ACLS Final Exam | 2025/2026 Actual Exam – 50 Verified
Questions and Correct Answers | Advanced
Cardiovascular Life Support Certification – Final
Assessment
Question 1
The treatment of choice for symptomatic bradycardia with signs of poor perfusion is:
A) Atropine 0.5 mg IV
B) Transcutaneous pacing
C) Dopamine infusion
D) Epinephrine infusion
Correct Answer: B) Transcutaneous pacing
Explanation: The treatment of choice for symptomatic bradycardia with signs of poor
perfusion is transcutaneous pacing. This is clearly stated in the file: "The treatment of
choice for symptomatic bradycardia with signs of poor perfusion is... - ANSWER:
Transcutaneous pacing." Transcutaneous pacing should be used when atropine is
ineffective or the patient is unstable.
Question 2
Which of the following statements about the use of magnesium in cardiac arrest is most
accurate?
A) Magnesium is indicated for all cases of cardiac arrest
B) Magnesium is indicated for VF/pulseless VT associated with torsades de pointes
C) Magnesium should be given routinely after every shock
D) Magnesium is contraindicated in cardiac arrest
,Correct Answer: B) Magnesium is indicated for VF/pulseless VT associated with
torsades de pointes
Explanation: The file states: "Which of the following statements about the use of
magnesium in cardiac arrest is most accurate? - ANSWER: Magnesium is indicated for
VF/pulseless VT associated with torsades de pointes." Magnesium sulfate is given 1-2 g
IV diluted in 10 mL D5W over 5-20 minutes, but only for torsades de pointes or
hypomagnesemia.
Question 3
A patient with ST-segment elevation MI has ongoing chest discomfort. Fibrinolytic
therapy has been ordered. Heparin 4000 units IV bolus was administered, and a heparin
infusion of 1000 units per hour is being administered. Aspirin was not taken by the
patient because he had a history of gastritis treated 5 years ago. Your next action is to:
A) Hold aspirin due to gastritis history
B) Give aspirin 160 to 325 mg chewed immediately
C) Administer clopidogrel instead
D) Wait for the fibrinolytic therapy to work
Correct Answer: B) Give aspirin 160 to 325 mg chewed immediately
Explanation: The file states: "Aspirin was not taken by the patient because he had a
history of gastritis treated 5 years ago. Your next action is to: ANSWER: Give aspirin 160
to 325 mg chewed immediately." Aspirin is critical for ACS patients; a history of gastritis
treated 5 years ago is not a contraindication.
Question 4
A patient has sinus bradycardia with a heart rate of 36/min. Atropine has been
administered to a total of 3 mg. A transcutaneous pacemaker has failed to capture. The
patient is confused, and her blood pressure is 110/60 mm Hg. Which of the following is
now indicated?
, A) Start dopamine 2-20 mcg/kg/min
B) Start epinephrine 2 to 10 mcg/min
C) Give a second dose of atropine
D) Perform immediate synchronized cardioversion
Correct Answer: B) Start epinephrine 2 to 10 mcg/min
Explanation: The file states: "A patient has sinus bradycardia with a heart rate of
36/min. Atropine has been administered to a total of 3mg. A transcutaneous pacemaker
has failed to capture. The patient is confused, and her blood pressure is 110/60 mm Hg.
Which of the following is now indicated? - ANSWER: Start epinephrine 2 to 10
mcg/min." When atropine and TCP fail, epinephrine infusion is indicated.
Question 5
A 62-year-old man suddenly experienced difficulty speaking and left-side weakness. He
was brought to the emergency department. He meets initial criteria for fibrinolytic
therapy, and a CT scan of the brain is ordered. What are the guidelines for antiplatelet
and fibrinolytic therapy?
A) Give aspirin immediately with rtPA
B) Do not give aspirin for at least 24 hours if rtPA is administered
C) Give aspirin only after the CT scan
D) Hold all antiplatelet therapy for 48 hours
Correct Answer: B) Do not give aspirin for at least 24 hours if rtPA is administered
Explanation: The file states: "A 62-year-old man suddenly experienced difficulty
speaking and left-side weakness. He was brought to the emergency department. He
meets initial criteria for fibrinolytic therapy, and a CT scan of the brain is ordered. What
are the guidelines for antiplatelet and fibrinolytic therapy - ANSWER: Do not give aspirin
for at least 24 hours if rtPA is administered." This prevents bleeding complications.
Question 6
Questions and Correct Answers | Advanced
Cardiovascular Life Support Certification – Final
Assessment
Question 1
The treatment of choice for symptomatic bradycardia with signs of poor perfusion is:
A) Atropine 0.5 mg IV
B) Transcutaneous pacing
C) Dopamine infusion
D) Epinephrine infusion
Correct Answer: B) Transcutaneous pacing
Explanation: The treatment of choice for symptomatic bradycardia with signs of poor
perfusion is transcutaneous pacing. This is clearly stated in the file: "The treatment of
choice for symptomatic bradycardia with signs of poor perfusion is... - ANSWER:
Transcutaneous pacing." Transcutaneous pacing should be used when atropine is
ineffective or the patient is unstable.
Question 2
Which of the following statements about the use of magnesium in cardiac arrest is most
accurate?
A) Magnesium is indicated for all cases of cardiac arrest
B) Magnesium is indicated for VF/pulseless VT associated with torsades de pointes
C) Magnesium should be given routinely after every shock
D) Magnesium is contraindicated in cardiac arrest
,Correct Answer: B) Magnesium is indicated for VF/pulseless VT associated with
torsades de pointes
Explanation: The file states: "Which of the following statements about the use of
magnesium in cardiac arrest is most accurate? - ANSWER: Magnesium is indicated for
VF/pulseless VT associated with torsades de pointes." Magnesium sulfate is given 1-2 g
IV diluted in 10 mL D5W over 5-20 minutes, but only for torsades de pointes or
hypomagnesemia.
Question 3
A patient with ST-segment elevation MI has ongoing chest discomfort. Fibrinolytic
therapy has been ordered. Heparin 4000 units IV bolus was administered, and a heparin
infusion of 1000 units per hour is being administered. Aspirin was not taken by the
patient because he had a history of gastritis treated 5 years ago. Your next action is to:
A) Hold aspirin due to gastritis history
B) Give aspirin 160 to 325 mg chewed immediately
C) Administer clopidogrel instead
D) Wait for the fibrinolytic therapy to work
Correct Answer: B) Give aspirin 160 to 325 mg chewed immediately
Explanation: The file states: "Aspirin was not taken by the patient because he had a
history of gastritis treated 5 years ago. Your next action is to: ANSWER: Give aspirin 160
to 325 mg chewed immediately." Aspirin is critical for ACS patients; a history of gastritis
treated 5 years ago is not a contraindication.
Question 4
A patient has sinus bradycardia with a heart rate of 36/min. Atropine has been
administered to a total of 3 mg. A transcutaneous pacemaker has failed to capture. The
patient is confused, and her blood pressure is 110/60 mm Hg. Which of the following is
now indicated?
, A) Start dopamine 2-20 mcg/kg/min
B) Start epinephrine 2 to 10 mcg/min
C) Give a second dose of atropine
D) Perform immediate synchronized cardioversion
Correct Answer: B) Start epinephrine 2 to 10 mcg/min
Explanation: The file states: "A patient has sinus bradycardia with a heart rate of
36/min. Atropine has been administered to a total of 3mg. A transcutaneous pacemaker
has failed to capture. The patient is confused, and her blood pressure is 110/60 mm Hg.
Which of the following is now indicated? - ANSWER: Start epinephrine 2 to 10
mcg/min." When atropine and TCP fail, epinephrine infusion is indicated.
Question 5
A 62-year-old man suddenly experienced difficulty speaking and left-side weakness. He
was brought to the emergency department. He meets initial criteria for fibrinolytic
therapy, and a CT scan of the brain is ordered. What are the guidelines for antiplatelet
and fibrinolytic therapy?
A) Give aspirin immediately with rtPA
B) Do not give aspirin for at least 24 hours if rtPA is administered
C) Give aspirin only after the CT scan
D) Hold all antiplatelet therapy for 48 hours
Correct Answer: B) Do not give aspirin for at least 24 hours if rtPA is administered
Explanation: The file states: "A 62-year-old man suddenly experienced difficulty
speaking and left-side weakness. He was brought to the emergency department. He
meets initial criteria for fibrinolytic therapy, and a CT scan of the brain is ordered. What
are the guidelines for antiplatelet and fibrinolytic therapy - ANSWER: Do not give aspirin
for at least 24 hours if rtPA is administered." This prevents bleeding complications.
Question 6
