AHA ACLS WRITTEN EXAM ACTUAL EXAM 2026 | ALL QUESTIONS AND CORRECT
ANSWERS (ALREADY GRADED A+) | LATEST UPDATE
Question 1
You find an unresponsive patient who is not breathing. After activating the emergency response
system, you determine there is no pulse. What is your next action?
A) Open the airway and give 2 breaths
B) Perform a 12-lead ECG
C) Start chest compressions of at least 100 per min
D) Administer 1mg of Epinephrine
E) Check for a medical alert bracelet
Correct Answer: C) Start chest compressions of at least 100 per min
Rationale: According to the BLS Survey and ACLS algorithms, once pulselessness is
confirmed, high-quality CPR starting with chest compressions is the immediate priority to
maintain organ perfusion. The recommended rate is 100–120 compressions per minute.
Question 2
You are evaluating a 58-year-old man with chest pain. The BP is 92/50, heart rate is 92/min, non-
labored respiratory rate is 14 breaths/min, and the pulse O2 is 97%. What assessment step is
most important now?
A) Administering high-flow oxygen
B) Obtaining a 12-lead ECG
C) Giving a 1-liter fluid bolus
D) Starting a Dopamine infusion
E) Administering Morphine
Correct Answer: B) Obtaining a 12 lead ECG.
Rationale: In patients with suspected Acute Coronary Syndrome (ACS), the 12-lead ECG is
the primary diagnostic tool used to identify ST-segment elevation (STEMI) or other signs of
ischemia, which dictates the urgency and type of reperfusion therapy.
Question 3
What is the preferred method of access for epinephrine administration during cardiac arrest in
most patients?
A) Endotracheal (ET) tube
B) Intraosseous (IO)
C) Peripheral IV
D) Central venous line
E) Intracardiac injection
Correct Answer: C) Peripheral IV
Rationale: The peripheral IV route is the preferred and first-choice access for drug
administration during resuscitation due to its ease of access and effectiveness. If IV access
is unavailable, the IO route is the next preferred alternative.
, 2
Question 4
An AED is attached to a pulseless patient, but it does not promptly analyze a rhythm. What is
your next step?
A) Replace the AED batteries
B) Wait for the AED to reset
C) Begin chest compressions
D) Check the patient’s pulse again
E) Call for a manual defibrillator and wait
Correct Answer: C) Begin chest compressions.
Rationale: Minimize interruptions in chest compressions. If an AED fails to analyze or
malfunctions, you should not delay resuscitation; immediately resume CPR until a working
AED or manual defibrillator is available.
Question 5
You have completed 2 minutes of CPR. The ECG monitor displays a sinus rhythm, but the
patient has no pulse (PEA). An IV is in place. What management step is your next priority?
A) Administer a 360J shock
B) Administer 1mg of Epinephrine
C) Administer 300mg of Amiodarone
D) Perform synchronized cardioversion
E) Give Atropine 0.5mg
Correct Answer: B) Administer 1mg of epinepherine
Rationale: Pulseless Electrical Activity (PEA) is a non-shockable rhythm. The priority is
continuing high-quality CPR and administering Epinephrine 1mg every 3–5 minutes to
improve coronary perfusion pressure.
Question 6
During a pause in CPR, you see a narrow complex rhythm on the monitor. The patient has no
pulse. What is the next action?
A) Check for a pulse for at least 15 seconds
B) Administer a shock
C) Resume compressions
D) Administer Adenosine
E) Start a fluid bolus
Correct Answer: C) Resume compressions
Rationale: If an organized rhythm is seen but there is no palpable pulse, the patient is in
PEA. CPR must be resumed immediately. Interruptions in compressions should be
minimized and should never exceed 10 seconds.
Question 7
What is a common but sometimes fatal mistake in cardiac arrest management?
ANSWERS (ALREADY GRADED A+) | LATEST UPDATE
Question 1
You find an unresponsive patient who is not breathing. After activating the emergency response
system, you determine there is no pulse. What is your next action?
A) Open the airway and give 2 breaths
B) Perform a 12-lead ECG
C) Start chest compressions of at least 100 per min
D) Administer 1mg of Epinephrine
E) Check for a medical alert bracelet
Correct Answer: C) Start chest compressions of at least 100 per min
Rationale: According to the BLS Survey and ACLS algorithms, once pulselessness is
confirmed, high-quality CPR starting with chest compressions is the immediate priority to
maintain organ perfusion. The recommended rate is 100–120 compressions per minute.
Question 2
You are evaluating a 58-year-old man with chest pain. The BP is 92/50, heart rate is 92/min, non-
labored respiratory rate is 14 breaths/min, and the pulse O2 is 97%. What assessment step is
most important now?
A) Administering high-flow oxygen
B) Obtaining a 12-lead ECG
C) Giving a 1-liter fluid bolus
D) Starting a Dopamine infusion
E) Administering Morphine
Correct Answer: B) Obtaining a 12 lead ECG.
Rationale: In patients with suspected Acute Coronary Syndrome (ACS), the 12-lead ECG is
the primary diagnostic tool used to identify ST-segment elevation (STEMI) or other signs of
ischemia, which dictates the urgency and type of reperfusion therapy.
Question 3
What is the preferred method of access for epinephrine administration during cardiac arrest in
most patients?
A) Endotracheal (ET) tube
B) Intraosseous (IO)
C) Peripheral IV
D) Central venous line
E) Intracardiac injection
Correct Answer: C) Peripheral IV
Rationale: The peripheral IV route is the preferred and first-choice access for drug
administration during resuscitation due to its ease of access and effectiveness. If IV access
is unavailable, the IO route is the next preferred alternative.
, 2
Question 4
An AED is attached to a pulseless patient, but it does not promptly analyze a rhythm. What is
your next step?
A) Replace the AED batteries
B) Wait for the AED to reset
C) Begin chest compressions
D) Check the patient’s pulse again
E) Call for a manual defibrillator and wait
Correct Answer: C) Begin chest compressions.
Rationale: Minimize interruptions in chest compressions. If an AED fails to analyze or
malfunctions, you should not delay resuscitation; immediately resume CPR until a working
AED or manual defibrillator is available.
Question 5
You have completed 2 minutes of CPR. The ECG monitor displays a sinus rhythm, but the
patient has no pulse (PEA). An IV is in place. What management step is your next priority?
A) Administer a 360J shock
B) Administer 1mg of Epinephrine
C) Administer 300mg of Amiodarone
D) Perform synchronized cardioversion
E) Give Atropine 0.5mg
Correct Answer: B) Administer 1mg of epinepherine
Rationale: Pulseless Electrical Activity (PEA) is a non-shockable rhythm. The priority is
continuing high-quality CPR and administering Epinephrine 1mg every 3–5 minutes to
improve coronary perfusion pressure.
Question 6
During a pause in CPR, you see a narrow complex rhythm on the monitor. The patient has no
pulse. What is the next action?
A) Check for a pulse for at least 15 seconds
B) Administer a shock
C) Resume compressions
D) Administer Adenosine
E) Start a fluid bolus
Correct Answer: C) Resume compressions
Rationale: If an organized rhythm is seen but there is no palpable pulse, the patient is in
PEA. CPR must be resumed immediately. Interruptions in compressions should be
minimized and should never exceed 10 seconds.
Question 7
What is a common but sometimes fatal mistake in cardiac arrest management?
