Review Questions and Answers RQI 2025 ACLS Final Exam

Review Questions and Answers RQI 2025 ACLS Final Exam What is the primary purpose of the CPR coach on a resuscitation team? - CORRECT ANSWER-increasing CPR quality What is the most common type of stroke? - CORRECT ANSWER-ischemic stroke What is a contraindication to the administration of aspirin for the management of a pt with acute coronary syndromes? - CORRECT ANSWER-recent gastrointestinal bleeding What blood component is acted upon by aspirin administration during the management of a pt with ACS? - CORRECT ANSWER-platelets What is the most appropriate destination for pts with suspected acute ischemic stroke? - CORRECT ANSWER-certified stroke center A 49-year-old man arrives at the emergency department with chest discomfort. He states that he was working in the garden this morning when his chest started hurting. The last episode lasted about 25 minutes, and he was sweaty. The chest discomfort is not relieved with rest. Within the first 10 minutes, on the basis of the pt showing symptoms suggestive of MI, what will your first actions include (if not completed by EMS before arrival)? - CORRECT ANSWER-If SpO2 is less than 90%, start oxygen Obtain a 12-lead EKG Administer aspirin and establish IV access Assess ABCs Consider nitroglycerin, morphine, and a P2Y inhibitor Activate the STEMI team His initial VS are HR 120/min, BP 135/88 mmHg, RR 23/min, SpO2 87%, and temperature 37.3 degrees C. When considering oxygen saturation, what is your course of action? Start oxygen at 4L/min via nasal cannula Do not start oxygen Intubate pt immediately Administer albuterol nebulizer - CORRECT ANSWER-Start oxygen at 4L/min via nasal cannula What additional questions help you determine next steps? - CORRECT ANSWERWhen did the symptoms start? Do you have any allergies? Do you take any medication? Your pt continues to say that he has chest discomfort. What treatment can you repeat as long as it is not contraindicated by vital signs? Nitroglycerin IV every 1 to 3 mins Morphine sublingual every 1 to 3 mins Nitroglycerin sublingual or translingual every 3 to 5 mins Morphine IV every 1 to 3 mins - CORRECT ANSWER-Nitroglycerin sublingual or translingual every 3 to 5 mins What is your interpretation of the pt's EKG tracing? - CORRECT ANSWER-Anterior STEMI With the diagnosis of STEMI, what is the most probable treatment? Admission for observa