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RQI ACLS 2025 ACLS HEALTHCARE PROVIDER
COMPLETE QUESTIONS WITH ANSWERS.
"30 minutes - CORRECT ANSWER what is the longest acceptable ED door-to-needle time when
fibrinolysis is the intended reperfusion strategy?"
"reduces preload - CORRECT ANSWER what is a physiologic effect of nitroglycerin?"
"-obtain 12-lead ECG -administer ASA and establish IV access -activate the ST-segment elevation myocardial infarction (STEMI) team -if SpO2 is less than 90%, start oxygen -assess airway, breathing, and circulation (ABCs)
-consider nitro, morphine, and a P2Y inhibitor - CORRECT ANSWER within the first 10 min, on
the basis of the patient showing symptoms suggestive of MI, what will your first actions include (if not completed by EMS before arrival)?"
"ischemic stroke - CORRECT ANSWER what is the most common type of stroke?"
"start oxygen at 4L/min via nasal canula - CORRECT ANSWER his initial VS are HR 120/min, BP
135/88 mm Hg, RR 23/min, SpO2 87%, and temp 37.3C. When considering oxygen saturation, what is your course of action?"
"nitroglycerine sublingual every 3-5 min - CORRECT ANSWER your patient continues to say
that he has chest discomfort. what treatment can you repeat as long as it is not contraindicated by vital signs?"
"admission for PCI or fibrinolysis - CORRECT ANSWER with the diagnosis of STEMI, what is the
most probable treatment?"
"first medical contact-to-balloon inflation time of 90 minutes - CORRECT ANSWER what is
your goal for PCI when treating this patient?" "do you take any medication? do you have any allergies?
when did the symptoms start? - CORRECT ANSWER what additional questions help you
determine next steps?"
"10 minutes - CORRECT ANSWER what is the time goal for how quickly you should complete a
fibrinolytic checklist once the patient arrives in the emergency department?"
"90% - CORRECT ANSWER Oxygen should be delivered to a patient who has obvious signs of
heart failure if the oxygen saturation is less than ______ or unknown."
"72% - CORRECT ANSWER what is the estimated probability of the Cincinnati prehospital
stroke scale with 1 abnormal finding when scored by prehospital providers?"
"comprehensive stroke center - CORRECT ANSWER what is the highest level of stroke center
certification?"
"45 minutes - CORRECT ANSWER what is the time goal for initiation of fibrinolytic therapy in
appropriate patients without contraindications after hospital arrival?"
"60 minutes - CORRECT ANSWER what is the door-to-needle time goal for 85% or more of
acute ischemic stroke patients treated with IV thrombolytics?" "system structure processes
patient outcome - CORRECT ANSWER what are the elements of a system of care?"
"3 hours - CORRECT ANSWER evidence suggests that there is a higher likelihood of good to
excellent functional outcome when alteplase is given to adults with an acute ischemic stroke within what time frame?"
"20 minutes - CORRECT ANSWER what is the time goal for neurologic assessment by the
stroke team or designee and non-contrast computed tomography or MRI performed after hospital arrival?"
"24 hours - CORRECT ANSWER what is the maximum time from last known normal when
endovascular therapy can be performed?"
"hypercapnia - CORRECT ANSWER what is the term for the rise in arterial carbon dioxide levels
typically associated with respiratory failure?"
"6-7 mL/kg - CORRECT ANSWER how much tidal volume must you provide with a bag-mask
device to produce visible chest rise for an adult patient in respiratory arrest?"
"Pressure Relief Valve - CORRECT ANSWER what device on a resuscitation bag-mask device
may prevent sufficient tidal volume in patients with poor lung compliance?"
"RDS (respiratory distress syndrome) - CORRECT ANSWER 18 y.o. w/:
difficulty breathing increased respiratory effort bilateral wheezing RR of 28 bpm O2 sat of 91% PETCO2 is 44 mmHG"
"RDS (respiratory distress syndrome) - CORRECT ANSWER 59 y.o. w/:
difficulty breathing nasal flaring, intercostal retractions, and use of accessory muscles RR of 28 bpm O2 sat of 92% PETCO2 is 36 mmHg"
"10 minutes - CORRECT ANSWER what is the time goal for how quickly you should complete a
fibrinolytic checklist once the patient arrives in the ED?"
"6 - CORRECT ANSWER patients with perfusing rhythms should receive ventilations once
every ___ seconds"
"using a 2-person technique - CORRECT ANSWER what is the most effective way to deliver
bag-mask ventilation?"
"600 - CORRECT ANSWER when you use a bag-mask device, you should deliver approximately
500 to ___ mL tidal volume"
"1 second - CORRECT ANSWER how long should the second rescuer squeeze the bag-mask
device when providing 2-rescuer ventilation?"
"entering the esophagus - CORRECT ANSWER what is a potential complication of using a
nasopharyngeal airway that is too long?"
"earlobe - CORRECT ANSWER the length of a correctly sized nasopharyngeal airway is the
same as the distance from the tip of the nose to the"
"misplacement into the cranial cavity - CORRECT ANSWER what is the most serious
complications of nasopharyngeal airway insertion into a patient with facial trauma?"
"while withdrawing the catheter - CORRECT ANSWER when should you occlude the side
opening of a suction catheter when performing oropharyngeal suctioning?"
"Formulate a differential diagnosis - CORRECT ANSWER which action is part of the secondary
assessment of a conscious patient?"
