RQI 2025 ACLS HEALTHCARE
PROVIDER
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=-=ans-✔✔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=-=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?
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=-=ans-
✔✔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=additi
onal=assessment=and=stabilization=activities=should=be=completed=with=the=first=10=min
utes=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=-=ans-✔✔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
PROVIDER
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=-=ans-✔✔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=-=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?
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=-=ans-
✔✔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=additi
onal=assessment=and=stabilization=activities=should=be=completed=with=the=first=10=min
utes=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=-=ans-✔✔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
