ACLS POST EXAM VERSION1 ,2 & 3 ACTUAL
EXAM NEWEST 2025/2026 COMPLETE TEST-
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Version 1
A patient is brought into the emergency department with a suspected opioid overdose. The
patient is in cardiac arrest. Which action would be the team's priority?
Select the correct answer to this question.
Giving naloxone intravenously (IV)
Obtaining a 12-lead electrocardiogram (ECG)
Administering supplemental oxygen
Initiating high-quality CPR - Answer ✓✓Initiating high-quality CPR
Although no evidence supports any benefit to naloxone administration during cardiac arrest,
administration of naloxone during both respiratory and cardiac arrest is recommended when
opioid overdose is suspected. However, for a patient in cardiac arrest, high-quality CPR is
prioritized over the administration of naloxone.
TEST BANK 1
, ACLS POST EXAM VERSION 1,2 & 3
A patient with a diagnosis of ACS is experiencing cardiogenic shock. Which adjuvant therapy
would be contraindicated?
Select the correct answer to this question.
Direct thrombin inhibitor
β-Blockers
Glycoprotein IIb/IIIa inhibitors
Heparin - Answer ✓✓β-Blockers
The use of β-blockers is contraindicated in patients who are at risk for cardiogenic shock, low
cardiac output and acute heart failure.
A member of the resuscitation team is preparing to defibrillate a patient in cardiac arrest
using a biphasic defibrillator. The team member would set the energy dose according to the
manufacturer's recommendations, which is usually:
Select the correct answer to this question.
100 to 150 joules
120 to 200 joules
300 joules
360 joules - Answer ✓✓120 to 200 joules
When using a biphasic defibrillator, the energy dose should be set at 120 to 200 joules
A patient has experienced return of spontaneous circulation (ROSC) after cardiac arrest. The
healthcare team is conducting a secondary assessment to determine the possible cause of the
patient's cardiac arrest. The history reveals that before the arrest, the patient exhibited
TEST BANK 2
, ACLS POST EXAM VERSION 1,2 & 3
jugular venous distension, cyanosis, apnea and hyperresonance on percussion. The patient
was also difficult to ventilate during the response. The team would most likely suspect which
condition as the cause?
Select the correct answer to this question.
Tension pneumothorax
Cardiac tamponade
Acidosis
Hypothermia - Answer ✓✓Tension pneumothorax
Prearrest signs of tension pneumothorax in the advanced stage include jugular venous
distension, cyanosis, apnea and hyperresonance on percussion. Difficulty ventilating the
patient may also be a sign of tension pneumothorax.
A 40-year-old patient in the waiting room of the primary care provider's office approaches a
staff member and says, "I'm having really severe, crushing chest pain that is moving to both
my arms." The patient is diaphoretic and dyspneic. Which action would be appropriate for the
staff member to take?
Activate the emergency medical services system.
Take the patient to an exam room immediately.
Give the patient an aspirin.
Obtain a 12-lead ECG. - Answer ✓✓Activate the emergency medical services system.
A patient with dyspnea and a change in mental status arrives at the emergency department.
The healthcare team completes the necessary assessments and begins to care for the patient,
including initiating cardiac monitoring and pulse oximetry; providing supplemental oxygen
and ensuring adequate ventilation; and obtaining vascular access. The team reviews the
TEST BANK 3
, ACLS POST EXAM VERSION 1,2 & 3
patient's ECG rhythm strip, as shown in the following figure. Which agent would the team
most likely administer?
Amiodarone 150 mg over 10 minutes
Atropine 0.5 mg every 3 to 5 minutes
Dopamine 5 to 10 mcg/min
Epinephrine 2 to 10 mcg/min - Answer ✓✓Atropine 1 mg every 3 to 5 minutes
A patient is brought to the emergency department by their spouse. The spouse says, "I think
it's a stroke." The stroke team assesses the patient using the National Institutes of Health
Stroke Scale (NIHSS). Which area(s) would the team include in this assessment?
Select all correct options that apply.
Facial palsy
Level of consciousness
Language deficits
Visual function
Cranial nerve function - Answer ✓✓Level of consciousness,
Language deficits,
Visual function, & Facial palsy
A patient in cardiac arrest experiences return of spontaneous circulation. As part of post-
cardiac arrest care, the patient is receiving mechanical ventilation. Which finding(s) would
indicate the need for change in the ventilator settings to optimize the patient's ventilation and
oxygenation?
Select all correct options that apply.
TEST BANK 4