RQI 2025 ACLS HEALTHCARE PROVIDER WITH ANSWERS

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RQI 2025 ACLS HEALTHCARE PROVIDER WITH ANSWERS

• Within the first 10 minutes, on the basis of the pa-

tient showing symptoms suggestive of myocardial ischemia, what will your first actions include (if not completed by EMS before arrival)?

• Obtain a 12-lead electrocardiogram (ECG)
• Administer a blood thinner
• Administer aspirin and establish IV access
• Activate the ST-segment elevation myocardial in-

farction (STEMI) team

• If SPO2 is less than 90%, start oxygen
• Assess airway, breathing, and circulation (ABCs)
• Administer epinephrine 1 mg IV
• Consider nitroglycerin, morphine and a P2Y in-

hibitor

• 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?

• Intubate the patient immediately
• Administer albuterol nebulizer
• Do not start oxygen
• Start oxygen at 4L/min via nasal cannula
• What additional question help you determine next

steps?

• Do you take any medication?
• Do you have any allergies?
• When was the last time you went to the doctor?
• When did the symptoms start?
• Have you had any recent falls?
• Obtain a

12-lead electro- cardiogram (ECG)

• Administer as-

pirin and establish IV access

• Activate the

ST-segment eleva- tion myocardial in- farction (STEMI) team

• If SPO2 is less

than 90%, start oxygen

• Assess airway,

breathing, and cir- culation (ABCs)

• Consider nitro-

glycerin, morphine and a P2Y inhibitor

• Start oxygen at

4L/min via nasal cannula

• Do you take any

medication?

• Do you have any

allergies?

• When did the

symptoms start?

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RQI 2025 ACLS HEALTHCARE PROVIDER WITH ANSWERS

Your patient continues to say that he has chest dis- comfort. What treatment can you repeat as long as it is not contradicted by vital signs?

• Morphine sublingual every 1 to 3 minutes
• Morphine IV every 1 to 3 minutes
• Nitroglycerine sublingual or translingual every 3 to
• minutes
• Nitroglycerine every 1 to 3 minutes
• What is your interpretation of the patient's ECG trac-

ing?

• Anterior ST-segment elevation of myocardial infarc-

tion (STEMI)

• Ventricular tachycardia
• Posterior ST-segment elevation myocardial infarc-

tion (STEMI)

• Normal sinus rhythm with premature ventricular

contractions

• With the diagnosis of STEMI, what is the most proba-

ble treatment?

• Release to home
• Admission to an intensive car unit
• Admission for observation
• Admission for PCI or fibrinolysis
• What is your goal for PCI when treating this patient?
• Door-to-balloon inflation time of 30 minutes
• First medical contact-to-balloon inflation time of 90

minutes

• Door-to-needle time of 90 minutes
• First medical contact-to-needle time of 30 minutes
• The patient's vital signs show HR 92/min, RR 14/min,

BP 130/86 mm Hg, SpO2 97%, and atrial fibrillation on the monitor. What additional assessment and stabi- lization activities should be completed with the first 10 minutes after the patient's arrival?

• Establish IV access
• Order an emergent CT scan or MRI of the brain and
• Nitroglycer-

ine sublingual or translingual every

• to 5 minutes

• Anterior ST-seg-

ment elevation of myocardial infarc- tion (STEMI)

• Admission for

PCI or fibrinolysis

• First med-

ical contact-to-bal- loon inflation time of 90 minutes

• Establish IV ac-

cess

• Order an emer-

gent CT scan or MRI of the brain and review patient history

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