RQI 2025 ACLS HEALTHCARE PROVIDER|EXAM
QUESTIONS AND ANSWERS VERIFIED 100% CORRECT
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 - ANSWER -o First medical
contact-to-balloon inflation time of 90 minutes
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 - 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
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 - 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? - 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?
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 - 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 - ANSWER -o
Repeat the neurologic exam
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 - ANSWER -o No
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 - ANSWER -o Support airway, breathing, and
circulation (ABCs_
o Begin the stroke pathway
o Admit the patient to an intensive care unit
QUESTIONS AND ANSWERS VERIFIED 100% CORRECT
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 - ANSWER -o First medical
contact-to-balloon inflation time of 90 minutes
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 - 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
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 - 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? - 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?
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 - 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 - ANSWER -o
Repeat the neurologic exam
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 - ANSWER -o No
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 - ANSWER -o Support airway, breathing, and
circulation (ABCs_
o Begin the stroke pathway
o Admit the patient to an intensive care unit
