RQI 2025 ACLS HEALTHCARE PROVIDER ACTUAL

RQI 2025 ACLS HEALTHCARE PROVIDER ACTUAL

EXAM LATEST 2023-2024 QUESTIONS AND

CORRECT ANSWERS (VERIFIED ANSWERS)

|AGRADE

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?

• Morphine sublingual every 1 to 3 minutes
• Morphine IV every 1 to 3 minutes
• Nitroglycerine sublingual or translingual every 3 to 5 minutes
• 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?

• Anterior ST-segment elevation of myocardial infarction (STEMI)
• Ventricular tachycardia
• Posterior ST-segment elevation myocardial infarction (STEMI)
• 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?

• Release to home
• Admission to an intensive car unit
• Admission for observation
• Admission for PCI or fibrinolysis - ANSWER- o 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 1 / 2

• First medical contact-to-needle time of 30 minutes - ANSWER- o First

medical contact-to-balloon inflation time of 90 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 stabilization 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 review patient

history

• Monitor for worsening symptoms
• Activate the stroke team
• Complete neurologic screening
• Check glucose
• Administer O2 - ANSWER- o Establish IV access
• Order an emergent CT scan or MRI of the brain and review patient

history

• Activate the stroke team
• Complete neurologic screening
• Check glucose

What needs to be completed for this patient within 20 minutes after hospital arrival?

• Neurologic assessment
• Admission to a monitored bed
• Interpretation of the emergent CT scan or MRI of the brain
• Administration of fibrinolytic therapy - ANSWER- o Neurologic

assessment

As part of the neurologic assessment, you perform a physical and neurologic examination. What are some of the general questions you need to ask?

• What other symptoms do you have?
• Has your wife been sick as well?
• Do you take any medications?
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