ACLS
OBJECTIVE ASSESSMENT - EXAM
AHA ACLS Final Exam Questions and Answers
with Explanation (Latest 2026/2027): Most
Comprehensive to Pass the Exam, 100% Verified
2026/2027
Certification Exam
50 100%
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
High-Quality CPR and AED Use ACLS Medications and Dosing
Airway Adjuncts and Ventilation Techniques Post-Arrest Targeted Temperature Management
Bradycardia and Tachycardia Algorithms Team Dynamics and Communication
COVER PAGE - 1
, SECTION 1 | BLS and CPR Fundamentals | Q1-Q10 | AHA ACLS Final Exam Questions and Answers with
Explanation (Latest 2026/2027): Most Comprehensive to Pass the Exam, 100% Verified 2026/2027 2026/2027
Q1 Question 1 of 50
A 68-year-old man collapses in the hospital cafeteria. A nurse finds him unresponsive
and not breathing normally. After activating the emergency response system, what is
the next immediate action the nurse should take before the AED arrives?
A. Check for a carotid pulse for no more than 15 seconds to confirm cardiac arrest.
B. Open the airway and provide two rescue breaths before starting compressions.
C. Place the patient in the recovery position while waiting for the code team.
D. Begin chest compressions at a rate of 100-120 per minute with a depth of at least 2 inches.
Correct Answer: B
Rationale:
The 2020 AHA Guidelines emphasize immediate high-quality CPR for unresponsive, non-breathing adults.
Compressions should begin at 100-120/min with depth of at least 2 inches (5 cm). Checking a pulse for
longer than 10 seconds delays compressions, and rescue breaths before compressions are no longer
recommended in the adult BLS sequence.
Q2 Question 2 of 50
During CPR on a 45-year-old woman, the team leader notices the compressor is
pushing too fast at approximately 140 compressions per minute. What is the primary
concern with excessively rapid compressions?
A. The patient is more likely to develop a tension pneumothorax.
B. The compressor will fatigue faster, requiring more frequent role changes.
C. The AED will not be able to analyze the rhythm accurately.
D. The chest may not fully recoil between compressions, reducing coronary perfusion.
Correct Answer: B
Rationale:
Compressions faster than 120/min often sacrifice adequate chest recoil and full compression depth.
Incomplete recoil reduces coronary perfusion pressure and diminishes the effectiveness of CPR. While
compressor fatigue is a concern, the primary physiological issue is inadequate recoil and depth at
excessive rates.
Final Exam Questions and Answers with Explanation (Latest 2026/2027): Most Comprehensive to Pass the Exam, 100% Verified 2026/2027 - 2026/2027 | Passing Score: 84
, SECTION 1 | BLS and CPR Fundamentals | Q1-Q10 | AHA ACLS Final Exam Questions and Answers with
Explanation (Latest 2026/2027): Most Comprehensive to Pass the Exam, 100% Verified 2026/2027 2026/2027
Q3 Question 3 of 50
A 3-year-old child is found unresponsive in a swimming pool. The rescuer activates
emergency response and finds the child is not breathing but has a palpable pulse of
50 beats per minute. What is the most appropriate next step?
A. Begin chest compressions immediately because the heart rate is below 60 bpm with poor
perfusion.
B. Deliver rescue breaths at a rate of 1 breath every 2-3 seconds while monitoring the pulse.
C. Apply the AED pads and analyze the rhythm before providing any ventilations.
D. Perform a blind finger sweep to clear any possible airway obstruction.
Correct Answer: B
Rationale:
In pediatric BLS, if the child has a pulse but is not breathing, provide rescue breaths at 1 breath every 2-3
seconds (20-30 breaths/min). Chest compressions are indicated for a heart rate below 60 bpm WITH signs
of poor perfusion, not based on rate alone. AED analysis is not indicated before ventilations in this
scenario.
Q4 Question 4 of 50
An AED is applied to a 72-year-old man in ventricular fibrillation. After the first shock
is delivered, the team should immediately resume what action?
A. Resume chest compressions immediately without rechecking the pulse.
B. Check for a pulse for 10 seconds to determine if the shock was successful.
C. Deliver a second shock at a higher energy level before resuming CPR.
D. Administer epinephrine 1 mg IV before resuming compressions.
Correct Answer: A
Rationale:
After any shock delivery, CPR should resume immediately starting with compressions. Pulse checks are
minimized to reduce interruptions in chest compressions. A second shock is not delivered without rhythm
reanalysis, and epinephrine is given during CPR per the timing in the algorithm, not immediately
post-shock.
