ACLS RECERTIFICATION
COMPREHENSIVE STUDY GUIDE 2026
FULL QUESTIONS AND SOLUTIONS
GRADED A+
◍ Respiration rate in cardiac arrest.
Answer: 1 breath q 6 seconds
◍ ROSC.
Answer: Return of Spontaneous Circulation- when pulses return to a patient
who has been in cardiac arrestPETCo2 - > 40 mmhg
◍ H's and T's of ACLS.
Answer: hypovolemiahypoxia hydrogen ionshypo/hyper K hypothermia
tension pneumotamponadetoxinsthrombosis - pulmonarythrombosis -
coronary
◍ What is the max interval for pausing chest compressions?
A. 10 sec
B. 15 sec
C. 20 sec
D. 25 sec.
Answer: A. 10 sec
◍ Low Pet co2 indicates.
Answer: poor quality CPR
◍ What are the 2 shockable rhythms that a defibrillator will work on?.
Answer: 1. ventricular fibrillation2. pulseless ventricular tachycardia
◍ The main determinant of PETCO2 during CPR is:.
Answer: Stroke volume
, ◍ Target temperature management.
Answer: If does not follow commands once ROSC, temp is reduced for
24hr32-36 degrees
◍ Which of the following will providers be able to do after completing the
ACLS course?.
Answer: Utilize the Basic Life Support AssessmentProvide effective
cardiopulmonary resuscitationProvide immediate post-cardiac arrest
careRecognize and initiate early management of ACSAll of the above
◍ What is the initial treatment for bradycardia in ACLS?.
Answer: Atropine
◍ Fluids given after rosc.
Answer: 1-2L N.S
◍ Which of the following are the primary goals of the acute coronary
syndrome algorithm?.
Answer: Identification Of Patients With Atherosclerotic Disease
◍ In the ACS algorithm, if troponin is elevated in a patient with ST depression
or dynamic T-wave inversion, fibrinolytics must be given..
Answer: True - Do Not Delay Fibrinolytic Therapy
◍ Which of the following is used to categorize patients with suspected acute
coronary syndrome?.
Answer: 12-Lead ECG To Determine If An ST-Segment Elevation MI Is
Present
◍ Which of the following basic rhythms must the ACLS provider be able to
identify?.
Answer: All of the above
◍ When considering treatment of VF/VT in the patient with hypothermia,
which of the following is true?.
Answer: Treatment should be aimed at rapid core rewarming.
◍ Your patient is unconscious and does not have a pulse. You utilize the AED
COMPREHENSIVE STUDY GUIDE 2026
FULL QUESTIONS AND SOLUTIONS
GRADED A+
◍ Respiration rate in cardiac arrest.
Answer: 1 breath q 6 seconds
◍ ROSC.
Answer: Return of Spontaneous Circulation- when pulses return to a patient
who has been in cardiac arrestPETCo2 - > 40 mmhg
◍ H's and T's of ACLS.
Answer: hypovolemiahypoxia hydrogen ionshypo/hyper K hypothermia
tension pneumotamponadetoxinsthrombosis - pulmonarythrombosis -
coronary
◍ What is the max interval for pausing chest compressions?
A. 10 sec
B. 15 sec
C. 20 sec
D. 25 sec.
Answer: A. 10 sec
◍ Low Pet co2 indicates.
Answer: poor quality CPR
◍ What are the 2 shockable rhythms that a defibrillator will work on?.
Answer: 1. ventricular fibrillation2. pulseless ventricular tachycardia
◍ The main determinant of PETCO2 during CPR is:.
Answer: Stroke volume
, ◍ Target temperature management.
Answer: If does not follow commands once ROSC, temp is reduced for
24hr32-36 degrees
◍ Which of the following will providers be able to do after completing the
ACLS course?.
Answer: Utilize the Basic Life Support AssessmentProvide effective
cardiopulmonary resuscitationProvide immediate post-cardiac arrest
careRecognize and initiate early management of ACSAll of the above
◍ What is the initial treatment for bradycardia in ACLS?.
Answer: Atropine
◍ Fluids given after rosc.
Answer: 1-2L N.S
◍ Which of the following are the primary goals of the acute coronary
syndrome algorithm?.
Answer: Identification Of Patients With Atherosclerotic Disease
◍ In the ACS algorithm, if troponin is elevated in a patient with ST depression
or dynamic T-wave inversion, fibrinolytics must be given..
Answer: True - Do Not Delay Fibrinolytic Therapy
◍ Which of the following is used to categorize patients with suspected acute
coronary syndrome?.
Answer: 12-Lead ECG To Determine If An ST-Segment Elevation MI Is
Present
◍ Which of the following basic rhythms must the ACLS provider be able to
identify?.
Answer: All of the above
◍ When considering treatment of VF/VT in the patient with hypothermia,
which of the following is true?.
Answer: Treatment should be aimed at rapid core rewarming.
◍ Your patient is unconscious and does not have a pulse. You utilize the AED
