ACLS EXAM AND PRACTICE EXAM 2026/2027
WITH ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
|CURRENTLY TESTING QUESTIONS AND
SOLUTIONS|ALREADY GRADED A+|NEWEST
|BRAND NEW VERSION|JUST RELEASED!!
What is the recommended energy dose for biphasic synchronized cardioversion of atrial
fibrillation?
120to200J
Which of the following is an acceptable method of selecting an appropriately sized
oropharyngeal airway (OPA)?
Measure from the corner of the mouth to the angle of the mandible.
Which is a contraindication to nitroglycerin administration in the management of acute
coronary syndromes?
Right ventricular infarction and dysfunction
What is the recommended initial intervention for managing hypotension in the immediate
period after return of spontaneous circulation (ROSC)?
Administration of IV or IO fluid bolus
Which is an appropriate and important intervention to perform for a patient who achieves ROSC
during an out-of-hospital resuscitation?
Transport the patient to a facility capable of performing PCI.
1|Page
,What is the immediate danger of excessive ventilation during the post-cardiac arrest period for
patients who achieve ROSC?
Decreased cerebral blood flow
What is the recommended target temperature range for achieving therapeutic hypothermia
after cardiac arrest?
32°C to 34°C
What is the recommended duration of therapeutic hypothermia after reaching the target
temperature?
12 to 24 hours
What is the danger of routinely administering high concentrations of oxygen during the post-
cardiac arrest period for patients who achieve ROSC?
Potential oxygen toxicity
What is the recommended dose of epinephrine for the treatment of hypotension in a post-
cardiac arrest patient who achieves ROSC?
0.1 to 0.5 mcg/kg per minute IV infusion
You have completed 2 min of CPR. The ECG monitor displays the lead below (PEA) and the
patient has no pulse. You partner resumes chest compressions and an IV is in place. What
management step is your next priority?
Administer 1mg of epinephrine
A patient is in refractory ventricular fibrillation and has received multiple appropriate
defibrillation shocks, epinephrine 1 mg IV twice, and an initial dose of 300 mg amiodarone IV.
The patient is intubated. A second dose of amiodarone is now called for. The recommend
second dose of amiodarone is ?
150 mg IV push
2|Page
,A patient is in refractory ventricular fibrillation. High CPR is in progress and shocks have been
given. One dose of epinephrine was given after the second shock. An anti arrhythmic drug was
given immediately after the the third shock. What drug should the team leader request to be
prepared for administration next?
second dose of epinephrine 1 mg
A patient is in pulseless ventricular tachycardia. Two shocks and 1 dose of epinephrine has been
given. Which is the next drug to anticipate to administer?
amiodarone 300 mg
You are monitoring a patient with chest discomfort who suddenly becomes unresponsive. You
observe the following rhythm on the cardiac monitor. A defibrillator is present. What is your
first action?
Give a single shock
what do you do after return of spontaneous circulation
maintain O2 sat at 94%
treat hypotension (fluids vasopressor)
12 lead EKG
if in coma consider hypothermia
if not in coma and ekg shows STEMI or AMI consider re-perfusion
what are the 5 h's and 5 t's
hypovolemia
hypoxia
hydrogen ion (acidosis)
hypo/hyperkalemia
hypothermia
tension pneumothorax
3|Page
, tamponade, cardiac
toxins
thrombosis, pulmonary
thrombosis, coronary
Bradycardia require treatment when?
chest pain or shortness of breath is present
how do you treat non-symptomatic bradycardia
monitor and observe
what constitutes symptomatic bradycardia
hypotension
altered mental status
signs of shock
chest pain
acute heart failure
A patient with sinus bradycardia and a heart rate of 42 has diaphoresis and blood pressure of
80/60. What is the initial dose of atropine?
0.5 mg
how do you treat symptomatic bradycardia
give 0.5mg atropine every 3-5 mins to max of 3mg
if that doesn't work try one of the following:
transcutaneous pacing
2-10mcg/kg / minute dopamine infusion
2-10mcg per minute epinephrine infusion
what is considered a tachycardia requiring treatment
4|Page
WITH ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
|CURRENTLY TESTING QUESTIONS AND
SOLUTIONS|ALREADY GRADED A+|NEWEST
|BRAND NEW VERSION|JUST RELEASED!!
