ACLS HEARTCODE Exam 2 Questions and
Answers Latest 2025 A+
What validated, abbreviated out of hospital neurologic evaluation tool contains 3
components: facial droop, arm drift, and abormal speech test - ANSWER
Cincinnati Prehospital Stroke scale
What is the estimated probability of the CPSS with 1 abnormal finding when
scored by prehospital providers - ANSWER 72%
Which is a stroke severity tool that helps EMS differentiate large vessel occlusion
stroke from non-large vessel occlusion stroke - ANSWER Los Angeles Motor
Scale
What is the primary advantage of using a stroke severity tool? - ANSWER It
helps ID large vessel occlusion stroke
During CPR, CCF should be at least % and ideally greater than %-
ANSWER 60/80
What is an advantage of EMS alerting the receiving facility of the impending
arrival of a patient with suspected acute ischemic stroke - ANSWER The hospital
can perform more efficient evaluation and management
,What is the time goal for neurologic assessment by the stroke team or designee
and noncontrast computed tomography or MRI performed after hospital arrival -
ANSWER 20 minutes
What is the time goal for initiation of fibrinolytic therapy in appropriate patients
without contraindication after hospital arrival - ANSWER 45 minutes
What is the door-to-needle time goal for 85% or more of acute ischemic stroke
patients treated with IV thrombolytics - ANSWER 60 minutes
What is the door-to-device time goal for direct arriving patients with acute
ischemic stroke treated with endovascular therapy - ANSWER 90 minutes
Evidence suggests that there is a higher likelihood of good to excellent functional
outcome when alteplase is given to adults with an acute ischemic stroke within
what time frame - ANSWER 3 hours
What is the maximum time from last known normal when endovascular therapy
can be performed - ANSWER 24 hours
What is the max time from last known normal when intra-arterial thrombolysis
for select patients can be used for treatment - ANSWER 6 hours
ID the SBP threshold for withholding fibrinolytic therapy to otherwise eligible
patients with acute ischemic stroke - ANSWER 185mmHg
What is the DBP threshold for withholding fibrinolytic to otherwise eligible
patients with acute ischemic stroke - ANSWER 110mmHg
, Which action is not part of the acute stroke pathway - ANSWER Seizure
prophylaxis
What BG should trigger the administration of IV or subQ insulin for a patient with
acute ischemic stroke - ANSWER 180
A 74 yo man was brought to the hospital by his wife. She states that her husband
started having sudden left arm weakness and left sided paralysis during lunch. He
has a past medical history or poorly controlled hypertension
HR 92
RR 14
BP 130/86
SPO2 97%
Afib on monitor
What additional assessment and stabilization activities should be completed? -
ANSWER Establish time of symptom onset (last known normal)
perform validated prehospital stroke screen and stroke severity tool
provide prehospital notification to the receiving hospital
initiate stroke protocol
Answers Latest 2025 A+
What validated, abbreviated out of hospital neurologic evaluation tool contains 3
components: facial droop, arm drift, and abormal speech test - ANSWER
Cincinnati Prehospital Stroke scale
What is the estimated probability of the CPSS with 1 abnormal finding when
scored by prehospital providers - ANSWER 72%
Which is a stroke severity tool that helps EMS differentiate large vessel occlusion
stroke from non-large vessel occlusion stroke - ANSWER Los Angeles Motor
Scale
What is the primary advantage of using a stroke severity tool? - ANSWER It
helps ID large vessel occlusion stroke
During CPR, CCF should be at least % and ideally greater than %-
ANSWER 60/80
What is an advantage of EMS alerting the receiving facility of the impending
arrival of a patient with suspected acute ischemic stroke - ANSWER The hospital
can perform more efficient evaluation and management
,What is the time goal for neurologic assessment by the stroke team or designee
and noncontrast computed tomography or MRI performed after hospital arrival -
ANSWER 20 minutes
What is the time goal for initiation of fibrinolytic therapy in appropriate patients
without contraindication after hospital arrival - ANSWER 45 minutes
What is the door-to-needle time goal for 85% or more of acute ischemic stroke
patients treated with IV thrombolytics - ANSWER 60 minutes
What is the door-to-device time goal for direct arriving patients with acute
ischemic stroke treated with endovascular therapy - ANSWER 90 minutes
Evidence suggests that there is a higher likelihood of good to excellent functional
outcome when alteplase is given to adults with an acute ischemic stroke within
what time frame - ANSWER 3 hours
What is the maximum time from last known normal when endovascular therapy
can be performed - ANSWER 24 hours
What is the max time from last known normal when intra-arterial thrombolysis
for select patients can be used for treatment - ANSWER 6 hours
ID the SBP threshold for withholding fibrinolytic therapy to otherwise eligible
patients with acute ischemic stroke - ANSWER 185mmHg
What is the DBP threshold for withholding fibrinolytic to otherwise eligible
patients with acute ischemic stroke - ANSWER 110mmHg
, Which action is not part of the acute stroke pathway - ANSWER Seizure
prophylaxis
What BG should trigger the administration of IV or subQ insulin for a patient with
acute ischemic stroke - ANSWER 180
A 74 yo man was brought to the hospital by his wife. She states that her husband
started having sudden left arm weakness and left sided paralysis during lunch. He
has a past medical history or poorly controlled hypertension
HR 92
RR 14
BP 130/86
SPO2 97%
Afib on monitor
What additional assessment and stabilization activities should be completed? -
ANSWER Establish time of symptom onset (last known normal)
perform validated prehospital stroke screen and stroke severity tool
provide prehospital notification to the receiving hospital
initiate stroke protocol
