AHA ACLS EXAM WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS|FREQUENTLY
TESTED QUESTIONS AND
SOLUTIONS|NEWEST|GUARANTEED
PASS 2026/2027
What is the proper ventilation rate for a pt. in cardiac arrest who has an advanced airway in place?
8-10 breaths per minute
A 62 y/o male pt. in the ER says his heart is beating fast. No chest pain or SOB. BP is 142/98, pulse rate is
200/min, reps rate is 14/min, O2 sets are 95 at room air. What should be the next evaluation?
Obtain a 12 lead ECG.
You are evaluating a 48 y/o male with crushing sub-sternal pain. He is cool, pale, diaphoretic, and slow
to respond to your questions. BP is 58/32, pulse is 190/min, resp rate is 18, and you are unable to obtain
an 02 sat due to no radial pulse. The ECG shows a wide complex tach rhythm. What intervention should
be next?
Synchronized cardioversion.
What is the initial priority for an unconscious pt. with any tachycardia on the monitor?
Determine if a pulse is present.
Which rhythm requires synchronized cardioversion?
Unstable SVT
What is the recommended dose for adenosine for pt's in refractory, but stable narrow complex
tachycardia?
12mg
What is the usual post-cardiac arrest target range for PETCO2 who achieves return of spontaneous
circulation (ROSC)?
35-40mm Hg
Which condition is a contraindication to therapeutic hypothermia during the post-cardiac arrest period
for pt's who achieve return of spontaneous circulation (ROSC)?
Responding to verbal commands
1|Page
,What is the potential danger to using ties that pass circumferentially around the pt's neck when securing
an advanced airway?
Obstruction of venous return from the brain
What is the most reliable method of confirming and monitoring correct placement of an ET tube?
Continuous waveform capnography
What is the recommended IV fluid (NS or LR) bolus dose for a pt. who achieves ROSC but is hypotensive
during the post-cardiac arrest period?
1 to 2 Liters
What is the minimum systolic BP one should attempt to achieve with fluid, Inotropic, or vasopressor
administration in a hypotensive post-cardiac arrest who achieves ROSC?
90mm Hg
What is the 1st treatment priority for a pt. who achieves ROSC?
Optimizing ventilation and oxygenation.
Which is an appropriate and important intervention to perform for a patient who achieves ROSC during
an out-of-hospital resuscitation?
Transport the patient to a facility capable of performing PCI.
What is the recommended oral dose of aspirin for patients suspected of having one of the acute
coronary syndromes?
160 to 325 mg
Administer Oxygen and Drugs: Aspirin (Acetylsalicylic Acid)
An 80-year-old woman presents to the emergency department with dizziness. She now states she is
asymptomatic after walking around. Her blood pressure is 102/72 mm Hg. She is alert and oriented. Her
lead II ECG is above. After you start an IV, what is the next action?
(3rd degree heart block)
Conduct a problem-focused history and physical examination.
BLS and ACLS surveys
IV/IO drug administration during CPR should be
Given rapidly during compressions
Routes of Access for Drugs
Which treatment or medication is appropriate for the treatment of a patient in asystole?
2|Page
, Epinephrine
Administer Vasopressors
Which of the following is the recommended first choice for establishing intravenous access during the
attempted resuscitation of a patient in cardiac arrest?
Antecubital vein
A team leader orders 1 mg of epinephrine and a team member verbally acknowledges when the
medication is administered. What element of effective resuscitation team dynamics does this
represent?
Closed-loop communication
After verifying the absence of a pulse, you initiate CPR with adequate bag-mask ventilation. The
patient's lead II ECG appears above. What is your next action?
IV or IO access
The PEA Pathway of the Cardiac Arrest Algorithm
What is the recommended first intravenous dose of amiodarone for a patient with refractory ventricular
fibrillation?
300 mg
Shock and Antiarrhythmic
A 49-year-old man has retrosternal chest pain radiating into the left arm. The patient is diaphoretic, with
associated shortness of breath. The blood pressure is 130/88 mm Hg, the heart rate is 110/min, the
respiratory rate is 22 breaths/min, and the pulse oximetry value is 95%. The patient's 12-lead ECG shows
ST-segment elevation in the anterior leads. First responders administered 160 mg of aspirin, and there is
a patent peripheral IV. The pain is described as an 8 on a scale of 1 to 10 and is unrelieved after 3 doses
of nitroglycerin. What is the next action?
Administer 2 to 4 mg of morphine by slow IV bolus
Administer Oxygen and Drugs: Morphine
Which finding is a sign of ineffective CPR?
PETCO2 <10 mm Hg
Physiologic Monitoring During CPR
A postoperative patient in the ICU reports new chest pain. What actions have the highest priority?
Obtain a 12-lead ECG and administer aspirin if not contraindicated.
