfort. You observe gasping breathing and are unsure if you feel a pulse. You should kn
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ow:
A. Callbforbhelpbandbbeginbchestbcompressions.
B. Waitbuntilbbreathingbstopsbandbthenbcheckbagainbforbabpulse.
C. Beginbchestbcompressionsbonlybifbyoubarebcertainbabpulsebisbabsent.
D. Observebthebpatientbforb2bminutes,bthenbreassessbhisbbreathingbandbpulse.-
ANS>>sA. Call for help and begin chest compressions.
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Q2. Which of the following is the most likely complication of inferior wall myocardial infarctio
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n (MI)?
b



A. Cardiogenicbshock
B. Ventricularbrupture
C. Bradydysrhythmias
D. Tachydysrhythmias-ANS>>sC.bBradydysrhythmias
Q3. A 52-year-
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old man is complaining of palpitations that came on suddenly after walking up a short flight of
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stairs. His symptoms have been present for about 20 minutes. He denies chest pain and is not
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short of breath. His skin is warm and dry; breath sounds are clear. His blood pressure (BP) is
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144/88 millimeters of mercury (mm Hg), his heart rate is 186 beats per minute (beats/min),
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and his ventilatory rate is 18 breaths/min. The cardiac monitor reveals the rhythm here. Vas
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cular access has been established. Which of the following medications is most appropriate in
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this situation?
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A. Dopamineborbsotalol
B. Furosemideborbatropine
C. Nitroglycerinb(NTG)borbmorphine
D. Procainamideborbamiodarone-ANS>>sD.bProcainamideborbamiodarone
Q4. Your general impression of a 78-year-
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old woman reveals that her eyes are closed, she is not moving, you can see no rise and fall of h
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er chest or abdomen, and her skincolor is pale. When you arrive at the patient’s side, you con
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firm that she is unresponsive. Your best action in this situation will be to:
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A. Openbherbairwaybandbgivebtwobbreaths.
B. Applybanbautomatedbexternalbdefibrillatorb(AED).

,C. Assessbbreathingbandbdeterminebwhetherbshebhasbabpulse.
D. Prepareb theb necessaryb equipmentb tob insertb anb advancedb airway.-
ANS>>sC. Assess breathing and determine whether she has a pulse.
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, Q5. A 60-year- b b


old woman has suffered a cardiac arrest. A health care professional trained in endotracheal in
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tubation has intubated the patient. Which of the following findings would indicate inadverte
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nt esophageal intubation?b b



A. Jugularbveinbdistention
B. Subcutaneousbemphysema
C. Gurglingbsoundsbheardboverbthebepigastrium
D. Breathb soundsb heardb onb onlyb oneb sideb ofb theb chest-
ANS>>sC. Gurgling sounds heard over the epigastrium b b b b b b



Q6. Hypotension (ie, a systolic BP of less than 90 mm Hg) after the return of spontaneous ci
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rculation (ROSC) may necessitate the use of: b b b b b b



A. Fluidbbolusesbandbisoproterenol.
B. Procainamide,bepinephrine,borbdopamine.
C. Epinephrine,bdopamine,borbnorepinephrine.
D. Fluidbboluses,bprocainamide,bandbisoproterenol.-
ANS>>sC. Epinephrine, dopamine, or norepinephrine. Q7. Which of the following is incorrect
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with regard to a postevent debriefing?
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A. The facilitator should use open-ended questions to encourage discussion.
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B. Teambmembersbarebencouragedbtobidentifyblessonsblearnedbinbabnonpunitivebenvironment.
C. Thebgatherbphasebofbthebdebriefingbincludesbabcomparisonbofbthebteam’sbactionsbwithbcurre
nt resuscitation algorithms.
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D. Teambmembersbarebgivenbanbopportunitybtobreflectbonbtheirbperformancebandbhowbtheirbpe
rformance can be improved.- b b b


ANS>>sC. The gather phase of the debriefing includes a comparison of the team's actions wit
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h current resuscitation algorithms.
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Q8. Assuming there are no contraindications, which of the following can be performed as an i
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nitial intervention for a stable but symptomatic patient with the rhythm shown?
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A. Defibrillation
B. Vagalbmaneuvers
C. Administrationbofbintravenousb(IV)bdiltiazem
D. AdministrationbofbIVbepinephrine-ANS>>sB.bVagalbmaneuvers
Q9. A 62-year- b b


old man received IV tissue plasminogen activator (tPA) 2 hours ago after a diagnosis of acute
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ischemic stroke. While assessing the patient’s vital signs, you observe swelling of the patient’s
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lips and tongue. Your best course of action will be to:
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30b/b36