1|Page
ACLS FINAL EXAM (FULL TEST) || 2025 ACTUAL
EXAM ALL QUESTIONS AND 100% CORRECT
ANSWERS GRADE A+|| LATEST AND COMPLETE
UPDATED VERSION 2025|| GUARANTEED
PASS!!!
A patient experiences cardiac arrest, and the resuscitation team initiates
ventilations using a bag-valve- mask (BVM) resuscitator. The development of
which condition during the provision of care would lead the team to suspect that
improper BVM technique is being used?
Hypertension
Esophageal injury
Pneumothorax
Rib fracture ANSWER- Pneumothorax
Complications can occur with the use of a BVM resuscitator due to improper
technique. Delivering excessive volume or ventilating too fast creates excessive
pressure that can damage the airways, lungs and other organs. Excessive volume
can lead to tension pneumothorax.
Assessment of a patient reveals an ETCO2 level of 55 mmHg and an arterial
oxygen saturation (SaO2) level of 88%. The provider would interpret these
findings as indicative of which condition?
Respiratory failure
Respiratory arrest
Cardiac arrest
Respiratory distress ANSWER- Respiratory failure
An SaO2 level of less than 90% (PaO2 of less than 50 mmHg) accompanied by
ETCO2 values greater than 50 mmHg is indicative of respiratory failure.
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A responsive patient is choking. What method should the provider use first to clear
the obstructed airway?
Back blows
Abdominal thrusts
Magill forceps extraction
Chest compressions ANSWER- Back blows
To clear an obstructed airway in a responsive adult, first provide up to 5 back
blows to clear the obstruction.
A patient arrives at the emergency department complaining of shortness of breath.
The patient has a long history of chronic obstructive pulmonary disease.
Assessment reveals respiratory failure. Which action would be the initial priority to
address the respiratory failure?
Establishment of vascular access
Delivery of supplemental oxygen via nasal cannula
Assisted ventilation with BVM resuscitator
Initiation of capnography ANSWER- Assisted ventilation with BVM resuscitator
Patients who cannot ventilate adequately despite an open airway or who have
insufficient respiratory effort require assisted ventilation initially provided via a
BVM resuscitator.
A 20-year-old man with respiratory depression is brought to the emergency
department by his parents. Opioid overdose is suspected, and an initial dose of
naloxone is administered at 10 p.m. The patient does not respond to this initial
dose. The team would expect to administer a second dose after how many minutes?
2 minutes
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4 minutes
6 minutes
8 minutes ANSWER- 2 minutes
The dose of naloxone may be repeated after 2 to 3 minutes.
Assessment of a patient in the emergency department reveals that the patient is
experiencing respiratory compromise. From the assessment, the team identifies that
the patient is in the earliest stage of this condition. Which stage would this be?
Respiratory distress
Respiratory failure
Respiratory arrest
Respiratory acidosis ANSWER- Respiratory distress
Respiratory compromise occurs along a continuum, beginning with respiratory
distress, progressing to respiratory failure and then to respiratory arrest.
The following capnogram is from a patient experiencing respiratory distress. At
which point in the waveform would the patient's ETCO2 level be measured?
B
C
D
E ANSWER- D
The ETCO2 value is measured at the end of exhalation (point D), which represents
the peak level.
, 4|Page
A person suddenly collapses while sitting in the sunroom of a healthcare facility. A
healthcare provider observes the event and hurries over to assess the situation. The
healthcare provider performs which assessment first?
Rapid assessment
Basic life support assessment
Secondary assessment
Primary assessment ANSWER- Rapid assessment
A systematic approach to assessment is necessary. The healthcare provider should
first perform a rapid assessment. A rapid assessment is a visual survey to ensure
safety, form an initial impression about the patient's condition (including looking
for life-threatening bleeding), and determine the need for additional resources. This
would be followed by a primary assessment and then a secondary assessment.
A patient is receiving ventilation support via bag-valve-mask (BVM) resuscitator.
Capnography is established and a blood gas is obtained to evaluate the adequacy of
the ventilations. Which arterial carbon dioxide (PaCO2) value signifies adequate
ventilations?
10 to 15 mmHg
20 to 25 mmHg
25 to 30 mmHg
35 to 45 mmHg ANSWER- 35 to 45 mmHg
Arterial carbon dioxide (PaCO2) values in the range of 35 to 45 mmHg confirm
adequacy of ventilation.
A resuscitation team is debriefing following a recent event. A patient experienced
cardiac arrest, and advanced life support was initiated. The patient required the
placement of an advanced airway to maintain airway patency. Which statement
indicates that the team performed high-quality CPR?
