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ACLS Exam Questions and Correct Answers | Advanced Cardiovascular Life Support Practice Test

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Prepare for ACLS certification or recertification with this comprehensive practice exam featuring multiple-choice questions and correct answers based on Advanced Cardiovascular Life Support (ACLS) guidelines. Topics include BLS fundamentals, high-quality CPR, airway management, cardiac arrest algorithms, bradycardia, tachycardia, acute coronary syndromes, stroke recognition, ECG rhythm interpretation, defibrillation, synchronized cardioversion, ACLS medications, post-cardiac arrest care, team dynamics, and emergency cardiovascular management. Ideal for nurses, physicians, paramedics, respiratory therapists, and other healthcare professionals preparing for ACLS exams.

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ACLS EXAM QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) Q&A 2026/2027 |INSTANT
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1. What is the first action when a healthcare provider finds an
adult patient unresponsive?
A. Administer epinephrine
B. Check blood glucose
C. Assess responsiveness and activate emergency response
system
D. Give oxygen immediately
Correct Answer: C. Assess responsiveness and activate
emergency response system
Rationale: The first step in ACLS is to recognize cardiac arrest,
check responsiveness, call for help, and activate the emergency
response system.


2. What is the recommended compression rate during adult
CPR?
A. 60–80 compressions/minute
B. 80–100 compressions/minute
C. 100–120 compressions/minute
D. 120–140 compressions/minute

,Correct Answer: C. 100–120 compressions/minute
Rationale: High-quality CPR requires chest compressions at a
rate of 100–120 per minute.


3. What is the recommended depth of chest compressions for
an adult patient?
A. About 1 inch
B. About 2 inches (5 cm)
C. About 3 inches
D. Less than 1 inch
Correct Answer: B. About 2 inches (5 cm)
Rationale: Adult chest compressions should be at least 5 cm
deep while avoiding excessive depth.


4. Which rhythm is considered shockable in cardiac arrest?
A. Asystole
B. Pulseless electrical activity (PEA)
C. Ventricular fibrillation (VF)
D. Sinus bradycardia
Correct Answer: C. Ventricular fibrillation (VF)
Rationale: VF and pulseless ventricular tachycardia are
shockable rhythms requiring defibrillation.

,5. Which medication is the first-line drug for cardiac arrest
management?
A. Atropine
B. Epinephrine
C. Adenosine
D. Amiodarone
Correct Answer: B. Epinephrine
Rationale: Epinephrine improves coronary and cerebral
perfusion during cardiac arrest and is given every 3–5 minutes.


6. What is the recommended epinephrine dose during adult
cardiac arrest?
A. 0.1 mg IV
B. 0.5 mg IV
C. 1 mg IV/IO
D. 5 mg IV
Correct Answer: C. 1 mg IV/IO
Rationale: ACLS recommends epinephrine 1 mg IV/IO every 3–5
minutes during cardiac arrest.


7. Which rhythm requires immediate defibrillation?
A. Asystole
B. Ventricular fibrillation

, C. Sinus rhythm
D. First-degree AV block
Correct Answer: B. Ventricular fibrillation
Rationale: VF is a chaotic rhythm that prevents effective
cardiac output and requires immediate shock.


8. What should be done immediately after delivering a shock
for VF/pulseless VT?
A. Check pulse for 2 minutes
B. Resume CPR beginning with chest compressions
C. Give atropine
D. Obtain a 12-lead ECG
Correct Answer: B. Resume CPR beginning with chest
compressions
Rationale: CPR should resume immediately after defibrillation
to maintain circulation.


9. Which medication is used for refractory ventricular
fibrillation or pulseless ventricular tachycardia?
A. Amiodarone
B. Furosemide
C. Calcium gluconate
D. Magnesium only

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