RQI ACLS Exam Questions with Complete
Solutions (Latest 2025/2026).
confirmed right ventricular infarction - CORRECT ANSWERS Which clinical finding represents a
contraindication to the administration of nitro?
cns analgesia - CORRECT ANSWERS what is a benefit of morphine when given for the
management of acute coronary syndrome?
initial impression - CORRECT ANSWERS what is the first step in the systematic approach to
patient assessment?
ST-segment elevation myocardial infarction (STEMI) - CORRECT ANSWERS Upon reviewing a
patient's 12-lead ECG, you note ST-segment elevation of 2 min in leads II, III, and aVF.
How would you classify the ECG findings?
90 minutes - CORRECT ANSWERS what is the goal for first medical contact-to-balloon inflation
time for a patient receiving percutaneous coronary intervention?
within 12 hours - CORRECT ANSWERS 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 infarction and no contraindications?
30 minutes - CORRECT ANSWERS what is the longest acceptable ED door-to-needle time
when fibrinolysis is the intended reperfusion strategy?
reduces preload - CORRECT ANSWERS what is a physiologic effect of nitroglycerin?
, -obtain 12-lead ECG
-administer ASA 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 nitro, morphine, and a P2Y inhibitor - CORRECT ANSWERS within the first 10 min,
on the basis of the patient showing symptoms suggestive of MI, what will your first actions include (if
not completed by EMS before arrival)?
ischemic stroke - CORRECT ANSWERS what is the most common type of stroke?
start oxygen at 4L/min via nasal canula - CORRECT ANSWERS his initial VS are HR 120/min, BP
135/88 mm Hg, RR 23/min, SpO2 87%, and temp 37.3C.
When considering oxygen saturation, what is your course of action?
nitroglycerine sublingual every 3-5 min - CORRECT ANSWERS your patient continues to say
that he has chest discomfort.
what treatment can you repeat as long as it is not contraindicated by vital signs?
admission for PCI or fibrinolysis - CORRECT ANSWERS with the diagnosis of STEMI, what is the
most probable treatment?
first medical contact-to-balloon inflation time of 90 minutes - CORRECT ANSWERS what is
your goal for PCI when treating this patient?
Solutions (Latest 2025/2026).
confirmed right ventricular infarction - CORRECT ANSWERS Which clinical finding represents a
contraindication to the administration of nitro?
cns analgesia - CORRECT ANSWERS what is a benefit of morphine when given for the
management of acute coronary syndrome?
initial impression - CORRECT ANSWERS what is the first step in the systematic approach to
patient assessment?
ST-segment elevation myocardial infarction (STEMI) - CORRECT ANSWERS Upon reviewing a
patient's 12-lead ECG, you note ST-segment elevation of 2 min in leads II, III, and aVF.
How would you classify the ECG findings?
90 minutes - CORRECT ANSWERS what is the goal for first medical contact-to-balloon inflation
time for a patient receiving percutaneous coronary intervention?
within 12 hours - CORRECT ANSWERS 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 infarction and no contraindications?
30 minutes - CORRECT ANSWERS what is the longest acceptable ED door-to-needle time
when fibrinolysis is the intended reperfusion strategy?
reduces preload - CORRECT ANSWERS what is a physiologic effect of nitroglycerin?
, -obtain 12-lead ECG
-administer ASA 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 nitro, morphine, and a P2Y inhibitor - CORRECT ANSWERS within the first 10 min,
on the basis of the patient showing symptoms suggestive of MI, what will your first actions include (if
not completed by EMS before arrival)?
ischemic stroke - CORRECT ANSWERS what is the most common type of stroke?
start oxygen at 4L/min via nasal canula - CORRECT ANSWERS his initial VS are HR 120/min, BP
135/88 mm Hg, RR 23/min, SpO2 87%, and temp 37.3C.
When considering oxygen saturation, what is your course of action?
nitroglycerine sublingual every 3-5 min - CORRECT ANSWERS your patient continues to say
that he has chest discomfort.
what treatment can you repeat as long as it is not contraindicated by vital signs?
admission for PCI or fibrinolysis - CORRECT ANSWERS with the diagnosis of STEMI, what is the
most probable treatment?
first medical contact-to-balloon inflation time of 90 minutes - CORRECT ANSWERS what is
your goal for PCI when treating this patient?
