AHA ACLS Exam 2025| 47 Questions and Correct
Answers Rated A+
A patient is in cardiac arrest. Ventricular fibrillation has been refractory to an initial shock. If no
pathway for medication administration is in place, which method is preferred? - ANS IV/IO
A patient is in cardiac arrest. Ventricular fibrillation has been refractory to a second shock.
Which drug should be administered first? - ANS Epi 1mg IV/IO
A patient is in refractory ventricular fibrillation. High-quality CPR is in progress. One dose of
epinephrine was given after the second shock. An antiarrhythmic drug was given immediately
after the third shock. You are the team leader. Which medication do you order next? - ANS Epi
1mg
A patient is in cardiac arrest. High-quality chest compressions are being given. The patient is
intubated, and an IV has been started. The rhythm is asystole. What is the first drug/dose to
administer? - ANS Epi 1mg IV/IO
A 57-year-old woman has palpitations, chest discomfort, and tachycardia. The monitor shows a
regular wide-complex QRS at a rate of 180/min. She becomes diaphoretic, and her blood
pressure is 80/60 mm Hg. Which action do you take next? - ANS Preform electrical
cardioversion
A 35-year-old woman has palpitations, light-headedness, and a stable tachycardia. The monitor
shows a regular narrow-complex QRS at a rate of 180/min. Vagal maneuvers have not been
effective in terminating the rhythm. An IV has been established. Which drug should be
administered? - ANS
A 35-year-old woman has palpitations, light-headedness, and a stable tachycardia. The monitor
shows a regular narrow-complex QRS at a rate of 180/min. Vagal maneuvers have not been
effective in terminating the rhythm. An IV has been established. Which drug should be
administered? - ANS Adenosine 6mg
, A 62-year-old man suddenly experienced difficulty speaking and left-sided weakness. He meets
initial criteria for fibrinolytic therapy, and a CT scan of the brain is ordered. Which best
describes the guidelines for antiplatelet and fibrinolytic therapy? - ANS Hold aspirin for at least
24 hours if rtPA is administered
In which situation does bradycardia require treatment? - ANS Hypotension
A patient is in refractory ventricular fibrillation and has received multiple appropriate
defibrillation shocks, epinephrine 1 mg IV twice, and an initial dose of amiodarone 300 mg IV.
The patient is intubated. Which best describes the recommended second dose of amiodarone
for this patient? - ANS 150mg IV push
You are caring for a 66-year-old man with a history of a large intracerebral hemorrhage 2
months ago. He is being evaluated for another acute stroke. The CT scan is negative for
hemorrhage. The patient is receiving oxygen via nasal cannula at 2 L/min, and an IV has been
established. His blood pressure is 180/100 mm Hg. Which drug do you anticipate giving to this
patient? - ANS Aspirin
Your patient is a 56-year-old woman with a history of type 2 diabetes who reports feeling dizzy.
She is pale and diaphoretic. Her blood pressure is 80/60 mm Hg. The cardiac monitor
documents the rhythm shown here. She is receiving oxygen at 4 L/min by nasal cannula, and an
IV has been established. What do you administer next? - ANS Atropine 1mg IV
After initiation of CPR and 1 shock for ventricular fibrillation, this rhythm is present on the next
rhythm check. A second shock is given, and chest compressions are resumed immediately. An IV
is in place, and no drugs have been given. Bag-mask ventilations are producing visible chest rise.
What is your next intervention? - ANS Give epi 1mg IV/IO
How does complete chest recoil contribute to effective CPR? - ANS Allows maximum blood
return to the heart
What is the recommended depth of chest compressions for an adult victim? - ANS At least 2
inches
Answers Rated A+
A patient is in cardiac arrest. Ventricular fibrillation has been refractory to an initial shock. If no
pathway for medication administration is in place, which method is preferred? - ANS IV/IO
A patient is in cardiac arrest. Ventricular fibrillation has been refractory to a second shock.
Which drug should be administered first? - ANS Epi 1mg IV/IO
A patient is in refractory ventricular fibrillation. High-quality CPR is in progress. One dose of
epinephrine was given after the second shock. An antiarrhythmic drug was given immediately
after the third shock. You are the team leader. Which medication do you order next? - ANS Epi
1mg
A patient is in cardiac arrest. High-quality chest compressions are being given. The patient is
intubated, and an IV has been started. The rhythm is asystole. What is the first drug/dose to
administer? - ANS Epi 1mg IV/IO
A 57-year-old woman has palpitations, chest discomfort, and tachycardia. The monitor shows a
regular wide-complex QRS at a rate of 180/min. She becomes diaphoretic, and her blood
pressure is 80/60 mm Hg. Which action do you take next? - ANS Preform electrical
cardioversion
A 35-year-old woman has palpitations, light-headedness, and a stable tachycardia. The monitor
shows a regular narrow-complex QRS at a rate of 180/min. Vagal maneuvers have not been
effective in terminating the rhythm. An IV has been established. Which drug should be
administered? - ANS
A 35-year-old woman has palpitations, light-headedness, and a stable tachycardia. The monitor
shows a regular narrow-complex QRS at a rate of 180/min. Vagal maneuvers have not been
effective in terminating the rhythm. An IV has been established. Which drug should be
administered? - ANS Adenosine 6mg
, A 62-year-old man suddenly experienced difficulty speaking and left-sided weakness. He meets
initial criteria for fibrinolytic therapy, and a CT scan of the brain is ordered. Which best
describes the guidelines for antiplatelet and fibrinolytic therapy? - ANS Hold aspirin for at least
24 hours if rtPA is administered
In which situation does bradycardia require treatment? - ANS Hypotension
A patient is in refractory ventricular fibrillation and has received multiple appropriate
defibrillation shocks, epinephrine 1 mg IV twice, and an initial dose of amiodarone 300 mg IV.
The patient is intubated. Which best describes the recommended second dose of amiodarone
for this patient? - ANS 150mg IV push
You are caring for a 66-year-old man with a history of a large intracerebral hemorrhage 2
months ago. He is being evaluated for another acute stroke. The CT scan is negative for
hemorrhage. The patient is receiving oxygen via nasal cannula at 2 L/min, and an IV has been
established. His blood pressure is 180/100 mm Hg. Which drug do you anticipate giving to this
patient? - ANS Aspirin
Your patient is a 56-year-old woman with a history of type 2 diabetes who reports feeling dizzy.
She is pale and diaphoretic. Her blood pressure is 80/60 mm Hg. The cardiac monitor
documents the rhythm shown here. She is receiving oxygen at 4 L/min by nasal cannula, and an
IV has been established. What do you administer next? - ANS Atropine 1mg IV
After initiation of CPR and 1 shock for ventricular fibrillation, this rhythm is present on the next
rhythm check. A second shock is given, and chest compressions are resumed immediately. An IV
is in place, and no drugs have been given. Bag-mask ventilations are producing visible chest rise.
What is your next intervention? - ANS Give epi 1mg IV/IO
How does complete chest recoil contribute to effective CPR? - ANS Allows maximum blood
return to the heart
What is the recommended depth of chest compressions for an adult victim? - ANS At least 2
inches
