1|Page
Final Exam ACLS ALL QUESTIONS AND 100% CORRECT ANSWERS ALREADY
GRADED A+ - LATEST UPDATE 2026-2027
A patient experiences cardiac arrest, and the resuscitation team initiates ventilations using a bag-
valve-mask (BVM) resuscitator. The development of which condition during the provision of care
would lead the team to suspect that improper BVM technique is being used?
Select the correct answer to this question.
Rib fracture
Esophageal injury
Pneumothorax
Hypertension - CORRECT ANSWER Pneumothorax
QUESTION : 1 A member of the resuscitation team is preparing to administer medications
intravenously to a patient in cardiac arrest. The team member follows each medication administration
with a bolus of fluid. How much would the team member give?
Select the correct answer to this question.
5 to 10 mL
10 to 20 mL
20 to 30 mL
30 to 40 mL - CORRECT ANSWER 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 fluid bolus.
QUESTION : The resuscitation team suspects that hyperkalemia is the cause of cardiac arrest in a
patient brought to the emergency department. Which finding on a 12-lead ECG would confirm this
suspicion?
Wide-complex ventricular rhythm and tall, peaked T waves
UPDATED exam 2026
,2|Page
ST-segment changes, T-wave inversion
Flat T waves, prominent U waves and possibly prolonged QT intervals
Narrow-complex ventricular tachycardia - CORRECT ANSWER Wide-complex ventricular
rhythm and tall, peaked T waves
In hyperkalemia the patient's 12-lead ECG rhythm strip will show wide-complex ventricular rhythm
and tall, peaked T waves.
QUESTION : A patient with an ischemic stroke arrives at the emergency department at 2 a.m. The
patient's symptoms started about 12:30 a.m. After completing the necessary assessments, the
healthcare team diagnoses an ischemic stroke, and the patient is determined to be a candidate for
fibrinolytic therapy. To achieve the best outcomes, the team should initiate therapy for this patient no
later than by which time?
Select the correct answer to this question.
3:00 a.m.
5:30 a.m.
6:00 a.m.
8:30 a.m. - CORRECT ANSWER 1
3:00 a.m.
QUESTION : A resuscitation team is debriefing following a recent event. A patient experienced cardiac
arrest, and advanced cardiac life support was initiated. The patient required the placement of an
advanced airway to maintain airway patency. Which statement indicates that the team performed
high-quality CPR?
Select the correct answer to this question.
"We kept the rate of chest compressions to around 100 per minute but adjusted their depth to 1.5
inches while giving 1 ventilation every 3 seconds."
"We delivered chest compressions at a rate of 80 to 100 per minute to a depth of at least 2 inches and
gave 1 ventilation every 6 seconds."
UPDATED exam 2026
,3|Page
"We initiated chest compressions at a rate of 100 to 110 per minute to a depth of 2.4 inches and then
gave 1 ventilation every 10 seconds."
"We delivered 1 ventilation every 6 seconds and chest compressions at a rate of 100 to 120
compressions per minute." - CORRECT ANSWER 4
"We delivered 1 ventilation every 6 seconds and chest compressions at a rate of 100 to 120
compressions per minute."
QUESTION : A patient with a suspected stroke arrives at the emergency department at 7:10 p.m. The
stroke team ensures that a comprehensive neurologic assessment using the National Institutes of
Health Stroke Scale (NIHSS) is completed and that brain imaging is performed by which time?
7:20 p.m.
7:30 p.m.
7:40 p.m.
7:50 p.m. - CORRECT ANSWER 2
Within 20 minutes of the patient's arrival, a comprehensive neurologic assessment should be
completed and brain imaging should be performed. That would be 7:30 p.m. for this patient.
QUESTION : The emergency department team is providing care to a patient who is experiencing
ventricular tachycardia. The patient's serum electrolyte levels are a contributing cause of the patient's
current condition. Which electrolyte imbalance(s) would most likely be involved?
Select all correct options that apply.
Hyperkalemia
Hypochloremia
Hypernatremia
Hypomagnesemia
Hypocalcemia - CORRECT ANSWER Hypomagnesemia
UPDATED exam 2026
, 4|Page
Hypocalcemia
QUESTION : 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? - CORRECT ANSWER The rhythm is
ventricular fibrillation. Precipitating causes of ventricular fibrillation include electrocution, myocardial
ischemia or infarction, shock, stimulant overdose and ventricular tachycardia.
electrocution
QUESTION : A patient enters the emergency department in respiratory compromise. The team is
monitoring the patient using capnography and identifies that ETCO2 levels are initially 33 mmHg and
later 40 mmHg. From these readings, the team identifies that the patient is progressing in what stage
of respiratory compromise?
Respiratory acidosis
Respiratory failure
Respiratory distress
Respiratory arrest - CORRECT ANSWER 3
Capnography can objectively assess the severity of a patient's respiratory distress. Early on, the
patient will often hyperventilate, leading to hypocapnia that is reflected by a low ETCO2 value (less
than 35 mmHg). As respiratory distress increases, and the patient begins to tire, the ETCO2 value may
return to the normal range (35 to 45 mmHg). However, if the patient progresses to respiratory failure,
the ETCO2 level will increase to greater than 45 mmHg, which indicates hypoventilation.
QUESTION : A patient comes to the emergency department complaining of palpitations and "some
shortness of breath." Cardiac monitoring is initiated and reveals the following ECG rhythm strip. The
provider interprets this strip as indicating which arrhythmia?
