ACLS| Final Exam Simulation Set: Correctly Solved
Questions with Grading Assurance 2025/2026 (5.0 star
rating)
A postoperative patient in the ICU reports new chest pain. What actions have the
highest priority? - correct answer Obtain a 12-lead ECG and administer aspirin if not
contraindicated.
An 80-year-old woman presents to the emergency department with dizziness. She now
states she is asymptomatic after walking around. Her blood pressure is 102/72 mm Hg.
She is alert and oriented. Her lead II ECG is below. After you start an IV, what is the
next action? - correct answer Conduct a problem-focused history and physical
examination.
What is the recommended oral dose of aspirin for patients suspected of having one of
the acute coronary syndromes? - correct answer 160 to 325 mg
A responder is caring for a patient with a history of congestive heart failure. The patient
is experiencing shortness of breath, a blood pressure of 68/50 mm Hg, and a heart rate
of 190/min. The patient's lead II ECG is displayed below. - correct answer stable
supraventricular tachycardia
What is the most appropriate intervention for a rapidly deteriorating patient who has this
lead II ECG? - correct answer Synchronized cardioversion
What is the purpose of a medical emergency team (MET) or rapid response team
(RRT)? - correct answer Improving patient outcomes by identifying and treating early
clinical deterioration
What is the recommended assisted ventilation rate for patients in respiratory arrest with
a perfusing rhythm? - correct answer 10 to 12 breaths per minute
,Family members found a 45-year-old woman unresponsive in bed. The patient is
unconscious and in respiratory arrest. What is the recommended initial airway
management technique? - correct answer Performing a head tilt-chin lift maneuver
A patient in respiratory distress and with a blood pressure of 70/50 mm Hg presents with
the following lead II ECG rhythm:
What is the appropriate next intervention? - correct answer Synchronized
cardioversion
A patient has a witnessed loss of consciousness. The lead II ECG reveals this rhythm:
What is the appropriate next intervention? - correct answer Defibrillation
What is the recommended energy dose for biphasic synchronized cardioversion of atrial
fibrillation? - correct answer 120to200j
Which of the following is an acceptable method of selecting an appropriately sized
oropharyngeal airway (OPA)? - correct answer Measure from the corner of the mouth
to the angle of the mandible.
Which is a contraindication to nitroglycerin administration in the management of acute
coronary syndromes? - correct answer Right ventricular infarction and dysfunction
What is the recommended initial intervention for managing hypotension in the
immediate period after return of spontaneous circulation (ROSC)? - correct answer
Administration of IV or IO fluid bolus
Which is an appropriate and important intervention to perform for a patient who
achieves ROSC during an out-of-hospital resuscitation? - correct answer Transport the
patient to a facility capable of performing PCI.
What is the immediate danger of excessive ventilation during the post-cardiac arrest
period for patients who achieve ROSC? - correct answer Decreased cerebral blood
flow
,What is the recommended target temperature range for achieving therapeutic
hypothermia after cardiac arrest? - correct answer 32°C to 34°C
What is the recommended duration of therapeutic hypothermia after reaching the target
temperature? - correct answer 12 to 24 hours
What is the danger of routinely administering high concentrations of oxygen during the
post- cardiac arrest period for patients who achieve ROSC? - correct answer Potential
oxygen toxicity
What is the recommended dose of epinephrine for the treatment of hypotension in a
post- cardiac arrest patient who achieves ROSC? - correct answer 0.1 to 0.5 mcg/kg
per minute IV infusion
You have completed 2 min of CPR. The ECG monitor displays the lead below (PEA)
and the patient has no pulse. You partner resumes chest compressions and an IV is in
place. What management step is your next priority? - correct answer Administer 1mg
of epinephrine
A patient is in refractory ventricular fibrillation and has received multiple appropriate
defibrillation shocks, epinephrine 1 mg IV twice, and an initial dose of 300 mg
amiodarone IV. The patient is intubated. A second dose of amiodarone is now called for.
The recommend second dose of amiodarone is ? - correct answer 150 mg IV push
A patient is in refractory ventricular fibrillation. High CPR is in progress and shocks have
been given. One dose of epinephrine was given after the second shock. An anti
arrhythmic drug was given immediately after the the third shock. What drug should the
team leader request to be prepared for administration next? - correct answer second
dose of epinephrine 1 mg
A patient is in pulseless ventricular tachycardia. Two shocks and 1 dose of epinephrine
has been given. Which is the next drug to anticipate to administer? - correct answer
amiodarone 300 mg
, You are monitoring a patient with chest discomfort who suddenly becomes
unresponsive. You observe the following rhythm on the cardiac monitor. A defibrillator is
present. What is your first action? - correct answer Give a single shock
What do you do after return of spontaneous circulation - correct answer maintain O2
sat at 94%
Treat hypotension (fluids vasopressor)
12 lead EKG
If in coma consider hypothermia
If not in coma and ekg shows STEMI or AMI consider re-perfusion
What are the 5 h's and 5 t's - correct answer The Hs and Ts is a mnemonic used to aid
in remembering the possible reversible causes of cardiac arrest.[1] A variety of disease
processes can lead to a cardiac arrest; however, they usually boil down to one or more
of the "Hs and Ts".
Hypovolemia
Hypoxia
Hydrogen ion (acidosis)
Hypo/hyperkalemia
Hypothermia
Tension pneumothorax
Tamponade, cardiac
Toxins
Thrombosis, pulmonary (PE)
Thrombosis, coronary
Bradycardia require treatment when? - correct answer chest pain or shortness of
breath is present
Questions with Grading Assurance 2025/2026 (5.0 star
rating)
A postoperative patient in the ICU reports new chest pain. What actions have the
highest priority? - correct answer Obtain a 12-lead ECG and administer aspirin if not
contraindicated.
