RQI 2025 ACLS HEALTH CARE PROVIDER EXAM NEWEST !!!
|ACTUAL COMPLETE EXAM QUESTIONS AND CORRECT ANSWERS
(100% VERIFIED ANSWERS ) ALREADY GRADED A+.
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)?
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 long 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
What is your goal for PCI when treating this patient?
o Door-to-balloon inflation time of 30 minutes o First medical
contact-to-balloon inflation time of 90 minutes o Door-to-
needle time of 90 minutes
o 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?
o Establish IV access o Order an emergent CT scan or MRI of the
brain and review patient history o Monitor for worsening
symptoms o Activate the stroke team
o Complete neurologic screening o Check glucose o Administer
O2 - ANSWER-o Establish IV access o Order an emergent CT
, scan or MRI of the brain and review patient history o Activate
the stroke team o Complete neurologic screening o Check
glucose
What needs to be completed for this patient within 20 minutes after
hospital arrival?
o Neurologic assessment o Admission to a monitored bed o
Interpretation of the emergent CT scan or MRI of the brain o
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?
o What other symptoms do you have? o Has your wife been sick
as well? o Do you take any medications? o Did you eat
anything today? o When did the symptoms start?
o Do you have any allergies? - ANSWER-o What other symptoms
do you have?
o Do you take any medications? o When did the symptoms
start? o Do you have any allergies?
Within 45 minutes, the neuroimaging interpretation of the CT scan of
the brain suggests an acute ischemic infarction. There are no signs of
hemorrhage or mass lesions. Is this patient a potential candidate for
fibrinolytic therapy? o Yes o No - ANSWER-o Yes
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