ACLS FINAL EXAM (FULL TEST) || 2025 ACTUAL
EXAM ALL QUESTIONS AND 100% CORRECT
ANSWERS GRADE A+|| LATEST AND COMPLETE
UPDATED VERSION 2025|| GUARANTEED
PASS!!!
A patient experiences cardiac arrest, and the resuscitation team initiates
ventilations using a bag-valve- mask (BVM) resuscitator. The development of
which condition during the provision of care would lead the team to suspect that
improper BVM technique is being used?
Hypertension
Esophageal injury
Pneumothorax
Rib fracture ANSWER- Pneumothorax
Complications can occur with the use of a BVM resuscitator due to improper
technique. Delivering excessive volume or ventilating too fast creates excessive
pressure that can damage the airways, lungs and other organs. Excessive volume
can lead to tension pneumothorax.
Assessment of a patient reveals an ETCO2 level of 55 mmHg and an arterial
oxygen saturation (SaO2) level of 88%. The provider would interpret these
findings as indicative of which condition?
Respiratory failure
Respiratory arrest
Cardiac arrest
Respiratory distress ANSWER- Respiratory failure
An SaO2 level of less than 90% (PaO2 of less than 50 mmHg) accompanied by
ETCO2 values greater than 50 mmHg is indicative of respiratory failure.
,2|Page
A responsive patient is choking. What method should the provider use first to clear
the obstructed airway?
Back blows
Abdominal thrusts
Magill forceps extraction
Chest compressions ANSWER- Back blows
To clear an obstructed airway in a responsive adult, first provide up to 5 back
blows to clear the obstruction.
A patient arrives at the emergency department complaining of shortness of breath.
The patient has a long history of chronic obstructive pulmonary disease.
Assessment reveals respiratory failure. Which action would be the initial priority to
address the respiratory failure?
Establishment of vascular access
Delivery of supplemental oxygen via nasal cannula
Assisted ventilation with BVM resuscitator
Initiation of capnography ANSWER- Assisted ventilation with BVM resuscitator
Patients who cannot ventilate adequately despite an open airway or who have
insufficient respiratory effort require assisted ventilation initially provided via a
BVM resuscitator.
A 20-year-old man with respiratory depression is brought to the emergency
department by his parents. Opioid overdose is suspected, and an initial dose of
naloxone is administered at 10 p.m. The patient does not respond to this initial
dose. The team would expect to administer a second dose after how many minutes?
2 minutes
,3|Page
4 minutes
6 minutes
8 minutes ANSWER- 2 minutes
The dose of naloxone may be repeated after 2 to 3 minutes.
Assessment of a patient in the emergency department reveals that the patient is
experiencing respiratory compromise. From the assessment, the team identifies that
the patient is in the earliest stage of this condition. Which stage would this be?
Respiratory distress
Respiratory failure
Respiratory arrest
Respiratory acidosis ANSWER- Respiratory distress
Respiratory compromise occurs along a continuum, beginning with respiratory
distress, progressing to respiratory failure and then to respiratory arrest.
The following capnogram is from a patient experiencing respiratory distress. At
which point in the waveform would the patient's ETCO2 level be measured?
B
C
D
E ANSWER- D
The ETCO2 value is measured at the end of exhalation (point D), which represents
the peak level.
, 4|Page
A person suddenly collapses while sitting in the sunroom of a healthcare facility. A
healthcare provider observes the event and hurries over to assess the situation. The
healthcare provider performs which assessment first?
Rapid assessment
Basic life support assessment
Secondary assessment
Primary assessment ANSWER- Rapid assessment
A systematic approach to assessment is necessary. The healthcare provider should
first perform a rapid assessment. A rapid assessment is a visual survey to ensure
safety, form an initial impression about the patient's condition (including looking
for life-threatening bleeding), and determine the need for additional resources. This
would be followed by a primary assessment and then a secondary assessment.
A patient is receiving ventilation support via bag-valve-mask (BVM) resuscitator.
Capnography is established and a blood gas is obtained to evaluate the adequacy of
the ventilations. Which arterial carbon dioxide (PaCO2) value signifies adequate
ventilations?
10 to 15 mmHg
20 to 25 mmHg
25 to 30 mmHg
35 to 45 mmHg ANSWER- 35 to 45 mmHg
Arterial carbon dioxide (PaCO2) values in the range of 35 to 45 mmHg confirm
adequacy of ventilation.
A resuscitation team is debriefing following a recent event. A patient experienced
cardiac arrest, and advanced life support was initiated. The patient required the
placement of an advanced airway to maintain airway patency. Which statement
indicates that the team performed high-quality CPR?
