AHA ACLS EXAM AMERICAN RED CROSS ACLS FINAL EXAM | COMPLETE
QUESTIONS WITH EXPERT SOLUTIONS | 2026 LATEST UPDATED
|GET A+
AHA ACLS EXAM American Red Cross ACLS Final EXAM - (Answer)AHA ACLS EXAM
American Red Cross ACLS Final EXAM
You have completed 2 min of CPR. The ECG monitor displays the lead below (PEA) and the pt.
has a pulse. You partner resumes chest compressions and an IV is in place. What management
step is your next priority? - (Answer)Administer 1mg of epinepherine
You are evaluating a 58 year old man with chest pain. The BP is 92/50 and a heart rate of 92/min,
non-labored respiratory rate is 14 breaths/min and the pulse O2 is 97%. What assessment step is
most important now? - (Answer)Obtaining a 12 lead ECG.
Identification of Chest Discomfort Suggestive of Ischemia
What is the preferred method of access for epi administration during cardiac arrest in most pts? -
(Answer)Peripheral IV
An AED does not promptly analyze a rythm. What is your next step? - (Answer)Begin chest
compressions.
During a pause in CPR, you see a narrow complex rythm on the monitor. The pt. has no pulse.
What is the next action? - (Answer)Resume compressions
What is acommon but sometimes fatal mistake in cardiac arrest management? -
(Answer)Prolonged interruptions in chest compressions.
,Which action is a componant of high-quality chest comressions? - (Answer)Allowing complete
chest recoil
Which action increases the chance of successful conversion of ventricular fibrillation? -
(Answer)Providing quality compressions immediately before a defibrillation attempt.
Which situation BEST describes PEA? - (Answer)Sinus rythm without a pulse
What is the best strategy for perfoming high-quality CPR on a pt.with an advanced airway in
place? - (Answer)Provide continuous chest compressionswithout pauses and 10 ventilations per
minute.
3 min after witnessing a cardiac arrest, one memeber of your team inserts an ET tube while
another performs continuous chest comressions. During subsequent bentilation, you notice the
presence of a wavefom on the capnogrophy screen and a PETCO2 of 8 mm Hg. What is the
significance of this finding? - (Answer)Chest compressions may not be effective.
The use of quantitative capnography in intubated pt's does what? - (Answer)Allowsfor
monitoring CPR quality
For the past 25 min, EMS crews have attempted resuscitation of a pt who originally presented
with V-FIB. After the 1st shock, the ECG screen displayed asystole which has persisted despite 2
doses of epi, a fluid bolus, and high quality CPR. What is your next treatment? -
(Answer)Consider terminating resuscitive efforts after consulting medical control.
Which is a safe and effective practice within the defibrillation sequence? - (Answer)Be sure O2
is NOT blowing over the pt's chest during shock.
During your assessment, your pt suddenly loses consciousness. After calling for help and
determining that the pt. is not breathing, you are unsure whether the pt. has a pulse. What is your
next action? - (Answer)Begin chest compressions.
,What is an advantage of using hands-free d-fib pads instead of d-fib paddles? - (Answer)Hands-
free allows for more rapid d-fib.
What action is recommended to help minimize interruptions in chest compressions during CPR?
- (Answer)Continue CPR while charging the defibrillator.
Foundational Facts: Resume CPR While Manual Defibrillator is Charging
Which action is included in the BLS survey? - (Answer)Early defibrillation
Which drug and dose are recommended for the management of a pt. in refractory V-FIB? -
(Answer)Amiodarone 300mg
What is the appropriate intervalfor an interruption in chest compressions? - (Answer)10 seconds
or less
Which of the following is a sign of effective CPR? - (Answer)PETCO2 = or > 10mm Hg
What is the purpose of a medical emergency team (MET) or rapid response team? -
(Answer)Improving patient outcomes by identifying and treating early clinical deterioration.
Foundational Facts: Medical Emergency Teams (METs) and Rapid Response Teams (RRTs)
Which action improves the quality of chest compressions delivered during resuscitave attemepts?
