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BLS Exam Questions & Answers 2026 (21–30)

BLS practice questions and answers 2026. Tap an option to test yourself — you'll see the correct answer and a plain-English explanation for every question. Free, no login.

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  1. Q21You are preparing to deliver an AED shock when a bystander suddenly grabs the victim's hand. What is the safety priority?

    • ADeliver the shock immediately because a brief touch causes only minor discomfort
    • BProceed with the shock because current travels only through the pads
    • CAsk the bystander to hold the victim's head steady for airway management during the shock
    • DLoudly announce 'Clear!' and visually confirm no one is touching the victim before pressing the shock button
    Show answer

    ✓ Correct answer: D. Loudly announce 'Clear!' and visually confirm no one is touching the victim before pressing the shock button

    Before pressing the shock button, the rescuer must announce a clear warning, visually verify that no bystanders are in contact with the victim, and ensure no one is touching any part of the victim or anything connected to the victim.

    Topic: Basic Life Support (BLS)

  2. Q22A victim is lying on a wet pool deck. An AED is available. Which statement BEST describes the correct course of action?

    • AApply the AED pads directly over the wet skin without drying because the AED is waterproof
    • BDo not use the AED near water under any circumstances; perform CPR only
    • CUse the AED immediately without moving the victim because defibrillation voltage is too high to be affected by water
    • DMove the victim away from the standing water, quickly dry the chest, then attach the AED pads and use the device
    Show answer

    ✓ Correct answer: D. Move the victim away from the standing water, quickly dry the chest, then attach the AED pads and use the device

    AHA guidelines instruct rescuers to remove a victim from standing water and wipe the chest dry before applying AED pads, because water on the skin can conduct electricity between pads and cause a burn or reduce shock efficacy.

    Topic: Basic Life Support (BLS)

  3. Q23Which of the following rhythms is classified as shockable and would prompt the AED to advise a shock?

    • AAsystole
    • BPulseless electrical activity (PEA)
    • CSevere bradycardia with a palpable pulse
    • DVentricular fibrillation (VF)
    Show answer

    ✓ Correct answer: D. Ventricular fibrillation (VF)

    The two shockable arrest rhythms recognized by AHA are ventricular fibrillation and pulseless ventricular tachycardia; PEA and asystole are non-shockable and require continued CPR.

    Topic: Basic Life Support (BLS)

  4. Q24An AED analyzes and announces 'No shock advised.' The victim still has no pulse. What should the rescuer do?

    • AStop all interventions; a no-shock advisory means the victim is not in cardiac arrest
    • BTurn off the AED and continue CPR, no longer needing the device
    • CImmediately resume CPR and allow the AED to re-analyze after approximately 2 minutes of CPR
    • DDeliver a manual shock by pressing the shock button anyway
    Show answer

    ✓ Correct answer: C. Immediately resume CPR and allow the AED to re-analyze after approximately 2 minutes of CPR

    A 'no shock advised' message indicates a non-shockable rhythm such as asystole or PEA; rescuers must immediately resume high-quality CPR and allow the AED to re-analyze after the next 2-minute CPR cycle.

    Topic: Basic Life Support (BLS)

  5. Q25A victim has an implanted pacemaker visible as a bulge in the upper left chest. Where should the rescuer place the AED pad on the left side?

    • ASkip the AED entirely because implanted devices prevent safe defibrillation
    • BOn the victim's back directly behind the pacemaker
    • CDirectly over the pacemaker to ensure good electrical contact
    • DAt least 1 inch (2.5 cm) away from the pacemaker, maintaining standard lateral pad position
    Show answer

    ✓ Correct answer: D. At least 1 inch (2.5 cm) away from the pacemaker, maintaining standard lateral pad position

    AHA guidelines state that AED pads should be placed at least 1 inch away from an implanted device to avoid shunting current through the device and to ensure effective shock delivery.

