ADVANCED CARDIAC LIFE SUPPORT (ACLS) – PRACTICE QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF.
*Core Domains*
*• Basic Life Support (BLS) Integration*
*• ACLS Algorithms and Cardiac Arrest*
*• Post-Cardiac Arrest Care*
*• Acute Coronary Syndromes (ACS)*
*• Acute Ischemic Stroke*
*• Rhythm Recognition and ECG*
*• Pharmacology and Dosages*
*• Team Dynamics and Communication*
*Introduction*
*The purpose of this comprehensive practice assessment is to evaluate and enhance the
clinical proficiency of healthcare professionals in managing cardiovascular emergencies.
This exam assesses vital skills including advanced airway management, pharmacological
interventions, and the execution of life-saving algorithms. Through a combination of
foundational theory and scenario-based questions, candidates are challenged to apply
critical thinking and rapid decision-making to real-world medical crises. This
simulation mirrors the rigorous structure of professional certification exams,
ensuring that practitioners are prepared to lead resuscitation teams and improve
patient outcomes through evidence-based practice and standardized protocols.*
,SECTION ONE: QUESTIONS 1–100
1. A patient in the ICU develops sudden ventricular fibrillation. What is the first priority for the responding
provider?
A. Immediate intubation
B. Administration of 1mg Epinephrine
C. High-quality chest compressions
🟢 D. Immediate defibrillation
🔴 RATIONALE: While chest compressions are vital, the definitive treatment for witnessed ventricular
fibrillation is immediate unsynchronized shock (defibrillation) to restore a perfusing rhythm.
2. During a resuscitation attempt, what is the recommended depth for chest compressions on an adult
patient?
A. At least 1 inch
🟢 B. At least 2 inches
C. Exactly 3 inches
D. Between 1 and 1.5 inches
🔴 RATIONALE: Effective CPR requires a compression depth of at least 2 inches (5 cm) but no more than 2.4
inches (6 cm) to ensure adequate blood flow to vital organs.
3. Which of the following is the correct intravenous dose of Epinephrine during a cardiac arrest for an adult?
🟢 A. 1 mg every 3 to 5 minutes
B. 0.5 mg every 10 minutes
C. 1 mg once per code
D. 2 mg every 2 minutes
,🔴 RATIONALE: The standard ACLS protocol for cardiac arrest (VF, pVT, Asystole, PEA) involves 1 mg of
Epinephrine (1:10,000 solution) administered every 3 to 5 minutes.
4. A patient presents with a heart rate of 35 bpm, is diaphoretic, and has a blood pressure of 80/40 mmHg.
Which is the first-line medication?
A. Amiodarone
B. Lidocaine
🟢 C. Atropine
D. Adenosine
🔴 RATIONALE: Atropine is the first-line treatment for symptomatic bradycardia. If ineffective, pacing or
chronotropic infusions (dopamine/epinephrine) are considered.
5. In the context of the ACS algorithm, what is the primary goal of administering Oxygen to a patient with a
suspected MI?
A. To prevent pulmonary edema
B. To reverse tachycardia
🟢 C. To maintain oxygen saturation above 90%
D. To reduce the need for Aspirin
🔴 RATIONALE: Supplemental oxygen should only be administered if the patient is dyspneic, hypoxemic, or
has signs of heart failure; the target is to maintain SpO2 ≥ 90%.
6. During a code, the monitor shows a rhythm that is organized but the patient has no palpable pulse. This is
identified as:
A. Ventricular Tachycardia
🟢 B. Pulseless Electrical Activity (PEA)
C. Asystole
D. Ventricular Fibrillation
, 🔴 RATIONALE: PEA is defined as the presence of organized electrical activity on the monitor in the absence
of a detectable pulse.
7. What is the standard dose of Amiodarone for the first administration in a refractory Ventricular Fibrillation
case?
A. 150 mg
🟢 B. 300 mg
C. 1 mg/kg
D. 450 mg
🔴 RATIONALE: The first dose of Amiodarone for pulseless VF/pVT is a 300 mg IV/IO bolus, followed by a
second dose of 150 mg if needed.
8. When using a bag-mask device for a patient in respiratory arrest with a pulse, how often should breaths
be delivered?
🟢 A. 1 breath every 6 seconds
B. 1 breath every 3 seconds
C. 2 breaths every 30 seconds
D. 1 breath every 10 seconds
🔴 RATIONALE: For an adult in respiratory arrest with a pulse, rescue breathing should be provided at a rate
of 1 breath every 6 seconds (10 breaths per minute).
9. A patient is in SVT and is hemodynamically stable. Vagal maneuvers were unsuccessful. What is the next
step?
A. Synchronized cardioversion
🟢 B. Adenosine 6 mg rapid IV push
C. Amiodarone 300 mg IV push
D. Defibrillation 200J
(VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF.
