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ACLS Final Exam 2026: 50 High-Yield Questions & 100% Verified Answers | Guaranteed Pass | Grade A+

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This ACLS Final Exam 2026 Test Bank includes 50 high-yield, frequently tested questions with 100% verified correct answers based on the latest ACLS algorithms and emergency cardiac care guidelines. Ideal for healthcare providers preparing for ACLS certification or renewal. Clear, accurate, and exam-ready content ensures fast learning, confident mastery, and a guaranteed pass.

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Institution
Advanced Cardiovascular Life Support
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Advanced Cardiovascular Life Support










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Institution
Advanced Cardiovascular Life Support
Course
Advanced Cardiovascular Life Support

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Uploaded on
November 24, 2025
Number of pages
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Written in
2025/2026
Type
Exam (elaborations)
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ACLS FINAL EXAM 2026: 50 HIGH-YIELD QUESTIONS AND
100% VERIFIED ANSWERS|GRADED A+ | GUARANTEED PASS!!



A 20-year-old man with respiratory depression is brought to the emergency
department by his parents. Opioid overdose is suspected, and an initial dose of
naloxone is administered at 10 p.m. The patient does not respond to this initial
dose. The team would expect to administer a second dose after how many minutes?

2 minutes
4 minutes
6 minutes
8 minutes
- answer-2 minutes

The dose of naloxone may be repeated after 2 to 3 minutes.

A 28-year-old pregnant patient who ‘resides ‘in ‘transitional ‘housing ‘presents ‘to ‘the
‘emergency ‘department ‘with ‘complaints ‘of ‘feeling ‘feverish ‘and ‘very ‘faint. ‘The

‘patient ‘tells ‘the ‘emergency ‘nurse ‘that ‘she ‘does ‘not ‘know ‘when ‘she ‘became

‘pregnant. ‘Upon ‘palpation, ‘the ‘fundus ‘is ‘not ‘at ‘or ‘above ‘the ‘umbilicus. ‘The
‘patient's ‘condition ‘quickly ‘deteriorates ‘and ‘she ‘goes ‘into ‘cardiac ‘arrest. ‘If
‘available ‘and ‘able ‘to ‘be ‘used ‘without ‘impeding ‘or ‘delaying ‘the ‘resuscitation

‘effort, ‘what ‘diagnostic ‘tool ‘could ‘be ‘used ‘to ‘guide ‘decision-making ‘in ‘the ‘care
‘of ‘this ‘patient?



Fetal ‘echocardiogram
‘Abdominal ‘radiograph
‘Point-of-care

‘ultrasound ‘Fetal

‘monitoring

- ‘answer-Point-of-care ‘ultrasound

Gestational ‘age ‘is ‘an ‘important ‘consideration ‘when ‘determining ‘the ‘approach ‘to
‘a ‘pregnant ‘patient ‘in ‘cardiac ‘arrest. ‘If ‘the ‘gestational ‘age ‘is ‘not ‘known ‘and

‘point-of- ‘care ‘ultrasound ‘is ‘available ‘and ‘able ‘to ‘be ‘performed ‘without ‘impeding

‘or ‘delaying ‘the ‘resuscitation ‘effort, ‘it ‘can ‘be ‘used ‘to ‘quickly ‘estimate ‘gestational
‘age ‘and ‘guide ‘decision-making.

,A ‘30-year-old ‘patient ‘has ‘been ‘brought ‘to ‘the ‘emergency ‘department ‘in ‘cardiac
‘arrest. ‘The ‘cardiac ‘monitor ‘shows ‘the ‘following ‘rhythm. ‘Interpretation ‘of ‘this

‘rhythm ‘would ‘suggest ‘which ‘of ‘the ‘following ‘as ‘a ‘possible ‘precipitating ‘factor?



Hemorrhage
‘Antibiotic ‘use

‘Electrocution

‘Cardiac ‘tamponade

- ‘answer-Electrocution

The ‘rhythm ‘is ‘ventricular ‘fibrillation. ‘Precipitating ‘causes ‘of ‘ventricular
‘fibrillation ‘include ‘electrocution, ‘myocardial ‘ischemia ‘or ‘infarction, ‘shock,

‘stimulant ‘overdose ‘and ‘ventricular ‘tachycardia.


A ‘35-year-old ‘female ‘patient's ‘ECG ‘is ‘consistent ‘with ‘STEMI. ‘The ‘ECG ‘reveals
‘a ‘new ‘ST-segment ‘elevation ‘at ‘the ‘J ‘point ‘in ‘leads ‘V2 ‘and ‘V3 ‘of ‘at ‘least ‘which

‘size?



0.10 ‘mV
0.15 ‘mV
0.2 ‘mV
0.25 ‘mV
- ‘answer-0.15 ‘mV

New ‘ST-segment ‘elevation ‘at ‘the ‘J ‘point ‘in ‘leads ‘V2 ‘and ‘V3 ‘of ‘at ‘least ‘0.15 ‘mV
‘(1.5 ‘mm) ‘in ‘women ‘40 ‘years ‘or ‘younger ‘is ‘considered ‘diagnostic ‘of ‘STEMI.


