RQI ACLS 2025 HEALTHCARE PROVIDER. QUESTIONS AND ANSWERS.

20. 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? A. Administer amiodarone 300mg IV B. Administer procainamide 15 to 18 mg/kg IV loading dose C. Administer epinephrine 1mg IV 21. 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? A. Normal sinus rhythm B. Pulseless electrical activity C. Sinus bradycardia D. Junctional rhythm 22. Once PEA is identified and there are no signs of ROSC, you continue CPR. What is your next step for appropriate care for this patient? A. Administer epinephrine 1mg IV B. Administer amiodarone 150mg IV C. Administer amiodarone 300mg IV D. Administer epinephrine 1.5mg IV 23. 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? A. Administer another dose of 1mg of epinephrine B. Move to the Adult Post-Cardiac Arrest Care Algorithm C. Resume CPR and repeat the steps of the PEA pathway D. Pause CPR and consider an advanced airway 24. She has a palpable pulse, HR of 65/min, SpO2 of 94%, ETCO2 of 38 mm Hg, and BP 82/55 mm Hg. What are your highest priorities? Select all that apply. A. Maintaining a target PaCO2 between 45 and 55 mm Hg B. Maintaining SpO2 92% to 98% C. Hyperventilation D. Ventilating the patient with 10 breaths per minute E. Maintaining a target PaCO2 between 35 and 45 mm Hg 25. In addition to managing the airway and respiratory parameters, which step is also prioritized during the initial stabilization phase? A. Initiating targeted temperature management B. Administering alteplase C. Performing percutaneous coronary intervention D. Treating hypotension 26. Match the treatment for hypotension to the proper initial dosage for an adult based on the AHA guidelines. A. Dopamine IV 5 to 20 mcg/kg per minute B. Normal saline or lactated Ringer's to 2L C. Norepinephrine IV 0.1 to 0.5 mcg/kg per minute D. Epinephrine 2 to 10 mcg per minute 27. The patient's ventilation and blood pressure have responded to treatment. What other lab or diagnosis tests would be appropriate to consider at this time for reversible causes? A. Arterial blood oxygen B. 12-lead ECG C. Troponin test D. Arterial blood carbon dioxide E. Temperature F. Capnography 28. You obtain a 12-lead ECG. What is the most appropriate action to take next? A. Observe the patient B. Transfer the patient to an intensive care unit C. Discharge the patient and have her follow-up with her primary care provider D Transfer the patient to a cardiac-cath lab for percutaneous coronary intervention 29. The patient is unable to follow verbal commands. What intervention should the team consider? A. Obtaining another ECG B. Targeted temperature management C. Administering vasopressors D. Transferring the patient to an intensive care unit