RQI 2025 ACLS HEALTHCARE PROVIDER
QUESTIONS AND ANSWERS LATEST 2025-2026
EXAM UPDATE
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
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
QUESTIONS AND ANSWERS LATEST 2025-2026
EXAM UPDATE
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
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
