ACLS Final Exam 2025 Practice Test
ACLS FINAL EXAM 2023-2026 PRACTICE
TEST | 70-QUESTION COMPREHENSIVE
ACLS CERTIFICATION REVIEW WITH
DETAILED RATIONALES & MEGA CODE
PREP | 100% SCORING RATE!
1|Page
,ACLS Final Exam 2025 Practice Test
2|Page
, ACLS Final Exam 2025 Practice Test
BELOW ARE THE QUESTIONS WHICH ARE NOT CLEAR ABOVE.
Which of the following is the first priority when managing a patient in cardiac arrest?
A. Administer epinephrine
B. Secure advanced airway
C. Begin high-quality CPR
D. Obtain 12-lead ECG
Correct Answer: C. Begin high-quality CPR
Rationale:
High-quality CPR is the foundation of cardiac arrest management. Immediate chest
compressions maintain coronary and cerebral perfusion. Delays in compressions reduce survival
rates. Airway management and medications are important but secondary to initiating effective
compressions with minimal interruptions.
A patient is found unresponsive with no pulse. The monitor shows ventricular fibrillation.
What is the next immediate action?
A. Administer amiodarone
B. Deliver unsynchronized shock
C. Start IV fluids
D. Provide synchronized cardioversion
Correct Answer: B. Deliver unsynchronized shock
Rationale:
Ventricular fibrillation (VF) is a shockable rhythm. Immediate defibrillation is the priority.
Unsynchronized shock depolarizes the myocardium simultaneously to allow the SA node to
regain control. Medications such as amiodarone are given after defibrillation attempts if VF
persists.
What is the recommended compression-to-ventilation ratio for adult CPR with no
advanced airway in place?
A. 15:2
B. 30:2
C. 20:2
D. Continuous compressions with 1 breath every 10 seconds
Correct Answer: B. 30:2
3|Page
ACLS FINAL EXAM 2023-2026 PRACTICE
TEST | 70-QUESTION COMPREHENSIVE
ACLS CERTIFICATION REVIEW WITH
DETAILED RATIONALES & MEGA CODE
PREP | 100% SCORING RATE!
1|Page
,ACLS Final Exam 2025 Practice Test
2|Page
, ACLS Final Exam 2025 Practice Test
BELOW ARE THE QUESTIONS WHICH ARE NOT CLEAR ABOVE.
Which of the following is the first priority when managing a patient in cardiac arrest?
A. Administer epinephrine
B. Secure advanced airway
C. Begin high-quality CPR
D. Obtain 12-lead ECG
Correct Answer: C. Begin high-quality CPR
Rationale:
High-quality CPR is the foundation of cardiac arrest management. Immediate chest
compressions maintain coronary and cerebral perfusion. Delays in compressions reduce survival
rates. Airway management and medications are important but secondary to initiating effective
compressions with minimal interruptions.
A patient is found unresponsive with no pulse. The monitor shows ventricular fibrillation.
What is the next immediate action?
A. Administer amiodarone
B. Deliver unsynchronized shock
C. Start IV fluids
D. Provide synchronized cardioversion
Correct Answer: B. Deliver unsynchronized shock
Rationale:
Ventricular fibrillation (VF) is a shockable rhythm. Immediate defibrillation is the priority.
Unsynchronized shock depolarizes the myocardium simultaneously to allow the SA node to
regain control. Medications such as amiodarone are given after defibrillation attempts if VF
persists.
What is the recommended compression-to-ventilation ratio for adult CPR with no
advanced airway in place?
A. 15:2
B. 30:2
C. 20:2
D. Continuous compressions with 1 breath every 10 seconds
Correct Answer: B. 30:2
3|Page
