RQI 2025 ACLS Healthcare Provider
As Team Leader, you conduct the primary assessment, including rhythm analysis, while high-quality BLS continues. What type of rhythm is being displayed on the monitor?
- Ventricular tachycardia
- Asystole
- Supraventricular tachycardia
- Ventricular fibrillation
Based on the patient's condition, what is your next action?
- Pause CPR to establish IV/IO access
- Continue CPR while you establish IV/IO access
- Shock immediately
- Continue CPR while delivering shock
After a shock is delivered, CPR resumes immediately. What actions also needs to be performed at this time?
- Establish IV/IO access
- Administer amiodarone or lidocaine
- Consider an advanced airway
- Perform a second rhythm check
After 2 minutes, the team pauses CPR for a rhythm check. What rhythm is now being demonstrated by the patient?
- Ventricular tachycardia
- Pulseless electric activity
- Ventricular fibrillation
- Asystole
The patient is showing persistent pulseless ventricular tachycardia. What actions need to be completed next by the team? Place in the correct order
- Shock immediately
- Resume CPR
- Administer epinephrine 1mg IV
- Consider an advanced airway
- Shock immediately
- Resume CPR 1 / 2
- Administer epinephrine 1mg IV
- Consider an advanced airway
At the next pulse check, compressors are switched, and rhythm continues to be refractory ventricular fibrillation/ventricular tachycardia. A shock is delivered and CPR is resumed. What is your next intervention?
- Administer amiodarone 300mg IV
- Administer procainamide 15 to 18 mg/kg IV loading dose
- Administer epinephrine 1mg IV
After 2 more minutes of CPR, you conduct a rhythm check and a pulse check, confirming absence of a pulse. Based on the organized rhythm below, describe the patient's condition?
- Normal sinus rhythm
- Pulseless electrical activity
- Sinus bradycardia
- Junctional rhythm
Once PEA is identified and there are no signs of ROSC, you continue CPR. What is your next step for appropriate care for this patient?
- Administer epinephrine 1mg IV
- Administer amiodarone 150mg IV
- Administer amiodarone 300mg IV
- Administer epinephrine 1.5mg IV
After 2 minutes of CPR, you conduct another rhythm check and determine that the patient has the following rhythm and is showing signs of ROSC. How do you continue treating this patient?
- Administer another dose of 1mg of epinephrine
- Move to the Adult Post-Cardiac Arrest Care Algorithm
- Resume CPR and repeat the steps of the PEA pathway
- Pause CPR and consider an advanced airway
She has a palpable pulse, HR of 65/min, SpO2 of 94%, ETCO2 of 38 mm Hg, and BP 82/55 mm Hg. What are your highest priorities? Select all that apply.
- Maintaining a target PaCO2 between 45 and 55 mm Hg
- Maintaining SpO2 92% to 98%
- Hyperventilation
- Ventilating the patient with 10 breaths per minute
- Maintaining a target PaCO2 between 35 and 45 mm Hg
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