RQI 2025 ACLS Healthcare Provider Exam Questions and Answers (with complete solutions), Exams of Nursing

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RQI 2025 ACLS Healthcare Provider Exam Questions and Answers (with complete solutions) 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 - Correct Answer ✅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 RQI 2025 ACLS Healthcare Provider Exam Questions and Answers (with complete solutions) 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 - Correct Answer ✅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? - Correct Answer ✅o Do you take any medication? o Do you have any allergies? o When did the symptoms start? RQI 2025 ACLS Healthcare Provider Exam Questions and Answers (with complete solutions) o Check glucose o Administer O2 - Correct Answer ✅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 o Admission to a monitored bed o Interpretation of the emergent CT scan or MRI of the brain o Administration of fibrinolytic therapy - Correct Answer ✅o Neurologic assessment As part of the neurologic assessment, you perform a physical and neurologic examination. What are some of the general questions you need to ask? o What other symptoms do you have? o Has your wife been sick as well? RQI 2025 ACLS Healthcare Provider Exam Questions and Answers (with complete solutions) o Do you take any medications? o Did you eat anything today? o When did the symptoms start? o Do you have any allergies? - Correct Answer ✅o What other symptoms do you have? o Do you take any medications? o When did the symptoms start? o Do you have any allergies? Within 45 minutes, the neuroimaging interpretation of the CT scan of the brain suggests an acute ischemic infarction. There are no signs of hemorrhage or mass lesions. Is this patient a potential candidate for fibrinolytic therapy? o Yes o No - Correct Answer ✅o Yes To determine whether the patient is a candidate for fibrinolytic therapy, what actions should be taken? o Repeat the neurologic exam RQI 2025 ACLS Healthcare Provider Exam Questions and Answers (with complete solutions) o Determine family stroke history o Order a 12-lead ECG o Obtain an MRI of the brain for confirmation of hemorrhage - Correct Answer ✅o Repeat the neurologic exam You find the patient's neurologic function is rapidly improving. Is this patient still a candidate for fibrinolytic therapy? o Yes o No o Not enough information - Correct Answer ✅o No Because this patient is no longer a candidate for fibrinolytic therapy, what are your next steps for him? o Consider giving adenosine o Administer O2 o Support airway, breathing, and circulation (ABCs_ o Begin the stroke pathway o Admit the patient to an intensive care unit o Order an emergent x-ray RQI 2025 ACLS Healthcare Provider Exam Questions and Answers (with complete solutions) o Administer epinephrine 1mg IV o Consider an advanced airway - Correct Answer ✅o Shock immediately o Resume CPR o Administer epinephrine 1mg IV o Consider an advanced airway At the next pulse check, compressors are switched, and rhythm continues to be refractory ventricular fibrillation/ventricular tachycardia. A shock is delivered and CPR is resumed. What is your next intervention? o Administer amiodarone 300mg IV o Administer procainamide 15 to 18 mg/kg IV loading dose o Administer epinephrine 1mg IV - Correct Answer ✅o Administer amiodarone 300mg IV After 2 more minutes of CPR, you conduct a rhythm check and a pulse check, confirming absence of a pulse. Based on the organized rhythm below, describe the patient's condition? o Normal sinus rhythm o Pulseless electrical activity RQI 2025 ACLS Healthcare Provider Exam Questions and Answers (with complete solutions) o Sinus bradycardia o Junctional rhythm - Correct Answer ✅o Pulseless electrical activity Once PEA is identified and there are no signs of ROSC, you continue CPR. What is your next step for appropriate care for this patient? o Administer epinephrine 1mg IV o Administer amiodarone 150mg IV o Administer amiodarone 300mg IV o Administer epinephrine 1.5mg IV - Correct Answer ✅o Administer epinephrine 1mg IV After 2 minutes of CPR, you conduct another rhythm check and determine that the patient has the following rhythm and is showing signs of ROSC. How do you continue treating this patient? o Administer another dose of 1mg of epinephrine o Move to the Adult Post-Cardiac Arrest Care Algorithm o Resume CPR and repeat the steps of the PEA pathway o Pause CPR and consider an advanced airway - Correct Answer ✅o Move to the Adult Post-Cardiac Arrest Care Algorithm RQI 2025 ACLS Healthcare Provider Exam Questions and Answers (with complete solutions) She has a palpable pulse, HR of 65/min, SpO2 of 94%, ETCO2 of 38 mm Hg, and BP 82/55 mm Hg. What are your highest priorities? Select all that apply. o Maintaining a target PaCO2 between 45 and 55 mm Hg o Maintaining SpO2 92% to 98% o Hyperventilation o Ventilating the patient with 10 breaths per minute o Maintaining a target PaCO2 between 35 and 45 mm Hg - Correct Answer ✅o Maintaining SpO2 92% to 98% o Ventilating the patient with 10 breaths per minute o Maintaining a target PaCO2 between 35 and 45 mm Hg In addition to managing the airway and respiratory parameters, which step is also prioritized during the initial stabilization phase? o Initiating targeted temperature management o Administering alteplase o Performing percutaneous coronary intervention o Treating hypotension - Correct Answer ✅o Treating hypotension