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Final Exam ACLS ALL QUESTIONS AND 100% CORRECT ANSWERS ALREADY
GRADED A+ - LATEST UPDATE
1. A 60-year-old patient is found pulseless and unresponsive. The monitor shows VF. What is the
first action?
A) Give epinephrine
B) Defibrillate immediately
C) Start IV fluids
D) Administer amiodarone
Answer: B
Rationale: VF is a shockable rhythm. Immediate defibrillation is priority to restore a perfusing
rhythm.
2. True or False: During high-quality CPR, compressions should be at least 2 inches deep at a rate
of 100–120/min.
Answer: True
3. Which rhythm is non-shockable?
A) Pulseless VT
B) Asystole
C) VF
D) Torsades de pointes
Answer: B
Rationale: Asystole does not respond to defibrillation; CPR and epinephrine are indicated.
4. After delivering a shock for VF, what is the next step?
A) Check pulse
B) Resume CPR immediately for 2 minutes
C) Administer amiodarone
D) Give atropine
Answer: B
UPDATED exam 2026
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5. First-line medication for symptomatic bradycardia:
A) Epinephrine
B) Atropine 0.5 mg IV
C) Adenosine
D) Amiodarone
Answer: B
6. True or False: The single rescuer adult CPR compression-to-ventilation ratio is 30:2.
Answer: True
7. A patient in pulseless VT receives CPR and defibrillation but remains pulseless. What’s next?
A) Stop CPR
B) Administer epinephrine every 3–5 minutes
C) Give atropine
D) Wait for rhythm check
Answer: B
8. A patient presents with narrow-complex tachycardia (HR 180 bpm), stable BP. Preferred initial
treatment:
A) Immediate cardioversion
B) Vagal maneuvers, then adenosine
C) Defibrillation
D) CPR
Answer: B
9. Unstable narrow-complex tachycardia with hypotension requires:
A) Adenosine
B) Synchronized cardioversion
UPDATED exam 2026
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C) Observation
D) CPR
Answer: B
10. True or False: Epinephrine is indicated in all non-perfusing rhythms including asystole, PEA,
VF, and pulseless VT.
Answer: True
11. Which of the following is NOT a reversible cause (Hs & Ts) of cardiac arrest?
A) Hypoxia
B) Hyperkalemia
C) Hypothermia
D) Diabetes mellitus
Answer: D
12. After ROSC, the patient is hypotensive. First interventions:
A) IV fluids
B) Vasopressors if needed
C) Optimize oxygenation
D) All of the above
Answer: D
13. True or False: Interruptions in chest compressions should be minimized to <10 seconds.
Answer: True
14. First-line treatment for Torsades de pointes:
A) Magnesium sulfate IV/IO
B) Amiodarone
UPDATED exam 2026
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C) Defibrillation only
D) Adenosine
Answer: A
15. Compression depth for adult CPR:
A) ≥2 inches (5 cm)
B) 1 inch
C) 3 inches
D) 4 cm
Answer: A
16. True or False: End-tidal CO₂ monitoring during CPR helps assess CPR quality and detect ROSC.
Answer: True
17. In a witnessed adult cardiac arrest, chest compressions should start:
A) Only after defibrillator arrival
B) Immediately, even before calling for help
C) After pulse check
D) Only after medication administration
Answer: B
18. After ROSC, target SpO₂:
A) 94–99%
B) 85–90%
C) 100%
D) 90–95%
Answer: A
UPDATED exam 2026
Final Exam ACLS ALL QUESTIONS AND 100% CORRECT ANSWERS ALREADY
GRADED A+ - LATEST UPDATE
1. A 60-year-old patient is found pulseless and unresponsive. The monitor shows VF. What is the
first action?
A) Give epinephrine
B) Defibrillate immediately
C) Start IV fluids
D) Administer amiodarone
Answer: B
Rationale: VF is a shockable rhythm. Immediate defibrillation is priority to restore a perfusing
rhythm.
2. True or False: During high-quality CPR, compressions should be at least 2 inches deep at a rate
of 100–120/min.
Answer: True
3. Which rhythm is non-shockable?
A) Pulseless VT
B) Asystole
C) VF
D) Torsades de pointes
Answer: B
Rationale: Asystole does not respond to defibrillation; CPR and epinephrine are indicated.
4. After delivering a shock for VF, what is the next step?
A) Check pulse
B) Resume CPR immediately for 2 minutes
C) Administer amiodarone
D) Give atropine
Answer: B
UPDATED exam 2026
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5. First-line medication for symptomatic bradycardia:
A) Epinephrine
B) Atropine 0.5 mg IV
C) Adenosine
D) Amiodarone
Answer: B
6. True or False: The single rescuer adult CPR compression-to-ventilation ratio is 30:2.
Answer: True
7. A patient in pulseless VT receives CPR and defibrillation but remains pulseless. What’s next?
A) Stop CPR
B) Administer epinephrine every 3–5 minutes
C) Give atropine
D) Wait for rhythm check
Answer: B
8. A patient presents with narrow-complex tachycardia (HR 180 bpm), stable BP. Preferred initial
treatment:
A) Immediate cardioversion
B) Vagal maneuvers, then adenosine
C) Defibrillation
D) CPR
Answer: B
9. Unstable narrow-complex tachycardia with hypotension requires:
A) Adenosine
B) Synchronized cardioversion
UPDATED exam 2026
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C) Observation
D) CPR
Answer: B
10. True or False: Epinephrine is indicated in all non-perfusing rhythms including asystole, PEA,
VF, and pulseless VT.
Answer: True
11. Which of the following is NOT a reversible cause (Hs & Ts) of cardiac arrest?
A) Hypoxia
B) Hyperkalemia
C) Hypothermia
D) Diabetes mellitus
Answer: D
12. After ROSC, the patient is hypotensive. First interventions:
A) IV fluids
B) Vasopressors if needed
C) Optimize oxygenation
D) All of the above
Answer: D
13. True or False: Interruptions in chest compressions should be minimized to <10 seconds.
Answer: True
14. First-line treatment for Torsades de pointes:
A) Magnesium sulfate IV/IO
B) Amiodarone
UPDATED exam 2026
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C) Defibrillation only
D) Adenosine
Answer: A
15. Compression depth for adult CPR:
A) ≥2 inches (5 cm)
B) 1 inch
C) 3 inches
D) 4 cm
Answer: A
16. True or False: End-tidal CO₂ monitoring during CPR helps assess CPR quality and detect ROSC.
Answer: True
17. In a witnessed adult cardiac arrest, chest compressions should start:
A) Only after defibrillator arrival
B) Immediately, even before calling for help
C) After pulse check
D) Only after medication administration
Answer: B
18. After ROSC, target SpO₂:
A) 94–99%
B) 85–90%
C) 100%
D) 90–95%
Answer: A
UPDATED exam 2026