EMS Assessment, Care, and Hospital Preparation
3|Page
CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS|FREQUENTLY
TESTED QUESTIONS AND
SOLUTIONS|NEWEST|GUARANTEED
PASS 2026/2027
What is the proper ventilation rate for a pt. in cardiac arrest who has an advanced airway in place?
8-10 breaths per minute
A 62 y/o male pt. in the ER says his heart is beating fast. No chest pain or SOB. BP is 142/98, pulse rate is
200/min, reps rate is 14/min, O2 sets are 95 at room air. What should be the next evaluation?
Obtain a 12 lead ECG.
You are evaluating a 48 y/o male with crushing sub-sternal pain. He is cool, pale, diaphoretic, and slow
to respond to your questions. BP is 58/32, pulse is 190/min, resp rate is 18, and you are unable to obtain
an 02 sat due to no radial pulse. The ECG shows a wide complex tach rhythm. What intervention should
be next?
Synchronized cardioversion.
What is the initial priority for an unconscious pt. with any tachycardia on the monitor?
Determine if a pulse is present.
Which rhythm requires synchronized cardioversion?
Unstable SVT
What is the recommended dose for adenosine for pt's in refractory, but stable narrow complex
tachycardia?
12mg
What is the usual post-cardiac arrest target range for PETCO2 who achieves return of spontaneous
circulation (ROSC)?
35-40mm Hg
Which condition is a contraindication to therapeutic hypothermia during the post-cardiac arrest period
for pt's who achieve return of spontaneous circulation (ROSC)?
Responding to verbal commands
1|Page
,What is the potential danger to using ties that pass circumferentially around the pt's neck when securing
an advanced airway?
Obstruction of venous return from the brain
What is the most reliable method of confirming and monitoring correct placement of an ET tube?
Continuous waveform capnography
What is the recommended IV fluid (NS or LR) bolus dose for a pt. who achieves ROSC but is hypotensive
during the post-cardiac arrest period?
1 to 2 Liters
What is the minimum systolic BP one should attempt to achieve with fluid, Inotropic, or vasopressor
administration in a hypotensive post-cardiac arrest who achieves ROSC?
90mm Hg
What is the 1st treatment priority for a pt. who achieves ROSC?
Optimizing ventilation and oxygenation.
Which is an appropriate and important intervention to perform for a patient who achieves ROSC during
an out-of-hospital resuscitation?
Transport the patient to a facility capable of performing PCI.
What is the recommended oral dose of aspirin for patients suspected of having one of the acute
coronary syndromes?
160 to 325 mg
Administer Oxygen and Drugs: Aspirin (Acetylsalicylic Acid)
An 80-year-old woman presents to the emergency department with dizziness. She now states she is
asymptomatic after walking around. Her blood pressure is 102/72 mm Hg. She is alert and oriented. Her
lead II ECG is above. After you start an IV, what is the next action?
(3rd degree heart block)
Conduct a problem-focused history and physical examination.
BLS and ACLS surveys
IV/IO drug administration during CPR should be
Given rapidly during compressions
Routes of Access for Drugs
Which treatment or medication is appropriate for the treatment of a patient in asystole?
2|Page
, Epinephrine
Administer Vasopressors
Which of the following is the recommended first choice for establishing intravenous access during the
attempted resuscitation of a patient in cardiac arrest?
Antecubital vein
A team leader orders 1 mg of epinephrine and a team member verbally acknowledges when the
medication is administered. What element of effective resuscitation team dynamics does this
represent?
Closed-loop communication
After verifying the absence of a pulse, you initiate CPR with adequate bag-mask ventilation. The
patient's lead II ECG appears above. What is your next action?
IV or IO access
The PEA Pathway of the Cardiac Arrest Algorithm
What is the recommended first intravenous dose of amiodarone for a patient with refractory ventricular
fibrillation?
300 mg
Shock and Antiarrhythmic
A 49-year-old man has retrosternal chest pain radiating into the left arm. The patient is diaphoretic, with
associated shortness of breath. The blood pressure is 130/88 mm Hg, the heart rate is 110/min, the
respiratory rate is 22 breaths/min, and the pulse oximetry value is 95%. The patient's 12-lead ECG shows
ST-segment elevation in the anterior leads. First responders administered 160 mg of aspirin, and there is
a patent peripheral IV. The pain is described as an 8 on a scale of 1 to 10 and is unrelieved after 3 doses
of nitroglycerin. What is the next action?
Administer 2 to 4 mg of morphine by slow IV bolus
Administer Oxygen and Drugs: Morphine
Which finding is a sign of ineffective CPR?
PETCO2 <10 mm Hg
Physiologic Monitoring During CPR
A postoperative patient in the ICU reports new chest pain. What actions have the highest priority?
Obtain a 12-lead ECG and administer aspirin if not contraindicated.
EMS Assessment, Care, and Hospital Preparation
3|Page
