RQI 2025 ACLS HEALTHCARE
PROVIDER QUESTIONS WITH CORRECT
ANSWERS
Within cthe cfirst c10 cminutes, con cthe cbasis cof cthe cpatient cshowing csymptoms csuggestive
cof cmyocardial cischemia, cwhat cwill cyour cfirst cactions cinclude c(if cnot ccompleted cby cEMS
cbefore carrival)?
o cObtain ca c12-lead celectrocardiogram c(ECG)
o cAdminister ca cblood cthinner
o cAdminister caspirin cand cestablish cIV caccess
o cActivate cthe cST-segment celevation cmyocardial cinfarction c(STEMI) cteam
o cIf cSPO2 cis cless cthan c90%, cstart coxygen
o cAssess cairway, cbreathing, cand ccirculation c(ABCs)
o cAdminister cepinephrine c1 cmg cIV
o cConsider cnitroglycerin, cmorphine cand ca cP2Y cinhibitor c- ccorrect canswers✔✔o cObtain
ca c12-lead celectrocardiogram c(ECG)
o cAdminister caspirin cand cestablish cIV caccess
o cActivate cthe cST-segment celevation cmyocardial cinfarction c(STEMI) cteam
o cIf cSPO2 cis cless cthan c90%, cstart coxygen
o cAssess cairway, cbreathing, cand ccirculation c(ABCs)
o cConsider cnitroglycerin, cmorphine cand ca cP2Y cinhibitor
His cinitial cvital csigns care cHR c120/min, cBP c135/88 cmm cHg, cRR c23/min, cSpO2 c87%,
cand ctemperature c37.3C. cWhen cconsidering coxygen csaturation, cwhat cis cyour ccourse cof
caction?
o cIntubate cthe cpatient cimmediately
o cAdminister calbuterol cnebulizer
o cDo cnot cstart coxygen
o cStart coxygen cat c4L/min cvia cnasal ccannula c- ccorrect canswers✔✔o cStart coxygen cat
c4L/min cvia cnasal ccannula
What cadditional cquestion chelp cyou cdetermine cnext csteps?
o cDo cyou ctake cany cmedication?
o cDo cyou chave cany callergies?
o cWhen cwas cthe clast ctime cyou cwent cto cthe cdoctor?
o cWhen cdid cthe csymptoms cstart?
o cHave cyou chad cany crecent cfalls? c- ccorrect canswers✔✔o cDo cyou ctake cany
cmedication?
o cDo cyou chave cany callergies?
o cWhen cdid cthe csymptoms cstart?
Your cpatient ccontinues cto csay cthat che chas cchest cdiscomfort. cWhat ctreatment ccan cyou
crepeat cas clong cas cit cis cnot ccontradicted cby cvital csigns?
, o cMorphine csublingual cevery c1 cto c3 cminutes
o cMorphine cIV cevery c1 cto c3 cminutes
o cNitroglycerine csublingual cor ctranslingual cevery c3 cto c5 cminutes
o cNitroglycerine cevery c1 cto c3 cminutes c- ccorrect canswers✔✔o cNitroglycerine csublingual
cor ctranslingual cevery c3 cto c5 cminutes
What cis cyour cinterpretation cof cthe cpatient's cECG ctracing?
o cAnterior cST-segment celevation cof cmyocardial cinfarction c(STEMI)
o cVentricular ctachycardia
o cPosterior cST-segment celevation cmyocardial cinfarction c(STEMI)
o cNormal csinus crhythm cwith cpremature cventricular ccontractions c- ccorrect canswers✔✔o
cAnterior cST-segment celevation cof cmyocardial cinfarction c(STEMI)
With cthe cdiagnosis cof cSTEMI, cwhat cis cthe cmost cprobable ctreatment?
o cRelease cto chome
o cAdmission cto can cintensive ccar cunit
o cAdmission cfor cobservation
o cAdmission cfor cPCI cor cfibrinolysis c- ccorrect canswers✔✔o cAdmission cfor cPCI cor
cfibrinolysis
What cis cyour cgoal cfor cPCI cwhen ctreating cthis cpatient?
o cDoor-to-balloon cinflation ctime cof c30 cminutes
o cFirst cmedical ccontact-to-balloon cinflation ctime cof c90 cminutes
o cDoor-to-needle ctime cof c90 cminutes
o cFirst cmedical ccontact-to-needle ctime cof c30 cminutes c- ccorrect canswers✔✔o cFirst
cmedical ccontact-to-balloon cinflation ctime cof c90 cminutes
The cpatient's cvital csigns cshow cHR c92/min, cRR c14/min, cBP c130/86 cmm cHg, cSpO2
c97%, cand catrial cfibrillation con cthe cmonitor. cWhat cadditional cassessment cand
cstabilization cactivities cshould cbe ccompleted cwith cthe cfirst c10 cminutes cafter cthe
cpatient's carrival?
o cEstablish cIV caccess
o cOrder can cemergent cCT cscan cor cMRI cof cthe cbrain cand creview cpatient chistory
o cMonitor cfor cworsening csymptoms
o cActivate cthe cstroke cteam
o cComplete cneurologic cscreening
o cCheck cglucose
o cAdminister cO2 c- ccorrect canswers✔✔o cEstablish cIV caccess
o cOrder can cemergent cCT cscan cor cMRI cof cthe cbrain cand creview cpatient chistory
o cActivate cthe cstroke cteam
o cComplete cneurologic cscreening
o cCheck cglucose
What cneeds cto cbe ccompleted cfor cthis cpatient cwithin c20 cminutes cafter chospital carrival?