An 80-year-old woman presents to the emergency department with dizziness. She now
states she is asymptomatic after walking around. Her blood pressure is 102/72 mm Hg.
She is alert and oriented. Her lead II ECG is below. After you start an IV, what is the
next action? - correct answer Conduct a problem-focused history and physical
examination.
What is the recommended oral dose of aspirin for patients suspected of having one of
the acute coronary syndromes? - correct answer 160 to 325 mg
A responder is caring for a patient with a history of congestive heart failure. The patient
is experiencing shortness of breath, a blood pressure of 68/50 mm Hg, and a heart rate
of 190/min. The patient's lead II ECG is displayed below. - correct answer stable
supraventricular tachycardia
What is the most appropriate intervention for a rapidly deteriorating patient who has this
lead II ECG? - correct answer Synchronized cardioversion
What is the purpose of a medical emergency team (MET) or rapid response team
(RRT)? - correct answer Improving patient outcomes by identifying and treating early
clinical deterioration
What is the recommended assisted ventilation rate for patients in respiratory arrest with
a perfusing rhythm? - correct answer 10 to 12 breaths per minute
,Family members found a 45-year-old woman unresponsive in bed. The patient is
unconscious and in respiratory arrest. What is the recommended initial airway
management technique? - correct answer Performing a head tilt-chin lift maneuver
A patient in respiratory distress and with a blood pressure of 70/50 mm Hg presents with
the following lead II ECG rhythm:
What is the appropriate next intervention? - correct answer Synchronized
cardioversion
A patient has a witnessed loss of consciousness. The lead II ECG reveals this rhythm:
What is the appropriate next intervention? - correct answer Defibrillation
What is the recommended energy dose for biphasic synchronized cardioversion of atrial
fibrillation? - correct answer 120to200j
Which of the following is an acceptable method of selecting an appropriately sized
oropharyngeal airway (OPA)? - correct answer Measure from the corner of the mouth
to the angle of the mandible.
Which is a contraindication to nitroglycerin administration in the management of acute
coronary syndromes? - correct answer Right ventricular infarction and dysfunction
What is the recommended initial intervention for managing hypotension in the
immediate period after return of spontaneous circulation (ROSC)? - correct answer
Administration of IV or IO fluid bolus
Which is an appropriate and important intervention to perform for a patient who
achieves ROSC during an out-of-hospital resuscitation? - correct answer Transport the
patient to a facility capable of performing PCI.
What is the immediate danger of excessive ventilation during the post-cardiac arrest
period for patients who achieve ROSC? - correct answer Decreased cerebral blood
flow
,What is the recommended target temperature range for achieving therapeutic
hypothermia after cardiac arrest? - correct answer 32°C to 34°C
What is the recommended duration of therapeutic hypothermia after reaching the target
temperature? - correct answer 12 to 24 hours
What is the danger of routinely administering high concentrations of oxygen during the
post- cardiac arrest period for patients who achieve ROSC? - correct answer Potential
oxygen toxicity
What is the recommended dose of epinephrine for the treatment of hypotension in a
post- cardiac arrest patient who achieves ROSC? - correct answer 0.1 to 0.5 mcg/kg
per minute IV infusion
You have completed 2 min of CPR. The ECG monitor displays the lead below (PEA)
and the patient has no pulse. You partner resumes chest compressions and an IV is in
place. What management step is your next priority? - correct answer Administer 1mg
of epinephrine
A patient is in refractory ventricular fibrillation and has received multiple appropriate
defibrillation shocks, epinephrine 1 mg IV twice, and an initial dose of 300 mg
amiodarone IV. The patient is intubated. A second dose of amiodarone is now called for.
The recommend second dose of amiodarone is ? - correct answer 150 mg IV push
A patient is in refractory ventricular fibrillation. High CPR is in progress and shocks have
been given. One dose of epinephrine was given after the second shock. An anti
arrhythmic drug was given immediately after the the third shock. What drug should the
team leader request to be prepared for administration next? - correct answer second
dose of epinephrine 1 mg
A patient is in pulseless ventricular tachycardia. Two shocks and 1 dose of epinephrine
has been given. Which is the next drug to anticipate to administer? - correct answer
amiodarone 300 mg
, You are monitoring a patient with chest discomfort who suddenly becomes
unresponsive. You observe the following rhythm on the cardiac monitor. A defibrillator is
present. What is your first action? - correct answer Give a single shock
What do you do after return of spontaneous circulation - correct answer maintain O2
sat at 94%
Treat hypotension (fluids vasopressor)
12 lead EKG
If in coma consider hypothermia
If not in coma and ekg shows STEMI or AMI consider re-perfusion
What are the 5 h's and 5 t's - correct answer The Hs and Ts is a mnemonic used to aid
in remembering the possible reversible causes of cardiac arrest.[1] A variety of disease
processes can lead to a cardiac arrest; however, they usually boil down to one or more
of the "Hs and Ts".
Hypovolemia
Hypoxia
Hydrogen ion (acidosis)
Hypo/hyperkalemia
Hypothermia
Tension pneumothorax
Tamponade, cardiac
Toxins
Thrombosis, pulmonary (PE)
Thrombosis, coronary
Bradycardia require treatment when? - correct answer chest pain or shortness of
breath is present
