ACLS WRITTEN EXAM 2025 (ACTUAL EXAM) | ALL QUESTIONS AND
ACLS Written Exam
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NEWEST EXAM (JUST RELEASED)
1. You find an unresponsive pt. who is not breathing. Start chest compressions of
After activating the emergency response system, you at least 100 per min.
determine there is no pulse. What is your next action?
2. You are evaluating a 58-year-old man with chest Obtaining a 12 lead ECG.
pain. The blood pressure is 92/50 mm Hg, the heart
rate is 92/min, the nonlabored respiratory rate is 14
breaths/min, and the pulse oximetry reading is 97%.
What assessment step is most important now?
3. What is the preferred method of access for epi admin- Peripheral IV
istration during cardiac arrest in most pts?
4. An AED does not promptly analyze a rythm. What is Begin chest compressions.
your next step?
5. You have completed 2 minutes of CPR. The ECG mon- Administer 1mg of epi-
itor displays the lead II rhythm below, and the patient nephrine
has no pulse. Another member of your team resumes
chest compressions, and an IV is in place. What man-
agement step is your next priority?
6. During a pause in CPR, you see this lead II ECG Resume compressions
rhythm on the monitor. The patient has no pulse.
What is the next action?
7. What is a common but sometimes fatal mistake in Prolonged interruptions in
cardiac arrest management? chest compressions.
8. Which action is a componant of high-quality chest Allowing complete chest
comressions? recoil
9.
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Which action increases the chance of successful con- Providing quality compres-
version of ventricular fibrillation? sions immediately before a
defibrillation attempt.
10. Which situation BEST describes pulseless electrical Sinus rythm without a pulse
activity?
11. What is the BEST strategy for performing high-quality Provide continuous chest
CPR on a patient with an advanced airway in place? compressions without
pauses and 10 ventilations
per minute.
12. Three minutes after witnessing a cardiac arrest, one Chest compressions may
member of your team inserts an endotracheal tube not be effective.
while another performs continuous chest compres-
sions. During subsequent ventilation, you notice the
presence of a waveform on the capnography screen
and a PETCO2 level of 8 mm Hg. What is the signifi-
cance of this finding?
13. The use of quantitative capnography in intubated pa- allows for monitoring of
tients CPR quality.
14. For the past 25 minutes, an EMS crew has attempted Consider terminating re-
resuscitation of a patient who originally presented suscitive efforts after con-
in ventricular fibrillation. After the first shock, the sulting medical control.
ECG screen displayed asystole, which has persisted
despite 2 doses of epinephrine, a fluid bolus, and
high-quality CPR. What is your next treatment?
15. Which is a safe and effective practice within the defib- Be sure oxygen is not blow-
rillation sequence? ing over the patient's chest
during the shock.
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16. During your assessment, your patient suddenly loses Begin chest compressions.
consciousness. After calling for help and determin-
ing that the patient is not breathing, you are unsure
whether the patient has a pulse. What is your next
action?
17. What is an advantage of using hands-free defibrilla- Hands-free pads allow for a
tion pads instead of defibrillation paddles? more rapid defibrillation.
18. What action is recommended to help minimize inter- Continue CPR while charg-
ruptions in chest compressions during CPR? ing the defibrillator.
19. Which action is included in the BLS survey? Early defibrillation
20. Which drug and dose are recommended for the man- Amioderone 300mg
agement of a patient in refractory ventricular fibrilla-
tion?
21. What is the appropriate interval for an interruption in 10 seconds or less
chest compressions?
22. Which of the following is a sign of effective CPR? PETCO2 e
10 mm Hg
23. What is the primary purpose of a medical emergency Identifying and treating
team (MET) or rapid response team (RRT)? early clinical deterioration.
24. Which action improves the quality of chest compres- Switch providers about
sions delivered during a resuscitation attempt? every 2 minutes or every 5
compression cycles.
25. What is the appropriate ventilation strategy for an 1 breath every 5-6 seconds
adult in respiratory arrest with a pulse rate of 80/min?
