RQI 2025 ACLS HEALTHCARE PROVIDER REAL
EXAM QUESTIONS AND ANSWERS
during cpr chest compression fraction (ccf) should be at least ___ and ideally greater than ___ -
ANSWER>>60% and 80%
upon reviewing a patient's ECG you note ST-segment elevation of 2mm in leads II, III, and aVF -
ANSWER>>ST-segment elevation myocardial infarction
what is the goal for the first medical contact-to-balloon inflation time for a patient receiving
percutaneous coronary intervention - ANSWER>>90 minutes
which action is part of the secondary assessment of a conscious patient - ANSWER>>Formulate a
differential diagnosis
what is the goal for first medical contact-to-balloon inflation time for a patient receiving percutaneous
coronary intervention - ANSWER>>90 minutes
what is the recommended time window after symptom onset for early fibrinolytic therapy or direct
catheter-based reperfusion for patients with ST-segment elevation myocardial interaction and no
contraindications? - ANSWER>>within 12 hours
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)? - ANSWER>>-
obtain a 12-lead
-administer aspirin and IV access
-assess ABCs
-if Sp02 <90% start O2
-consider nitro, morphine, P2Y inhibitor
-activate stemi team
his vital signs are HR 120, BP 135/88, HR 23, Sp02 87%, temp 37.3C. considering Sp02 what is course of
action - ANSWER>>start oxygen 4L NC
your patient continues to say that he had chest discomfort. - ANSWER>>nitro SL Q3-5 minutes
with diagnosis of stemi what is most probable treatment - ANSWER>>Admission for PCI or fibrinolysis
what is the longest acceptable ED door-to-needle time when fibrinolytic is the intended reperfusion
strategy - ANSWER>>30 minutes
, what type of stroke occurs when a blood vessel in the brain suddenly ruptures into the surrounding
tissue - ANSWER>>hemorrhagic
what is the most common type of stroke - ANSWER>>ischemic stroke
which is a sign of stroke - ANSWER>>trouble speaking
which is a symptom of stroke - ANSWER>>Sudden trouble seeing
What validated abbreviated out-of-hospital neurologic evaluation tool contains 3 components: the facial
droop, arm drift, and abnormal speech tests? - ANSWER>>Cincinnati prehospital stroke scale
what is the estimated probability of the Cincinnati prehospital stroke scale with 1 abnormal finding
when scored by prehospital providers - ANSWER>>72%
what is the most appropriate destination for patients with suspected acute ischemic stroke -
ANSWER>>certified stroke center
what is the highest level of stroke center certification - ANSWER>>Comprehensive stroke center
which is an advantage of EMS transport to a stroke hospital for a patient with suspected acute ischemic
stroke - ANSWER>>responding providers can stabilize critical issues
what is an advantage of EMS allowing the receiving facility of the impending arrival of a patient with
suspected acute ischemic stroke - ANSWER>>the hospital can perform more efficient evaluation and
management
which is a stroke severity tool that helps EMS differentiate large vessel occlusion stroke from non large
vessel occlusion stroke - ANSWER>>Los Angeles motor scale
which class of medications commonly given to patients with acute coronary syndromes may be
adversely affected by morphine administration - ANSWER>>oral antiplatelet medications
what is the time goal for neurologic assessment by strike team or designee and noncontrast CT or MRI
performed after hospital arrival - ANSWER>>20 minutes
what is the door-to-needle time goal for 85% or more of acute ischemic stroke patients treated with IV
thrombolytics - ANSWER>>60 minutes
what is the door to device time goal for direct arriving patients with acute ischemic stroke treated with
endovascular therapy - ANSWER>>90 minutes
EXAM QUESTIONS AND ANSWERS
during cpr chest compression fraction (ccf) should be at least ___ and ideally greater than ___ -
ANSWER>>60% and 80%
upon reviewing a patient's ECG you note ST-segment elevation of 2mm in leads II, III, and aVF -
ANSWER>>ST-segment elevation myocardial infarction
what is the goal for the first medical contact-to-balloon inflation time for a patient receiving
percutaneous coronary intervention - ANSWER>>90 minutes
which action is part of the secondary assessment of a conscious patient - ANSWER>>Formulate a
differential diagnosis
what is the goal for first medical contact-to-balloon inflation time for a patient receiving percutaneous
coronary intervention - ANSWER>>90 minutes
what is the recommended time window after symptom onset for early fibrinolytic therapy or direct
catheter-based reperfusion for patients with ST-segment elevation myocardial interaction and no
contraindications? - ANSWER>>within 12 hours
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)? - ANSWER>>-
obtain a 12-lead
-administer aspirin and IV access
-assess ABCs
-if Sp02 <90% start O2
-consider nitro, morphine, P2Y inhibitor
-activate stemi team
his vital signs are HR 120, BP 135/88, HR 23, Sp02 87%, temp 37.3C. considering Sp02 what is course of
action - ANSWER>>start oxygen 4L NC
your patient continues to say that he had chest discomfort. - ANSWER>>nitro SL Q3-5 minutes
with diagnosis of stemi what is most probable treatment - ANSWER>>Admission for PCI or fibrinolysis
what is the longest acceptable ED door-to-needle time when fibrinolytic is the intended reperfusion
strategy - ANSWER>>30 minutes
, what type of stroke occurs when a blood vessel in the brain suddenly ruptures into the surrounding
tissue - ANSWER>>hemorrhagic
what is the most common type of stroke - ANSWER>>ischemic stroke
which is a sign of stroke - ANSWER>>trouble speaking
which is a symptom of stroke - ANSWER>>Sudden trouble seeing
What validated abbreviated out-of-hospital neurologic evaluation tool contains 3 components: the facial
droop, arm drift, and abnormal speech tests? - ANSWER>>Cincinnati prehospital stroke scale
what is the estimated probability of the Cincinnati prehospital stroke scale with 1 abnormal finding
when scored by prehospital providers - ANSWER>>72%
what is the most appropriate destination for patients with suspected acute ischemic stroke -
ANSWER>>certified stroke center
what is the highest level of stroke center certification - ANSWER>>Comprehensive stroke center
which is an advantage of EMS transport to a stroke hospital for a patient with suspected acute ischemic
stroke - ANSWER>>responding providers can stabilize critical issues
what is an advantage of EMS allowing the receiving facility of the impending arrival of a patient with
suspected acute ischemic stroke - ANSWER>>the hospital can perform more efficient evaluation and
management
which is a stroke severity tool that helps EMS differentiate large vessel occlusion stroke from non large
vessel occlusion stroke - ANSWER>>Los Angeles motor scale
which class of medications commonly given to patients with acute coronary syndromes may be
adversely affected by morphine administration - ANSWER>>oral antiplatelet medications
what is the time goal for neurologic assessment by strike team or designee and noncontrast CT or MRI
performed after hospital arrival - ANSWER>>20 minutes
what is the door-to-needle time goal for 85% or more of acute ischemic stroke patients treated with IV
thrombolytics - ANSWER>>60 minutes
what is the door to device time goal for direct arriving patients with acute ischemic stroke treated with
endovascular therapy - ANSWER>>90 minutes
