Ohio ACLS Instructor Practice Exam | 100 Verified Q&A with Rationales

Ohio Advanced Cardiac Life Support (ACLS)
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Instructor Practice Exam Questions And
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Correct Answers (Verified Answers) Plus
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Rationales 2026|2027 Q&A | Instant
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1. As an AHA ACLS Instructor candidate, which step is required
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bbefore teaching your first official AHA ACLS course?
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A. Obtain state medical license
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B. Be listed in the National Provider Database
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C. Complete the online, in-person, and monitoring portions of the
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b instructor course and receive an Instructor eCard
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D. Publish a peer-reviewed paper on resuscitation
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Rationale: Candidates must complete online + in-person + monitoring
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band receive their Instructor eCard as per AHA instructor
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brequirements.

,2. During adult cardiac arrest, what is the recommended initial action for
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ba witnessed sudden collapse with a monitored VF/pulseless VT?
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A. Provide 2 minutes of CPR before analyzing rhythm b b b b b b b




B. Deliver immediate defibrillation (unsynchronised shock) as soon
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b as a defibrillator is available
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C. Give 1 mg epinephrine IV/IO immediately then defibrillate
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D. Intubate before delivering the first shock b b b b b




Rationale: For witnessed sudden VF/pVT, immediate defibrillation is
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bprioritized; CPR should be resumed if defibrillator is not b b b b b b b b




bimmediately available. b




3. Which of the following is the correct epinephrine dosing during
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bcardiac arrest? b




A. 0.1 mg IV every 3–5 minutes
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B. 5 mg IV push once
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C. 1 mg IV/IO every 3–5 minutes
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D. 10 mg IV/IO every 2 minutes
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Rationale: AHA ACLS recommends epinephrine 1 mg IV/IO every 3–5
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bminutes during cardiac arrest. b b b




4. As an ACLS Instructor, which is the most appropriate objective when
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bteaching high-quality CPR? b b




A. Memorize medication doses only b b b




B. Focus only on rhythm recognition b b b b




C. Demonstrate chest compressions at proper rate, depth, full recoil b b b b b b b b

, and minimal interruptions
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D. Teach passive oxygenation techniques exclusively
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Rationale: High-quality CPR emphasizes rate (100–120/min), depth
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(~2–2.4 in adult), full recoil and minimal interruptions.
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5. For a patient in pulseless VF/pVT, after delivering the first shock and
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immediately resuming CPR, when should you administer the first
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dose of epinephrine if indicated?
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A. After the third shock only
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B. As soon as possible during CPR, usually after the first shock
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C. Only if rhythm converts to asystole
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D. Epinephrine is contraindicated in VF/pVT b b b b




Rationale: Epinephrine should be given as soon as feasible during
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ongoing CPR for non-shockable and also in shockable rhythms if
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ROSC not achieved.
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6. Which medication is recommended for refractory VF/pulseless VT
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after unsuccessful shocks and epinephrine administration?
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A. Lidocaine 20 mg/kg bolus b b b




B. Amiodarone 300 mg IV/IO bolus (first dose) b b b b b b




C. Adenosine 6 mg IV bolus b b b b




D. Procainamide 1 g IV push b b b b




Rationale: Amiodarone 300 mg IV/IO is recommended as first
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antiarrhythmic for refractory VF/pVT; lidocaine is alternative.
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, 7. What is the target oxygen saturation (SpO₂) during post-cardiac arrest
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bcare (after ROSC) according to AHA guidance?
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A. 100% at all times b b b




B. 85–90%
C. 92–98%
D. 75–85%
Rationale: Post-ROSC oxygenation target is typically 92–98% to avoid
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bhyperoxia while preventing hypoxia. b b b




8. As an instructor, when teaching adult bradycardia with signs of
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binstability (hypotension, altered mental status), which is the
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brecommended initial therapy? b b




A. Immediate synchronized cardioversion regardless of rhythm
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B. Atropine 0.5 mg IV every 3–5 minutes (up to 3 mg) while
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bpreparing for pacing or dopamine/epinephrine infusion
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C. Give adenosine 6 mg IV bolus
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D. No treatment is necessary unless asystole develops
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bRationale: For symptomatic bradycardia, atropine is first
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bdrug therapy; transcutaneous pacing and infusions
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b(dopamine/epinephrine) if ineffective. b b




9. During a simulated ACLS class, a candidate has poor chest compression
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btechnique. The most effective corrective teaching technique is:
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A. Give a long lecture about physiology
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B. Fail the candidate immediately with no feedback
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