RQI ACLS EXAM SCRIPT WITH VIEW AHEAD
MEGAPRACTICE QUESTIONS AND
SOLUTIONS 2026.
⫸ 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. Ans: 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?. Ans: 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. Ans: 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. Ans:
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. Ans: o Admission for PCI or
fibrinolysis
⫸ What is your goal for PCI when treating this patient?
MEGAPRACTICE QUESTIONS AND
SOLUTIONS 2026.
⫸ 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. Ans: 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?. Ans: 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. Ans: 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. Ans:
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. Ans: o Admission for PCI or
fibrinolysis
⫸ What is your goal for PCI when treating this patient?