A ‘42-year-old ‘woman ‘presents ‘to ‘the ‘emergency ‘department ‘with ‘complaints ‘of
‘fatigue, ‘shortness ‘of ‘breath, ‘back ‘pain ‘and ‘nausea. ‘A ‘12-lead ‘ECG ‘is ‘obtained

‘and ‘shows ‘ST-segment ‘depression ‘in ‘leads ‘II, ‘III, ‘and ‘aVF ‘and ‘intermittent

‘runs ‘of ‘nonsustained ‘ventricular ‘tachycardia. ‘Cardiac ‘serum ‘markers ‘are

‘elevated. ‘These ‘findings ‘suggest ‘which ‘condition?


High-risk ‘non-ST-segment ‘elevation ‘ACS ‘(NSTE-
ACS) ‘Low-risk ‘non-ST-segment ‘elevation ‘ACS
‘(NSTE-ACS)
Intermittent-risk ‘non-ST-segment ‘elevation ‘ACS ‘(NSTE-
ACS) ‘ST-segment ‘elevation ‘myocardial ‘infarction ‘(STEMI)
- answer-High-risk ‘non-ST-segment ‘elevation ‘ACS ‘(NSTE-ACS)

The ‘12-lead ‘ECG ‘findings ‘of ‘ST-segment ‘depression ‘in ‘three ‘contiguous ‘leads
‘along ‘with ‘elevated ‘cardiac ‘serum ‘biomarkers ‘are ‘consistent ‘with ‘high-risk ‘non-

, ST-segment ‘elevation ‘ACS ‘(NSTE-ACS). ‘The ‘presence ‘of ‘intermittent ‘runs ‘of
‘ventricular ‘tachycardia ‘also ‘places ‘this ‘patient ‘at ‘high ‘risk. ‘In ‘ST-segment

‘elevation ‘myocardial ‘infarction ‘(STEMI), ‘cardiac ‘serum ‘markers ‘would ‘be

‘elevated, ‘but ‘this ‘patient's ‘ECG ‘findings ‘are ‘not ‘consistent ‘with ‘STEMI.

‘Patients ‘with ‘intermediate- ‘or ‘low-risk ‘NSTE-ACS ‘show ‘nondiagnostic ‘ST-
segment ‘or ‘T- ‘wave ‘changes ‘on ‘ECG, ‘or ‘no ‘changes ‘at ‘all.

A ‘member ‘of ‘the ‘resuscitation ‘team ‘is ‘preparing ‘to ‘administer ‘medications
‘intravenously ‘to ‘a ‘patient ‘in ‘cardiac ‘arrest. ‘The ‘team ‘member ‘should ‘follow

‘each ‘peripherally ‘administered ‘drug ‘dose ‘with ‘a ‘normal ‘saline ‘flush. ‘How ‘much

‘would ‘the ‘team ‘member ‘give?



5 ‘to ‘10 ‘mL
10 ‘to ‘20 ‘mL
20 ‘to ‘30 ‘mL
30 ‘to ‘40 ‘mL
- answer-10 ‘to ‘20 ‘mL

When ‘administering ‘medications ‘during ‘a ‘cardiac ‘arrest, ‘all ‘medications
‘administrated ‘through ‘the ‘IV ‘or ‘intraosseous ‘infusion ‘route ‘should ‘be ‘followed
‘by ‘a ‘10- ‘to ‘20-mL ‘normal ‘saline ‘flush.



A ‘member ‘of ‘the ‘resuscitation ‘team ‘is ‘preparing ‘to ‘defibrillate ‘a ‘patient ‘in
‘cardiac ‘arrest ‘using ‘a ‘biphasic ‘defibrillator. ‘The ‘team ‘member ‘would ‘set ‘the

‘energy ‘dose ‘according ‘to ‘the ‘manufacturer's ‘recommendations, ‘which ‘is ‘usually:



75 ‘to ‘100 ‘joules
120 ‘to ‘200 ‘joules
300 ‘joules
360 ‘joules
- answer-120 ‘to ‘200 ‘joules

When ‘using ‘a ‘biphasic ‘defibrillator, ‘the ‘energy ‘dose ‘should ‘be ‘set ‘at ‘120 ‘to ‘200
‘joules.



A ‘patient ‘arrives ‘at ‘the ‘emergency ‘department ‘complaining ‘of ‘shortness ‘of
‘breath. ‘The ‘patient ‘has ‘a ‘long ‘history ‘of ‘chronic ‘obstructive ‘pulmonary ‘disease.

Assessment ‘reveals ‘respiratory ‘failure. ‘Which ‘action ‘would ‘be ‘the ‘initial ‘priority
‘to ‘address ‘the ‘respiratory ‘failure?
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