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ACLS EXAM 2025
COMPLETE QUESTIONS AND CORRECT VERIFIED ANSWERS
"The two most common reversible causes of PEA are: - CORRECT ANSWER Hypovolemia and
hypoxia" "The patient in bradycardia begins to have chest pain, and her blood pressure is 90/50. The
correct drug and dosage for this patient are: - CORRECT ANSWER Atropine 0.5 mg IV push"
"The immediate general assessment of a possible stroke victim by the stroke team or physician
should be done: - CORRECT ANSWER Within 10 minutes of arrival to the ED"
"You are the paramedic on an ambulance transporting a 65-year-old female. The patient is connected to the monitor, and you see this rhythm; she has a palpable pulse. What is the rhythm?
- CORRECT ANSWER Sinus bradycardia"
"Your patient in the emergency department is having a cardiopulmonary emergency and is
unconscious. You should: - CORRECT ANSWER Perform the BLS assessment first"
"Which drug should be avoided in patients with second-degree heart block? - CORRECT
ANSWER Amiodarone"
"High-quality CPR includes all of the following EXCEPT: - CORRECT ANSWER Providing rapid
ventilation" "This rhythm is characterized by constant PR and R to R intervals but unexpected non-conducted
atrial impulses: - CORRECT ANSWER 2nd-degree AV block (Type II)"
"As of 2015, what agents are no longer recommended for routine post-cardiac arrest care? -
CORRECT ANSWER Both lidocaine and beta-blockers"
"Your patient is unresponsive with no pulse and a flat line on the monitor. As the team leader, you
know that you should continue doing high-quality CPR and: - CORRECT ANSWER Review the
H's and T's to determine if there is a reversible cause for the asystole" "A patient began to have cardiac chest pain at 6 am on Friday. She came to the emergency department at 8 am on Saturday because she still wasn't feeling well. Her 12-lead EKG is
consistent with an ST-elevation myocardial infarction, but she is stable. How should this patient
be managed? - CORRECT ANSWER Non-STEMI Algorithm: Admit to hospital and monitor. Give
anti-platelets and anti-coagulants" "What is the mean arterial blood pressure threshold below which hypotension should be treated
in optimal post-cardiac arrest care? - CORRECT ANSWER 65"
"Which drug is considered first-line treatment for asystole or PEA? - CORRECT ANSWER
Epinephrine" "Your patient is bradycardic with a systolic blood pressure of 80 mm Hg. You gave one dose of atropine (0.5 mg IV push) that was not effective. The patient is still unstable but conscious. The next treatment is to: Try a second dose of atropine Begin an epinephrine infusion at 10-20 mcg/min Provide transcutaneous pacing (TCP)
Monitor and observe - CORRECT ANSWER Try a second dose of atropine"
"The patient presents to the ED with complaints of rapid heart rate. You connect him to the
cardiac monitor and see this rhythm. What is the most likely cardiac rhythm? - CORRECT
ANSWER Supraventricular tachycardia"
"Therapeutic hypothermia may be recommended for: - CORRECT ANSWER Comatose patients
with return of spontaneous circulation (ROSC) after cardiac arrest" "Your patient has a heart rate of 50 with strong pulses and no other symptoms. The correct
intervention is: - CORRECT ANSWER Monitor and observe"
"An adult in cardiac arrest has just been successfully intubated. The correct ventilation rate for
this person is: - CORRECT ANSWER 10 ventilations per minute"
"This rhythm is characterized by a complete dissociation between the P wave and the QRS: -
CORRECT ANSWER 3rd-degree AV block"
"You are in an ambulance caring for a man with cardiac chest pain. Which of the following ECG
findings would prompt you to activate the cardiac catheterization lab? - CORRECT ANSWER
Elevation of the segment between the S and T waves" "You are with a victim who is not breathing and not responsive. A second rescuer has gone for an
AED that is nearby. The AHA recommends: - CORRECT ANSWER Perform CPR until the AED is
ready to use"
"The correct sequence for basic life support is: - CORRECT ANSWER CAB - Compressions,
Airway, Breathing" "A patient with this rhythm is unresponsive. Of the following, which is the best initial
intervention? - CORRECT ANSWER Defibrilate"
"Which pressor has been removed from the Adult Cardiac Arrest Algorithm in 2015? - CORRECT
ANSWER Vasopressin"
"You are performing CPR on your patient. Quantitative waveform capnography shows a PETCO
level of 5 mm Hg. Your next intervention is to: - CORRECT ANSWER Improve the quality of
CPR"
"Your patient arrives at the ED with a pulse rate of 72 but no respiratory effort. You may do all of
the following EXCEPT: - CORRECT ANSWER Initiate chest compression"
"Your patient has tachycardia with a heart rate of 200 beats per minute with pulses; his systolic blood pressure is 80 mm Hg; he is lethargic. Of the options provided, which is the best first step?
CORRECT ANSWER Obtain an ECG to determine the specific rhythm"
"Before beginning CPR, check for a pulse for: - CORRECT ANSWER No longer than 10 seconds"
"Your patient is unresponsive, and you see a slow, regular rhythm at a rate of 28 beats per minute on the monitor; you feel for a pulse and cannot find one. You know that this rhythm is most likely:
- CORRECT ANSWER PEA"
"The first medication that should be given to a patient in pulseless ventricular tachycardia is: -
CORRECT ANSWER Epinephrine 1 mg IV"
"Which of the following should NOT be treated with a fibrinolytic (i.e., tPA)? - CORRECT
ANSWER Hemorrhagic shock"
"Comatose patients with a ROSC (return of spontaneous circulation) who are candidates for
targeted temperature management should be: - CORRECT ANSWER Cooled to between 32°C
and 36°C for at least 24 hrs" "You are doing CPR on a patient with pulseless ventricular tachycardia. You should check for a
pulse: - CORRECT ANSWER After 2 minutes of CPR"
"Your patient is in cardiac arrest, and you are doing CPR on him. The cardiac monitor shows he is in ventricular tachycardia. You have just delivered a shock without the desired rhythm
conversion. Before you defibrillate again, do CPR for: - CORRECT ANSWER 2 minutes"
"Which of the following should NOT be given through an endotracheal tube? - CORRECT
ANSWER Amiodarone"
"What is the treatment for acute cardiac tamponade? - CORRECT ANSWER
Pericardiocentesis" "Your patient's heart monitor shows ventricular fibrillation. His peripheral pulses are strong;
respirations are even and non-labored; pulse oximetry is 98%. You should: - CORRECT
ANSWER Check the monitor leads"
"The rate for compressions for an adult is: - CORRECT ANSWER Between 100 and 120
compressions per minute" "You are the team leader of resuscitation. The team has performed 2 minutes of high-quality CPR on the patient in ventricular fibrillation. His condition has not changed. The NEXT intervention
you should order is: - CORRECT ANSWER Defibrillate"
"During CPR, the correct compression depth for an adult is: - CORRECT ANSWER At least 2
inches"
