ACLS Final Exam
(PDF) Questions and Ansẉers with
rationales 2026\2027 update
This Exam contains:
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Questions and Ansẉers
format set of multiple-choice
Expert-Verified rationales
Verified ẉith trusted textbooks
,───────────────────────────────────────────────────────
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Which of the following is the correct rate for chest compressions in
adult CPR?
A) 80 to 100 per minute
B) 100 to 120 per minute
C) 120 to 140 per minute
D) 60 to 80 per minute
Answer: B
Rationale: The 2020 AHA guidelines state that the recommended
rate for chest compressions is 100 to 120 per minute for adults.
What is the recommended depth of chest compressions for an adult
patient?
A) At least 1.5 inches
B) At least 2 inches (5 cm)
C) At least 2.5 inches (6 cm)
D) At least 3 inches (7.5 cm)
Answer: B
Rationale: Adult chest compressions should be at least 2 inches (5
cm) deep, but no more than 2.4 inches (6 cm), allowing full chest
recoil.
During CPR, what is the target EtCO2 value that indicates high-
quality chest compressions?
A) 10 to 15 mm Hg
B) 15 to 20 mm Hg
C) 25 to 30 mm Hg
D) 35 to 45 mm Hg
Answer: C
Rationale: An EtCO2 of at least 25 to 30 mm Hg during CPR
suggests adequate chest compressions and perfusion. Values below
10 mm Hg indicate poor compression quality.
,You find an unresponsive adult patient. After activating the
emergency response system, what is your next action?
A) Check for a pulse for 10 seconds
B) Deliver 2 rescue breaths
C) Begin chest compressions
D) Open the airway and check for breathing
Answer: D
Rationale: Following the BLS assessment sequence, after ensuring
the scene is safe and activating emergency response, you should
open the airway and check for normal breathing and a pulse
simultaneously for no more than 10 seconds.
What is the recommended compression-to-ventilation ratio for 2-
rescuer adult CPR?
A) 15:1
B) 15:2
C) 30:1
D) 30:2
Answer: D
Rationale: The standard compression-to-ventilation ratio for adult
CPR with 2 rescuers is 30:2.
What is the primary purpose of the Primary Survey in the ACLS
systematic approach?
A) To obtain a detailed medical history
B) To identify and treat life-threatening conditions immediately
C) To determine the patient's long-term care plan
D) To perform a comprehensive physical exam
Answer: B
Rationale: The Primary Survey focuses on identifying and treating
immediate life-threatening issues (Airway, Breathing, Circulation,
Disability, Exposure).
, Which of the following is the first step in the ACLS Secondary
Survey?
A) Administer epinephrine
B) Obtain a 12-lead ECG
C) Perform a focused physical exam
D) Place the patient on a monitor
Answer: C
Rationale: The Secondary Survey involves a focused physical exam
and medical history, followed by a 12-lead ECG, and targeted
interventions.
What is the correct initial dose of epinephrine for adult cardiac
arrest?
A) 1 mg IV/IO
B) 2 mg IV/IO
C) 0.5 mg IV/IO
D) 5 mg IV/IO
Answer: A
Rationale: The standard dose of epinephrine for adult cardiac arrest
is 1 mg (10 mL of 1:10,000 solution) IV/IO, administered every 3 to
5 minutes.
How often should epinephrine be administered during adult cardiac
arrest?
A) Every 1 to 2 minutes
B) Every 3 to 5 minutes
C) Every 7 to 10 minutes
D) Only once
Answer: B
Rationale: Epinephrine 1 mg IV/IO is given every 3 to 5 minutes
during cardiac arrest.
(PDF) Questions and Ansẉers with
rationales 2026\2027 update
This Exam contains:
Guarantee passing score
Questions and Ansẉers
format set of multiple-choice
Expert-Verified rationales
Verified ẉith trusted textbooks
,───────────────────────────────────────────────────────
─
Which of the following is the correct rate for chest compressions in
adult CPR?
A) 80 to 100 per minute
B) 100 to 120 per minute
C) 120 to 140 per minute
D) 60 to 80 per minute
Answer: B
Rationale: The 2020 AHA guidelines state that the recommended
rate for chest compressions is 100 to 120 per minute for adults.
What is the recommended depth of chest compressions for an adult
patient?
A) At least 1.5 inches
B) At least 2 inches (5 cm)
C) At least 2.5 inches (6 cm)
D) At least 3 inches (7.5 cm)
Answer: B
Rationale: Adult chest compressions should be at least 2 inches (5
cm) deep, but no more than 2.4 inches (6 cm), allowing full chest
recoil.
During CPR, what is the target EtCO2 value that indicates high-
quality chest compressions?
A) 10 to 15 mm Hg
B) 15 to 20 mm Hg
C) 25 to 30 mm Hg
D) 35 to 45 mm Hg
Answer: C
Rationale: An EtCO2 of at least 25 to 30 mm Hg during CPR
suggests adequate chest compressions and perfusion. Values below
10 mm Hg indicate poor compression quality.
,You find an unresponsive adult patient. After activating the
emergency response system, what is your next action?
A) Check for a pulse for 10 seconds
B) Deliver 2 rescue breaths
C) Begin chest compressions
D) Open the airway and check for breathing
Answer: D
Rationale: Following the BLS assessment sequence, after ensuring
the scene is safe and activating emergency response, you should
open the airway and check for normal breathing and a pulse
simultaneously for no more than 10 seconds.
What is the recommended compression-to-ventilation ratio for 2-
rescuer adult CPR?
A) 15:1
B) 15:2
C) 30:1
D) 30:2
Answer: D
Rationale: The standard compression-to-ventilation ratio for adult
CPR with 2 rescuers is 30:2.
What is the primary purpose of the Primary Survey in the ACLS
systematic approach?
A) To obtain a detailed medical history
B) To identify and treat life-threatening conditions immediately
C) To determine the patient's long-term care plan
D) To perform a comprehensive physical exam
Answer: B
Rationale: The Primary Survey focuses on identifying and treating
immediate life-threatening issues (Airway, Breathing, Circulation,
Disability, Exposure).
, Which of the following is the first step in the ACLS Secondary
Survey?
A) Administer epinephrine
B) Obtain a 12-lead ECG
C) Perform a focused physical exam
D) Place the patient on a monitor
Answer: C
Rationale: The Secondary Survey involves a focused physical exam
and medical history, followed by a 12-lead ECG, and targeted
interventions.
What is the correct initial dose of epinephrine for adult cardiac
arrest?
A) 1 mg IV/IO
B) 2 mg IV/IO
C) 0.5 mg IV/IO
D) 5 mg IV/IO
Answer: A
Rationale: The standard dose of epinephrine for adult cardiac arrest
is 1 mg (10 mL of 1:10,000 solution) IV/IO, administered every 3 to
5 minutes.
How often should epinephrine be administered during adult cardiac
arrest?
A) Every 1 to 2 minutes
B) Every 3 to 5 minutes
C) Every 7 to 10 minutes
D) Only once
Answer: B
Rationale: Epinephrine 1 mg IV/IO is given every 3 to 5 minutes
during cardiac arrest.
