RQI 2025 ACLS HEALTHCARE PROVIDER ANSWERED

ESTUDY



RQI 2025 ACLS HEALTHCARE PROVIDER
ANSWERED

 Within the first 10 minutes, based on 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

ANSWER:

 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

ANSWER:

 Start oxygen at 4L/min via nasal cannula

 What additional questions help you determine next steps?

 Do you take any medications?
 Do you have any allergies?
 When was the last time you went to the doctor?
 When did the symptoms start?

, ESTUDY


 Have you had any recent falls?

ANSWER:

 Do you take any medications?
 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
 Nitroglycerin sublingual or translingual every 3 to 5 minutes
 Nitroglycerin every 1 to 3 minutes

ANSWER:

 Nitroglycerin sublingual or translingual every 3 to 5 minutes

 What is your interpretation of the patient's ECG tracing?

 Anterior ST-segment elevation myocardial infarction (STEMI)
 Ventricular tachycardia
 Posterior ST-segment elevation myocardial infarction (STEMI)
 Normal sinus rhythm with premature ventricular contractions

ANSWER:

 Anterior ST-segment elevation myocardial infarction (STEMI)

 With the diagnosis of STEMI, what is the most probable treatment?

 Release to home
 Admission to an intensive care unit
 Admission for observation
 Admission for PCI or fibrinolysis

ANSWER:

 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