AMERICAN RED CROSS ACLS FINAL ACTUAL EXAM –
50 MOST TESTED QUESTIONS WITH ANSWERS &
RATIONALES (2025/2026 EDITION) INSTANT
DOWNLOAND PDF
1. You arrive at a patient in cardiac arrest. The monitor shows
pulseless ventricular tachycardia. What is the next step?
A) Start CPR, administer epinephrine
B) Defibrillate immediately and resume CPR
C) Give amiodarone only
D) Observe and monitor
Rationale: Pulseless VT is a shockable rhythm. Immediate defibrillation
is critical.
2. During CPR, the recommended compression-to-ventilation ratio
for a single rescuer in an adult is:
A) 15:2
B) 30:2
C) 5:1
D) 100:2
Rationale: Current ACLS guidelines recommend 30 compressions
followed by 2 ventilations.
3. A patient has ROSC (Return of Spontaneous Circulation). What
is the first step in post-cardiac arrest care?
A) Administer amiodarone
B) Optimize ventilation and oxygenation
C) Start immediate defibrillation
D) Give aspirin
Rationale: Post-arrest care focuses on maintaining oxygenation,
perfusion, and identifying the cause of arrest.
4. Which medication is recommended for a patient in asystole?
A) Aspirin
B) Amiodarone
, C) Epinephrine
D) Adenosine
Rationale: Asystole is non-shockable. Epinephrine every 3–5 minutes is
recommended during CPR.
5. Which of the following is a reversible cause of cardiac arrest (H’s
& T’s)?
A) Hypertension
B) Hypoxia
C) Hypothermia only
D) Hyperglycemia
Rationale: H’s and T’s include hypoxia, hypovolemia, hydrogen ion
(acidosis), hypo/hyperkalemia, hypothermia, toxins, tamponade, tension
pneumothorax, thrombosis.
6. What is the first step if you witness an adult suddenly collapse?
A) Call a family member
B) Check responsiveness and activate emergency response
C) Give CPR immediately
D) Apply AED pads
Rationale: Always ensure safety, check responsiveness, and call for
help first.
7. During rapid sequence intubation, what is the correct action if the
patient becomes hypotensive?
A) Stop the procedure
B) Administer fluids and vasoactive support as needed
C) Continue without adjustment
D) Give epinephrine only
Rationale: Hypotension may be worsened by sedation; pre-emptive
support is necessary.
8. Which rhythm is shockable in ACLS?
A) Asystole
B) Pulseless electrical activity
C) Ventricular fibrillation
50 MOST TESTED QUESTIONS WITH ANSWERS &
RATIONALES (2025/2026 EDITION) INSTANT
DOWNLOAND PDF
1. You arrive at a patient in cardiac arrest. The monitor shows
pulseless ventricular tachycardia. What is the next step?
A) Start CPR, administer epinephrine
B) Defibrillate immediately and resume CPR
C) Give amiodarone only
D) Observe and monitor
Rationale: Pulseless VT is a shockable rhythm. Immediate defibrillation
is critical.
2. During CPR, the recommended compression-to-ventilation ratio
for a single rescuer in an adult is:
A) 15:2
B) 30:2
C) 5:1
D) 100:2
Rationale: Current ACLS guidelines recommend 30 compressions
followed by 2 ventilations.
3. A patient has ROSC (Return of Spontaneous Circulation). What
is the first step in post-cardiac arrest care?
A) Administer amiodarone
B) Optimize ventilation and oxygenation
C) Start immediate defibrillation
D) Give aspirin
Rationale: Post-arrest care focuses on maintaining oxygenation,
perfusion, and identifying the cause of arrest.
4. Which medication is recommended for a patient in asystole?
A) Aspirin
B) Amiodarone
, C) Epinephrine
D) Adenosine
Rationale: Asystole is non-shockable. Epinephrine every 3–5 minutes is
recommended during CPR.
5. Which of the following is a reversible cause of cardiac arrest (H’s
& T’s)?
A) Hypertension
B) Hypoxia
C) Hypothermia only
D) Hyperglycemia
Rationale: H’s and T’s include hypoxia, hypovolemia, hydrogen ion
(acidosis), hypo/hyperkalemia, hypothermia, toxins, tamponade, tension
pneumothorax, thrombosis.
6. What is the first step if you witness an adult suddenly collapse?
A) Call a family member
B) Check responsiveness and activate emergency response
C) Give CPR immediately
D) Apply AED pads
Rationale: Always ensure safety, check responsiveness, and call for
help first.
7. During rapid sequence intubation, what is the correct action if the
patient becomes hypotensive?
A) Stop the procedure
B) Administer fluids and vasoactive support as needed
C) Continue without adjustment
D) Give epinephrine only
Rationale: Hypotension may be worsened by sedation; pre-emptive
support is necessary.
8. Which rhythm is shockable in ACLS?
A) Asystole
B) Pulseless electrical activity
C) Ventricular fibrillation