Final Exam Questions and Answers with Explanation (Latest 2026/2027): Most Comprehensive to Pass the Exam, 100% Verified 2026/2027 - 2026/2027 | Passing Score: 84
OBJECTIVE ASSESSMENT - EXAM
AHA ACLS Final Exam Questions and Answers
with Explanation (Latest 2026/2027): Most
Comprehensive to Pass the Exam, 100% Verified
2026/2027
Certification Exam
50 100%
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
High-Quality CPR and AED Use ACLS Medications and Dosing
Airway Adjuncts and Ventilation Techniques Post-Arrest Targeted Temperature Management
Bradycardia and Tachycardia Algorithms Team Dynamics and Communication
COVER PAGE - 1
, SECTION 1 | BLS and CPR Fundamentals | Q1-Q10 | AHA ACLS Final Exam Questions and Answers with
Explanation (Latest 2026/2027): Most Comprehensive to Pass the Exam, 100% Verified 2026/2027 2026/2027
Q1 Question 1 of 50
A 68-year-old man collapses in the hospital cafeteria. A nurse finds him unresponsive
and not breathing normally. After activating the emergency response system, what is
the next immediate action the nurse should take before the AED arrives?
A. Check for a carotid pulse for no more than 15 seconds to confirm cardiac arrest.
B. Open the airway and provide two rescue breaths before starting compressions.
C. Place the patient in the recovery position while waiting for the code team.
D. Begin chest compressions at a rate of 100-120 per minute with a depth of at least 2 inches.
Correct Answer: B
Rationale:
The 2020 AHA Guidelines emphasize immediate high-quality CPR for unresponsive, non-breathing adults.
Compressions should begin at 100-120/min with depth of at least 2 inches (5 cm). Checking a pulse for
longer than 10 seconds delays compressions, and rescue breaths before compressions are no longer
recommended in the adult BLS sequence.
Q2 Question 2 of 50
During CPR on a 45-year-old woman, the team leader notices the compressor is
pushing too fast at approximately 140 compressions per minute. What is the primary
concern with excessively rapid compressions?
A. The patient is more likely to develop a tension pneumothorax.
B. The compressor will fatigue faster, requiring more frequent role changes.
C. The AED will not be able to analyze the rhythm accurately.
D. The chest may not fully recoil between compressions, reducing coronary perfusion.
Correct Answer: B
Rationale:
Compressions faster than 120/min often sacrifice adequate chest recoil and full compression depth.
Incomplete recoil reduces coronary perfusion pressure and diminishes the effectiveness of CPR. While
compressor fatigue is a concern, the primary physiological issue is inadequate recoil and depth at
excessive rates.
Final Exam Questions and Answers with Explanation (Latest 2026/2027): Most Comprehensive to Pass the Exam, 100% Verified 2026/2027 - 2026/2027 | Passing Score: 84
, SECTION 1 | BLS and CPR Fundamentals | Q1-Q10 | AHA ACLS Final Exam Questions and Answers with
Explanation (Latest 2026/2027): Most Comprehensive to Pass the Exam, 100% Verified 2026/2027 2026/2027
Q3 Question 3 of 50
A 3-year-old child is found unresponsive in a swimming pool. The rescuer activates
emergency response and finds the child is not breathing but has a palpable pulse of
50 beats per minute. What is the most appropriate next step?
A. Begin chest compressions immediately because the heart rate is below 60 bpm with poor
perfusion.
B. Deliver rescue breaths at a rate of 1 breath every 2-3 seconds while monitoring the pulse.
C. Apply the AED pads and analyze the rhythm before providing any ventilations.
D. Perform a blind finger sweep to clear any possible airway obstruction.
Correct Answer: B
Rationale:
In pediatric BLS, if the child has a pulse but is not breathing, provide rescue breaths at 1 breath every 2-3
seconds (20-30 breaths/min). Chest compressions are indicated for a heart rate below 60 bpm WITH signs
of poor perfusion, not based on rate alone. AED analysis is not indicated before ventilations in this
scenario.
Q4 Question 4 of 50
An AED is applied to a 72-year-old man in ventricular fibrillation. After the first shock
is delivered, the team should immediately resume what action?
A. Resume chest compressions immediately without rechecking the pulse.
B. Check for a pulse for 10 seconds to determine if the shock was successful.
C. Deliver a second shock at a higher energy level before resuming CPR.
D. Administer epinephrine 1 mg IV before resuming compressions.
Correct Answer: A
Rationale:
After any shock delivery, CPR should resume immediately starting with compressions. Pulse checks are
minimized to reduce interruptions in chest compressions. A second shock is not delivered without rhythm
reanalysis, and epinephrine is given during CPR per the timing in the algorithm, not immediately
post-shock.
Final Exam Questions and Answers with Explanation (Latest 2026/2027): Most Comprehensive to Pass the Exam, 100% Verified 2026/2027 - 2026/2027 | Passing Score: 84
