CPR - SPECIALTY CERTIFICATION EXAM
(ADVANCED CARDIOVASCULAR LIFE SUPPORT)
2026/2027 | SPECIALTY CERTIFICATION | 50
VERIFIED Q&A | PASS GUARANTEED – A+ GRADED
Section 1: BLS and High-Quality CPR (Q1–Q10)
1. A 62-year-old man collapses in a restaurant. A bystander confirms unresponsiveness and shouts
for help. According to the Adult Out-of-Hospital Chain of Survival, which link comes immediately
after activation of the emergency response system?
A. Rapid defibrillation
B. High-quality CPR
C. Advanced life support
D. Post–cardiac arrest care
Correct Answer: B
Rationale: The AHA adult out-of-hospital Chain of Survival begins with activation of the emergency
response system, followed by high-quality CPR, rapid defibrillation, advanced life support, and
integrated post–cardiac arrest care. High-quality CPR begins immediately after dispatch activation,
before defibrillation.
2. During CPR on an adult, what is the recommended compression rate?
A. 80–100 per minute
B. 100–120 per minute
C. 120–140 per minute
D. As fast as possible
Correct Answer: B
Rationale: Current AHA guidelines specify 100–120 compressions per minute to optimize coronary
perfusion while allowing full chest recoil. Rates below 100 compromise perfusion; rates above 120
reduce recoil and filling time.
3. What is the recommended compression depth for an adult?
A. At least 1 inch (2.5 cm)
B. At least 2 inches (5 cm) but no more than 2.4 inches (6 cm)
C. Approximately 1.5 inches (4 cm)
D. One-third of chest depth
Correct Answer: B
Rationale: Depth of at least 2 inches (5 cm) generates adequate cardiac output; depth greater than
2.4 inches increases injury risk without added benefit.
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4. During two-rescuer adult CPR, how often should rescuers switch compressor roles?
A. Every 30 seconds
B. Every 1 minute
C. Every 2 minutes or when fatigued
D. Only when the AED prompts
Correct Answer: C
Rationale: Switching at 2-minute intervals maintains compression quality and reduces fatigue-
related decay in depth and rate.
5. Interruptions in chest compressions should be limited to:
A. Less than 5 seconds for any reason
B. Less than 10 seconds except for rhythm analysis/shock
C. Less than 15 seconds to allow ventilation
D. Less than 20 seconds while moving the patient
Correct Answer: B
Rationale: Compressions should be interrupted for less than 10 seconds, except for rhythm analysis
and shock delivery. Longer interruptions reduce coronary perfusion pressure and survival.
6. A patient is in cardiac arrest and an advanced airway is in place. What is the recommended
ventilation rate?
A. 1 breath every 2–3 seconds
B. 1 breath every 5–6 seconds
C. 1 breath every 10 seconds
D. 2 breaths after every 30 compressions
Correct Answer: C
Rationale: Once an advanced airway is placed, ventilations are delivered asynchronously at 1 breath
every 6 seconds (10 breaths/min) for adults, without pausing compressions.
7. Which action best minimizes interruptions in chest compressions during defibrillation?
A. Perform pulse checks only after defibrillation
B. Continue CPR while the defibrillator is charging
C. Administer IV medications only when breaths are given
D. Continue to use the AED even after a manual defibrillator arrives
Correct Answer: B
Rationale: Continuing compressions while the defibrillator charges minimizes the pre-shock pause,
preserving coronary perfusion.
8. After delivering a shock from a manual defibrillator, what should you do immediately?
A. Check the pulse for 10 seconds
B. Resume chest compressions immediately
C. Wait for the monitor to reanalyze
D. Give 2 rescue breaths