ACLS Resuscitation Quality Improvement (RQI) Practice Test

These questions are part of the practice quiz. Start practicing

• What is the importance of high-quality CPR?
• What is the primary purpose of using capnography during resuscitation?
• What is the recommended approach to handling a foreign body airway obstruction in adults?
• How does algorithm adherence impact patient outcomes in ACLS?
• What is an important aspect of post-cardiac arrest care?
• What is the significance of early defibrillation in cardiac arrest cases?
• What is the recommended infusion rate for epinephrine in managing symptomatic bradycardia unresponsive to atropine?
• What is a potential complication of inserting an oropharyngeal airway that is too small?
• In managing a patient with suspected STEMI, what should be the immediate treatment focus?
• In the context of bradycardia, what does symptomatic refer to?
• What should be the focus of the team leader during a cardiac arrest scenario?
• What clinical finding is a contraindication to the administration of nitroglycerin?
• What is a significant symptom of a stroke?
• What is a critical evaluation parameter in the post-resuscitation phase?
• What is a critical step after restoring spontaneous circulation in a patient?
• When should rapid sequence intubation (RSI) be initiated?
• How is the effectiveness of CPR typically measured?
• What role does patient education play in stroke management?
• What is the recommended rate of chest compressions during CPR?
• What vital sign indicates respiratory failure if a patient has an RR of 38 bpm?
• What is the primary goal of ACLS?
• When a patient presents with poor perfusion due to bradycardia, what is the next recommended step?
• Which of the following is a contraindication to the use of an oropharyngeal airway?
• Symptomatic bradycardia is defined as a heart rate less than how many beats per minute?
• In which of the following patients can nasopharyngeal airways be used?
• How can team dynamics be improved during resuscitation efforts?
• Which action is part of the secondary assessment of a conscious patient?
• What type of stroke occurs due to the sudden rupture of a blood vessel?
• Which two rhythms are considered shockable during cardiac arrest?
• What is the duration of time before irreversible brain damage occurs in a cardiac arrest patient?
• What is the highest level of stroke center certification?
• What is the time goal for completing a fibrinolytic checklist once the patient arrives in the emergency department?
• What is the first step in a systematic approach to patient assessment?
• How much time should be spent on rhythm analysis prior to defibrillation in cardiac arrest?
• What is the most serious complication of nasopharyngeal airway insertion into a patient with facial trauma?
• In the case of ventricular fibrillation, what is the recommended initial intervention?
• How long should CPR be performed before re-evaluating the rhythm in a cardiac arrest patient?
• How much tidal volume is recommended to produce visible chest rise in an adult patient using a bag-mask device?
• Which medication is commonly used in the case of anaphylaxis?
• What is the most appropriate destination for patients with suspected acute ischemic stroke?
• What is the recommended depth of chest compressions in adults during CPR?
• What blood glucose level should prompt the administration of IV or SQ insulin for a patient with acute ischemic stroke?
• What is the recommended first step for a patient showing acute ischemic infarction?
• What is the threshold diastolic blood pressure for withholding fibrinolytic therapy in acute ischemic stroke?
• What is the medical term for elevated levels of carbon dioxide in the blood?
• What should be the prior consideration when using antiarrhythmic drugs during ACLS?
• What is a common presentation in a patient with symptomatic bradycardia?
• What should be established for IV medication administration upon patient arrival?
• What is the first-line treatment in acute ischemic stroke within the recommended time frame?
• What is the recommended compression-to-ventilation ratio for adult CPR?
• What are the core elements of a system of care?
• What is the purpose of defibrillation in the management of ventricular fibrillation?
• