ACLS
EXAM VERSION C
Actual Questions and Answers
100% Guarantee Pass
This Exam contains:
➢ 50 Questions and Answers
➢ Multiple-Choice (A–D), For Each Question.
➢ Each Question Includes The Correct Answer
➢ Rationale That Aligns with ACLS 2025 Principles.
,### 1.
Your ALS team is dispatched for a 70-year-old woman who suddenly
collapsed while on her morning jog. Bystander CPR was performed and the
patient did not respond to initial BLS, including initial defibrillation with an
AED. The scene is safe. As Team Leader, you conduct the primary
assessment, including rhythm analysis, while high-quality BLS continues.
What type of rhythm is being displayed on the monitor?
A) Ventricular Tachycardia (VT)
B) Supraventricular Tachycardia (SVT)
C) Asystole
D) Ventricular Fibrillation (VF)
Answer: D) Ventricular Fibrillation (VF)
Explanation: VF is characterized by chaotic, irregular electrical activity with
no organized QRS complexes, typical in sudden cardiac arrest. Immediate
defibrillation is the priority. VT is more organized; SVT is a narrow-complex
tachycardia, and asystole is a flat line without electrical activity.
---
,### 2.
Based on the patient's condition, what is your next action?
A) Pause CPR to establish IV/IO access
B) Continue CPR while you establish IV/IO access
C) Continue CPR while delivering shock
D) Shock immediately
Answer: D) Shock immediately
Explanation: In shockable rhythms like VF, immediate defibrillation ("shock
immediately") is imperative for survival. CPR should be minimally
interrupted.
---
### 3.
After a shock is delivered, CPR resumes immediately. What action also needs
to be performed at this time?
A) Perform a second rhythm check
B) Administer amiodarone or lidocaine
C) Establish IV/IO access
D) Consider an advanced airway
Answer: C) Establish IV/IO access
Explanation: Once shock is delivered, CPR must continue immediately to
maintain perfusion. Establishing IV/IO access enables administration of
,medications like epinephrine or antiarrhythmics when needed. Rhythm
checks come only after 2 minutes of CPR.
---
### 4.
After 2 minutes, the team pauses CPR for a rhythm check. What rhythm is
now being demonstrated by the patient?
A) Asystole
B) Ventricular Tachycardia (VT)
C) Pulseless Electrical Activity (PEA)
D) Ventricular Fibrillation (VF)
Answer: A) Asystole
Explanation: Asystole appears as a flat or nearly flat line, indicating no
electrical activity and is non-shockable. VT and VF require defibrillation. PEA
has electrical activity but no pulse.
---
### 5.
,The patient is showing persistent pulseless ventricular tachycardia. What
actions need to be completed next by the team? (Place in the correct order):
- Shock immediately
- Resume CPR
- Administer epinephrine 1mg IV
- Consider an advanced airway
Answer:
1. Shock immediately
2. Resume CPR
3. Administer epinephrine 1 mg IV (after second shock)
4. Consider an advanced airway
Explanation: Immediate defibrillation followed by high-quality CPR is
paramount. Epinephrine is given after the second shock. An advanced airway
is considered when ventilation cannot be effectively maintained.
---
### 6.
At the next pulse check, compressors are switched, and rhythm continues to
be refractory ventricular fibrillation/ventricular tachycardia. A shock is
delivered and CPR is resumed. What is your next intervention?
A) Administer amiodarone 300 mg IV
B) Administer procainamide 15 to 18 mg/kg IV loading dose
C) Administer epinephrine 1 mg IV
Answer: A) Administer amiodarone 300 mg IV
, Explanation: After 3 defibrillations for refractory VF/VT, amiodarone
reduces arrhythmia recurrence. Epinephrine is given every 3-5 minutes.
Procainamide is alternative but less common.
---
### 7.
After 2 more minutes of CPR, you conduct a rhythm and pulse check
confirming absence of a pulse. The monitor shows organized rhythm.
Describe the patient’s condition:
A) Normal sinus rhythm
B) Pulseless Electrical Activity (PEA)
C) Sinus bradycardia
D) Junctional rhythm
Answer: B) Pulseless Electrical Activity (PEA)
Explanation: PEA presents as organized electrical rhythm but no palpable
pulse, indicating mechanical failure despite electrical activity.
