RQI 2025 ACLS Healthcare Provider
After 2 minutes of CPR, you conduct another rhythm check and determine that the
patient has the following rhythm and is showing signs of ROSC. How do you continue
treating this patient?
o Administer another dose of 1mg of epinephrine
o Move to the Adult Post-Cardiac Arrest Care Algorithm
o Resume CPR and repeat the steps of the PEA pathway
o Pause CPR and consider an advanced airway - ANS - o Move to the Adult
Post-Cardiac Arrest Care Algorithm
After 2 minutes, the team pauses CPR for a rhythm check. What rhythm is now being
demonstrated by the patient?
o Ventricular tachycardia
o Pulseless electric activity
o Ventricular fibrillation
o Asystole - ANS - o Ventricular tachycardia
After 2 more minutes of CPR, you conduct a rhythm check and a pulse check,
confirming absence of a pulse. Based on the organized rhythm below, describe the
patient's condition?
o Normal sinus rhythm
o Pulseless electrical activity
o Sinus bradycardia
o Junctional rhythm - ANS - o Pulseless electrical activity
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 - ANS - o Establish IV/IO access
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? - ANS - 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?
As Team Leader, you conduct the primary assessment, including rhythm analysis, while
high-quality BLS continues. What type of rhythm is being displayed on the monitor?
o Ventricular tachycardia
o Asystole
o Supraventricular tachycardia
o Ventricular fibrillation - ANS - o Ventricular fibrillation
At the next pulse check, compressors are switched, and rhythm continues to be
refractory ventricular fibrillation/ventricular tachycardia. A shock is delivered and CPR is
resumed. What is your next intervention?
o Administer amiodarone 300mg IV
o Administer procainamide 15 to 18 mg/kg IV loading dose
o Administer epinephrine 1mg IV - ANS - o Administer amiodarone 300mg IV
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 - ANS - o Shock immediately
Because this patient is no longer a candidate for fibrinolytic therapy, what are your next
steps for him?
o Consider giving adenosine
o Administer O2
o Support airway, breathing, and circulation (ABCs_
o Begin the stroke pathway
o Admit the patient to an intensive care unit
o Order an emergent x-ray
o Order an emergent CT scan - ANS - o Support airway, breathing, and circulation
(ABCs_
o Begin the stroke pathway
After 2 minutes of CPR, you conduct another rhythm check and determine that the
patient has the following rhythm and is showing signs of ROSC. How do you continue
treating this patient?
o Administer another dose of 1mg of epinephrine
o Move to the Adult Post-Cardiac Arrest Care Algorithm
o Resume CPR and repeat the steps of the PEA pathway
o Pause CPR and consider an advanced airway - ANS - o Move to the Adult
Post-Cardiac Arrest Care Algorithm
After 2 minutes, the team pauses CPR for a rhythm check. What rhythm is now being
demonstrated by the patient?
o Ventricular tachycardia
o Pulseless electric activity
o Ventricular fibrillation
o Asystole - ANS - o Ventricular tachycardia
After 2 more minutes of CPR, you conduct a rhythm check and a pulse check,
confirming absence of a pulse. Based on the organized rhythm below, describe the
patient's condition?
o Normal sinus rhythm
o Pulseless electrical activity
o Sinus bradycardia
o Junctional rhythm - ANS - o Pulseless electrical activity
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 - ANS - o Establish IV/IO access
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? - ANS - 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?
As Team Leader, you conduct the primary assessment, including rhythm analysis, while
high-quality BLS continues. What type of rhythm is being displayed on the monitor?
o Ventricular tachycardia
o Asystole
o Supraventricular tachycardia
o Ventricular fibrillation - ANS - o Ventricular fibrillation
At the next pulse check, compressors are switched, and rhythm continues to be
refractory ventricular fibrillation/ventricular tachycardia. A shock is delivered and CPR is
resumed. What is your next intervention?
o Administer amiodarone 300mg IV
o Administer procainamide 15 to 18 mg/kg IV loading dose
o Administer epinephrine 1mg IV - ANS - o Administer amiodarone 300mg IV
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 - ANS - o Shock immediately
Because this patient is no longer a candidate for fibrinolytic therapy, what are your next
steps for him?
o Consider giving adenosine
o Administer O2
o Support airway, breathing, and circulation (ABCs_
o Begin the stroke pathway
o Admit the patient to an intensive care unit
o Order an emergent x-ray
o Order an emergent CT scan - ANS - o Support airway, breathing, and circulation
(ABCs_
o Begin the stroke pathway
