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ACLS Post-Test Examination Master Key
ADVANCED CARDIAC LIFE SUPPORT • OFFICIAL POST-TEST STUDY & VERIFICATION GRADED A+ •
GUIDE VERIFIED
Exam Standard: 2024-2026 ACLS Guidelines Versions Included: Version A, Version B, Version C
Target Audience: MD, DO, RN, NP, PA, Paramedic Verification: 100% Correct Expert-Verified Keys
VERSION A: Core Resuscitation & Arrhythmia Protocols Questions 1 – 3
Q1. A patient in cardiac arrest presents with Pulseless Electrical Activity (PEA) at 45 bpm. CPR is ongoing. What is
the priority immediate drug intervention?
A) Atropine 1 mg IV push B) Epinephrine 1 mg IV/IO every 3–5 minutes
C) Amiodarone 300 mg IV push D) Adenosine 6 mg rapid IV push
Correct Answer: B (Epinephrine 1 mg IV/IO)
Rationale: For non-shockable rhythms (PEA/Asystole), Epinephrine 1 mg should be administered as soon as feasible and
repeated every 3–5 minutes. Atropine is no longer recommended in routine cardiac arrest algorithms.
Q2. During a resuscitation attempt, the rhythm monitor displays VF. High-quality CPR is in progress, and 1 shock
has been delivered. What is the next step?
A) Check carotid pulse for 10 seconds B) Immediately resume CPR for 2 minutes
C) Administer Epinephrine 1 mg IV D) Deliver a second shock immediately
Correct Answer: B (Immediately resume CPR for 2 minutes)
Rationale: Immediately resume CPR for 2 minutes after a shock without pausing for a rhythm or pulse check.
Vasopressors/Antiarrhythmics are integrated during continuous 2-minute CPR cycles.
Q3. A 62-year-old male presents with symptomatic bradycardia (HR 32 bpm, BP 82/50 mmHg, altered mental
state). What is the first-line medication treatment?
A) Dopamine infusion 5–20 mcg/kg/min B) Atropine 1 mg IV bolus
C) Epinephrine infusion 2–10 mcg/min D) Synchronized Cardioversion 50 J
Correct Answer: B (Atropine 1 mg IV bolus)
Rationale: Atropine 1 mg IV (repeated every 3–5 min up to max 3 mg) is the first-line drug for symptomatic bradycardia. If
ineffective, TCP or transcutaneous catecholamine infusions are initiated.
, ACLS Post-Test Examination (Versions A, B, C) — Expert Verified Study Guide Page 1 of 4
ACLS Post-Test Examination Master Key
ADVANCED CARDIAC LIFE SUPPORT • OFFICIAL POST-TEST STUDY & VERIFICATION GRADED A+ •
GUIDE VERIFIED
Exam Standard: 2024-2026 ACLS Guidelines Versions Included: Version A, Version B, Version C
Target Audience: MD, DO, RN, NP, PA, Paramedic Verification: 100% Correct Expert-Verified Keys
VERSION A: Core Resuscitation & Arrhythmia Protocols Questions 1 – 3
Q1. A patient in cardiac arrest presents with Pulseless Electrical Activity (PEA) at 45 bpm. CPR is ongoing. What is
the priority immediate drug intervention?
A) Atropine 1 mg IV push B) Epinephrine 1 mg IV/IO every 3–5 minutes
C) Amiodarone 300 mg IV push D) Adenosine 6 mg rapid IV push
Correct Answer: B (Epinephrine 1 mg IV/IO)
Rationale: For non-shockable rhythms (PEA/Asystole), Epinephrine 1 mg should be administered as soon as feasible and
repeated every 3–5 minutes. Atropine is no longer recommended in routine cardiac arrest algorithms.
Q2. During a resuscitation attempt, the rhythm monitor displays VF. High-quality CPR is in progress, and 1 shock
has been delivered. What is the next step?
A) Check carotid pulse for 10 seconds B) Immediately resume CPR for 2 minutes
C) Administer Epinephrine 1 mg IV D) Deliver a second shock immediately
Correct Answer: B (Immediately resume CPR for 2 minutes)
Rationale: Immediately resume CPR for 2 minutes after a shock without pausing for a rhythm or pulse check.
Vasopressors/Antiarrhythmics are integrated during continuous 2-minute CPR cycles.
Q3. A 62-year-old male presents with symptomatic bradycardia (HR 32 bpm, BP 82/50 mmHg, altered mental
state). What is the first-line medication treatment?
A) Dopamine infusion 5–20 mcg/kg/min B) Atropine 1 mg IV bolus
C) Epinephrine infusion 2–10 mcg/min D) Synchronized Cardioversion 50 J
Correct Answer: B (Atropine 1 mg IV bolus)
Rationale: Atropine 1 mg IV (repeated every 3–5 min up to max 3 mg) is the first-line drug for symptomatic bradycardia. If
ineffective, TCP or transcutaneous catecholamine infusions are initiated.
, ACLS Post-Test Examination (Versions A, B, C) — Expert Verified Study Guide Page 1 of 4
