RQI 2025 ACLS HEALTHCARE UPDATED ACTUAL Questions and
CORRECT Answers
1. Within the first 10 minutes, on the basis of the pa- o Obtain a 12-lead electro-
tient showing symptoms suggestive of myocardial is- cardiogram (ECG)
chemia, what will your first actions include (if not com- o Administer aspirin and
pleted by EMS before arrival)? establish IV access
o Obtain a 12-lead electrocardiogram (ECG) o Activate the ST-segment
o Administer a blood thinner elevation myocardial in-
o Administer aspirin and establish IV access farction (STEMI) team
o Activate the ST-segment elevation myocardial infarc- o If SPO2 is less than 90%,
tion (STEMI) team start oxygen
o If SPO2 is less than 90%, start oxygen o Assess airway, breathing,
o Assess airway, breathing, and circulation (ABCs) and circulation (ABCs)
o Administer epinephrine 1 mg IV o Consider nitroglycerin,
o Consider nitroglycerin, morphine and a P2Y inhibitor morphine and a P2Y in-
hibitor
2. His initial vital signs are HR 120/min, BP 135/88 mm o Start oxygen at 4L/min
Hg, RR 23/min, SpO2 87%, and temperature 37.3C. via nasal cannula
When considering oxygen saturation, what is your
course of action?
o Intubate the patient immediately
o Administer albuterol nebulizer
o Do not start oxygen
o Start oxygen at 4L/min via nasal cannula
3. What additional question help you determine next o Do you take any medica-
steps? tion?
o Do you take any medication? o Do you have any aller-
o Do you have any allergies? gies?
o When was the last time you went to the doctor? o When did the symptoms
o When did the symptoms start? start?
o Have you had any recent falls?
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, RQI 2025 ACLS HEALTHCARE UPDATED ACTUAL Questions and
CORRECT Answers
4. Your patient continues to say that he has chest discom- o Nitroglycerine sublin-
fort. What treatment can you repeat as long as it is not gual or translingual every
contradicted by vital signs? 3 to 5 minutes
o Morphine sublingual every 1 to 3 minutes
o Morphine IV every 1 to 3 minutes
o Nitroglycerine sublingual or translingual every 3 to 5
minutes
o Nitroglycerine every 1 to 3 minutes
5. What is your interpretation of the patient's ECG trac- o Anterior ST-segment el-
ing? evation of myocardial in-
o Anterior ST-segment elevation of myocardial infarc- farction (STEMI)
tion (STEMI)
o Ventricular tachycardia
o Posterior ST-segment elevation myocardial infarc-
tion (STEMI)
o Normal sinus rhythm with premature ventricular
contractions
6. With the diagnosis of STEMI, what is the most probable o Admission for PCI or fib-
treatment? rinolysis
o Release to home
o Admission to an intensive car unit
o Admission for observation
o Admission for PCI or fibrinolysis
7. What is your goal for PCI when treating this patient? o First medical con-
o Door-to-balloon inflation time of 30 minutes tact-to-balloon inflation
o First medical contact-to-balloon inflation time of 90 time of 90 minutes
minutes
2/9
CORRECT Answers
1. Within the first 10 minutes, on the basis of the pa- o Obtain a 12-lead electro-
tient showing symptoms suggestive of myocardial is- cardiogram (ECG)
chemia, what will your first actions include (if not com- o Administer aspirin and
pleted by EMS before arrival)? establish IV access
o Obtain a 12-lead electrocardiogram (ECG) o Activate the ST-segment
o Administer a blood thinner elevation myocardial in-
o Administer aspirin and establish IV access farction (STEMI) team
o Activate the ST-segment elevation myocardial infarc- o If SPO2 is less than 90%,
tion (STEMI) team start oxygen
o If SPO2 is less than 90%, start oxygen o Assess airway, breathing,
o Assess airway, breathing, and circulation (ABCs) and circulation (ABCs)
o Administer epinephrine 1 mg IV o Consider nitroglycerin,
o Consider nitroglycerin, morphine and a P2Y inhibitor morphine and a P2Y in-
hibitor
2. His initial vital signs are HR 120/min, BP 135/88 mm o Start oxygen at 4L/min
Hg, RR 23/min, SpO2 87%, and temperature 37.3C. via nasal cannula
When considering oxygen saturation, what is your
course of action?
o Intubate the patient immediately
o Administer albuterol nebulizer
o Do not start oxygen
o Start oxygen at 4L/min via nasal cannula
3. What additional question help you determine next o Do you take any medica-
steps? tion?
o Do you take any medication? o Do you have any aller-
o Do you have any allergies? gies?
o When was the last time you went to the doctor? o When did the symptoms
o When did the symptoms start? start?
o Have you had any recent falls?
1/9
, RQI 2025 ACLS HEALTHCARE UPDATED ACTUAL Questions and
CORRECT Answers
4. Your patient continues to say that he has chest discom- o Nitroglycerine sublin-
fort. What treatment can you repeat as long as it is not gual or translingual every
contradicted by vital signs? 3 to 5 minutes
o Morphine sublingual every 1 to 3 minutes
o Morphine IV every 1 to 3 minutes
o Nitroglycerine sublingual or translingual every 3 to 5
minutes
o Nitroglycerine every 1 to 3 minutes
5. What is your interpretation of the patient's ECG trac- o Anterior ST-segment el-
ing? evation of myocardial in-
o Anterior ST-segment elevation of myocardial infarc- farction (STEMI)
tion (STEMI)
o Ventricular tachycardia
o Posterior ST-segment elevation myocardial infarc-
tion (STEMI)
o Normal sinus rhythm with premature ventricular
contractions
6. With the diagnosis of STEMI, what is the most probable o Admission for PCI or fib-
treatment? rinolysis
o Release to home
o Admission to an intensive car unit
o Admission for observation
o Admission for PCI or fibrinolysis
7. What is your goal for PCI when treating this patient? o First medical con-
o Door-to-balloon inflation time of 30 minutes tact-to-balloon inflation
o First medical contact-to-balloon inflation time of 90 time of 90 minutes
minutes
2/9