    Topic: Basic Life Support (BLS)

  6. Q26A victim has a transdermal nitroglycerin patch on the upper left chest where an AED pad must be placed. What is the correct action?

    • APlace the pad directly over the patch; medication patches do not interfere with defibrillation
    • BRemove the patch, wipe the skin, and then apply the AED pad
    • CIgnore the patch but add extra pressure to the pad to improve contact
    • DApply the pad on the opposite side of the chest and skip the left lateral position
    Show answer

    ✓ Correct answer: B. Remove the patch, wipe the skin, and then apply the AED pad

    Medication patches should be removed and the skin wiped before pad placement because patches can block the electrical current and may cause skin burns during defibrillation.

    Topic: Basic Life Support (BLS)

  7. Q27During a 2-rescuer AED scenario, Rescuer 1 is performing CPR while Rescuer 2 sets up the AED. At what point should Rescuer 1 stop compressions?

    • AOnly when the AED specifically announces 'analyzing rhythm' and is ready to analyze
    • BAfter delivering 30 compressions in the current cycle, regardless of AED readiness
    • CWhen Rescuer 2 has attached both pads and the AED begins rhythm analysis
    • DAs soon as Rescuer 2 turns the AED on
    Show answer

    ✓ Correct answer: C. When Rescuer 2 has attached both pads and the AED begins rhythm analysis

    CPR should continue uninterrupted until the AED pads are fully attached and the device initiates analysis, at which point rescuers stop touching the victim only for the brief analysis and shock delivery interval.

    Topic: Basic Life Support (BLS)

  8. Q28A victim goes into cardiac arrest and an AED is brought to the scene. A bystander is already performing CPR. In what order should the team proceed?

    • AStop CPR, attach AED pads, analyze, shock if advised, then resume CPR
    • BUse the AED first for 5 minutes, then begin CPR if no shock is advised
    • CContinue CPR while simultaneously attaching the AED pads, pause CPR only for analysis, shock if advised, immediately resume CPR
    • DAttach the AED pads first, then begin CPR only after the AED advises a shock
    Show answer

    ✓ Correct answer: C. Continue CPR while simultaneously attaching the AED pads, pause CPR only for analysis, shock if advised, immediately resume CPR

    AHA guidelines emphasize minimizing interruptions to chest compressions; CPR should continue while the second rescuer attaches the AED pads, pausing only during the brief analysis and shock delivery.

    Topic: Basic Life Support (BLS)

  9. Q29Approximately how long should the pre-shock pause (from stopping compressions to shock delivery) ideally be kept to optimize the chance of successful defibrillation?

    • ALess than 5 seconds
    • BThe pause duration does not affect defibrillation success
    • C10 to 15 seconds
    • DUp to 30 seconds is acceptable
    Show answer

    ✓ Correct answer: A. Less than 5 seconds

    AHA and ECC evidence indicates that minimizing the pre-shock pause to less than 5 seconds maximizes the likelihood of shock success because myocardial perfusion from compressions degrades rapidly once CPR stops.

    Topic: Basic Life Support (BLS)

  10. Q30An AED is available for an infant victim under 1 year of age. No manual defibrillator is present. Which statement reflects AHA BLS guidance?

    • ANever use an AED on an infant; the energy levels are always too high and will cause harm
    • BUse a manual defibrillator if available; if not, use an AED with a pediatric dose attenuator; if neither is available, use an adult AED
    • CWait for advanced life support; AEDs are contraindicated under age 1
    • DUse the adult AED without any modifications because infant and adult energy requirements are similar
    Show answer

    ✓ Correct answer: B. Use a manual defibrillator if available; if not, use an AED with a pediatric dose attenuator; if neither is available, use an adult AED

    AHA guidelines state the preference order for infants is a manual defibrillator, then an AED with a dose-attenuating system, and finally an adult AED if no other option exists, because early defibrillation is preferable to no defibrillation.

    Topic: Basic Life Support (BLS)

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