Atrial fibrillation
Ventricular tachycardia
Ventricular fibrillation
UPDATED exam 2026
Final Exam ACLS ALL QUESTIONS AND 100% CORRECT ANSWERS ALREADY
GRADED A+ - LATEST UPDATE 2026-2027
A patient experiences cardiac arrest, and the resuscitation team initiates ventilations using a bag-
valve-mask (BVM) resuscitator. The development of which condition during the provision of care
would lead the team to suspect that improper BVM technique is being used?
Select the correct answer to this question.
Rib fracture
Esophageal injury
Pneumothorax
Hypertension - CORRECT ANSWER Pneumothorax
QUESTION : 1 A member of the resuscitation team is preparing to administer medications
intravenously to a patient in cardiac arrest. The team member follows each medication administration
with a bolus of fluid. How much would the team member give?
Select the correct answer to this question.
5 to 10 mL
10 to 20 mL
20 to 30 mL
30 to 40 mL - CORRECT ANSWER 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 fluid bolus.
QUESTION : The resuscitation team suspects that hyperkalemia is the cause of cardiac arrest in a
patient brought to the emergency department. Which finding on a 12-lead ECG would confirm this
suspicion?
Wide-complex ventricular rhythm and tall, peaked T waves
UPDATED exam 2026
,2|Page
ST-segment changes, T-wave inversion
Flat T waves, prominent U waves and possibly prolonged QT intervals
Narrow-complex ventricular tachycardia - CORRECT ANSWER Wide-complex ventricular
rhythm and tall, peaked T waves
In hyperkalemia the patient's 12-lead ECG rhythm strip will show wide-complex ventricular rhythm
and tall, peaked T waves.
QUESTION : A patient with an ischemic stroke arrives at the emergency department at 2 a.m. The
patient's symptoms started about 12:30 a.m. After completing the necessary assessments, the
healthcare team diagnoses an ischemic stroke, and the patient is determined to be a candidate for
fibrinolytic therapy. To achieve the best outcomes, the team should initiate therapy for this patient no
later than by which time?
Select the correct answer to this question.
3:00 a.m.
5:30 a.m.
6:00 a.m.
8:30 a.m. - CORRECT ANSWER 1
3:00 a.m.
QUESTION : A resuscitation team is debriefing following a recent event. A patient experienced cardiac
arrest, and advanced cardiac life support was initiated. The patient required the placement of an
advanced airway to maintain airway patency. Which statement indicates that the team performed
high-quality CPR?
Select the correct answer to this question.
"We kept the rate of chest compressions to around 100 per minute but adjusted their depth to 1.5
inches while giving 1 ventilation every 3 seconds."
"We delivered chest compressions at a rate of 80 to 100 per minute to a depth of at least 2 inches and
gave 1 ventilation every 6 seconds."
UPDATED exam 2026
,3|Page
"We initiated chest compressions at a rate of 100 to 110 per minute to a depth of 2.4 inches and then
gave 1 ventilation every 10 seconds."
"We delivered 1 ventilation every 6 seconds and chest compressions at a rate of 100 to 120
compressions per minute." - CORRECT ANSWER 4
"We delivered 1 ventilation every 6 seconds and chest compressions at a rate of 100 to 120
compressions per minute."
QUESTION : A patient with a suspected stroke arrives at the emergency department at 7:10 p.m. The
stroke team ensures that a comprehensive neurologic assessment using the National Institutes of
Health Stroke Scale (NIHSS) is completed and that brain imaging is performed by which time?
7:20 p.m.
7:30 p.m.
7:40 p.m.
7:50 p.m. - CORRECT ANSWER 2
Within 20 minutes of the patient's arrival, a comprehensive neurologic assessment should be
completed and brain imaging should be performed. That would be 7:30 p.m. for this patient.
QUESTION : The emergency department team is providing care to a patient who is experiencing
ventricular tachycardia. The patient's serum electrolyte levels are a contributing cause of the patient's
current condition. Which electrolyte imbalance(s) would most likely be involved?
Select all correct options that apply.
Hyperkalemia
Hypochloremia
Hypernatremia
Hypomagnesemia
Hypocalcemia - CORRECT ANSWER Hypomagnesemia
UPDATED exam 2026
, 4|Page
Hypocalcemia
QUESTION : 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? - CORRECT ANSWER The rhythm is
ventricular fibrillation. Precipitating causes of ventricular fibrillation include electrocution, myocardial
ischemia or infarction, shock, stimulant overdose and ventricular tachycardia.
electrocution
QUESTION : A patient enters the emergency department in respiratory compromise. The team is
monitoring the patient using capnography and identifies that ETCO2 levels are initially 33 mmHg and
later 40 mmHg. From these readings, the team identifies that the patient is progressing in what stage
of respiratory compromise?
Respiratory acidosis
Respiratory failure
Respiratory distress
Respiratory arrest - CORRECT ANSWER 3
Capnography can objectively assess the severity of a patient's respiratory distress. Early on, the
patient will often hyperventilate, leading to hypocapnia that is reflected by a low ETCO2 value (less
than 35 mmHg). As respiratory distress increases, and the patient begins to tire, the ETCO2 value may
return to the normal range (35 to 45 mmHg). However, if the patient progresses to respiratory failure,
the ETCO2 level will increase to greater than 45 mmHg, which indicates hypoventilation.
QUESTION : A patient comes to the emergency department complaining of palpitations and "some
shortness of breath." Cardiac monitoring is initiated and reveals the following ECG rhythm strip. The
provider interprets this strip as indicating which arrhythmia?
Atrial fibrillation
Ventricular tachycardia
Ventricular fibrillation
UPDATED exam 2026
