ACLS Re-certification Exam Questions and Verified Answers
100% - Latest 2025/2026
1. A pt with STEMI has ongoing chest dicomƒort. Heparin 4000 units IV bolus and
heparin inƒusion oƒ 1000 units/hr are being administered. The pt did not take ASA
because he has a hx oƒ gastritis, which was tx 5 years ago. What is the next
action?
A. Give ASA 160 to 325 mg to chew
B. Give clopidogrel 300 mg PO
C. Give enteric-coated ASA 75 mg PO
D. Give enteric-coated ASA 325 mg rectally: A. Give ASA 160 to 325 mg to chew
2. A pt is in pulseless ventricular tachycardia. 2 shocks and 1 dose oƒ epineph- rine
have been given. Which drug should be given next?
A. Adenosine 6 mg
B. Amiodarone 300 mg
C. Epinephrine 3 mg
D. Lidocaine 0.5 mg/kg: B. Amiodarone 300 mg
3. A pt is in cardiac arrest. V ƒib has been reƒractory to an initial shock. Iƒ no
pathway ƒor medication administration is in place, which method is preƒerred
A. Central line
B. Endotracheal tube
C. External Jugular vein
D. IV or IO: D. IV or IO
4. What is the indicatio ƒor the use oƒ Mg in cardiac arrest?
A. V tach associated with a normal QT interval
B. shock-reƒractory monomorphic v tach
C. Pulseless v tach-associated torsades de pointes
1/
13
, D. shock-reƒractory v ƒib: C. Pulseless v tach-associated torsades de pointes
5. You arrive on the scene with the code team. CRP is in progess. An AED
previously advised "no shock indicated." A rhythm chec now ƒinds asystole.
Aƒter resuming compressions, which action do you take next?
A. Call ƒor a pulse check
B. establish IV or IO access
C. Insert a laryneal airway
D. Perƒorm endotracheal intubation: B. establish IV or IO access
6. A pt is in cardiac arrest. V ƒib has been reƒractory to a second shock. Which drug
should be administered ƒirst?
2/
13
100% - Latest 2025/2026
1. A pt with STEMI has ongoing chest dicomƒort. Heparin 4000 units IV bolus and
heparin inƒusion oƒ 1000 units/hr are being administered. The pt did not take ASA
because he has a hx oƒ gastritis, which was tx 5 years ago. What is the next
action?
A. Give ASA 160 to 325 mg to chew
B. Give clopidogrel 300 mg PO
C. Give enteric-coated ASA 75 mg PO
D. Give enteric-coated ASA 325 mg rectally: A. Give ASA 160 to 325 mg to chew
2. A pt is in pulseless ventricular tachycardia. 2 shocks and 1 dose oƒ epineph- rine
have been given. Which drug should be given next?
A. Adenosine 6 mg
B. Amiodarone 300 mg
C. Epinephrine 3 mg
D. Lidocaine 0.5 mg/kg: B. Amiodarone 300 mg
3. A pt is in cardiac arrest. V ƒib has been reƒractory to an initial shock. Iƒ no
pathway ƒor medication administration is in place, which method is preƒerred
A. Central line
B. Endotracheal tube
C. External Jugular vein
D. IV or IO: D. IV or IO
4. What is the indicatio ƒor the use oƒ Mg in cardiac arrest?
A. V tach associated with a normal QT interval
B. shock-reƒractory monomorphic v tach
C. Pulseless v tach-associated torsades de pointes
1/
13
, D. shock-reƒractory v ƒib: C. Pulseless v tach-associated torsades de pointes
5. You arrive on the scene with the code team. CRP is in progess. An AED
previously advised "no shock indicated." A rhythm chec now ƒinds asystole.
Aƒter resuming compressions, which action do you take next?
A. Call ƒor a pulse check
B. establish IV or IO access
C. Insert a laryneal airway
D. Perƒorm endotracheal intubation: B. establish IV or IO access
6. A pt is in cardiac arrest. V ƒib has been reƒractory to a second shock. Which drug
should be administered ƒirst?
2/
13
