ACLS Post Test 1, 2, 3 & 4 Actual Questions with Verified Answers
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Introduction This document provides a compilation of actual questions and verified answers for ACLS Post Tests 1, 2, 3, and 4, tailored for the / certification period. Based on the latest AHA guidelines, it covers critical areas including cardiac arrest management, post-cardiac arrest care, tachycardia and bradycardia algorithms, airway management, pharmacology, and team dynamics. Designed for a 100% pass guarantee, these questions reflect the structure and difficulty of the official exams.
Section 1: Post Test 1 Questions and Answers
Four answer choices per question (A–D) Correct answer highlighted
- What is the first step after finding an unresponsive patient with no breathing?
(a) Check for a pulse (b) Activate emergency response (c) Begin chest compressions (d) Attach an AED
ANS: Activate emergency response
Explanation: Ensures help is summoned.
- What is the recommended compression rate for adult CPR?
(a) 80–100 per minute (b) 100–120 per minute (c) 120–140 per minute (d) 140–160 per minute
ANS: 100–120 per minute
Explanation: AHA standard.
- Which drug is first-line for ventricular fibrillation?
(a) Amiodarone (b) Epinephrine (c) Atropine (d) Lidocaine 1 / 4
ANS: Epinephrine
Explanation: Initial vasopressor.
- What is the recommended compression depth for an adult?
(a) 1–2 inches (b) 2–2.4 inches (c) 3–4 inches (d) 4–5 inches
ANS: 2–2.4 inches
Explanation: Ensures adequate circulation.
- Which team member assigns roles during a resuscitation?
(a) Recorder (b) Team leader (c) Compressor (d) Airway manager
ANS: Team leader
Explanation: Coordinates team.
- What is the initial energy level for biphasic defibrillation?
(a) 50–100 joules (b) 100–200 joules (c) 250–300 joules (d) 360 joules
ANS: 100–200 joules
Explanation: Device-specific.
- What should be done if an AED advises "no shock"?
(a) Check for a pulse (b) Resume CPR immediately (c) Remove the AED (d) Deliver a shock
ANS: Resume CPR immediately
Explanation: Continue resuscitation.
- Which rhythm requires urgent synchronized cardioversion?
(a) Asystole (b) Unstable atrial fibrillation (c) Sinus rhythm 2 / 4
(d) Second-degree AV block
ANS: Unstable atrial fibrillation
Explanation: Treats instability.
- What is the role of the compressor in a team?
(a) Record events (b) Perform chest compressions (c) Manage airway (d) Use the AED
ANS: Perform chest compressions
Explanation: Maintains circulation.
- What is the recommended ventilation rate for two-rescuer CPR?
(a) 6–8 breaths per minute (b) 10–12 breaths per minute (c) 14–16 breaths per minute (d) 18–20 breaths per minute
ANS: 10–12 breaths per minute
Explanation: AHA guideline.
- Which sign indicates the need for immediate CPR?
(a) Normal breathing (b) No pulse or breathing (c) Clear airway (d) Stable vitals
ANS: No pulse or breathing
Explanation: Triggers resuscitation.
- What is the initial dose of epinephrine in cardiac arrest?
(a) 0.5 mg (b) 1 mg (c) 2 mg (d) 5 mg
ANS: 1 mg
Explanation: Administered every 3–5 minutes.
- Which airway device is preferred for an unprotected airway?
(a) Nasopharyngeal airway (b) Endotracheal tube 3 / 4
(c) Oropharyngeal airway (d) Laryngeal mask
ANS: Endotracheal tube
Explanation: Secures airway.
- What is the primary focus of post-cardiac arrest care?
(a) Immediate discharge (b) Optimize cerebral perfusion (c) Administer pain medication (d) Perform diagnostic tests
ANS: Optimize cerebral perfusion
Explanation: Prevents brain damage.
- Which team role ensures clear communication?
(a) Compressor (b) Team leader (c) Recorder (d) Airway manager
ANS: Team leader
Explanation: Directs efforts.
- What is the recommended pause time for pulse checks?
(a) 5–10 seconds (b) 10–15 seconds (c) 15–20 seconds (d) 20–30 seconds
ANS: 10–15 seconds
Explanation: Minimizes interruption.
- Which drug is used for refractory ventricular fibrillation?
(a) Atropine (b) Amiodarone (c) Adenosine (d) Dopamine
ANS: Amiodarone
Explanation: Antiarrhythmic.
- What is the target temperature for targeted temperature management?
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(a) 32–36°C