- (Answer)Shitch providers about every 2 min or every 5 compression cycles.
What is the appropriate ventilation strategy for an adult in respiratory arrest with a pulse of 80
beats/min? - (Answer)1 breath every 5-6 seconds
, A pt. presents to the ER with a new onset of dizziness and fatugue. Onexamination, the pt's heart
rate is 35 beats/min, BP is 70/50, resp. rate is 22 per min, O2 sat is 95%. What is the appropriate
1st medication? - (Answer)Atropine 0.5mg
A pt. presents to the ER with dizziness and SOB with a sinus brady of 40/min. The initial
atropine dose was ineffective and your monitor does not provide TCP. What is the appropriate
dose of Dopamine for this pt? - (Answer)2-10mcg/kg/min
A pt. has an onset of dizziness. The pt.s heart rate is 180, BP is 110/70, resp. rate is 18, O2 sat is
98%. This is a reg narrow complex tach rythm. What is the next intervention? - (Answer)Vagal
manuever.
A monitored pt. in the ICU developed a suddent onset of narrow complex tach at a rate of
220/min. The pt's BP is 128/58, the PETCO2 is 38mm Hg, and the O2 sat is 98%. There is an EJ
established for vascular access. The pt. denies taking any vasodialators. A 12 lead shows no
ischemia or infarction. Vagal manuevers are ineffective. What is the next intervention? -
(Answer)Adenosine 12mg IV
You receiving a radio report from an EMS team enroute with a pt. who may be having a stroke.
The hospital CT scanner is broken. What should you do? - (Answer)Divert the pt. to a hospital
15 min away with CT capabilities.
Foundational Facts: Stroke Centers and Stroke Units
Choose an appropriate inidication to stop or withhold resuscitive efforts. - (Answer)Evidence of
rigor mortis.
A 49 y/ofmaile arrives in the ER with persistant epigastric pain. She has been taking antacids PO
for the past 6 hours because she she had heartburn. BP is 118/72, heart rate is 92/min, resp. rate is
14 non-labored and O2 sat is 96%. What is the most appropriate next action? - (Answer)Obtain a
12 lead ECG.
QUESTIONS WITH EXPERT SOLUTIONS | 2026 LATEST UPDATED
|GET A+
AHA ACLS EXAM American Red Cross ACLS Final EXAM - (Answer)AHA ACLS EXAM
American Red Cross ACLS Final EXAM
You have completed 2 min of CPR. The ECG monitor displays the lead below (PEA) and the pt.
has a pulse. You partner resumes chest compressions and an IV is in place. What management
step is your next priority? - (Answer)Administer 1mg of epinepherine
You are evaluating a 58 year old man with chest pain. The BP is 92/50 and a heart rate of 92/min,
non-labored respiratory rate is 14 breaths/min and the pulse O2 is 97%. What assessment step is
most important now? - (Answer)Obtaining a 12 lead ECG.
Identification of Chest Discomfort Suggestive of Ischemia
What is the preferred method of access for epi administration during cardiac arrest in most pts? -
(Answer)Peripheral IV
An AED does not promptly analyze a rythm. What is your next step? - (Answer)Begin chest
compressions.
During a pause in CPR, you see a narrow complex rythm on the monitor. The pt. has no pulse.
What is the next action? - (Answer)Resume compressions
What is acommon but sometimes fatal mistake in cardiac arrest management? -
(Answer)Prolonged interruptions in chest compressions.
,Which action is a componant of high-quality chest comressions? - (Answer)Allowing complete
chest recoil
Which action increases the chance of successful conversion of ventricular fibrillation? -
(Answer)Providing quality compressions immediately before a defibrillation attempt.
Which situation BEST describes PEA? - (Answer)Sinus rythm without a pulse
What is the best strategy for perfoming high-quality CPR on a pt.with an advanced airway in
place? - (Answer)Provide continuous chest compressionswithout pauses and 10 ventilations per
minute.
3 min after witnessing a cardiac arrest, one memeber of your team inserts an ET tube while
another performs continuous chest comressions. During subsequent bentilation, you notice the
presence of a wavefom on the capnogrophy screen and a PETCO2 of 8 mm Hg. What is the
significance of this finding? - (Answer)Chest compressions may not be effective.
