ACLS: FINAL TEST QUESTIONS AND
ANSWERS 2026 VERIFIED A+
◉ Begin chest compression.
Answer: An AED does not promptly analyze a rhythm. What is your
next step?
◉ Atrial Flutter
Answer:
◉ Indication: life threatening arrhythmia such as VF, pulse-less VT,
unresponsive to shock delivery, CPR, and vasopressin Precaution: Rapid
infusion can lead to hypotension Route: IV. Dosage: 300 mg, second
dose of 150 mg
Answer: Amiodarone
◉ Sinus Tachycardia
Answer: A pt. with *regular* narrow-complex QRS at a rate >150bpm
in which vagal maneuvers are ineffective should be given 6mg
adenosine IV
Synchronized cardioversion is indicated if the pt. is hypotensive, AMS,
shock, ischemic CP, or acute HF. dx rhythm?
◉ Responding to verbal commands
,Answer: Which condition is a contraindication to therapeutic
hypothermia during the post-cardiac arrest period for pt's who achieve
return of spontaneous circulation (ROSC)?
◉ Indication: Alternative use for amiodarone in cardiac arrest: VF/VT.
Precaution: discontinue if toxicity develop. Route: IV. Dosage: 1-1.5 mg
max 3mg.
Answer: Lidocaine
note: Lidocaine not a correct question choice on test
◉ Sinus Bradycardia
Sinus bradycardia can be treated with atropine at an initial dose of 0.5mg
*Not ALL cases of sinus brady needed to be treated with atropine! If pt.
is symptomatic (chest pain, SOB) it requires treatment.
Answer: dx rhythm?
◉ Do not give aspirin for at least 24 hours if tPA is administered.
Answer: 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 (ASA)?
◉ Second Degree Heart Block (Mobitz II)
, Answer:
◉ 120 - 200 J biphasic OR 200 J monophasic
Answer: energy shock for narrow irregular QRS? (afib)
◉ Divert the pt. to a hospital 15 min away with CT capabilities.
Answer: You receiving a radio report from an EMS team enroute with a
pt. who may be having a stroke. The hospital CT scanner is broken.
What should you do?
◉ Fine Ventricular Fibrillation...
VFib should be treated with defibrillation followed by 1mg epi if
necessary...and of course CPR
Answer: dx?
◉ Obtain a 12 lead ECG.
Answer: A 62 y/o male pt. in the ER says his heart is beating fast. No
chest pain or SOB. BP is 142/98, pulse rate is 200/min, reps rate is
14/min, O2 sats are 95 at room air. What should be the next evaluation?
◉ Epinephrine 1 mg
Answer: A patient is in cardiac arrest. Ventricular fibrillation has been
refractory to a second shock. Of the following, which drug and dose
should be administered first by the IV/IO route?
ANSWERS 2026 VERIFIED A+
◉ Begin chest compression.
Answer: An AED does not promptly analyze a rhythm. What is your
next step?
◉ Atrial Flutter
Answer:
◉ Indication: life threatening arrhythmia such as VF, pulse-less VT,
unresponsive to shock delivery, CPR, and vasopressin Precaution: Rapid
infusion can lead to hypotension Route: IV. Dosage: 300 mg, second
dose of 150 mg
Answer: Amiodarone
◉ Sinus Tachycardia
Answer: A pt. with *regular* narrow-complex QRS at a rate >150bpm
in which vagal maneuvers are ineffective should be given 6mg
adenosine IV
Synchronized cardioversion is indicated if the pt. is hypotensive, AMS,
shock, ischemic CP, or acute HF. dx rhythm?
◉ Responding to verbal commands
,Answer: Which condition is a contraindication to therapeutic
hypothermia during the post-cardiac arrest period for pt's who achieve
return of spontaneous circulation (ROSC)?
◉ Indication: Alternative use for amiodarone in cardiac arrest: VF/VT.
Precaution: discontinue if toxicity develop. Route: IV. Dosage: 1-1.5 mg
max 3mg.
Answer: Lidocaine
note: Lidocaine not a correct question choice on test
◉ Sinus Bradycardia
Sinus bradycardia can be treated with atropine at an initial dose of 0.5mg
*Not ALL cases of sinus brady needed to be treated with atropine! If pt.
is symptomatic (chest pain, SOB) it requires treatment.
Answer: dx rhythm?
◉ Do not give aspirin for at least 24 hours if tPA is administered.
Answer: 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 (ASA)?
◉ Second Degree Heart Block (Mobitz II)
, Answer:
◉ 120 - 200 J biphasic OR 200 J monophasic
Answer: energy shock for narrow irregular QRS? (afib)
◉ Divert the pt. to a hospital 15 min away with CT capabilities.
Answer: You receiving a radio report from an EMS team enroute with a
pt. who may be having a stroke. The hospital CT scanner is broken.
What should you do?
◉ Fine Ventricular Fibrillation...
VFib should be treated with defibrillation followed by 1mg epi if
necessary...and of course CPR
Answer: dx?
◉ Obtain a 12 lead ECG.
Answer: A 62 y/o male pt. in the ER says his heart is beating fast. No
chest pain or SOB. BP is 142/98, pulse rate is 200/min, reps rate is
14/min, O2 sats are 95 at room air. What should be the next evaluation?
◉ Epinephrine 1 mg
Answer: A patient is in cardiac arrest. Ventricular fibrillation has been
refractory to a second shock. Of the following, which drug and dose
should be administered first by the IV/IO route?