---
EXAM VERSION C
Actual Questions and Answers
100% Guarantee Pass
This Exam contains:
➢ 50 Questions and Answers
➢ Multiple-Choice (A–D), For Each Question.
➢ Each Question Includes The Correct Answer
➢ Rationale That Aligns with ACLS 2025 Principles.
,### 1.
Your ALS team is dispatched for a 70-year-old woman who suddenly
collapsed while on her morning jog. Bystander CPR was performed and the
patient did not respond to initial BLS, including initial defibrillation with an
AED. The scene is safe. As Team Leader, you conduct the primary
assessment, including rhythm analysis, while high-quality BLS continues.
What type of rhythm is being displayed on the monitor?
A) Ventricular Tachycardia (VT)
B) Supraventricular Tachycardia (SVT)
C) Asystole
D) Ventricular Fibrillation (VF)
Answer: D) Ventricular Fibrillation (VF)
Explanation: VF is characterized by chaotic, irregular electrical activity with
no organized QRS complexes, typical in sudden cardiac arrest. Immediate
defibrillation is the priority. VT is more organized; SVT is a narrow-complex
tachycardia, and asystole is a flat line without electrical activity.
---
,### 2.
Based on the patient's condition, what is your next action?
A) Pause CPR to establish IV/IO access
B) Continue CPR while you establish IV/IO access
C) Continue CPR while delivering shock
D) Shock immediately
Answer: D) Shock immediately
Explanation: In shockable rhythms like VF, immediate defibrillation ("shock
immediately") is imperative for survival. CPR should be minimally
interrupted.
---
### 3.
After a shock is delivered, CPR resumes immediately. What action also needs
to be performed at this time?
A) Perform a second rhythm check
B) Administer amiodarone or lidocaine
C) Establish IV/IO access
D) Consider an advanced airway
Answer: C) Establish IV/IO access
Explanation: Once shock is delivered, CPR must continue immediately to
maintain perfusion. Establishing IV/IO access enables administration of
,medications like epinephrine or antiarrhythmics when needed. Rhythm
checks come only after 2 minutes of CPR.
---
### 4.
After 2 minutes, the team pauses CPR for a rhythm check. What rhythm is
now being demonstrated by the patient?
A) Asystole
B) Ventricular Tachycardia (VT)
C) Pulseless Electrical Activity (PEA)
D) Ventricular Fibrillation (VF)
Answer: A) Asystole
Explanation: Asystole appears as a flat or nearly flat line, indicating no
electrical activity and is non-shockable. VT and VF require defibrillation. PEA
has electrical activity but no pulse.
---
### 5.
,The patient is showing persistent pulseless ventricular tachycardia. What
actions need to be completed next by the team? (Place in the correct order):
- Shock immediately
- Resume CPR
- Administer epinephrine 1mg IV
- Consider an advanced airway
Answer:
1. Shock immediately
2. Resume CPR
3. Administer epinephrine 1 mg IV (after second shock)
4. Consider an advanced airway
Explanation: Immediate defibrillation followed by high-quality CPR is
paramount. Epinephrine is given after the second shock. An advanced airway
is considered when ventilation cannot be effectively maintained.
---
### 6.
At the next pulse check, compressors are switched, and rhythm continues to
be refractory ventricular fibrillation/ventricular tachycardia. A shock is
delivered and CPR is resumed. What is your next intervention?
A) Administer amiodarone 300 mg IV
B) Administer procainamide 15 to 18 mg/kg IV loading dose
C) Administer epinephrine 1 mg IV
Answer: A) Administer amiodarone 300 mg IV
, Explanation: After 3 defibrillations for refractory VF/VT, amiodarone
reduces arrhythmia recurrence. Epinephrine is given every 3-5 minutes.
Procainamide is alternative but less common.
---
### 7.
After 2 more minutes of CPR, you conduct a rhythm and pulse check
confirming absence of a pulse. The monitor shows organized rhythm.
Describe the patient’s condition:
A) Normal sinus rhythm
B) Pulseless Electrical Activity (PEA)
C) Sinus bradycardia
D) Junctional rhythm
Answer: B) Pulseless Electrical Activity (PEA)
Explanation: PEA presents as organized electrical rhythm but no palpable
pulse, indicating mechanical failure despite electrical activity.
---
