ACLS Practice Exam 2025 – 200 Questions
with Verified Answers & Detailed Rationales |
Advanced Cardiovascular Life Support Study
Guide | PDF Format
Q1. What is the first step when you find an unresponsive adult patient?
A. Deliver chest compressions
B. Check responsiveness and call for help / activate EMS
C. Open the airway
D. Give rescue breaths
Q2. What is the recommended compression-to-ventilation ratio for a
single rescuer in adult CPR?
A. 15:2
B. 30:1
C. 30:2
D. 15:1
Q3. The correct depth for adult chest compressions is:
A. 2–2.5 cm
B. 5–6 cm
C. 7–8 cm
D. 3–4 cm
Q4. When using an AED, what should you do before delivering a
shock?
A. Press the shock button while someone holds the patient
B. Ensure no one is touching the patient
C. Give 2 rescue breaths
D. Perform 5 compressions
Q5. What is the initial adult defibrillation dose for a biphasic AED?
A. 50 J
B. 100 J
,C. 120–200 J
D. 300 J
Q6. For a witnessed sudden cardiac arrest with a shockable rhythm,
what is the first action after calling for help?
A. Perform rescue breathing
B. Give epinephrine
C. Deliver immediate defibrillation
D. Place an advanced airway
Q7. Which rhythm is considered shockable?
A. Asystole
B. Pulseless electrical activity (PEA)
C. Ventricular fibrillation (VF)
D. Sinus bradycardia
Q8. What is the recommended rate of chest compressions in adult CPR?
A. 80–100/min
B. 100–120/min
C. 100–120/min
D. 120–140/min
Q9. During CPR, how often should rescuers switch to avoid fatigue?
A. Every 1 min
B. Every 2 min
C. Every 2 min
D. Every 5 min
Q10. The first drug given in a cardiac arrest with VF/pulseless VT after
defibrillation attempts is:
A. Amiodarone
B. Lidocaine
C. Epinephrine 1 mg IV/IO
D. Atropine
, Q11. In ACLS, PEA stands for:
A. Pulseless electrical activation
B. Pulseless electrical activity
C. Partial electrical activity
D. Pre-excitation arrhythmia
Q12. Which rhythm is not shockable?
A. Ventricular fibrillation
B. Pulseless ventricular tachycardia
C. Asystole
D. Shockable VT
Q13. When is atropine indicated in ACLS?
A. VF
B. Pulseless VT
C. Symptomatic bradycardia
D. PEA
Q14. After giving epinephrine during cardiac arrest, CPR should be
resumed for:
A. 10 seconds
B. 30 seconds
C. 2 minutes
D. 5 minutes
Q15. What is the initial adult dose of amiodarone for VF/pulseless VT?
A. 100 mg IV/IO
B. 150 mg IV/IO
C. 300 mg IV/IO
D. 500 mg IV/IO
Q16. The rate of ventilations for an adult with an advanced airway
during CPR is:
A. 8–10/min
B. 10/min (1 every 6 seconds)
with Verified Answers & Detailed Rationales |
Advanced Cardiovascular Life Support Study
Guide | PDF Format
Q1. What is the first step when you find an unresponsive adult patient?
A. Deliver chest compressions
B. Check responsiveness and call for help / activate EMS
C. Open the airway
D. Give rescue breaths
Q2. What is the recommended compression-to-ventilation ratio for a
single rescuer in adult CPR?
A. 15:2
B. 30:1
C. 30:2
D. 15:1
Q3. The correct depth for adult chest compressions is:
A. 2–2.5 cm
B. 5–6 cm
C. 7–8 cm
D. 3–4 cm
Q4. When using an AED, what should you do before delivering a
shock?
A. Press the shock button while someone holds the patient
B. Ensure no one is touching the patient
C. Give 2 rescue breaths
D. Perform 5 compressions
Q5. What is the initial adult defibrillation dose for a biphasic AED?
A. 50 J
B. 100 J
,C. 120–200 J
D. 300 J
Q6. For a witnessed sudden cardiac arrest with a shockable rhythm,
what is the first action after calling for help?
A. Perform rescue breathing
B. Give epinephrine
C. Deliver immediate defibrillation
D. Place an advanced airway
Q7. Which rhythm is considered shockable?
A. Asystole
B. Pulseless electrical activity (PEA)
C. Ventricular fibrillation (VF)
D. Sinus bradycardia
Q8. What is the recommended rate of chest compressions in adult CPR?
A. 80–100/min
B. 100–120/min
C. 100–120/min
D. 120–140/min
Q9. During CPR, how often should rescuers switch to avoid fatigue?
A. Every 1 min
B. Every 2 min
C. Every 2 min
D. Every 5 min
Q10. The first drug given in a cardiac arrest with VF/pulseless VT after
defibrillation attempts is:
A. Amiodarone
B. Lidocaine
C. Epinephrine 1 mg IV/IO
D. Atropine
, Q11. In ACLS, PEA stands for:
A. Pulseless electrical activation
B. Pulseless electrical activity
C. Partial electrical activity
D. Pre-excitation arrhythmia
Q12. Which rhythm is not shockable?
A. Ventricular fibrillation
B. Pulseless ventricular tachycardia
C. Asystole
D. Shockable VT
Q13. When is atropine indicated in ACLS?
A. VF
B. Pulseless VT
C. Symptomatic bradycardia
D. PEA
Q14. After giving epinephrine during cardiac arrest, CPR should be
resumed for:
A. 10 seconds
B. 30 seconds
C. 2 minutes
D. 5 minutes
Q15. What is the initial adult dose of amiodarone for VF/pulseless VT?
A. 100 mg IV/IO
B. 150 mg IV/IO
C. 300 mg IV/IO
D. 500 mg IV/IO
Q16. The rate of ventilations for an adult with an advanced airway
during CPR is:
A. 8–10/min
B. 10/min (1 every 6 seconds)
