ACLS
EXAM VERSION B
Actual Questions and Answers
100% Guarantee Pass
This Exam contains:
➢ 50 Questions and Answers
➢ Multiple-Choice (A–D), For Each Question.
➢ Each Question Includes The Correct Answer
➢ Rationale That Aligns with ACLS 2025 Principles.
,1. After verifying the absence of a pulse, you initiate CPR with adequate
bag-mask ventilation. The patient’s lead II ECG shows asystole. What is
your next action?
A. IV or IO access
B. Endotracheal tube placement
C. Consultation with cardiology for possible PCI
D. Application of a transcutaneous pacemaker
Answer: A. IV or IO access
Rationale:
In asystole, the initial steps include high-quality CPR and ensuring airway
and ventilation, followed promptly by establishing IV or IO access to
administer medications (epinephrine). Endotracheal intubation may be
performed after initial resuscitation efforts to ensure airway control but is
not the immediate next step. PCI and pacing are not indicated for asystole.
---
,2. After verifying unresponsiveness and abnormal breathing, you activate
the emergency response team. What is your next action?
A. Retrieve an AED.
B. Check for a pulse.
C. Deliver 2 rescue breaths.
D. Administer a precordial thump.
Answer: B. Check for a pulse.
Rationale:
Once the emergency response system is activated for an unresponsive
patient who is not breathing normally, the next priority is to check for a
pulse within 10 seconds to determine if CPR is indicated. If no pulse is
detected, start CPR immediately. Retrieving an AED is important but
secondary to starting CPR if pulselessness is confirmed. Delivering rescue
breaths before pulse check or using a precordial thump without indication is
not recommended.
---
3. What is the recommendation on the use of cricoid pressure to prevent
aspiration during cardiac arrest?
A. Not recommended for routine use
B. Recommended during every resuscitation attempt
C. Recommended when the patient is vomiting
D. Recommended only for supraglottic airway insertion
, Answer: A. Not recommended for routine use
Rationale:
Cricoid pressure is no longer routinely recommended during airway
management in cardiac arrest because it may worsen airway view, impede
ventilation, or dislodge the airway device. It should be avoided unless
specifically indicated by expert providers and only if it does not interfere
with ventilation or intubation.
4. What should be done to minimize interruptions in chest compressions
during CPR?
A. Perform pulse checks only after defibrillation.
B. Continue CPR while the defibrillator is charging.
C. Administer IV medications only when breaths are given.
D. Continue to use AED even after the arrival of a manual defibrillator.
Answer: B. Continue CPR while the defibrillator is charging.
Rationale:
Minimizing interruptions in chest compressions is critical to maintain
coronary and cerebral perfusion pressures. The 2025 ACLS guidelines
emphasize continuing high-quality chest compressions throughout
resuscitation efforts, including while the defibrillator is charging, to reduce
pauses to less than 10 seconds. This leads to improved outcomes. Pulse
EXAM VERSION B
Actual Questions and Answers
100% Guarantee Pass
This Exam contains:
➢ 50 Questions and Answers
➢ Multiple-Choice (A–D), For Each Question.
➢ Each Question Includes The Correct Answer
➢ Rationale That Aligns with ACLS 2025 Principles.
,1. After verifying the absence of a pulse, you initiate CPR with adequate
bag-mask ventilation. The patient’s lead II ECG shows asystole. What is
your next action?
A. IV or IO access
B. Endotracheal tube placement
C. Consultation with cardiology for possible PCI
D. Application of a transcutaneous pacemaker
Answer: A. IV or IO access
Rationale:
In asystole, the initial steps include high-quality CPR and ensuring airway
and ventilation, followed promptly by establishing IV or IO access to
administer medications (epinephrine). Endotracheal intubation may be
performed after initial resuscitation efforts to ensure airway control but is
not the immediate next step. PCI and pacing are not indicated for asystole.
---
,2. After verifying unresponsiveness and abnormal breathing, you activate
the emergency response team. What is your next action?
A. Retrieve an AED.
B. Check for a pulse.
C. Deliver 2 rescue breaths.
D. Administer a precordial thump.
Answer: B. Check for a pulse.
Rationale:
Once the emergency response system is activated for an unresponsive
patient who is not breathing normally, the next priority is to check for a
pulse within 10 seconds to determine if CPR is indicated. If no pulse is
detected, start CPR immediately. Retrieving an AED is important but
secondary to starting CPR if pulselessness is confirmed. Delivering rescue
breaths before pulse check or using a precordial thump without indication is
not recommended.
---
3. What is the recommendation on the use of cricoid pressure to prevent
aspiration during cardiac arrest?
A. Not recommended for routine use
B. Recommended during every resuscitation attempt
C. Recommended when the patient is vomiting
D. Recommended only for supraglottic airway insertion
, Answer: A. Not recommended for routine use
Rationale:
Cricoid pressure is no longer routinely recommended during airway
management in cardiac arrest because it may worsen airway view, impede
ventilation, or dislodge the airway device. It should be avoided unless
specifically indicated by expert providers and only if it does not interfere
with ventilation or intubation.
4. What should be done to minimize interruptions in chest compressions
during CPR?
A. Perform pulse checks only after defibrillation.
B. Continue CPR while the defibrillator is charging.
C. Administer IV medications only when breaths are given.
D. Continue to use AED even after the arrival of a manual defibrillator.
Answer: B. Continue CPR while the defibrillator is charging.
Rationale:
Minimizing interruptions in chest compressions is critical to maintain
coronary and cerebral perfusion pressures. The 2025 ACLS guidelines
emphasize continuing high-quality chest compressions throughout
resuscitation efforts, including while the defibrillator is charging, to reduce
pauses to less than 10 seconds. This leads to improved outcomes. Pulse
