ACLS HEARTCODE Final Exam |
2025/2026 Latest Edition
Real Exam-Based Questions and Verified Answers | 100%
Accuracy | Advanced Cardiovascular Life Support
Certification | Graded A+
Introduction
This resource includes 50+ verified multiple-choice questions and correct answers from the
most recent ACLS HEARTCODE Final Exam, fully aligned with AHA 2025/2026
guidelines. Content areas include recognition and early management of respiratory and
cardiac arrest, post–cardiac arrest care, acute coronary syndromes, and effective team
dynamics in resuscitation.
Answer Format
All correct answers are clearly marked in bold and green to enhance review efficiency and
support confident exam preparation.
Questions
1. A 48-year-old man becomes unresponsive with gasping breathing and
no clear pulse. What is the first action?
a) Wait until breathing stops and reassess pulse
b) Call for help and begin chest compressions
c) Administer epinephrine
d) Observe for 2 minutes
b) Call for help and begin chest compressions
Rationale: For an unresponsive patient with no pulse or gasping breathing, activate the
emergency response system and start chest compressions immediately.
2. What is the preferred method of epinephrine administration during
cardiac arrest?
a) Intramuscular
b) Intravenous or intraosseous
c) Subcutaneous
, d) Endotracheal
b) Intravenous or intraosseous
Rationale: IV or IO access is preferred for epinephrine administration during cardiac arrest
for rapid delivery.
3. Which rhythm requires immediate defibrillation?
a) Asystole
b) Pulseless ventricular tachycardia
c) Sinus bradycardia
d) Atrial fibrillation
b) Pulseless ventricular tachycardia
Rationale: Pulseless ventricular tachycardia is a shockable rhythm requiring immediate
defibrillation.
4. What is the recommended compression rate for high-quality CPR in
adults?
a) 60–80/min
b) 80–100/min
c) 100–120/min
d) 120–140/min
c) 100–120/min
Rationale: AHA guidelines recommend a compression rate of 100–120 per minute for
effective CPR.
5. A patient in cardiac arrest achieves return of spontaneous circulation
(ROSC). What is the next priority?
a) Administer amiodarone
b) Optimize ventilation and oxygenation
c) Defibrillate again
d) Start chest compressions
b) Optimize ventilation and oxygenation
Rationale: Post-ROSC care prioritizes maintaining adequate oxygenation and ventilation.
6. What is the initial joule setting for biphasic defibrillation in adult
cardiac arrest?
2025/2026 Latest Edition
Real Exam-Based Questions and Verified Answers | 100%
Accuracy | Advanced Cardiovascular Life Support
Certification | Graded A+
Introduction
This resource includes 50+ verified multiple-choice questions and correct answers from the
most recent ACLS HEARTCODE Final Exam, fully aligned with AHA 2025/2026
guidelines. Content areas include recognition and early management of respiratory and
cardiac arrest, post–cardiac arrest care, acute coronary syndromes, and effective team
dynamics in resuscitation.
Answer Format
All correct answers are clearly marked in bold and green to enhance review efficiency and
support confident exam preparation.
Questions
1. A 48-year-old man becomes unresponsive with gasping breathing and
no clear pulse. What is the first action?
a) Wait until breathing stops and reassess pulse
b) Call for help and begin chest compressions
c) Administer epinephrine
d) Observe for 2 minutes
b) Call for help and begin chest compressions
Rationale: For an unresponsive patient with no pulse or gasping breathing, activate the
emergency response system and start chest compressions immediately.
2. What is the preferred method of epinephrine administration during
cardiac arrest?
a) Intramuscular
b) Intravenous or intraosseous
c) Subcutaneous
, d) Endotracheal
b) Intravenous or intraosseous
Rationale: IV or IO access is preferred for epinephrine administration during cardiac arrest
for rapid delivery.
3. Which rhythm requires immediate defibrillation?
a) Asystole
b) Pulseless ventricular tachycardia
c) Sinus bradycardia
d) Atrial fibrillation
b) Pulseless ventricular tachycardia
Rationale: Pulseless ventricular tachycardia is a shockable rhythm requiring immediate
defibrillation.
4. What is the recommended compression rate for high-quality CPR in
adults?
a) 60–80/min
b) 80–100/min
c) 100–120/min
d) 120–140/min
c) 100–120/min
Rationale: AHA guidelines recommend a compression rate of 100–120 per minute for
effective CPR.
5. A patient in cardiac arrest achieves return of spontaneous circulation
(ROSC). What is the next priority?
a) Administer amiodarone
b) Optimize ventilation and oxygenation
c) Defibrillate again
d) Start chest compressions
b) Optimize ventilation and oxygenation
Rationale: Post-ROSC care prioritizes maintaining adequate oxygenation and ventilation.
6. What is the initial joule setting for biphasic defibrillation in adult
cardiac arrest?
