ACLS RECERTIFICATION PRACTICE
EXAMINATION 2026 QUESTIONS
WITH ANSWERS GRADED A+
◍ What rhythm is this?.
Answer: Second-degree AV block type II
◍ A pt with STEMI has ongoing chest dicomfort. Heparin 4000 units IV bolus
and heparin infusion of 1000 units/hr are being administered. The pt did not
take ASA because he has a hx of gastritis, which was tx 5 years ago. What is
the next action?
A. Give ASA 160 to 325 mg to chew
B. Give clopidogrel 300 mg PO
C. Give enteric-coated ASA 75 mg PO
D. Give enteric-coated ASA 325 mg rectally.
Answer: A. Give ASA 160 to 325 mg to chew
◍ to properly ventilate a patient with a perfusing rhythm how often do you
squeeze the bag.
Answer: every 5-6 seconds
◍ A pt is in pulseless ventricular tachycardia. 2 shocks and 1 dose of
epinephrine have been given. Which drug should be given next?
A. Adenosine 6 mg
B. Amiodarone 300 mg
C. Epinephrine 3 mg
D. Lidocaine 0.5 mg/kg.
Answer: B. Amiodarone 300 mg
◍ A pt is in cardiac arrest. V fib has been refractory to an initial shock. If no
pathway for medication administration is in place, which method is
, preferred
A. Central line
B. Endotracheal tube
C. External Jugular vein
D. IV or IO.
Answer: D. IV or IO
◍ What is the indicatio for the use of Mg in cardiac arrest?
A. V tach associated with a normal QT interval
B. shock-refractory monomorphic v tach
C. Pulseless v tach-associated torsades de pointes
D. shock-refractory v fib.
Answer: C. Pulseless v tach-associated torsades de pointes
◍ You arrive on the scene with the code team. CRP is in progess. An AED
previously advised "no shock indicated." A rhythm chec now finds asystole.
After resuming compressions, which action do you take next?
A. Call for a pulse check
B. establish IV or IO access
C. Insert a laryneal airway
D. Perform endotracheal intubation.
Answer: B. establish IV or IO access
◍ A pt is in cardiac arrest. V fib has been refractory to a second shock. Which
drug should be administered first?
A. Atropine 1 mg IV/IO
B. epinephrine 1 mg IV/IO
C. Lidocaine 1 mg/kg IV/IO
D. Sodium bicarbonate 50 mEq IV/IO.
Answer: B. epinephrine 1 mg IV/IO
◍ which best describes this rhythm?.
Answer: Third-degree atrioventricular block
◍ A pt with sinus bradycardia and a HR of 42/min has diaphoresis and a BP of
80/60 mg. What is the initial dose of atropine?
EXAMINATION 2026 QUESTIONS
WITH ANSWERS GRADED A+
◍ What rhythm is this?.
Answer: Second-degree AV block type II
◍ A pt with STEMI has ongoing chest dicomfort. Heparin 4000 units IV bolus
and heparin infusion of 1000 units/hr are being administered. The pt did not
take ASA because he has a hx of gastritis, which was tx 5 years ago. What is
the next action?
A. Give ASA 160 to 325 mg to chew
B. Give clopidogrel 300 mg PO
C. Give enteric-coated ASA 75 mg PO
D. Give enteric-coated ASA 325 mg rectally.
Answer: A. Give ASA 160 to 325 mg to chew
◍ to properly ventilate a patient with a perfusing rhythm how often do you
squeeze the bag.
Answer: every 5-6 seconds
◍ A pt is in pulseless ventricular tachycardia. 2 shocks and 1 dose of
epinephrine have been given. Which drug should be given next?
A. Adenosine 6 mg
B. Amiodarone 300 mg
C. Epinephrine 3 mg
D. Lidocaine 0.5 mg/kg.
Answer: B. Amiodarone 300 mg
◍ A pt is in cardiac arrest. V fib has been refractory to an initial shock. If no
pathway for medication administration is in place, which method is
, preferred
A. Central line
B. Endotracheal tube
C. External Jugular vein
D. IV or IO.
Answer: D. IV or IO
◍ What is the indicatio for the use of Mg in cardiac arrest?
A. V tach associated with a normal QT interval
B. shock-refractory monomorphic v tach
C. Pulseless v tach-associated torsades de pointes
D. shock-refractory v fib.
Answer: C. Pulseless v tach-associated torsades de pointes
◍ You arrive on the scene with the code team. CRP is in progess. An AED
previously advised "no shock indicated." A rhythm chec now finds asystole.
After resuming compressions, which action do you take next?
A. Call for a pulse check
B. establish IV or IO access
C. Insert a laryneal airway
D. Perform endotracheal intubation.
Answer: B. establish IV or IO access
◍ A pt is in cardiac arrest. V fib has been refractory to a second shock. Which
drug should be administered first?
A. Atropine 1 mg IV/IO
B. epinephrine 1 mg IV/IO
C. Lidocaine 1 mg/kg IV/IO
D. Sodium bicarbonate 50 mEq IV/IO.
Answer: B. epinephrine 1 mg IV/IO
◍ which best describes this rhythm?.
Answer: Third-degree atrioventricular block
◍ A pt with sinus bradycardia and a HR of 42/min has diaphoresis and a BP of
80/60 mg. What is the initial dose of atropine?
