RQI ACLS HEALTHCARE PROVIDER QUESTIONS AND
ANSWERS 2025
Within,the,first,10,minutes,,on,the,basis,of,the,patient,showing,symptoms,suggestive,of,myocard
ial,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,-,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,-,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?,-,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,lo
ng,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,-
,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,-,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,-,ANSWER,o,Admission,for,PCI,or,fibrinolysis
