RQI ACLS 2025 ACLS HEALTHCARE PROVIDER
COMPLETE QUESTIONS WITH ANSWERS.
"30 minutes - CORRECT ANSWER what is the longest acceptable ED door-to-needle time
when fibrinolysis is the intended reperfusion strategy?"
"reduces preload - CORRECT ANSWER what is a physiologic effect of nitroglycerin?"
"-obtain 12-lead ECG
-administer ASA and establish IV access
-activate the ST-segment elevation myocardial infarction (STEMI) team
-if SpO2 is less than 90%, start oxygen
-assess airway, breathing, and circulation (ABCs)
-consider nitro, morphine, and a P2Y inhibitor - CORRECT ANSWER within the first 10 min,
on the basis of the patient showing symptoms suggestive of MI, what will your first actions
include (if not completed by EMS before arrival)?"
"ischemic stroke - CORRECT ANSWER what is the most common type of stroke?"
"start oxygen at 4L/min via nasal canula - CORRECT ANSWER his initial VS are HR 120/min,
BP 135/88 mm Hg, RR 23/min, SpO2 87%, and temp 37.3C.
When considering oxygen saturation, what is your course of action?"
"nitroglycerine sublingual every 3-5 min - CORRECT ANSWER your patient continues to say
that he has chest discomfort.
what treatment can you repeat as long as it is not contraindicated by vital signs?"
"admission for PCI or fibrinolysis - CORRECT ANSWER with the diagnosis of STEMI, what is
the most probable treatment?"
"first medical contact-to-balloon inflation time of 90 minutes - CORRECT ANSWER what is
your goal for PCI when treating this patient?"
"do you take any medication?
do you have any allergies?
1
, when did the symptoms start? - CORRECT ANSWER what additional questions help you
determine next steps?"
"10 minutes - CORRECT ANSWER what is the time goal for how quickly you should complete
a fibrinolytic checklist once the patient arrives in the emergency department?"
"90% - CORRECT ANSWER Oxygen should be delivered to a patient who has obvious signs of
heart failure if the oxygen saturation is less than ______ or unknown."
"72% - CORRECT ANSWER what is the estimated probability of the Cincinnati prehospital
stroke scale with 1 abnormal finding when scored by prehospital providers?"
"comprehensive stroke center - CORRECT ANSWER what is the highest level of stroke center
certification?"
"45 minutes - CORRECT ANSWER what is the time goal for initiation of fibrinolytic therapy in
appropriate patients without contraindications after hospital arrival?"
"60 minutes - CORRECT ANSWER what is the door-to-needle time goal for 85% or more of
acute ischemic stroke patients treated with IV thrombolytics?"
"system
structure
processes
patient outcome - CORRECT ANSWER what are the elements of a system of care?"
"3 hours - CORRECT ANSWER 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?"
"20 minutes - CORRECT ANSWER what is the time goal for neurologic assessment by the
stroke team or designee and non-contrast computed tomography or MRI performed after
hospital arrival?"
"24 hours - CORRECT ANSWER what is the maximum time from last known normal when
endovascular therapy can be performed?"
2
COMPLETE QUESTIONS WITH ANSWERS.
"30 minutes - CORRECT ANSWER what is the longest acceptable ED door-to-needle time
when fibrinolysis is the intended reperfusion strategy?"
"reduces preload - CORRECT ANSWER what is a physiologic effect of nitroglycerin?"
"-obtain 12-lead ECG
-administer ASA and establish IV access
-activate the ST-segment elevation myocardial infarction (STEMI) team
-if SpO2 is less than 90%, start oxygen
-assess airway, breathing, and circulation (ABCs)
-consider nitro, morphine, and a P2Y inhibitor - CORRECT ANSWER within the first 10 min,
on the basis of the patient showing symptoms suggestive of MI, what will your first actions
include (if not completed by EMS before arrival)?"
"ischemic stroke - CORRECT ANSWER what is the most common type of stroke?"
"start oxygen at 4L/min via nasal canula - CORRECT ANSWER his initial VS are HR 120/min,
BP 135/88 mm Hg, RR 23/min, SpO2 87%, and temp 37.3C.
When considering oxygen saturation, what is your course of action?"
"nitroglycerine sublingual every 3-5 min - CORRECT ANSWER your patient continues to say
that he has chest discomfort.
what treatment can you repeat as long as it is not contraindicated by vital signs?"
"admission for PCI or fibrinolysis - CORRECT ANSWER with the diagnosis of STEMI, what is
the most probable treatment?"
"first medical contact-to-balloon inflation time of 90 minutes - CORRECT ANSWER what is
your goal for PCI when treating this patient?"
"do you take any medication?
do you have any allergies?
1
, when did the symptoms start? - CORRECT ANSWER what additional questions help you
determine next steps?"
"10 minutes - CORRECT ANSWER what is the time goal for how quickly you should complete
a fibrinolytic checklist once the patient arrives in the emergency department?"
"90% - CORRECT ANSWER Oxygen should be delivered to a patient who has obvious signs of
heart failure if the oxygen saturation is less than ______ or unknown."
"72% - CORRECT ANSWER what is the estimated probability of the Cincinnati prehospital
stroke scale with 1 abnormal finding when scored by prehospital providers?"
"comprehensive stroke center - CORRECT ANSWER what is the highest level of stroke center
certification?"
"45 minutes - CORRECT ANSWER what is the time goal for initiation of fibrinolytic therapy in
appropriate patients without contraindications after hospital arrival?"
"60 minutes - CORRECT ANSWER what is the door-to-needle time goal for 85% or more of
acute ischemic stroke patients treated with IV thrombolytics?"
"system
structure
processes
patient outcome - CORRECT ANSWER what are the elements of a system of care?"
"3 hours - CORRECT ANSWER 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?"
"20 minutes - CORRECT ANSWER what is the time goal for neurologic assessment by the
stroke team or designee and non-contrast computed tomography or MRI performed after
hospital arrival?"
"24 hours - CORRECT ANSWER what is the maximum time from last known normal when
endovascular therapy can be performed?"
2
