ACLS WRITTEN EXAM STUDY GUIDE 2026
150+ PRACTICE QUESTIONS AND CORRECT
ANSWERS WITH DETAILED RATIONALES
ADVANCED CARDIOVASCULAR LIFE
SUPPORT AHA CERTIFICATION EXAM
REVIEW
when do you consider cardioversion - CORRECT ANSWER -if persistent
tachycardia is causing:
hypotension
altered mental status
signs of shock
chest pain
acute heart failure
if persistent tachycardia does not present with symptoms what do you need
to consider - CORRECT ANSWER -wide QRS?
greater than 0.12 seconds
Your patient has been intubated. IV/IVO access is not available. Which
combination of drugs can be administered by endotracheal route? -
CORRECT ANSWER -Lidocaine, epinephrine, vasopressin
reentry supraventricular tachycardia - CORRECT ANSWER -
,polymorphic ventricular tachycardia - aka torsades - CORRECT ANSWER -
atrial fibrilation - CORRECT ANSWER -
sinus tachycardia - CORRECT ANSWER -
coarse ventricular fibrillation - CORRECT ANSWER -
atrial flutter - CORRECT ANSWER -
reentry supraventricular tachycardia - CORRECT ANSWER -
sinus bradycardia - CORRECT ANSWER -
monomorphic ventricular tachycardia - CORRECT ANSWER -
fine ventricular fibrillation - CORRECT ANSWER -
second degree AV block type 1 wenckenbach - CORRECT ANSWER -
second degree AV block mobitz type 2 - CORRECT ANSWER -
, third degree AV block - CORRECT ANSWER -
asystole - CORRECT ANSWER -
normal sinus rhythm - CORRECT ANSWER -
pulseless electrical activity - CORR You find an unresponsive pt. who is not
breathing. After activating the emergency response system, you determine
there is no pulse. What is your next action? - CORRECT ANSWER -Start
chest compressions of at least 100 per min.
You are evaluating a 58-year-old man with chest pain. The blood pressure
is 92/50 mm Hg, the heart rate is 92/min, the nonlabored respiratory rate
is 14 breaths/min, and the pulse oximetry reading is 97%. What assessment
step is most important now? - CORRECT ANSWER -Obtaining a 12 lead ECG.
What is the preferred method of access for epi administration during
cardiac arrest in most pts? - CORRECT ANSWER -Peripheral IV
An AED does not promptly analyze a rythm. What is your next step? -
CORRECT ANSWER -Begin chest compressions.
You have completed 2 minutes of CPR. The ECG monitor displays the lead
II rhythm below, and the patient has no pulse. Another member of your
team resumes chest compressions, and an IV is in place. What management
step is your next priority? - CORRECT ANSWER -Administer 1mg of
epinephrine
150+ PRACTICE QUESTIONS AND CORRECT
ANSWERS WITH DETAILED RATIONALES
ADVANCED CARDIOVASCULAR LIFE
SUPPORT AHA CERTIFICATION EXAM
REVIEW
when do you consider cardioversion - CORRECT ANSWER -if persistent
tachycardia is causing:
hypotension
altered mental status
signs of shock
chest pain
acute heart failure
if persistent tachycardia does not present with symptoms what do you need
to consider - CORRECT ANSWER -wide QRS?
greater than 0.12 seconds
Your patient has been intubated. IV/IVO access is not available. Which
combination of drugs can be administered by endotracheal route? -
CORRECT ANSWER -Lidocaine, epinephrine, vasopressin
reentry supraventricular tachycardia - CORRECT ANSWER -
,polymorphic ventricular tachycardia - aka torsades - CORRECT ANSWER -
atrial fibrilation - CORRECT ANSWER -
sinus tachycardia - CORRECT ANSWER -
coarse ventricular fibrillation - CORRECT ANSWER -
atrial flutter - CORRECT ANSWER -
reentry supraventricular tachycardia - CORRECT ANSWER -
sinus bradycardia - CORRECT ANSWER -
monomorphic ventricular tachycardia - CORRECT ANSWER -
fine ventricular fibrillation - CORRECT ANSWER -
second degree AV block type 1 wenckenbach - CORRECT ANSWER -
second degree AV block mobitz type 2 - CORRECT ANSWER -
, third degree AV block - CORRECT ANSWER -
asystole - CORRECT ANSWER -
normal sinus rhythm - CORRECT ANSWER -
pulseless electrical activity - CORR You find an unresponsive pt. who is not
breathing. After activating the emergency response system, you determine
there is no pulse. What is your next action? - CORRECT ANSWER -Start
chest compressions of at least 100 per min.
You are evaluating a 58-year-old man with chest pain. The blood pressure
is 92/50 mm Hg, the heart rate is 92/min, the nonlabored respiratory rate
is 14 breaths/min, and the pulse oximetry reading is 97%. What assessment
step is most important now? - CORRECT ANSWER -Obtaining a 12 lead ECG.
What is the preferred method of access for epi administration during
cardiac arrest in most pts? - CORRECT ANSWER -Peripheral IV
An AED does not promptly analyze a rythm. What is your next step? -
CORRECT ANSWER -Begin chest compressions.
You have completed 2 minutes of CPR. The ECG monitor displays the lead
II rhythm below, and the patient has no pulse. Another member of your
team resumes chest compressions, and an IV is in place. What management
step is your next priority? - CORRECT ANSWER -Administer 1mg of
epinephrine
