ALS.rqi Exam Questions with Correct Answers

Which facility is the most appropriate EMS destination for a patient w/ a sudden cardiac arrest who achieved return of spontaneous circulation in the field? Correct Answer Coronary reperfusion-capable medical center Which is the primary purpose of medical emergency team or rapid response team? Correct Answer Improving patient outcomes by identifying and treating early clinical deterioration Which is the recommended oral dose of aspirin for a pt w/a suspected acute coronary syndrome? Correct Answer 162-325 mg You are evaluating a 58 year old man with chest pain. The BP is 92/50 and a heart rate of 92/min, non-labored respiratory rate is 14 breaths/min and the pulse O2 is 97%. What assessment step is most important now? Correct Answer Obtaining 12-lead ekg EMS providers are treating a patient with suspected stroke. According to the Adult Suspected Stroke Algorithm, which critical action performed by the EMS team will expedite this patient's care on arrival and reduce the time to treatment? Correct Answer Provide prehospital notification You are caring for a patient with a suspected stroke whose symptoms started 2h ago. CT scan was normal with no signs of hemorrhage. The pt does not have any contraindications to fibrinolytic therapy. Which tx approach is best for this pt? Correct Answer Give fibrinolytic therapy as soon as possible & consider endovascular therapy Which of these tests should be performed for a pt w/suspected stroke as early as possible but no more than 20 mins of hospital arrival? Correct Answer Noncontrast CT scan of head To properly ventilate a pt with a perfusing rhythm, how often do you squeeze the bag? Correct Answer Once every 6 seconds What is the effect of excessive ventilation? Correct Answer Decreased CO In addition to clinical assessment, which is the most reliable method to confirm & monitor correct placement of an endotracheal tube? Correct Answer Continuous waveform capnography Which type of atrioventricular block best describes this rhythm? Correct Answer Second-degree type 2