*Core Domains*
*• Basic Life Support (BLS) Integration*
*• ACLS Algorithms and Cardiac Arrest*
*• Post-Cardiac Arrest Care*
*• Acute Coronary Syndromes (ACS)*
*• Acute Ischemic Stroke*
*• Rhythm Recognition and ECG*
*• Pharmacology and Dosages*
*• Team Dynamics and Communication*
*Introduction*
*The purpose of this comprehensive practice assessment is to evaluate and enhance the
clinical proficiency of healthcare professionals in managing cardiovascular emergencies.
This exam assesses vital skills including advanced airway management, pharmacological
interventions, and the execution of life-saving algorithms. Through a combination of
foundational theory and scenario-based questions, candidates are challenged to apply
critical thinking and rapid decision-making to real-world medical crises. This
simulation mirrors the rigorous structure of professional certification exams,
ensuring that practitioners are prepared to lead resuscitation teams and improve
patient outcomes through evidence-based practice and standardized protocols.*
,SECTION ONE: QUESTIONS 1–100
1. A patient in the ICU develops sudden ventricular fibrillation. What is the first priority for the responding
provider?
A. Immediate intubation
B. Administration of 1mg Epinephrine
C. High-quality chest compressions
🟢 D. Immediate defibrillation
🔴 RATIONALE: While chest compressions are vital, the definitive treatment for witnessed ventricular
fibrillation is immediate unsynchronized shock (defibrillation) to restore a perfusing rhythm.
2. During a resuscitation attempt, what is the recommended depth for chest compressions on an adult
patient?
A. At least 1 inch
🟢 B. At least 2 inches
C. Exactly 3 inches
D. Between 1 and 1.5 inches
🔴 RATIONALE: Effective CPR requires a compression depth of at least 2 inches (5 cm) but no more than 2.4
inches (6 cm) to ensure adequate blood flow to vital organs.
3. Which of the following is the correct intravenous dose of Epinephrine during a cardiac arrest for an adult?
🟢 A. 1 mg every 3 to 5 minutes
B. 0.5 mg every 10 minutes
C. 1 mg once per code
D. 2 mg every 2 minutes
,🔴 RATIONALE: The standard ACLS protocol for cardiac arrest (VF, pVT, Asystole, PEA) involves 1 mg of
Epinephrine (1:10,000 solution) administered every 3 to 5 minutes.
4. A patient presents with a heart rate of 35 bpm, is diaphoretic, and has a blood pressure of 80/40 mmHg.
Which is the first-line medication?
A. Amiodarone
B. Lidocaine
🟢 C. Atropine
D. Adenosine
🔴 RATIONALE: Atropine is the first-line treatment for symptomatic bradycardia. If ineffective, pacing or
chronotropic infusions (dopamine/epinephrine) are considered.
5. In the context of the ACS algorithm, what is the primary goal of administering Oxygen to a patient with a
suspected MI?
A. To prevent pulmonary edema
B. To reverse tachycardia
🟢 C. To maintain oxygen saturation above 90%
D. To reduce the need for Aspirin
🔴 RATIONALE: Supplemental oxygen should only be administered if the patient is dyspneic, hypoxemic, or
has signs of heart failure; the target is to maintain SpO2 ≥ 90%.
6. During a code, the monitor shows a rhythm that is organized but the patient has no palpable pulse. This is
identified as:
A. Ventricular Tachycardia
🟢 B. Pulseless Electrical Activity (PEA)
C. Asystole
D. Ventricular Fibrillation
, 🔴 RATIONALE: PEA is defined as the presence of organized electrical activity on the monitor in the absence
of a detectable pulse.
7. What is the standard dose of Amiodarone for the first administration in a refractory Ventricular Fibrillation
case?
A. 150 mg
🟢 B. 300 mg
C. 1 mg/kg
D. 450 mg
🔴 RATIONALE: The first dose of Amiodarone for pulseless VF/pVT is a 300 mg IV/IO bolus, followed by a
second dose of 150 mg if needed.
8. When using a bag-mask device for a patient in respiratory arrest with a pulse, how often should breaths
be delivered?
🟢 A. 1 breath every 6 seconds
B. 1 breath every 3 seconds
C. 2 breaths every 30 seconds
D. 1 breath every 10 seconds
🔴 RATIONALE: For an adult in respiratory arrest with a pulse, rescue breathing should be provided at a rate
of 1 breath every 6 seconds (10 breaths per minute).
9. A patient is in SVT and is hemodynamically stable. Vagal maneuvers were unsuccessful. What is the next
step?
A. Synchronized cardioversion
🟢 B. Adenosine 6 mg rapid IV push
C. Amiodarone 300 mg IV push
D. Defibrillation 200J
