1|P a g e
ACLS ACTUAL 2025 FINAL EXAM || LATEST FULLY
COVERED 2025-2026 UPDATE 250+ QUESTIONS AND
100% CORRECT ANSWERS ALREADY GRADED A+||
COMPLETE VERSION WITH VERIFIED SOLUTIONS||
ASSURED PASS!!
If your patient is not experiencing decompensating symptomatic tachycardia
(hypotension, AMS, etc.) and the QRS is NOT wide (0.12 seconds or more), what
is/are the next step(s). - CORRECT ANS>>-IV access and 12 lead EKG
-Vagal maneuvers
-Adenosine if regular
-BB or CCB
-Consider expert consultation
If your patient is not experiencing decompensating symptomatic tachycardia
(hypotension, AMS, etc.) and the QRS is wide (0.12 seconds or more), what is/are
the next step(s). - CORRECT ANS>>-IV access and 12 lead EKG
-Consider adenosine only if regular and monomorphic
-consider antiarrhythmic infusion
-consider expert consultation
Antiarrhythmic infusion options in the tachycardia algorithm - ANSWER>
procainamide, amiodarone, sotalol
Dosing of procainamide in the tachycardia algorithm - CORRECT ANS>>20-
50mg/min until arrythmia suppressed, hypotension ensues, QRS duration
increases >50%, or maximum dose of 17mg/kg is given
,2|P a g e
Maximum dose of procainamide in the tachycardia algorithm - ANSWER>
17mg/kg
rate of maintenance infusion of procainamide in the tachycardia algorithm -
CORRECT ANS>>1-4mg/min
If your patient has these underlying conditions, procainamide should be avoided in
the setting of tachycardia - CORRECT ANS>>prolonged QT or CHF
Dosing of amiodarone in the tachycardia algorithm - CORRECT ANS>>first dose
150mg over 10 minutes, repeat PRN
After an amiodarone infusion has been given in the setting of tachycardia, it should
be followed with a maintenance infusion of 1 mg/min for the first hours -
CORRECT ANS>>6
Dosing of sotalol in the tachycardia algorithm - CORRECT ANS>>100mg
(1.5mg/kg) over 5 mintues
If you patient has this underlying condition, sotalol should be avoided in the setting
of tachycardia - CORRECT ANS>>prolonged QT
A patient admitted to the ED with signs & symptoms of stroke. The stroke team
should complete a comprehensive neurologic assessment and obtain brain imaging
results within what time frame? - CORRECT ANS>>With in 20 mins
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? - CORRECT ANS>>Rapid
assessment
,3|P a g e
A patient is receiving ventilation support via BVM resuscitator. Capnography is
established & a blood gas is obtained to evaluate the adequacy of the ventilations.
Which PaO2 value signifies adequate ventilations? - CORRECT ANS>>35 - 45
mmHg
A patient experiences cardiac arrest & the resuscitation team initiates ventilations
using a BVM resuscitator. The development of which condition during the
provision care would lead the team to suspect that improper BVM technique is
being used? - CORRECT ANS>>Pneumothorax
A resuscitation team is debriefing following a recent event. A patient experienced
cardiac arrest & ALS was initiated. The patient required the placement of an
advanced airway to maintain airway latency. Which statement indicates that the
team performed high quality CPR? - CORRECT ANS>>We provided chest
compressions at a rate of 100-120 compressions/minute while giving 1 ventilation
Q 6secs. without pausing compressions.
Assessment of a patient reveals an ETCO2 level of 55mmHg & an SaO2 level of
88%. The provider would interpret these findings as indicative of which condition?
- CORRECT ANS>>Respiratory failure
A responsive patient is choking. What method should the provider use first to clear
the obstructed airway? - CORRECT ANS>>Back blows
A patient arrives at the ED complaining of SOB. The patient has a long history of
COPD. Assessment reveals respiratory failure. Which action would be the initial
priority to address the respiratory failure? - CORRECT ANS>>Assisted
ventilation with BVM resuscitator
A 20YO man with respiratory depression is brought to the ED by his parents.
Opioid OD is suspected & an initial dose of naloxone is administered at 10pm. The
, 4|P a g e
patient doesn't not respond to this initial dose. The team would expect to
administer a second dose after how many minutes? - CORRECT ANS>>2
minutes
Assessment of a patient in the ED 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? - CORRECT
ANS>>Respiratory distress
The following capnogram is from a patient experiencing respiratory distress. At
which point in the waveform would the patient's ETCO2 level be measured? -
CORRECT ANS>>D
Heart rates are typically if tachyarrhythmia - CORRECT
ANS>>150 or higher
Energy given for synchronized cardioversion if a narrow regular tachy rhythm is
present (e.g. atrial flutter. or SVT) - CORRECT ANS>>50-100J
Energy given for synchronized cardioversion if a narrow irregular tachy rhythm is
present (e.g atrial fibrillation) - CORRECT ANS>>120-200 J biphasic
(200J if monophasic)
Energy given for synchronized cardioversion if a wide regular tachy rhythm is
present (e.g. VT with a pulse) - CORRECT ANS>>100J
Energy given if a wide irregular tachy rhythm is present (e.g. VF or pVT) -
CORRECT ANS>>defibrillation dose (not syncronized) 120-200J depending on
manufacturer; 360J if monophasic
ACLS ACTUAL 2025 FINAL EXAM || LATEST FULLY
COVERED 2025-2026 UPDATE 250+ QUESTIONS AND
100% CORRECT ANSWERS ALREADY GRADED A+||
COMPLETE VERSION WITH VERIFIED SOLUTIONS||
ASSURED PASS!!
