ACLS WRITTEN EXAM QUESTIONS AND
ANSWERS 2025
You,find,an,unresponsive,pt.,who,is,not,breathing.,After,activating,the,emergency,response,syste
m,,you,determine,there,is,no,pulse.,What,is,your,next,action?,-
,ANSWER,Start,chest,compressions,of,at,least,100,per,min.
You,are,evaluating,a,58-year-
old,man,with,chest,pain.,The,blood,pressure,is,92/50,mm,Hg,,the,heart,rate,is,92/min,,the,nonla
bored,respiratory,rate,is,14,breaths/min,,and,the,pulse,oximetry,reading,is,97%.,What,assessme
nt,step,is,most,important,now?,-,ANSWER,Obtaining,a,12,lead,ECG.
What,is,the,preferred,method,of,access,for,epi,administration,during,cardiac,arrest,in,most,pts?,
-,ANSWER,Peripheral,IV
An,AED,does,not,promptly,analyze,a,rythm.,What,is,your,next,step?,-
,ANSWER,Begin,chest,compressions.
You,have,completed,2,minutes,of,CPR.,The,ECG,monitor,displays,the,lead,II,rhythm,below,,and,th
e,patient,has,no,pulse.,Another,member,of,your,team,resumes,chest,compressions,,and,an,IV,is,i
n,place.,What,management,step,is,your,next,priority?,-,ANSWER,Administer,1mg,of,epinephrine
During,a,pause,in,CPR,,you,see,this,lead,II,ECG,rhythm,on,the,monitor.,The,patient,has,no,pulse.,
What,is,the,next,action?,-,ANSWER,Resume,compressions
What,is,a,common,but,sometimes,fatal,mistake,in,cardiac,arrest,management?,-
,ANSWER,Prolonged,interruptions,in,chest,compressions.
Which,action,is,a,componant,of,high-quality,chest,comressions?,-
,ANSWER,Allowing,complete,chest,recoil
,Which,action,increases,the,chance,of,successful,conversion,of,ventricular,fibrillation?,-
,ANSWER,Providing,quality,compressions,immediately,before,a,defibrillation,attempt.
Which,situation,BEST,describes,pulseless,electrical,activity?,-
,ANSWER,Sinus,rythm,without,a,pulse
What,is,the,BEST,strategy,for,performing,high-
quality,CPR,on,a,patient,with,an,advanced,airway,in,place?,-
,ANSWER,Provide,continuous,chest,compressions,without,pauses,and,10,ventilations,per,minute
.
Three,minutes,after,witnessing,a,cardiac,arrest,,one,member,of,your,team,inserts,an,endotrache
al,tube,while,another,performs,continuous,chest,compressions.,During,subsequent,ventilation,,y
ou,notice,the,presence,of,a,waveform,on,the,capnography,screen,and,a,PETCO2,level,of,8,mm,H
g.,What,is,the,significance,of,this,finding?,-,ANSWER,Chest,compressions,may,not,be,effective.
The,use,of,quantitative,capnography,in,intubated,patients,-
,ANSWER,allows,for,monitoring,of,CPR,quality.
For,the,past,25,minutes,,an,EMS,crew,has,attempted,resuscitation,of,a,patient,who,originally,pre
sented,in,ventricular,fibrillation.,After,the,first,shock,,the,ECG,screen,displayed,asystole,,which,h
as,persisted,despite,2,doses,of,epinephrine,,a,fluid,bolus,,and,high-
quality,CPR.,What,is,your,next,treatment?,-
,ANSWER,Consider,terminating,resuscitive,efforts,after,consulting,medical,control.
Which,is,a,safe,and,effective,practice,within,the,defibrillation,sequence?,-
,ANSWER,Be,sure,oxygen,is,not,blowing,over,the,patient's,chest,during,the,shock.
During,your,assessment,,your,patient,suddenly,loses,consciousness.,After,calling,for,help,and,de
termining,that,the,patient,is,not,breathing,,you,are,unsure,whether,the,patient,has,a,pulse.,Wha
t,is,your,next,action?,-,ANSWER,Begin,chest,compressions.
, What,is,an,advantage,of,using,hands-free,defibrillation,pads,instead,of,defibrillation,paddles?,-
,ANSWER,Hands-free,pads,allow,for,a,more,rapid,defibrillation.
What,action,is,recommended,to,help,minimize,interruptions,in,chest,compressions,during,CPR?,
-,ANSWER,Continue,CPR,while,charging,the,defibrillator.
Which,action,is,included,in,the,BLS,survey?,-,ANSWER,Early,defibrillation
Which,drug,and,dose,are,recommended,for,the,management,of,a,patient,in,refractory,ventricul
ar,fibrillation?,-,ANSWER,Amioderone,300mg
What,is,the,appropriate,interval,for,an,interruption,in,chest,compressions?,-
,ANSWER,10,seconds,or,less
Which,of,the,following,is,a,sign,of,effective,CPR?,-,ANSWER,PETCO2,≥10,mm,Hg
What,is,the,primary,purpose,of,a,medical,emergency,team,(MET),or,rapid,response,team,(RRT)?,
-,ANSWER,Identifying,and,treating,early,clinical,deterioration.
Which,action,improves,the,quality,of,chest,compressions,delivered,during,a,resuscitation,attem
pt?,-,ANSWER,Switch,providers,about,every,2,minutes,or,every,5,compression,cycles.
What,is,the,appropriate,ventilation,strategy,for,an,adult,in,respiratory,arrest,with,a,pulse,rate,of,
80/min?,-,ANSWER,1,breath,every,5-6,seconds
A,patient,presents,to,the,emergency,department,with,new,onset,of,dizziness,and,fatigue.,On,ex
amination,,the,patient's,heart,rate,is,35/min,,the,blood,pressure,is,70/50,mm,Hg,,the,respiratory
,rate,is,22,breaths/min,,and,the,oxygen,saturation,is,95%.,What,is,the,appropriate,first,medicatio
n?,-,ANSWER,Atropine,0.5mg
