ADVANCED CARDIOVASCULAR LIFE SUPPORT
EXAM || MOST RECENT EXAM 2026|2027 ACTUAL
COMPLETE REAL EXAM QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED
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You have completed 2 min of CPR. The ECG monitor displays
the lead below (PEA) and the patient has no pulse. You partner
resumes chest compressions and an IV is in place. What
management step is your next priority? – ANSWER-Administer
1mg of epinephrine
A patient is in refractory ventricular fibrillation and has received
multiple appropriate defibrillation shocks, epinephrine 1 mg IV
twice, and an initial dose of 300 mg amiodarone IV. The patient
is intubated. A second dose of amiodarone is now called for.
The recommend second dose of amiodarone is ?
- ANSWER-150 mg IV push
A patient is in refractory ventricular fibrillation. High CPR is in
progress and shocks have been given. One dose of
epinephrine was given after the second shock. An anti
arrhythmic drug was given immediately after the the third
shock. What drug should the team leader request to be
prepared for administration next? - ANSWER-second dose of
epinephrine 1 mg
,A patient is in pulseless ventricular tachycardia. Two shocks
and 1 dose of epinephrine has been given. Which is the next
drug to anticipate to administer?
- ANSWER-amiodarone 300 mg
You are monitoring a patient with chest discomfort who
suddenly becomes
unresponsive. You observe the following rhythm on the
cardiac monitor. A
defibrillator is present. What is your first action? - ANSWER-
Give a single shock
A patient presents to the emergency department with new
onset of dizziness and fatigue. On examination, the patient's
heart rate is 35/min, the blood pressure is 70/50 mm Hg, the
respiratory rate is 22 breaths/min, and the oxygen saturation is
95%. What is the appropriate first medication? – ANSWER-
Atropine 0.5mg
A patient with dizziness and shortness of breath with a sinus
bradycardia of 40/min. The initial atropine dose was ineffective,
and your monitor/defibrillator is not equipped with a
transcutaneous pacemaker. What is the appropriate dose of
dopamine for this patient? - ANSWER-2 to 10 mcg/kg per
minute
A patient has sudden onset of dizziness. The patient's heart
rate is 180/min, blood pressure is 110/70 mm Hg, respiratory
,rate is 18 breaths/min, and pulse oximetry reading is 98% on
room air. The lead II ECG is shown below: - ANSWER-Vagal
maneuver.
A monitored patient in the ICU developed a sudden onset of
narrow-complex tachycardia at a rate of 220/min. The patient's
blood pressure is 128/58 mm Hg, the PETCO2 is 38 mm Hg, and
the pulse oximetry reading is 98%. There is vascular access at
the left internal jugular vein, and the patient has not been given
any vasoactive drugs. A 12-lead ECG confirms a
supraventricular tachycardia with no evidence of ischemia or
infarction. The heart rate has not responded to vagal
maneuvers. What is the next recommended intervention? -
ANSWER-Adenosine 6mg IV push
You are receiving a radio report from an EMS team en route
with a patient who may be having an acute stroke. The hospital
CT scanner is not working at this time. What should you do in
this situation? - ANSWER-Divert the patient to a hospital 15
minutes away with CT capabilities.
Choose an appropriate indication to stop or withhold
resuscitative efforts. -
ANSWER-Evidence of rigor
mortis.
A 49-year-old woman arrives in the emergency department with
persistent epigastric pain. She had been taking oral antacids
for the past 6 hours because she thought she had heartburn.
, The initial blood pressure is 118/72 mm Hg, the heart rate is
92/min and regular, the no labored respiratory rate is 14
breaths/min, and the pulse oximetry reading is 96%. Which is
the most appropriate intervention to perform next? - ANSWER-
Obtain a 12 lead ECG.
A patient in respiratory failure becomes apneic but continues to
have a strong pulse. The heart rate is dropping rapidly and now
shows a sinus bradycardia at
a rate of 30/min. What intervention has the highest priority? -
ANSWER-Simple
airway maneuvers and assisted
ventilations.
What is the appropriate procedure for endotracheal tube
suctioning after the appropriate catheter is selected? -
ANSWER-Suction during withdrawal but for no longer than 10
seconds.
While treating a patient with dizziness, a blood pressure of
68/30 mm Hg, and cool, clammy skin, you see this lead II ECG
rhythm:What is the first intervention
? - ANSWER-Atropine 0.5mg
A 68-year-old woman experienced a sudden onset of right arm
weakness. EMS personnel measure a blood pressure of 140/90
mm Hg, a heart rate of 78/min, a no labored respiratory rate of
14 breaths/min, and a pulse oximetry reading of 97%. The lead
II ECG displays sinus rhythm. What is the most appropriate