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RQI 2025 ACLS HEALTHCARE PROVIDER
COMPLETE QUESTIONS WITH ANSWERS
"His initial vital signs are HR 120/min, BP 135/88 mm Hg, RR 23/min, SpO2 87%, and temperature 37.3C. When considering oxygen saturation, what is your course of action? o Intubate the patient immediately o Administer albuterol nebulizer o Do not start oxygen
o Start oxygen at 4L/min via nasal cannula - CORRECT ANSWER o Start oxygen at 4L/min via
nasal cannula" "What additional question help you determine next steps? o Do you take any medication? o Do you have any allergies? o When was the last time you went to the doctor? o When did the symptoms start?
o Have you had any recent falls? - CORRECT ANSWER o Do you take any medication?
o Do you have any allergies? o When did the symptoms start?" "With the diagnosis of STEMI, what is the most probable treatment? o Release to home o Admission to an intensive car unit o Admission for observation
o Admission for PCI or fibrinolysis - CORRECT ANSWER o Admission for PCI or fibrinolysis"
"What is your goal for PCI when treating this patient? o Door-to-balloon inflation time of 30 minutes o First medical contact-to-balloon inflation time of 90 minutes o Door-to-needle time of 90 minutes
o First medical contact-to-needle time of 30 minutes - CORRECT ANSWER o First medical
contact-to-balloon inflation time of 90 minutes" "What needs to be completed for this patient within 20 minutes after hospital arrival? o Neurologic assessment o Admission to a monitored bed
o Interpretation of the emergent CT scan or MRI of the brain
o Administration of fibrinolytic therapy - CORRECT ANSWER o Neurologic assessment"
"As part of the neurologic assessment, you perform a physical and neurologic examination. What are some of the general questions you need to ask? o What other symptoms do you have? o Has your wife been sick as well? o Do you take any medications? o Did you eat anything today? o When did the symptoms start?
o Do you have any allergies? - CORRECT ANSWER o What other symptoms do you have?
o Do you take any medications? o When did the symptoms start? o Do you have any allergies?" "You find the patient's neurologic function is rapidly improving. Is this patient still a candidate for fibrinolytic therapy? o Yes o No
o Not enough information - CORRECT ANSWER o No"
"Based on the patient's condition, what is your next action? o Pause CPR to establish IV/IO access o Continue CPR while you establish IV/IO access o Shock immediately
o Continue CPR while delivering shock - CORRECT ANSWER o Shock immediately"
"After a shock is delivered, CPR resumes immediately. What actions also needs to be performed at this time? o Establish IV/IO access o Administer amiodarone or lidocaine o Consider an advanced airway
o Perform a second rhythm check - CORRECT ANSWER o Establish IV/IO access"
"After 2 minutes, the team pauses CPR for a rhythm check. What rhythm is now being demonstrated by the patient?
o Temperature
o Capnography - CORRECT ANSWER o 12-lead ECG
o Troponin test o Temperature" "You obtain a 12-lead ECG. What is the most appropriate action to take next? o Observe the patient o Transfer the patient to an intensive care unit o Discharge the patient and have her follow-up with her primary care provider
o Transfer the patient to a cardiac-cath lab for percutaneous coronary intervention - CORRECT
ANSWER o Transfer the patient to a cardiac-cath lab for percutaneous coronary intervention"
"The patient is unable to follow verbal commands. What intervention should the team consider? o Obtaining another ECG o Targeted temperature management o Administering vasopressors
o Transferring the patient to an intensive care unit - CORRECT ANSWER o Targeted
temperature management" “Within the first 10 minutes, on the basis of the patient showing symptoms suggestive of myocardial ischemia, what will your first actions include (if not completed by EMS before arrival)? o Obtain a 12-lead electrocardiogram (ECG) o Administer a blood thinner o Administer aspirin and establish IV access o Activate the ST-segment elevation myocardial infarction (STEMI) team o If SPO2 is less than 90%, start oxygen o Assess airway, breathing, and circulation (ABCs) o Administer epinephrine 1 mg IV
o Consider nitroglycerin, morphine and a P2Y inhibitor - CORRECT ANSWER o Obtain a 12-lead
electrocardiogram (ECG) o Administer aspirin and establish IV access o Activate the ST-segment elevation myocardial infarction (STEMI) team o If SPO2 is less than 90%, start oxygen o Assess airway, breathing, and circulation (ABCs) o Consider nitroglycerin, morphine and a P2Y inhibitor" "Your patient continues to say that he has chest discomfort. What treatment can you repeat as long as it is not contradicted by vital signs? o Morphine sublingual every 1 to 3 minutes o Morphine IV every 1 to 3 minutes
o Nitroglycerine sublingual or translingual every 3 to 5 minutes
o Nitroglycerine every 1 to 3 minutes - CORRECT ANSWER o Nitroglycerine sublingual or
translingual every 3 to 5 minutes" "What is your interpretation of the patient's ECG tracing? o Anterior ST-segment elevation of myocardial infarction (STEMI) o Ventricular tachycardia o Posterior ST-segment elevation myocardial infarction (STEMI)
o Normal sinus rhythm with premature ventricular contractions - CORRECT ANSWER o
Anterior ST-segment elevation of myocardial infarction (STEMI)" "The patient's vital signs show HR 92/min, RR 14/min, BP 130/86 mm Hg, SpO2 97%, and atrial fibrillation on the monitor. What additional assessment and stabilization activities should be completed with the first 10 minutes after the patient's arrival? o Establish IV access o Order an emergent CT scan or MRI of the brain and review patient history o Monitor for worsening symptoms o Activate the stroke team o Complete neurologic screening o Check glucose
o Administer O2 - CORRECT ANSWER o Establish IV access
o Order an emergent CT scan or MRI of the brain and review patient history o Activate the stroke team o Complete neurologic screening o Check glucose" "Within 45 minutes, the neuroimaging interpretation of the CT scan of the brain suggests an acute ischemic infarction. There are no signs of hemorrhage or mass lesions. Is this patient a potential candidate for fibrinolytic therapy? o Yes
o No - CORRECT ANSWER o Yes"
"To determine whether the patient is a candidate for fibrinolytic therapy, what actions should be taken? o Repeat the neurologic exam o Determine family stroke history o Order a 12-lead ECG
o Obtain an MRI of the brain for confirmation of hemorrhage - CORRECT ANSWER o Repeat
the neurologic exam" "Because this patient is no longer a candidate for fibrinolytic therapy, what are your next steps for him? o Consider giving adenosine
o Maintaining a target PaCO2 between 45 and 55 mm Hg o Maintaining SpO2 92% to 98% o Hyperventilation o Ventilating the patient with 10 breaths per minute
o Maintaining a target PaCO2 between 35 and 45 mm Hg - CORRECT ANSWER o Maintaining
SpO2 92% to 98% o Ventilating the patient with 10 breaths per minute o Maintaining a target PaCO2 between 35 and 45 mm Hg" "In addition to managing the airway and respiratory parameters, which step is also prioritized during the initial stabilization phase? o Initiating targeted temperature management o Administering alteplase o Performing percutaneous coronary intervention
o Treating hypotension - CORRECT ANSWER o Treating hypotension"