"once every 6 seconds - CORRECT ANSWER what is the recommended ventilation rate for an
adult in cardiac arrest with an advanced airway device in place?" "assess airway, breathing, and circulation
check for responsiveness - CORRECT ANSWER the EMS team brings a 54-year-old patient to
the ED who had been experiencing extreme shortness of breath and difficulty breathing. the patient loses consciousness on arrival: what initial actions should be taken?"
"Quantitative waveform capnography - CORRECT ANSWER the EMS team brings a 54-year-old
patient to the ED who had been experiencing extreme shortness of breath and difficulty breathing. the patient loses consciousness on arrival: the pt is not responding well to ventilation and suctioning. you decide to intubate the pt. in addition to clinical assessment, what is the single most reliable method of confirming and monitoring correct tube placement of the ET tube?"
prepare for transvenous pacing - CORRECT ANSWER 75 y.o. presents to the ED. Wife states
that he fainted 45 min ago while watching TV. She said he has had a few episodes of confusion and fatigue during the past week. The pt presents w/ HR 30/min (weak pulse), BP 66/43 mmHg, RR 20/min, and SpO2 89%. He is alert and responsive: the pt is not responsive to treatments. VS are HR 40/min (weak pulse), BP 66/43, RR 18/min, SpO 91%. He is responsive but states that he feels tired. what should you consider?"
" - CORRECT ANSWER how much of a safety margin (energy above the dose at which
consistent capture is observed) should you allow when using the transcutaneous pacemaker?"
“confirmed right ventricular infarction - CORRECT ANSWER Which clinical finding represents a
contraindication to the administration of nitro?"
"cns analgesia - CORRECT ANSWER what is a benefit of morphine when given for the
management of acute coronary syndrome?"
"initial impression - CORRECT ANSWER what is the first step in the systematic approach to
patient assessment?"
"ST-segment elevation myocardial infarction (STEMI) - CORRECT ANSWER Upon reviewing a
patient's 12-lead ECG, you note ST-segment elevation of 2 min in leads II, III, and aVF. How would you classify the ECG findings?"
"90 minutes - CORRECT ANSWER what is the goal for first medical contact-to-balloon inflation
time for a patient receiving percutaneous coronary intervention?"
"within 12 hours - CORRECT ANSWER what is the recommended time window after symptom
onset for early fibrinolytic therapy or direct catheter-based reperfusion for patients with ST- segment elevation myocardial infarction and no contraindications?"
"anterior ST-segment elevation MI (STEMI) - CORRECT ANSWER what is you interpretation of
the patient's ECG tracing?"
"hemorrhagic stroke - CORRECT ANSWER what type of stroke occurs when a blood vessel in
the brain suddenly ruptures into the surrounding tissue?"
"trouble speaking - CORRECT ANSWER which is a sign of stroke?"
"sudden trouble seeing - CORRECT ANSWER which is a symptom of stroke?"
"within 12 hours - CORRECT ANSWER what is the recommended time window after symptom
onset for early fibrinolytic therapy or direct catheter-based reperfusion for patients with ST- segment elevation myocardial infarction and no contraindications?"
"certified stroke center - CORRECT ANSWER what is the most appropriate destination for
patients with suspected acute ischemic stroke?"
"Cincinnati Prehospital Stroke Scale (CPSS) - CORRECT ANSWER what validated, abbreviated
out-of-hospital neurologic evaluation tool contains 3 components: the facial droop, arm drift, and abnormal speech tests?"
"the hospital can perform more efficient evaluation and management - CORRECT ANSWER
what is an advantage of EMS alerting the receiving facility of the impending arrival of a patient with suspected acute ischemic stroke?"
"responding providers can stabilize critical issues - CORRECT ANSWER which is an advantage
of EMS transport to a stroke hospital for a patient with suspected acute ischemic stroke?"
"12-20 breaths per minute - CORRECT ANSWER what is the average respiratory rate for an
adult at rest?" "-complete neuro screening -order an emergent CT scan or MRI of the brain and review patient history -activate the stroke team -establish IV access
-check glucose - CORRECT ANSWER the patient's vital signs show HR 92/min, RR 14/min, BP
130/86, SpO2 97%, and AFIB on the monitor. what additional assessment and stabilization activities should be completed within the first 10 min after the patient arrival?"
"neuro assessment - CORRECT ANSWER what needs to be completed for this patient within
20 min after hospital arrival?" "do you have any allergies? do you take any medications? when did the symptoms start?
what other symptoms do you have? - CORRECT ANSWER as part of the neuro assessment, you
perform a physical and neuro exam.
while ventilating the patient, you hear loud gurgling sounds coming from the airway. what is your next action?" "altered mental status hypotension
SOB - CORRECT ANSWER which s/s indicate symptomatic bradycardia?"
"transcutaneous pacing - CORRECT ANSWER wha therapy is a recommended alternative to
vasopressor infusion in the management of unstable bradycardia unresponsive to atropine?" "Obtain a 12 lead ECG Establish IV access
Maintain the airway and administer oxygen if needed - CORRECT ANSWER 75 y.o. presents to
the ED. Wife states that he fainted 45 min ago while watching TV. She said he has had a few episodes of confusion and fatigue during the past week. The pt presents w/ HR 30/min (weak pulse), BP 66/43 mmHg, RR 20/min, and SpO2 89%. He is alert and responsive: what should your next steps be to assess and treat this patient?"
