ACLS POST TEST 1 COMPREHENSIVE EXAM
2026 FULL SOLUTION QUESTIONS AND
ANSWERS
◉ Atrial fibrillation. Answer:
◉ Second deg AV block: Mobitz 1. Answer:
◉ Second deg AV block: Mobitz 2. Answer: Intermittent non-
conducted P waves without progressive prolongation of the PR
interval (compare this to Mobitz I).
◉ Ventricular fibrillation. Answer:
◉ Third deg AV block. Answer:
◉ Sinus bradycardia. Answer:
◉ Ventricular fibrillation. Answer:
◉ Atrial flutter. Answer:
,◉ Pulseless electrical activity. Answer: Push Epi Always
◉ Second deg AV block: Mobitz 2. Answer:
◉ Supraventricular tachycardia. Answer:
◉ Polymorphic ventricular tachycardia. Answer:
◉ Sinus bradycardia. Answer:
◉ Sinus tachycardia. Answer:
◉ Ventricular fibrillation. Answer:
◉ Agonal rhythm into asystole. Answer:
◉ If patient is in cardiac arrest and the rhythm is asystole and CPR is
beign given. What is the first drug you should give?
(a) Atropine 0.5 mg IV/IO
(b) Atropine 1 mg IV/IO
(c) Dopamine 2 to 20 mcg/kg per min IV/IO
(d) Epinephrine 1 mg IV/IO. Answer: (d) Epinephrine 1 mg IV/IO
,◉ A patient has a rapid irregular wide-complex tachycardia. The
ventricular rate is 138 bpm. He is asymptomatic, with a blood
pressure of 110/70. He has a history of angina. What action is
recommended next?
(a) Giving adenosine 6 mg IV bolus
(b) Giving lidocaine 1 to 1.5 mg IV bolus
(c) Performing synchroniczed cardioversion
(d) Seeking expert consultation. Answer: (d) Seeking expert
consultation
◉ A patient is in cardiac arrest. Ventricular fibrillation has been
refractory to a second shock. Which drug should be administered
first?
(a) Atropine 1 mg IV/IO
(b) Epinephrine 1 mg IV/IO
(c) Lidocaine 1 mg/kg IV/IO
(d) Sodium bicarbonate 50 mEq IV/IO. Answer: (b) Epinephrine 1
mg IV/IO
◉ You arrive on the scene with the code team. High-quality CPR is in
progress. An AED has previously advised "no shock indicated." A
rhythm check now finds asystole. After resuming high-quality
compressions, which action do you take next?
, (a) Call for a pulse check
(b) Establish IV or IO access
(c) Insert a laryngeal airway
(d) Perform endotracheal intubation. Answer: (b) Establish IV or IO
access
◉ A patient is in pulseless ventricular tachycardia. Two shocks and 1
dose of epinephrine 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. Answer: (b) Amiodarone 300 mg
◉ A 35 yr old female has palpitation, light-headedness, and a stable
tachycardia. The monitor shows a regular narrow-complex QRS at a
rate of 180/min. Vagal manuevers have not been effective in
terminating the rhythm. An IV has been established. Which drug
should be administered?
(a) Adenosine 6 mg
(b) Atropine 0.5 mg
(c) Epinephrine 2 to 10 mcg/kg per minute
(d) Lidocaine. Answer: (a) Adenosine 6 mg
2026 FULL SOLUTION QUESTIONS AND
ANSWERS
◉ Atrial fibrillation. Answer:
◉ Second deg AV block: Mobitz 1. Answer:
◉ Second deg AV block: Mobitz 2. Answer: Intermittent non-
conducted P waves without progressive prolongation of the PR
interval (compare this to Mobitz I).
◉ Ventricular fibrillation. Answer:
◉ Third deg AV block. Answer:
◉ Sinus bradycardia. Answer:
◉ Ventricular fibrillation. Answer:
◉ Atrial flutter. Answer:
,◉ Pulseless electrical activity. Answer: Push Epi Always
◉ Second deg AV block: Mobitz 2. Answer:
◉ Supraventricular tachycardia. Answer:
◉ Polymorphic ventricular tachycardia. Answer:
◉ Sinus bradycardia. Answer:
◉ Sinus tachycardia. Answer:
◉ Ventricular fibrillation. Answer:
◉ Agonal rhythm into asystole. Answer:
◉ If patient is in cardiac arrest and the rhythm is asystole and CPR is
beign given. What is the first drug you should give?
(a) Atropine 0.5 mg IV/IO
(b) Atropine 1 mg IV/IO
(c) Dopamine 2 to 20 mcg/kg per min IV/IO
(d) Epinephrine 1 mg IV/IO. Answer: (d) Epinephrine 1 mg IV/IO
,◉ A patient has a rapid irregular wide-complex tachycardia. The
ventricular rate is 138 bpm. He is asymptomatic, with a blood
pressure of 110/70. He has a history of angina. What action is
recommended next?
(a) Giving adenosine 6 mg IV bolus
(b) Giving lidocaine 1 to 1.5 mg IV bolus
(c) Performing synchroniczed cardioversion
(d) Seeking expert consultation. Answer: (d) Seeking expert
consultation
◉ A patient is in cardiac arrest. Ventricular fibrillation has been
refractory to a second shock. Which drug should be administered
first?
(a) Atropine 1 mg IV/IO
(b) Epinephrine 1 mg IV/IO
(c) Lidocaine 1 mg/kg IV/IO
(d) Sodium bicarbonate 50 mEq IV/IO. Answer: (b) Epinephrine 1
mg IV/IO
◉ You arrive on the scene with the code team. High-quality CPR is in
progress. An AED has previously advised "no shock indicated." A
rhythm check now finds asystole. After resuming high-quality
compressions, which action do you take next?
, (a) Call for a pulse check
(b) Establish IV or IO access
(c) Insert a laryngeal airway
(d) Perform endotracheal intubation. Answer: (b) Establish IV or IO
access
◉ A patient is in pulseless ventricular tachycardia. Two shocks and 1
dose of epinephrine 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. Answer: (b) Amiodarone 300 mg
◉ A 35 yr old female has palpitation, light-headedness, and a stable
tachycardia. The monitor shows a regular narrow-complex QRS at a
rate of 180/min. Vagal manuevers have not been effective in
terminating the rhythm. An IV has been established. Which drug
should be administered?
(a) Adenosine 6 mg
(b) Atropine 0.5 mg
(c) Epinephrine 2 to 10 mcg/kg per minute
(d) Lidocaine. Answer: (a) Adenosine 6 mg