The use of quantitative capnography in intubated pt's does what? - (Answer)Allowsfor
monitoring CPR quality
For the past 25 min, EMS crews have attempted resuscitation of a pt who originally presented
with V-FIB. After the 1st shock, the ECG screen displayed asystole which has persisted despite 2
doses of epi, a fluid bolus, and high quality CPR. What is your next treatment? -
(Answer)Consider terminating resuscitive efforts after consulting medical control.
Which is a safe and effective practice within the defibrillation sequence? - (Answer)Be sure O2
is NOT blowing over the pt's chest during shock.
During your assessment, your pt suddenly loses consciousness. After calling for help and
determining that the pt. is not breathing, you are unsure whether the pt. has a pulse. What is your
next action? - (Answer)Begin chest compressions.
,What is an advantage of using hands-free d-fib pads instead of d-fib paddles? - (Answer)Hands-
free allows for more rapid d-fib.
What action is recommended to help minimize interruptions in chest compressions during CPR?
- (Answer)Continue CPR while charging the defibrillator.
Foundational Facts: Resume CPR While Manual Defibrillator is Charging
Which action is included in the BLS survey? - (Answer)Early defibrillation
Which drug and dose are recommended for the management of a pt. in refractory V-FIB? -
(Answer)Amiodarone 300mg
What is the appropriate intervalfor an interruption in chest compressions? - (Answer)10 seconds
or less
Which of the following is a sign of effective CPR? - (Answer)PETCO2 = or > 10mm Hg
What is the purpose of a medical emergency team (MET) or rapid response team? -
(Answer)Improving patient outcomes by identifying and treating early clinical deterioration.
Foundational Facts: Medical Emergency Teams (METs) and Rapid Response Teams (RRTs)
Which action improves the quality of chest compressions delivered during resuscitave attemepts?
- (Answer)Shitch providers about every 2 min or every 5 compression cycles.
What is the appropriate ventilation strategy for an adult in respiratory arrest with a pulse of 80
beats/min? - (Answer)1 breath every 5-6 seconds
, A pt. presents to the ER with a new onset of dizziness and fatugue. Onexamination, the pt's heart
rate is 35 beats/min, BP is 70/50, resp. rate is 22 per min, O2 sat is 95%. What is the appropriate
1st medication? - (Answer)Atropine 0.5mg
A pt. presents to the ER with dizziness and SOB with a sinus brady of 40/min. The initial
atropine dose was ineffective and your monitor does not provide TCP. What is the appropriate
dose of Dopamine for this pt? - (Answer)2-10mcg/kg/min
A pt. has an onset of dizziness. The pt.s heart rate is 180, BP is 110/70, resp. rate is 18, O2 sat is
98%. This is a reg narrow complex tach rythm. What is the next intervention? - (Answer)Vagal
manuever.
A monitored pt. in the ICU developed a suddent onset of narrow complex tach at a rate of
220/min. The pt's BP is 128/58, the PETCO2 is 38mm Hg, and the O2 sat is 98%. There is an EJ
established for vascular access. The pt. denies taking any vasodialators. A 12 lead shows no
ischemia or infarction. Vagal manuevers are ineffective. What is the next intervention? -
(Answer)Adenosine 12mg IV
You receiving a radio report from an EMS team enroute with a pt. who may be having a stroke.
The hospital CT scanner is broken. What should you do? - (Answer)Divert the pt. to a hospital
15 min away with CT capabilities.
Foundational Facts: Stroke Centers and Stroke Units
Choose an appropriate inidication to stop or withhold resuscitive efforts. - (Answer)Evidence of
rigor mortis.
A 49 y/ofmaile arrives in the ER with persistant epigastric pain. She has been taking antacids PO
for the past 6 hours because she she had heartburn. BP is 118/72, heart rate is 92/min, resp. rate is
14 non-labored and O2 sat is 96%. What is the most appropriate next action? - (Answer)Obtain a
12 lead ECG.
