ACLS RECERTIFICATION QUESTIONS AND
ANSWERS PRACTICE SOLUTION SET 2026
TESTED QUESTIONS WITH VERIFIED ANSWERS
GRADE A
◉ Obtaining a 12 lead ECG. Answer: 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?
◉ Peripheral IV Answer: What is the preferred method of access for epi
administration during cardiac arrest in most pts?
◉ Begin chest compressions. Answer: An AED does not promptly
analyze a rythm. What is your next step?
◉ Administer 1mg of epinephrine Answer: 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?
◉ Resume compressions Answer: During a pause in CPR, you see this
lead II ECG rhythm on the monitor. The patient has no pulse. What is
the next action?
,◉ Prolonged interruptions in chest compressions. Answer: What is a
common but sometimes fatal mistake in cardiac arrest management?
◉ Allowing complete chest recoil Answer: Which action is a componant
of high-quality chest comressions?
◉ Providing quality compressions immediately before a defibrillation
attempt. Answer: Which action increases the chance of successful
conversion of ventricular fibrillation?
◉ Sinus rythm without a pulse Answer: Which situation BEST describes
pulseless electrical activity?
◉ Provide continuous chest compressions without pauses and 10
ventilations per minute. Answer: What is the BEST strategy for
performing high-quality CPR on a patient with an advanced airway in
place?
◉ Chest compressions may not be effective. Answer: Three minutes
after witnessing a cardiac arrest, one member of your team inserts an
endotracheal tube while another performs continuous chest
compressions. During subsequent ventilation, you notice the presence of
a waveform on the capnography screen and a PETCO2 level of 8 mm
Hg. What is the significance of this finding?
◉ allows for monitoring of CPR quality. Answer: The use of
quantitative capnography in intubated patients
, ◉ Consider terminating resuscitive efforts after consulting medical
control. Answer: For the past 25 minutes, an EMS crew has attempted
resuscitation of a patient who originally presented in ventricular
fibrillation. After the first shock, the ECG screen displayed asystole,
which has persisted despite 2 doses of epinephrine, a fluid bolus, and
high-quality CPR. What is your next treatment?
◉ Be sure oxygen is not blowing over the patient's chest during the
shock. Answer: Which is a safe and effective practice within the
defibrillation sequence?
◉ Begin chest compressions. Answer: During your assessment, your
patient suddenly loses consciousness. After calling for help and
determining that the patient is not breathing, you are unsure whether the
patient has a pulse. What is your next action?
◉ Hands-free pads allow for a more rapid defibrillation. Answer: What
is an advantage of using hands-free defibrillation pads instead of
defibrillation paddles?
◉ Continue CPR while charging the defibrillator. Answer: What action
is recommended to help minimize interruptions in chest compressions
during CPR?
◉ Early defibrillation Answer: Which action is included in the BLS
survey?
ANSWERS PRACTICE SOLUTION SET 2026
TESTED QUESTIONS WITH VERIFIED ANSWERS
GRADE A
◉ Obtaining a 12 lead ECG. Answer: 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?
◉ Peripheral IV Answer: What is the preferred method of access for epi
administration during cardiac arrest in most pts?
◉ Begin chest compressions. Answer: An AED does not promptly
analyze a rythm. What is your next step?
◉ Administer 1mg of epinephrine Answer: 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?
◉ Resume compressions Answer: During a pause in CPR, you see this
lead II ECG rhythm on the monitor. The patient has no pulse. What is
the next action?
,◉ Prolonged interruptions in chest compressions. Answer: What is a
common but sometimes fatal mistake in cardiac arrest management?
◉ Allowing complete chest recoil Answer: Which action is a componant
of high-quality chest comressions?
◉ Providing quality compressions immediately before a defibrillation
attempt. Answer: Which action increases the chance of successful
conversion of ventricular fibrillation?
◉ Sinus rythm without a pulse Answer: Which situation BEST describes
pulseless electrical activity?
◉ Provide continuous chest compressions without pauses and 10
ventilations per minute. Answer: What is the BEST strategy for
performing high-quality CPR on a patient with an advanced airway in
place?
◉ Chest compressions may not be effective. Answer: Three minutes
after witnessing a cardiac arrest, one member of your team inserts an
endotracheal tube while another performs continuous chest
compressions. During subsequent ventilation, you notice the presence of
a waveform on the capnography screen and a PETCO2 level of 8 mm
Hg. What is the significance of this finding?
◉ allows for monitoring of CPR quality. Answer: The use of
quantitative capnography in intubated patients
, ◉ Consider terminating resuscitive efforts after consulting medical
control. Answer: For the past 25 minutes, an EMS crew has attempted
resuscitation of a patient who originally presented in ventricular
fibrillation. After the first shock, the ECG screen displayed asystole,
which has persisted despite 2 doses of epinephrine, a fluid bolus, and
high-quality CPR. What is your next treatment?
◉ Be sure oxygen is not blowing over the patient's chest during the
shock. Answer: Which is a safe and effective practice within the
defibrillation sequence?
◉ Begin chest compressions. Answer: During your assessment, your
patient suddenly loses consciousness. After calling for help and
determining that the patient is not breathing, you are unsure whether the
patient has a pulse. What is your next action?
◉ Hands-free pads allow for a more rapid defibrillation. Answer: What
is an advantage of using hands-free defibrillation pads instead of
defibrillation paddles?
◉ Continue CPR while charging the defibrillator. Answer: What action
is recommended to help minimize interruptions in chest compressions
during CPR?
◉ Early defibrillation Answer: Which action is included in the BLS
survey?
