ACLS CERTIFICATION COMPREHENSIVE
ADVANCED CARDIAC LIFE SUPPORT STUDY
GUIDE 2026
◉ Synchronized cardioversion is appropriate for treating an
unknown wide complex tachycardia.
Answer: True
◉ The aorta is the wall that separates the ventricles of the heart.
Answer: False
◉ The most effective treatment for ventricular fibrillation is
defibrillation.
Answer: True
◉ An individual should be cleared-Ñ prior to a shock only when
convenient.
Answer: False
◉ PEA and asystole are considered non-shockable rhythms and
follow the same ACLS algorithm.
Answer: True
,◉ Transcutaneous pacing should be used on an individual with
bradycardia and inadequate perfusion if atropine is ineffective and
the individual is exhibiting severe symptoms.
Answer: True
◉ Low blood pressure may be an indication of hemodynamic
instability.
Answer: True
◉ Urgent defibrillation is essential for survival in the management
of acute strokes.
Answer: False
◉ Fibrinolytic therapy within three hours (in some cases 4.5 hours)
of first onset of symptoms is the standard when treating ischemic
stroke.
Answer: True
◉ 100% oxygen is acceptable for early intervention but not for
extended periods of time.
Answer: True
, ◉ In a suspected acute stroke individual, you must always
immediately obtain IV access.
Answer: False
◉ There is never a pulse associated with VF; therefore, you should
follow the PEA algorithm with individuals in VF.
Answer: False
◉ If the AED advises no shock, you should still defibrillate because
defibrillation often restarts the heart with no pulse.
Answer: False
◉ If transcutaneous pacing fails, there are no other options to
consider.
Answer: False
◉ Medication is the only treatment for an unstable tachycardic
individual.
Answer: False
◉ For an individiual in respiratory arrest with a pulse, how often
should they be ventilated?
A) Give two breaths every 8 to 9 seconds, or 13 to 15 breaths per
minute.
ADVANCED CARDIAC LIFE SUPPORT STUDY
GUIDE 2026
◉ Synchronized cardioversion is appropriate for treating an
unknown wide complex tachycardia.
Answer: True
◉ The aorta is the wall that separates the ventricles of the heart.
Answer: False
◉ The most effective treatment for ventricular fibrillation is
defibrillation.
Answer: True
◉ An individual should be cleared-Ñ prior to a shock only when
convenient.
Answer: False
◉ PEA and asystole are considered non-shockable rhythms and
follow the same ACLS algorithm.
Answer: True
,◉ Transcutaneous pacing should be used on an individual with
bradycardia and inadequate perfusion if atropine is ineffective and
the individual is exhibiting severe symptoms.
Answer: True
◉ Low blood pressure may be an indication of hemodynamic
instability.
Answer: True
◉ Urgent defibrillation is essential for survival in the management
of acute strokes.
Answer: False
◉ Fibrinolytic therapy within three hours (in some cases 4.5 hours)
of first onset of symptoms is the standard when treating ischemic
stroke.
Answer: True
◉ 100% oxygen is acceptable for early intervention but not for
extended periods of time.
Answer: True
, ◉ In a suspected acute stroke individual, you must always
immediately obtain IV access.
Answer: False
◉ There is never a pulse associated with VF; therefore, you should
follow the PEA algorithm with individuals in VF.
Answer: False
◉ If the AED advises no shock, you should still defibrillate because
defibrillation often restarts the heart with no pulse.
Answer: False
◉ If transcutaneous pacing fails, there are no other options to
consider.
Answer: False
◉ Medication is the only treatment for an unstable tachycardic
individual.
Answer: False
◉ For an individiual in respiratory arrest with a pulse, how often
should they be ventilated?
A) Give two breaths every 8 to 9 seconds, or 13 to 15 breaths per
minute.