If your patient is not experiencing decompensating symptomatic tachycardia
(hypotension, AMS, etc.) and the QRS is NOT wide (0.12 seconds or more), what
is/are the next step(s). - CORRECT ANS>>-IV access and 12 lead EKG
-Vagal maneuvers
-Adenosine if regular
-BB or CCB
-Consider expert consultation
If your patient is not experiencing decompensating symptomatic tachycardia
(hypotension, AMS, etc.) and the QRS is wide (0.12 seconds or more), what is/are
the next step(s). - CORRECT ANS>>-IV access and 12 lead EKG
-Consider adenosine only if regular and monomorphic
-consider antiarrhythmic infusion
-consider expert consultation
Antiarrhythmic infusion options in the tachycardia algorithm - ANSWER>
procainamide, amiodarone, sotalol
Dosing of procainamide in the tachycardia algorithm - CORRECT ANS>>20-
50mg/min until arrythmia suppressed, hypotension ensues, QRS duration
increases >50%, or maximum dose of 17mg/kg is given
,2|P a g e
Maximum dose of procainamide in the tachycardia algorithm - ANSWER>
17mg/kg
rate of maintenance infusion of procainamide in the tachycardia algorithm -
CORRECT ANS>>1-4mg/min
If your patient has these underlying conditions, procainamide should be avoided in
the setting of tachycardia - CORRECT ANS>>prolonged QT or CHF
Dosing of amiodarone in the tachycardia algorithm - CORRECT ANS>>first dose
150mg over 10 minutes, repeat PRN
After an amiodarone infusion has been given in the setting of tachycardia, it should
be followed with a maintenance infusion of 1 mg/min for the first hours -
CORRECT ANS>>6
Dosing of sotalol in the tachycardia algorithm - CORRECT ANS>>100mg
(1.5mg/kg) over 5 mintues
If you patient has this underlying condition, sotalol should be avoided in the setting
of tachycardia - CORRECT ANS>>prolonged QT
A patient admitted to the ED with signs & symptoms of stroke. The stroke team
should complete a comprehensive neurologic assessment and obtain brain imaging
results within what time frame? - CORRECT ANS>>With in 20 mins
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? - CORRECT ANS>>Rapid
assessment
,3|P a g e
A patient is receiving ventilation support via BVM resuscitator. Capnography is
established & a blood gas is obtained to evaluate the adequacy of the ventilations.
Which PaO2 value signifies adequate ventilations? - CORRECT ANS>>35 - 45
mmHg
A patient experiences cardiac arrest & the resuscitation team initiates ventilations
using a BVM resuscitator. The development of which condition during the
provision care would lead the team to suspect that improper BVM technique is
being used? - CORRECT ANS>>Pneumothorax
A resuscitation team is debriefing following a recent event. A patient experienced
cardiac arrest & ALS was initiated. The patient required the placement of an
advanced airway to maintain airway latency. Which statement indicates that the
team performed high quality CPR? - CORRECT ANS>>We provided chest
compressions at a rate of 100-120 compressions/minute while giving 1 ventilation
Q 6secs. without pausing compressions.
Assessment of a patient reveals an ETCO2 level of 55mmHg & an SaO2 level of
88%. The provider would interpret these findings as indicative of which condition?
- CORRECT ANS>>Respiratory failure
A responsive patient is choking. What method should the provider use first to clear
the obstructed airway? - CORRECT ANS>>Back blows
A patient arrives at the ED complaining of SOB. The patient has a long history of
COPD. Assessment reveals respiratory failure. Which action would be the initial
priority to address the respiratory failure? - CORRECT ANS>>Assisted
ventilation with BVM resuscitator
A 20YO man with respiratory depression is brought to the ED by his parents.
Opioid OD is suspected & an initial dose of naloxone is administered at 10pm. The
, 4|P a g e
patient doesn't not respond to this initial dose. The team would expect to
administer a second dose after how many minutes? - CORRECT ANS>>2
minutes
Assessment of a patient in the ED 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? - CORRECT
ANS>>Respiratory distress
The following capnogram is from a patient experiencing respiratory distress. At
which point in the waveform would the patient's ETCO2 level be measured? -
CORRECT ANS>>D
Heart rates are typically if tachyarrhythmia - CORRECT
ANS>>150 or higher
Energy given for synchronized cardioversion if a narrow regular tachy rhythm is
present (e.g. atrial flutter. or SVT) - CORRECT ANS>>50-100J
Energy given for synchronized cardioversion if a narrow irregular tachy rhythm is
present (e.g atrial fibrillation) - CORRECT ANS>>120-200 J biphasic
(200J if monophasic)
Energy given for synchronized cardioversion if a wide regular tachy rhythm is
present (e.g. VT with a pulse) - CORRECT ANS>>100J
Energy given if a wide irregular tachy rhythm is present (e.g. VF or pVT) -
CORRECT ANS>>defibrillation dose (not syncronized) 120-200J depending on
manufacturer; 360J if monophasic
