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ACLS Exam 2025–2026 – Verified Questions & Answers | AHA Guidelines | Mega Code Scenarios + ECG Rhythms | ACLS Study Guide

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ACLS Exam 2025–2026 | Verified Study Guide with Practice Questions, Mega Code Scenarios & AHA Algorithms Prepare for your ACLS (Advanced Cardiovascular Life Support) certification with this fully updated and clinically accurate 2025–2026 study guide, aligned with the latest American Heart Association (AHA) guidelines. This resource is designed for nurses, paramedics, medical students, and emergency care professionals preparing for initial ACLS certification or renewal. It includes realistic mega code scenarios, ECG rhythm strips, updated drug algorithms, and verified Q&A with rationales to guarantee success on the written and skills exams.

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Uploaded on
July 18, 2025
Number of pages
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Written in
2024/2025
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ACLS
Study online at https://quizlet.com/_fcepcj

1. What are the 5 components of 1) Compress the chest at least 2 inches (1/3 of the
high-quality CPR? chest) at a rate of 100-120/minute
2) Allow the chest to completely recoil after each
compression
3) Switch compressors about every 2 minutes
4) Minimize interruptions in compressions to 10
seconds or less
5) Avoid excessive ventilation

2. What are agonal gasps? Abnormal breathing, often sounding like a snort,
snore, or groan, that are an indication of cardiac
arrest (death) and are not an indication to stop CPR

3. What is the only way to monitor CPR PETCO2 (partial pressure of end-tidal carbon diox-
quality? ide) using waveform capnography

4. What should you do if you are uncer- start CPR
tain the patient has a pulse?

5. What are the H's and T's? (memory aid - Hypovolemia
for potential reversible causes of car- - Hypoxia
diac arrest) - Hydrogen ions (acidosis)
- Hypothermia
- Hypo/Hyperkalemia
- Tension pneumothorax
- Tamponade
- Toxins
- Thrombosis (pulmonary vs cardiac)

6. What are the 2 most common under- Hypovolemia and hypoxia
lying and potentially reversible causes
of PEA?

1/5

, ACLS
Study online at https://quizlet.com/_fcepcj

7. Describe the ACLS algorithm for car- - Defibrillate immediately
diac arrest due to Vfib or pulseless - CPR x 2 minutes
Vtach - Rhythm check --> defibrillate and give epi
- CPR x 2 minutes
- Rhythm check --> defibrillate and give amio-
darone
- CPR x 2 minutes




8. Describe the ACLS algorithm for car- - Give epinephrine ASAP
diac arrest due to asystole/PEA - CPR x 2 minutes before next rhythm check
- Give epinephrine every 3-5 minutes




9. What is the dose of epinephrine for epinephrine 1 mg IV/IO every 3-5 minutes
cardiac arrest?

10. What is the dose of amiodarone for - amiodarone IV/IO first dose 300 mg
cardiac arrest? - second dose 150 mg

11. Whatis the dose of lidocaine for car- - lidocaine IV/IO first dose 1-1.5 mg/kg
diac arrest? - second dose 0.5-0.75 mg/kg

12. What are some causes of bradycardia?
2/5

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