RQI 2026 ACLS

RQI 2025 ACLS Healthcare Provider Complete Q&A 

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 - anso Move to the Adult Post-Cardiac Arrest Care Algorithm

After 2 minutes, the team pauses CPR for a rhythm check. What rhythm is now being demonstrated by the patient?

o Ventricular tachycardia

o Pulseless electric activity

o Ventricular fibrillation

o Asystole - anso Ventricular tachycardia

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

o Sinus bradycardia

o Junctional rhythm - anso Pulseless electrical activity

After a shock is delivered, CPR resumes immediately. What actions also needs to be performed at this time?

o Establish IV/IO access

o Administer amiodarone or lidocaine

o Consider an advanced airway

o Perform a second rhythm check - anso Establish IV/IO access

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?

o Do you take any medications?

o Did you eat anything today?

o When did the symptoms start?

o Do you have any allergies? - anso What other symptoms do you have?

o Do you take any medications?

o When did the symptoms start?

o Do you have any allergies?

As Team Leader, you conduct the primary assessment, including rhythm analysis, while high-quality BLS continues. What type of rhythm is being displayed on the monitor?

o Ventricular tachycardia

o Asystole

o Supraventricular tachycardia

o Ventricular fibrillation - anso Ventricular fibrillation

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 - anso Administer amiodarone 300mg IV

Based on the patient's condition, what is your next action?

o Pause CPR to establish IV/IO access

o Continue CPR while you establish IV/IO access

o Shock immediately

o Continue CPR while delivering shock - anso Shock immediately

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

o Order an emergent CT scan - anso Support airway, breathing, and circulation (ABCs_

o Begin the stroke pathway

o Admit the patient to an intensive care unit

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 - anso Start oxygen at 4L/min via nasal cannula

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 - anso Treating hypotension

Match the treatment for hypotension to the proper initial dosage for an adult based on the AHA guidelines.