ACLS Written Exam Practice Test (Latest 2026/2027 Update) Questions with Verified Answers | 100% Correct | Graded A+

ACLS Written Exam Practice Test (Latest
2026/2027 Update) Questions with Verified
Answers | 100% Correct | Graded A+
Question:

You have completed 2 minutes of CPR. The ECG monitor displays the lead
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II rhythm below, and the patient has no pulse. Another member of your
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team resumes chest compressions, and an IV is in place. What
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management step is your next priority?? i,- i,- i,- i,- i,-




Answer:

Administer 1mg of epinephrine i,- i,- i,-




Question:

During a pause in CPR, you see this lead II ECG rhythm on the monitor.
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The patient has no pulse. What is the next action??
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Answer:

Resume compressions i,-




Question:
What is a common but sometimes fatal mistake in cardiac arrest
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management??
Answer:

,Prolonged interruptions in chest compressions.
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Question:

Which action is a componant of high-quality chest comressions??
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Answer:

Allowing complete chest recoil
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Question:
Which action increases the chance of successful conversion of ventricular
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fibrillation??
Answer:

Providing quality compressions immediately before a defibrillation
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attempt.




Question:
Which situation BEST describes pulseless electrical activity??
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Answer:

Sinus rythm without a pulse
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,Question:
What is the BEST strategy for performing high-quality CPR on a patient
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with an advanced airway in place??
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Answer:

Provide continuous chest compressions without pauses and 10
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ventilations per minute. i,- i,-




Question:
Three minutes after witnessing a cardiac arrest, one member of your team
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inserts an endotracheal tube while another performs continuous chest
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compressions. During subsequent ventilation, you notice the presence of
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a waveform on the capnography screen and a PETCO2 level of 8 mm Hg.
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What is the significance of this finding??
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Answer:
Chest compressions may not be effective.
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Question:

The use of quantitative capnography in intubated patients?
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Answer:

allows for monitoring of CPR quality.
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Question:

, For the past 25 minutes, an EMS crew has attempted resuscitation of a
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patient who originally presented in ventricular fibrillation. After the first
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shock, the ECG screen displayed asystole, which has persisted despite 2
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doses of epinephrine, a fluid bolus, and high-quality CPR. What is your
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next treatment?? i,-




Answer:

Consider terminating resuscitive efforts after consulting medical control.
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Question:

Which is a safe and effective practice within the defibrillation sequence??
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Answer:
Be sure oxygen is not blowing over the patient's chest during the shock.
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Question:
You find an unresponsive pt. who is not breathing. After activating the
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emergency response system, you determine there is no pulse. What is
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your next action?? i,- i,-




Answer:

Start chest compressions of at least 100 per min.
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Question:
You are evaluating a 58-year-old man with chest pain. The blood pressure
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is 92/50 mm Hg, the heart rate is 92/min, the nonlabored respiratory rate
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