ACLS EXAM 2026/2027 WITH VERIFIED
QUESTIONS AND ANSWERS LATEST
UPDATED
You are caring for a patient with a suspected stroke whose symptoms started 2
hours ago. The CT was normal with no sign of hemorrhage. The patient does not
have any contraindications to fibrinolytic therapy. Which treatment is best?
a. start fibrinolytic therapy ASAP
b. hold fibrinolytic therapy for 24 hours
c. order an echo before fibrinolytic administration
d. wait for MRI result - a. start fibrinolytic therapy ASAP
For STEMI pt, maximum goal time for ED door-to-balloon-inflation time for PCI?
a. 150 mins
b. 180 mins
c. 120 mins
d. 90 mins - 90 mins
Which is the recommended oral dose of ASA for a pt w/ suspected ACS?
a. 81 mg
b. 325-650 mg
c. 160-325 mg
d. 40 mg - 160-325 mg
chest compressions during for adult rate - 100-120/min
effect of excessive ventilation
, a. decresed cardiac output
b. decreased intrathoracic pressure
c. increased perfusion pressure
d. increased venous return - decreased cardiac output
temperature to achieve targeted temperature management after cardiac arrest - 32-
36C
3 mins into cardiac arrest resuscitation attempt, one member of your team inserts an
endotracheal tube while another performs chest compressions. Capnography shows
a persistent waveform & a PETCO2 of 8mmHg. What is the significance of the
finding?
a. chest compression may not be effective
b. The endotrachael tube is in the esophagus
c. the team is ventilating the patient too often
d. the patient meets the criteria for termination of efforts - a. chest compression may
not be effective
Your patient is in cardiac arrest and has been intubated. to assess CPR quality, you
should - monitor the patient's PETCO2
In addition to clinical assessment, which is the most reliable method to confirm &
monitor correct placement of an endotracheal tube? - continous waveform
capnography
A 45M had coronary artery stents placed 2 days ago. Today he is in severe distress
and reporting "crushing" chest discomfort. He is pale, diphoretic, and cool to the
touch. His radial pulse is very weak, blood pressure is 64/40, respiratory is 28
bpm/min and O2 set is 89% on room air. - answer has to do with acute coronary
syndrome
A 45M had coronary artery stents placed 2 days ago. Today he is in severe distress
and reporting "crushing" chest discomfort. He is pale, diphoretic, and cool to the
touch. His radial pulse is very weak, blood pressure is 64/40, respiratory is 28
bpm/min and O2 set is 89% on room air. When applied, the cardiac monitor initially
showed ventricular tachycardia, which then quickly changed to ventricular fibrillation.
What do we do?
a. chest compression
b. vasoactive meds
c. vascular access
d. advanced airway - a. chest compression
A 45M had coronary artery stents placed 2 days ago. Today he is in severe distress
and reporting "crushing" chest discomfort. He is pale, diphoretic, and cool to the
touch. His radial pulse is very weak, blood pressure is 64/40, respiratory is 28
bpm/min and O2 set is 89% on room air. Despite 2 defib attempt, the patient remains
in V-fib. Which drug & dose should be given?
a. lidocaine 1 mg/kg
b. amiodarone 300mg
c. epi 1mg
QUESTIONS AND ANSWERS LATEST
UPDATED
You are caring for a patient with a suspected stroke whose symptoms started 2
hours ago. The CT was normal with no sign of hemorrhage. The patient does not
have any contraindications to fibrinolytic therapy. Which treatment is best?
a. start fibrinolytic therapy ASAP
b. hold fibrinolytic therapy for 24 hours
c. order an echo before fibrinolytic administration
d. wait for MRI result - a. start fibrinolytic therapy ASAP
For STEMI pt, maximum goal time for ED door-to-balloon-inflation time for PCI?
a. 150 mins
b. 180 mins
c. 120 mins
d. 90 mins - 90 mins
Which is the recommended oral dose of ASA for a pt w/ suspected ACS?
a. 81 mg
b. 325-650 mg
c. 160-325 mg
d. 40 mg - 160-325 mg
chest compressions during for adult rate - 100-120/min
effect of excessive ventilation
, a. decresed cardiac output
b. decreased intrathoracic pressure
c. increased perfusion pressure
d. increased venous return - decreased cardiac output
temperature to achieve targeted temperature management after cardiac arrest - 32-
36C
3 mins into cardiac arrest resuscitation attempt, one member of your team inserts an
endotracheal tube while another performs chest compressions. Capnography shows
a persistent waveform & a PETCO2 of 8mmHg. What is the significance of the
finding?
a. chest compression may not be effective
b. The endotrachael tube is in the esophagus
c. the team is ventilating the patient too often
d. the patient meets the criteria for termination of efforts - a. chest compression may
not be effective
Your patient is in cardiac arrest and has been intubated. to assess CPR quality, you
should - monitor the patient's PETCO2
In addition to clinical assessment, which is the most reliable method to confirm &
monitor correct placement of an endotracheal tube? - continous waveform
capnography
A 45M had coronary artery stents placed 2 days ago. Today he is in severe distress
and reporting "crushing" chest discomfort. He is pale, diphoretic, and cool to the
touch. His radial pulse is very weak, blood pressure is 64/40, respiratory is 28
bpm/min and O2 set is 89% on room air. - answer has to do with acute coronary
syndrome
A 45M had coronary artery stents placed 2 days ago. Today he is in severe distress
and reporting "crushing" chest discomfort. He is pale, diphoretic, and cool to the
touch. His radial pulse is very weak, blood pressure is 64/40, respiratory is 28
bpm/min and O2 set is 89% on room air. When applied, the cardiac monitor initially
showed ventricular tachycardia, which then quickly changed to ventricular fibrillation.
What do we do?
a. chest compression
b. vasoactive meds
c. vascular access
d. advanced airway - a. chest compression
A 45M had coronary artery stents placed 2 days ago. Today he is in severe distress
and reporting "crushing" chest discomfort. He is pale, diphoretic, and cool to the
touch. His radial pulse is very weak, blood pressure is 64/40, respiratory is 28
bpm/min and O2 set is 89% on room air. Despite 2 defib attempt, the patient remains
in V-fib. Which drug & dose should be given?
a. lidocaine 1 mg/kg
b. amiodarone 300mg
c. epi 1mg