26. Atropine 0.5mg
ACLS Written Exam
CORRECT ANSWERS | VERIFIED ANSWERS | ALREADY GRADED A+
Study online at https://quizlet.com/_29fjn9
NEWEST EXAM (JUST RELEASED)
1. You find an unresponsive pt. who is not breathing. Start chest compressions of
After activating the emergency response system, you at least 100 per min.
determine there is no pulse. What is your next action?
2. You are evaluating a 58-year-old man with chest Obtaining a 12 lead ECG.
pain. The blood pressure is 92/50 mm Hg, the heart
rate is 92/min, the nonlabored respiratory rate is 14
breaths/min, and the pulse oximetry reading is 97%.
What assessment step is most important now?
3. What is the preferred method of access for epi admin- Peripheral IV
istration during cardiac arrest in most pts?
4. An AED does not promptly analyze a rythm. What is Begin chest compressions.
your next step?
5. You have completed 2 minutes of CPR. The ECG mon- Administer 1mg of epi-
itor displays the lead II rhythm below, and the patient nephrine
has no pulse. Another member of your team resumes
chest compressions, and an IV is in place. What man-
agement step is your next priority?
6. During a pause in CPR, you see this lead II ECG Resume compressions
rhythm on the monitor. The patient has no pulse.
What is the next action?
7. What is a common but sometimes fatal mistake in Prolonged interruptions in
cardiac arrest management? chest compressions.
8. Which action is a componant of high-quality chest Allowing complete chest
comressions? recoil
9.
, ACLS Written Exam
Study online at https://quizlet.com/_29fjn9
Which action increases the chance of successful con- Providing quality compres-
version of ventricular fibrillation? sions immediately before a
defibrillation attempt.
10. Which situation BEST describes pulseless electrical Sinus rythm without a pulse
activity?
11. What is the BEST strategy for performing high-quality Provide continuous chest
CPR on a patient with an advanced airway in place? compressions without
pauses and 10 ventilations
per minute.
12. Three minutes after witnessing a cardiac arrest, one Chest compressions may
member of your team inserts an endotracheal tube not be effective.
while another performs continuous chest compres-
sions. During subsequent ventilation, you notice the
presence of a waveform on the capnography screen
and a PETCO2 level of 8 mm Hg. What is the signifi-
cance of this finding?
13. The use of quantitative capnography in intubated pa- allows for monitoring of
tients CPR quality.
14. For the past 25 minutes, an EMS crew has attempted Consider terminating re-
resuscitation of a patient who originally presented suscitive efforts after con-
in ventricular fibrillation. After the first shock, the sulting medical control.
ECG screen displayed asystole, which has persisted
despite 2 doses of epinephrine, a fluid bolus, and
high-quality CPR. What is your next treatment?
15. Which is a safe and effective practice within the defib- Be sure oxygen is not blow-
rillation sequence? ing over the patient's chest
during the shock.
, ACLS Written Exam
Study online at https://quizlet.com/_29fjn9
16. During your assessment, your patient suddenly loses Begin chest compressions.
consciousness. After calling for help and determin-
ing that the patient is not breathing, you are unsure
whether the patient has a pulse. What is your next
action?
17. What is an advantage of using hands-free defibrilla- Hands-free pads allow for a
tion pads instead of defibrillation paddles? more rapid defibrillation.
18. What action is recommended to help minimize inter- Continue CPR while charg-
ruptions in chest compressions during CPR? ing the defibrillator.
19. Which action is included in the BLS survey? Early defibrillation
20. Which drug and dose are recommended for the man- Amioderone 300mg
agement of a patient in refractory ventricular fibrilla-
tion?
21. What is the appropriate interval for an interruption in 10 seconds or less
chest compressions?
22. Which of the following is a sign of effective CPR? PETCO2 e
10 mm Hg
23. What is the primary purpose of a medical emergency Identifying and treating
team (MET) or rapid response team (RRT)? early clinical deterioration.
24. Which action improves the quality of chest compres- Switch providers about
sions delivered during a resuscitation attempt? every 2 minutes or every 5
compression cycles.
25. What is the appropriate ventilation strategy for an 1 breath every 5-6 seconds
adult in respiratory arrest with a pulse rate of 80/min?
26. Atropine 0.5mg
