RQI 2025 ACLS Healthcare Provider
exam with answers
Within |the |first |10 |minutes, |on |the |basis |of |the |patient |showing |symptoms |suggestive |of |myocardial |
ischemia, |what |will |your |first |actions |include |(if |not |completed |by |EMS |before |arrival)?
o |Obtain |a |12-lead |electrocardiogram |(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 |- |correct |answer |-o |Obtain |a |12-lead |
electrocardiogram |(ECG)
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 |Consider |nitroglycerin, |morphine |and |a |P2Y |inhibitor
His |initial |vital |signs |are |HR |120/min, |BP |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 |- |correct |answer |-o |Start |oxygen |at |4L/min |via |nasal |
cannula
What |additional |question |help |you |determine |next |steps?
o |Do |you |take |any |medication?
, 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? |- |correct |answer |-o |Do |you |take |any |medication?
o |Do |you |have |any |allergies?
o |When |did |the |symptoms |start?
Your |patient |continues |to |say |that |he |has |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 |- |correct |answer |-o |Nitroglycerine |sublingual |or |translingual |
every |3 |to |5 |minutes
What |is |your |interpretation |of |the |patient's |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 |- |correct |answer |-o |Anterior |ST-
segment |elevation |of |myocardial |infarction |(STEMI)
With |the |diagnosis |of |STEMI, |what |is |the |most |probable |treatment?
o |Release |to |home
o |Admission |to |an |intensive |car |unit
o |Admission |for |observation
o |Admission |for |PCI |or |fibrinolysis |- |correct |answer |-o |Admission |for |PCI |or |fibrinolysis
What |is |your |goal |for |PCI |when |treating |this |patient?
o |Door-to-balloon |inflation |time |of |30 |minutes
exam with answers
Within |the |first |10 |minutes, |on |the |basis |of |the |patient |showing |symptoms |suggestive |of |myocardial |
ischemia, |what |will |your |first |actions |include |(if |not |completed |by |EMS |before |arrival)?
o |Obtain |a |12-lead |electrocardiogram |(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 |- |correct |answer |-o |Obtain |a |12-lead |
electrocardiogram |(ECG)
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 |Consider |nitroglycerin, |morphine |and |a |P2Y |inhibitor
His |initial |vital |signs |are |HR |120/min, |BP |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 |- |correct |answer |-o |Start |oxygen |at |4L/min |via |nasal |
cannula
What |additional |question |help |you |determine |next |steps?
o |Do |you |take |any |medication?
, 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? |- |correct |answer |-o |Do |you |take |any |medication?
o |Do |you |have |any |allergies?
o |When |did |the |symptoms |start?
Your |patient |continues |to |say |that |he |has |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 |- |correct |answer |-o |Nitroglycerine |sublingual |or |translingual |
every |3 |to |5 |minutes
What |is |your |interpretation |of |the |patient's |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 |- |correct |answer |-o |Anterior |ST-
segment |elevation |of |myocardial |infarction |(STEMI)
With |the |diagnosis |of |STEMI, |what |is |the |most |probable |treatment?
o |Release |to |home
o |Admission |to |an |intensive |car |unit
o |Admission |for |observation
o |Admission |for |PCI |or |fibrinolysis |- |correct |answer |-o |Admission |for |PCI |or |fibrinolysis
What |is |your |goal |for |PCI |when |treating |this |patient?
o |Door-to-balloon |inflation |time |of |30 |minutes
