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ACLS FINAL TEST QUESTIONS AND ANSWERS -ALL QUESTIONS AND
100% CORRECT ANSWERS ALREADY GRADED A+ - LATEST UPDATE 2026
1. A patient is in ventricular fibrillation (VF). What is the first action?
A) Give epinephrine
B) Start CPR
C) Defibrillate immediately
D) Administer amiodarone
Answer: C
Rationale: VF is a shockable rhythm. Immediate defibrillation is the priority to restore a
perfusing rhythm before medications.
2. True or False: High-quality chest compressions should be at least 2 inches deep at 100–
120/min.
Answer: True
Rationale: Proper depth and rate improve perfusion and survival during cardiac arrest.
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. During ACLS, after a shock for VF, what should you do next?
A) Check the pulse
B) Resume CPR immediately for 2 minutes
C) Administer amiodarone
D) Administer atropine
UPDATED exam 2026
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Answer: B
Rationale: Minimizing interruptions in compressions is critical for perfusion and survival.
5. First-line medication for symptomatic bradycardia?
A) Epinephrine
B) Atropine
C) Adenosine
D) Amiodarone
Answer: B
Rationale: Atropine 0.5 mg IV every 3–5 min is first-line for bradycardia with symptoms.
6. True or False: The compression-to-ventilation ratio for single-rescuer adult CPR is 30:2.
Answer: True
7. A patient in pulseless VT receives CPR and defibrillation. What is next?
A) Continue CPR and administer epinephrine every 3–5 minutes
B) Stop CPR if no pulse
C) Give atropine
D) Wait for rhythm check only
Answer: A
Rationale: Epinephrine is administered every 3–5 minutes during non-perfusing rhythms; CPR
is continuous.
8. A patient with narrow-complex tachycardia is stable. What is the preferred treatment?
A) Vagal maneuvers, then adenosine
B) Synchronized cardioversion
C) Defibrillation
D) CPR
Answer: A
Rationale: Stable SVT can be treated initially with vagal maneuvers and adenosine before
electrical intervention.
UPDATED exam 2026
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9. Unstable SVT with hypotension requires:
A) Adenosine
B) Synchronized cardioversion
C) Observation
D) CPR
Answer: B
10. True or False: Epinephrine should be given in all non-perfusing rhythms (asystole, PEA, VF,
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. A patient post-ROSC has hypotension. Next step?
A) Administer IV fluids
B) Start vasopressors if needed
C) Optimize oxygenation and ventilation
D) All of the above
Answer: D
Rationale: Post-cardiac arrest care focuses on perfusion, oxygenation, and hemodynamic
stability.
13. True or False: Interruptions in chest compressions should be minimized to <10 seconds.
Answer: True
UPDATED exam 2026
ACLS FINAL TEST QUESTIONS AND ANSWERS -ALL QUESTIONS AND
100% CORRECT ANSWERS ALREADY GRADED A+ - LATEST UPDATE 2026
1. A patient is in ventricular fibrillation (VF). What is the first action?
A) Give epinephrine
B) Start CPR
C) Defibrillate immediately
D) Administer amiodarone
Answer: C
Rationale: VF is a shockable rhythm. Immediate defibrillation is the priority to restore a
perfusing rhythm before medications.
2. True or False: High-quality chest compressions should be at least 2 inches deep at 100–
120/min.
Answer: True
Rationale: Proper depth and rate improve perfusion and survival during cardiac arrest.
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. During ACLS, after a shock for VF, what should you do next?
A) Check the pulse
B) Resume CPR immediately for 2 minutes
C) Administer amiodarone
D) Administer atropine
UPDATED exam 2026
,2|Page
Answer: B
Rationale: Minimizing interruptions in compressions is critical for perfusion and survival.
5. First-line medication for symptomatic bradycardia?
A) Epinephrine
B) Atropine
C) Adenosine
D) Amiodarone
Answer: B
Rationale: Atropine 0.5 mg IV every 3–5 min is first-line for bradycardia with symptoms.
6. True or False: The compression-to-ventilation ratio for single-rescuer adult CPR is 30:2.
Answer: True
7. A patient in pulseless VT receives CPR and defibrillation. What is next?
A) Continue CPR and administer epinephrine every 3–5 minutes
B) Stop CPR if no pulse
C) Give atropine
D) Wait for rhythm check only
Answer: A
Rationale: Epinephrine is administered every 3–5 minutes during non-perfusing rhythms; CPR
is continuous.
8. A patient with narrow-complex tachycardia is stable. What is the preferred treatment?
A) Vagal maneuvers, then adenosine
B) Synchronized cardioversion
C) Defibrillation
D) CPR
Answer: A
Rationale: Stable SVT can be treated initially with vagal maneuvers and adenosine before
electrical intervention.
UPDATED exam 2026
, 3|Page
9. Unstable SVT with hypotension requires:
A) Adenosine
B) Synchronized cardioversion
C) Observation
D) CPR
Answer: B
10. True or False: Epinephrine should be given in all non-perfusing rhythms (asystole, PEA, VF,
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. A patient post-ROSC has hypotension. Next step?
A) Administer IV fluids
B) Start vasopressors if needed
C) Optimize oxygenation and ventilation
D) All of the above
Answer: D
Rationale: Post-cardiac arrest care focuses on perfusion, oxygenation, and hemodynamic
stability.
13. True or False: Interruptions in chest compressions should be minimized to <10 seconds.
Answer: True
UPDATED exam 2026