o cNeurologic cassessment
o cAdmission cto ca cmonitored cbed
PROVIDER QUESTIONS WITH CORRECT
ANSWERS
Within cthe cfirst c10 cminutes, con cthe cbasis cof cthe cpatient cshowing csymptoms csuggestive
cof cmyocardial cischemia, cwhat cwill cyour cfirst cactions cinclude c(if cnot ccompleted cby cEMS
cbefore carrival)?
o cObtain ca c12-lead celectrocardiogram c(ECG)
o cAdminister ca cblood cthinner
o cAdminister caspirin cand cestablish cIV caccess
o cActivate cthe cST-segment celevation cmyocardial cinfarction c(STEMI) cteam
o cIf cSPO2 cis cless cthan c90%, cstart coxygen
o cAssess cairway, cbreathing, cand ccirculation c(ABCs)
o cAdminister cepinephrine c1 cmg cIV
o cConsider cnitroglycerin, cmorphine cand ca cP2Y cinhibitor c- ccorrect canswers✔✔o cObtain
ca c12-lead celectrocardiogram c(ECG)
o cAdminister caspirin cand cestablish cIV caccess
o cActivate cthe cST-segment celevation cmyocardial cinfarction c(STEMI) cteam
o cIf cSPO2 cis cless cthan c90%, cstart coxygen
o cAssess cairway, cbreathing, cand ccirculation c(ABCs)
o cConsider cnitroglycerin, cmorphine cand ca cP2Y cinhibitor
His cinitial cvital csigns care cHR c120/min, cBP c135/88 cmm cHg, cRR c23/min, cSpO2 c87%,
cand ctemperature c37.3C. cWhen cconsidering coxygen csaturation, cwhat cis cyour ccourse cof
caction?
o cIntubate cthe cpatient cimmediately
o cAdminister calbuterol cnebulizer
o cDo cnot cstart coxygen
o cStart coxygen cat c4L/min cvia cnasal ccannula c- ccorrect canswers✔✔o cStart coxygen cat
c4L/min cvia cnasal ccannula
What cadditional cquestion chelp cyou cdetermine cnext csteps?
o cDo cyou ctake cany cmedication?
o cDo cyou chave cany callergies?
o cWhen cwas cthe clast ctime cyou cwent cto cthe cdoctor?
o cWhen cdid cthe csymptoms cstart?
o cHave cyou chad cany crecent cfalls? c- ccorrect canswers✔✔o cDo cyou ctake cany
cmedication?
o cDo cyou chave cany callergies?
o cWhen cdid cthe csymptoms cstart?
Your cpatient ccontinues cto csay cthat che chas cchest cdiscomfort. cWhat ctreatment ccan cyou
crepeat cas clong cas cit cis cnot ccontradicted cby cvital csigns?
, o cMorphine csublingual cevery c1 cto c3 cminutes
o cMorphine cIV cevery c1 cto c3 cminutes
o cNitroglycerine csublingual cor ctranslingual cevery c3 cto c5 cminutes
o cNitroglycerine cevery c1 cto c3 cminutes c- ccorrect canswers✔✔o cNitroglycerine csublingual
cor ctranslingual cevery c3 cto c5 cminutes
What cis cyour cinterpretation cof cthe cpatient's cECG ctracing?
o cAnterior cST-segment celevation cof cmyocardial cinfarction c(STEMI)
o cVentricular ctachycardia
o cPosterior cST-segment celevation cmyocardial cinfarction c(STEMI)
o cNormal csinus crhythm cwith cpremature cventricular ccontractions c- ccorrect canswers✔✔o
cAnterior cST-segment celevation cof cmyocardial cinfarction c(STEMI)
With cthe cdiagnosis cof cSTEMI, cwhat cis cthe cmost cprobable ctreatment?
o cRelease cto chome
o cAdmission cto can cintensive ccar cunit
o cAdmission cfor cobservation
o cAdmission cfor cPCI cor cfibrinolysis c- ccorrect canswers✔✔o cAdmission cfor cPCI cor
cfibrinolysis
What cis cyour cgoal cfor cPCI cwhen ctreating cthis cpatient?
o cDoor-to-balloon cinflation ctime cof c30 cminutes
o cFirst cmedical ccontact-to-balloon cinflation ctime cof c90 cminutes
o cDoor-to-needle ctime cof c90 cminutes
o cFirst cmedical ccontact-to-needle ctime cof c30 cminutes c- ccorrect canswers✔✔o cFirst
cmedical ccontact-to-balloon cinflation ctime cof c90 cminutes
The cpatient's cvital csigns cshow cHR c92/min, cRR c14/min, cBP c130/86 cmm cHg, cSpO2
c97%, cand catrial cfibrillation con cthe cmonitor. cWhat cadditional cassessment cand
cstabilization cactivities cshould cbe ccompleted cwith cthe cfirst c10 cminutes cafter cthe
cpatient's carrival?
o cEstablish cIV caccess
o cOrder can cemergent cCT cscan cor cMRI cof cthe cbrain cand creview cpatient chistory
o cMonitor cfor cworsening csymptoms
o cActivate cthe cstroke cteam
o cComplete cneurologic cscreening
o cCheck cglucose
o cAdminister cO2 c- ccorrect canswers✔✔o cEstablish cIV caccess
o cOrder can cemergent cCT cscan cor cMRI cof cthe cbrain cand creview cpatient chistory
o cActivate cthe cstroke cteam
o cComplete cneurologic cscreening
o cCheck cglucose
What cneeds cto cbe ccompleted cfor cthis cpatient cwithin c20 cminutes cafter chospital carrival?
o cNeurologic cassessment
o cAdmission cto ca cmonitored cbed
