RQI 2025 ACLS HEALTHCARE PROVIDER EXAM
QUESTIONS AND ANSWERS
What actions will you do within the first 10 minutes if the patient exhibits
symptoms of myocardial ischemia (if not performed by EMS prior to arrival)?
o Take a 12-lead electrocardiogram (ECG).
Administer a blood thinner.
o Provide aspirin and establish IV access.
Activate the ST-segment elevation myocardial infarction (STEMI) team.
If SPO2 is less than 90%, start oxygen.
Assess the airway, breathing, and circulation (ABCs).
Administer epinephrine 1 mg intravenously.
Consider using nitroglycerin, morphine, and a P2Y inhibitor. o Take a 12-lead
electrocardiogram (ECG).
o Provide aspirin and establish IV access.
Activate the ST-segment elevation myocardial infarction (STEMI) team.
If SPO2 is less than 90%, start oxygen.
Assess the airway, breathing, and circulation (ABCs).
Consider nitroglycerine, morphine, and a P2Y inhibitor.
His initial vital signs include HR 120/min, BP 135/88 mm Hg, RR 23/min,
SpO2 87%, and temperature 37.3 degrees Celsius. What is your strategy for
addressing oxygen saturation?
Intubate the patient quickly.
, Administer albuterol nebulizer.
o Don't start oxygen.
Start oxygen at 4L/min via nasal cannula. - ANSWER Start oxygen at 4L/min
via nasal cannula.
What other questions can assist you select your future steps?
Do you use any medications?
Do you have any allergies?
When was the last time you visited the doctor?
When did the symptoms begin?
Have you experienced any recent falls? - ANSWER Do you use any
medications?
Do you have any allergies?
When did the symptoms begin?
Your patient continues to report chest discomfort. What treatments can be
repeated as long as vital indicators do not contradict them?
Morphine sublingual every 1 to 3 minutes.
o Morphine IV every 1–3 minutes
Every 3 to 5 minutes, provide sublingual or translingual nitroglycerin.
Nitroglycerine every 1 to 3 minutes. Every 3 to 5 minutes, provide sublingual or
translingual nitroglycerin.
QUESTIONS AND ANSWERS
What actions will you do within the first 10 minutes if the patient exhibits
symptoms of myocardial ischemia (if not performed by EMS prior to arrival)?
o Take a 12-lead electrocardiogram (ECG).
Administer a blood thinner.
o Provide aspirin and establish IV access.
Activate the ST-segment elevation myocardial infarction (STEMI) team.
If SPO2 is less than 90%, start oxygen.
Assess the airway, breathing, and circulation (ABCs).
Administer epinephrine 1 mg intravenously.
Consider using nitroglycerin, morphine, and a P2Y inhibitor. o Take a 12-lead
electrocardiogram (ECG).
o Provide aspirin and establish IV access.
Activate the ST-segment elevation myocardial infarction (STEMI) team.
If SPO2 is less than 90%, start oxygen.
Assess the airway, breathing, and circulation (ABCs).
Consider nitroglycerine, morphine, and a P2Y inhibitor.
His initial vital signs include HR 120/min, BP 135/88 mm Hg, RR 23/min,
SpO2 87%, and temperature 37.3 degrees Celsius. What is your strategy for
addressing oxygen saturation?
Intubate the patient quickly.
, Administer albuterol nebulizer.
o Don't start oxygen.
Start oxygen at 4L/min via nasal cannula. - ANSWER Start oxygen at 4L/min
via nasal cannula.
What other questions can assist you select your future steps?
Do you use any medications?
Do you have any allergies?
When was the last time you visited the doctor?
When did the symptoms begin?
Have you experienced any recent falls? - ANSWER Do you use any
medications?
Do you have any allergies?
When did the symptoms begin?
Your patient continues to report chest discomfort. What treatments can be
repeated as long as vital indicators do not contradict them?
Morphine sublingual every 1 to 3 minutes.
o Morphine IV every 1–3 minutes
Every 3 to 5 minutes, provide sublingual or translingual nitroglycerin.
Nitroglycerine every 1 to 3 minutes. Every 3 to 5 minutes, provide sublingual or
translingual nitroglycerin.
