ACLS Post Test (Latest
2026/2027 Update) Complete
Questions and Guide Answers,
100% Verified Graded A+
1.
Question:
Which of these tests should be performed for a patient with suspected
stroke as soon as possible but no more than 20 minutes after hospital
arrival?
A. 12-lead ECG
B. Cardiac enzymes
C. Coagulation studies
D. Noncontrast CT scan of the head
Correct Answer:
D. Noncontrast CT scan of the head
Rationale:
A noncontrast CT scan of the head is the priority initial imaging study
for suspected acute stroke because it rapidly identifies or excludes
intracranial hemorrhage. This distinction is essential because
,fibrinolytic therapy may be appropriate for eligible patients with
ischemic stroke but can be dangerous in the presence of intracranial
bleeding. Rapid neuroimaging therefore supports timely selection of
the appropriate reperfusion strategy.
2.
Question:
Which is an acceptable method of selecting an appropriately sized
oropharyngeal airway?
A. Measure from the corner of the mouth to the angle of the mandible
B. Measure from the thyroid cartilage to the bottom of the earlobe
C. Estimate by using the formula weight (KG)/8 + 2
D. Estimate by using the size of the patient’s finger
Correct Answer:
A. Measure from the corner of the mouth to the angle of the mandible
Rationale:
An appropriately sized oropharyngeal airway can be estimated by
measuring from the corner of the mouth to the angle of the
mandible. This approximates the distance required for the airway
device to extend along the tongue and maintain airway patency. An
airway that is too short may not adequately relieve obstruction,
whereas one that is too long can traumatize the airway or worsen
obstruction.
3.
,Question:
You are caring for a patient with a suspected stroke whose symptoms
started 2 hours ago. The CT scan was normal with no signs of
hemorrhage. The patient does not have any contraindications to
fibrinolytic therapy. Which treatment approach is best for this patient?
A. Hold fibrinolytic therapy for 24 hours
B. Start fibrinolytic therapy as soon as possible
C. Order an echocardiogram before fibrinolytic administration
D. Wait for the results of the MRI
Correct Answer:
B. Start fibrinolytic therapy as soon as possible
Rationale:
An eligible patient with acute ischemic stroke should receive
fibrinolytic therapy as rapidly as possible after intracranial
hemorrhage has been excluded and treatment eligibility has been
established. The patient presented within the appropriate treatment
window, and delaying therapy for an MRI or echocardiogram could
unnecessarily reduce the potential benefit of reperfusion treatment.
4.
Question:
Which is the recommended next step after a defibrillation attempt?
A. Check the ECG for evidence of a rhythm
, B. Open the patient's airway
C. Determine if a carotid pulse is present
D. Resume CPR, starting with chest compressions
Correct Answer:
D. Resume CPR, starting with chest compressions
Rationale:
After a defibrillation attempt, CPR should immediately resume,
beginning with chest compressions. The goal is to minimize
interruptions in circulation and maintain coronary and cerebral
perfusion. The rhythm should not be checked immediately after the
shock because doing so delays CPR without improving the
effectiveness of the resuscitation sequence.
5.
Question:
Which of the following signs is a likely indicator of cardiac arrest in
an unresponsive patient?
A. Slow, weak pulse rate
B. Cyanosis
C. Agonal gasps
D. Irregular, weak pulse rate
Correct Answer:
C. Agonal gasps
2026/2027 Update) Complete
Questions and Guide Answers,
100% Verified Graded A+
1.
Question:
Which of these tests should be performed for a patient with suspected
stroke as soon as possible but no more than 20 minutes after hospital
arrival?
A. 12-lead ECG
B. Cardiac enzymes
C. Coagulation studies
D. Noncontrast CT scan of the head
Correct Answer:
D. Noncontrast CT scan of the head
Rationale:
A noncontrast CT scan of the head is the priority initial imaging study
for suspected acute stroke because it rapidly identifies or excludes
intracranial hemorrhage. This distinction is essential because
,fibrinolytic therapy may be appropriate for eligible patients with
ischemic stroke but can be dangerous in the presence of intracranial
bleeding. Rapid neuroimaging therefore supports timely selection of
the appropriate reperfusion strategy.
2.
Question:
Which is an acceptable method of selecting an appropriately sized
oropharyngeal airway?
A. Measure from the corner of the mouth to the angle of the mandible
B. Measure from the thyroid cartilage to the bottom of the earlobe
C. Estimate by using the formula weight (KG)/8 + 2
D. Estimate by using the size of the patient’s finger
Correct Answer:
A. Measure from the corner of the mouth to the angle of the mandible
Rationale:
An appropriately sized oropharyngeal airway can be estimated by
measuring from the corner of the mouth to the angle of the
mandible. This approximates the distance required for the airway
device to extend along the tongue and maintain airway patency. An
airway that is too short may not adequately relieve obstruction,
whereas one that is too long can traumatize the airway or worsen
obstruction.
3.
,Question:
You are caring for a patient with a suspected stroke whose symptoms
started 2 hours ago. The CT scan was normal with no signs of
hemorrhage. The patient does not have any contraindications to
fibrinolytic therapy. Which treatment approach is best for this patient?
A. Hold fibrinolytic therapy for 24 hours
B. Start fibrinolytic therapy as soon as possible
C. Order an echocardiogram before fibrinolytic administration
D. Wait for the results of the MRI
Correct Answer:
B. Start fibrinolytic therapy as soon as possible
Rationale:
An eligible patient with acute ischemic stroke should receive
fibrinolytic therapy as rapidly as possible after intracranial
hemorrhage has been excluded and treatment eligibility has been
established. The patient presented within the appropriate treatment
window, and delaying therapy for an MRI or echocardiogram could
unnecessarily reduce the potential benefit of reperfusion treatment.
4.
Question:
Which is the recommended next step after a defibrillation attempt?
A. Check the ECG for evidence of a rhythm
, B. Open the patient's airway
C. Determine if a carotid pulse is present
D. Resume CPR, starting with chest compressions
Correct Answer:
D. Resume CPR, starting with chest compressions
Rationale:
After a defibrillation attempt, CPR should immediately resume,
beginning with chest compressions. The goal is to minimize
interruptions in circulation and maintain coronary and cerebral
perfusion. The rhythm should not be checked immediately after the
shock because doing so delays CPR without improving the
effectiveness of the resuscitation sequence.
5.
Question:
Which of the following signs is a likely indicator of cardiac arrest in
an unresponsive patient?
A. Slow, weak pulse rate
B. Cyanosis
C. Agonal gasps
D. Irregular, weak pulse rate
Correct Answer:
C. Agonal gasps