What is the recommended energy dose for biphasic synchronized cardioversion of atrial
fibrillation?
120to200J
Which of the following is an acceptable method of selecting an appropriately sized
oropharyngeal airway (OPA)?
Measure from the corner of the mouth to the angle of the mandible.
Which is a contraindication to nitroglycerin administration in the management of acute
coronary syndromes?
Right ventricular infarction and dysfunction
What is the recommended initial intervention for managing hypotension in the immediate
period after return of spontaneous circulation (ROSC)?
Administration of IV or IO fluid bolus
Which is an appropriate and important intervention to perform for a patient who achieves ROSC
during an out-of-hospital resuscitation?
Transport the patient to a facility capable of performing PCI.
1|Page
,What is the immediate danger of excessive ventilation during the post-cardiac arrest period for
patients who achieve ROSC?
Decreased cerebral blood flow
What is the recommended target temperature range for achieving therapeutic hypothermia
after cardiac arrest?
32°C to 34°C
What is the recommended duration of therapeutic hypothermia after reaching the target
temperature?
12 to 24 hours
What is the danger of routinely administering high concentrations of oxygen during the post-
cardiac arrest period for patients who achieve ROSC?
Potential oxygen toxicity
What is the recommended dose of epinephrine for the treatment of hypotension in a post-
cardiac arrest patient who achieves ROSC?
0.1 to 0.5 mcg/kg per minute IV infusion
You have completed 2 min of CPR. The ECG monitor displays the lead below (PEA) and the
patient has no pulse. You partner resumes chest compressions and an IV is in place. What
management step is your next priority?
Administer 1mg of epinephrine
A patient is in refractory ventricular fibrillation and has received multiple appropriate
defibrillation shocks, epinephrine 1 mg IV twice, and an initial dose of 300 mg amiodarone IV.
The patient is intubated. A second dose of amiodarone is now called for. The recommend
second dose of amiodarone is ?
150 mg IV push
2|Page
,A patient is in refractory ventricular fibrillation. High CPR is in progress and shocks have been
given. One dose of epinephrine was given after the second shock. An anti arrhythmic drug was
given immediately after the the third shock. What drug should the team leader request to be
prepared for administration next?
second dose of epinephrine 1 mg
A patient is in pulseless ventricular tachycardia. Two shocks and 1 dose of epinephrine has been
given. Which is the next drug to anticipate to administer?
amiodarone 300 mg
You are monitoring a patient with chest discomfort who suddenly becomes unresponsive. You
observe the following rhythm on the cardiac monitor. A defibrillator is present. What is your
first action?
Give a single shock
what do you do after return of spontaneous circulation
maintain O2 sat at 94%
treat hypotension (fluids vasopressor)
12 lead EKG
if in coma consider hypothermia
if not in coma and ekg shows STEMI or AMI consider re-perfusion
what are the 5 h's and 5 t's
hypovolemia
hypoxia
hydrogen ion (acidosis)
hypo/hyperkalemia
hypothermia
tension pneumothorax
3|Page
, tamponade, cardiac
toxins
thrombosis, pulmonary
thrombosis, coronary
Bradycardia require treatment when?
chest pain or shortness of breath is present
how do you treat non-symptomatic bradycardia
monitor and observe
what constitutes symptomatic bradycardia
hypotension
altered mental status
signs of shock
chest pain
acute heart failure
A patient with sinus bradycardia and a heart rate of 42 has diaphoresis and blood pressure of
80/60. What is the initial dose of atropine?
0.5 mg
how do you treat symptomatic bradycardia
give 0.5mg atropine every 3-5 mins to max of 3mg
if that doesn't work try one of the following:
transcutaneous pacing
2-10mcg/kg / minute dopamine infusion
2-10mcg per minute epinephrine infusion
what is considered a tachycardia requiring treatment
4|Page
