RQI 2025 ACLS Healthcare Provider Complete QA.

RQI 2025 ACLS Healthcare Provider Complete Q&A

2023/2024.

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)?

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

electrocardiogram (ECG)

• Administer aspirin and establish IV access
• Activate the ST-segment elevation myocardial infarction (STEMI) team
• If SPO2 is less than 90%, start oxygen
• Assess airway, breathing, and circulation (ABCs)
• 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?

• Intubate the patient immediately
• Administer albuterol nebulizer
• Do not start oxygen
• 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?

• Do you take any medication?
• Do you have any allergies?
• When was the last time you went to the doctor? 1 / 2

• When did the symptoms start?
• Have you had any recent falls? - Correct Answer o Do you take any medication?
• Do you have any allergies?
• 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?

• 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 - Correct 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 - Correct 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 - Correct 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
• / 2