Science Medicine Emergency Medicine
RQI 2025 ACLS Healthcare Provider
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Within the first 10 minutes, on the basis of o Obtain a 12-lead electrocardiogram (ECG)
the patient showing symptoms suggestive o Administer aspirin and establish IV access
of myocardial ischemia, what will your first o Activate the ST-segment elevation myocardial infarction (STEMI) team
actions include (if not completed by EMS o If SPO2 is less than 90%, start oxygen
before arrival)? o Assess airway, breathing, and circulation (ABCs)
o Obtain a 12-lead electrocardiogram o Consider nitroglycerin, morphine and a P2Y inhibitor
(ECG)
o Administer a blood thinner
o Administer aspirin and establish IV access
o Activate the ST-segment elevation
myocardial infarction (STEMI) team
o If SPO2 is less than 90%, start oxygen
o Assess airway, breathing, and circulation
(ABCs)
o Administer epinephrine 1 mg IV
o Consider nitroglycerin, morphine and a
P2Y inhibitor
His initial vital signs are HR 120/min, BP o Start oxygen at 4L/min via nasal cannula
135/88 mm Hg, RR 23/min, SpO2 87%, and
temperature 37.3C. 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
, What additional question help you o Do you take any medication?
determine next steps? o Do you have any allergies?
o Do you take any medication? o When did the symptoms start?
o Do you have any allergies?
o When was the last time you went to the
doctor?
o When did the symptoms start?
o Have you had any recent falls?
Your patient continues to say that he has o Nitroglycerine sublingual or translingual every 3 to 5 minutes
chest discomfort. What treatment can you
repeat as long as it is not contradicted by
vital signs?
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
What is your interpretation of the patient's o Anterior ST-segment elevation of myocardial infarction (STEMI)
ECG tracing?
o Anterior ST-segment elevation of
myocardial infarction (STEMI)
o Ventricular tachycardia
o Posterior ST-segment elevation
myocardial infarction (STEMI)
o Normal sinus rhythm with premature
ventricular contractions
With the diagnosis of STEMI, what is the o Admission for PCI or fibrinolysis
most probable treatment?
o Release to home
o Admission to an intensive car unit
o Admission for observation
o Admission for PCI or fibrinolysis
What is your goal for PCI when treating this o First medical contact-to-balloon inflation time of 90 minutes
patient?
o Door-to-balloon inflation time of 30
minutes
o First medical contact-to-balloon inflation
time of 90 minutes
o Door-to-needle time of 90 minutes
o First medical contact-to-needle time of
30 minutes
See an expert-written answer!
RQI 2025 ACLS Healthcare Provider
Save
Students also studied
Flashcard sets Study guides Practice tests
Med Abbreviations Hesi Questions Full Shock Introdu
221 terms 211 terms 23 terms 5 terms
schoon_maya Preview A-1825 Preview Mvillatoro247 Preview mlm
Within the first 10 minutes, on the basis of o Obtain a 12-lead electrocardiogram (ECG)
the patient showing symptoms suggestive o Administer aspirin and establish IV access
of myocardial ischemia, what will your first o Activate the ST-segment elevation myocardial infarction (STEMI) team
actions include (if not completed by EMS o If SPO2 is less than 90%, start oxygen
before arrival)? o Assess airway, breathing, and circulation (ABCs)
o Obtain a 12-lead electrocardiogram o Consider nitroglycerin, morphine and a P2Y inhibitor
(ECG)
o Administer a blood thinner
o Administer aspirin and establish IV access
o Activate the ST-segment elevation
myocardial infarction (STEMI) team
o If SPO2 is less than 90%, start oxygen
o Assess airway, breathing, and circulation
(ABCs)
o Administer epinephrine 1 mg IV
o Consider nitroglycerin, morphine and a
P2Y inhibitor
His initial vital signs are HR 120/min, BP o Start oxygen at 4L/min via nasal cannula
135/88 mm Hg, RR 23/min, SpO2 87%, and
temperature 37.3C. 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
, What additional question help you o Do you take any medication?
determine next steps? o Do you have any allergies?
o Do you take any medication? o When did the symptoms start?
o Do you have any allergies?
o When was the last time you went to the
doctor?
o When did the symptoms start?
o Have you had any recent falls?
Your patient continues to say that he has o Nitroglycerine sublingual or translingual every 3 to 5 minutes
chest discomfort. What treatment can you
repeat as long as it is not contradicted by
vital signs?
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
What is your interpretation of the patient's o Anterior ST-segment elevation of myocardial infarction (STEMI)
ECG tracing?
o Anterior ST-segment elevation of
myocardial infarction (STEMI)
o Ventricular tachycardia
o Posterior ST-segment elevation
myocardial infarction (STEMI)
o Normal sinus rhythm with premature
ventricular contractions
With the diagnosis of STEMI, what is the o Admission for PCI or fibrinolysis
most probable treatment?
o Release to home
o Admission to an intensive car unit
o Admission for observation
o Admission for PCI or fibrinolysis
What is your goal for PCI when treating this o First medical contact-to-balloon inflation time of 90 minutes
patient?
o Door-to-balloon inflation time of 30
minutes
o First medical contact-to-balloon inflation
time of 90 minutes
o Door-to-needle time of 90 minutes
o First medical contact-to-needle time of
30 minutes
See an expert-written answer!
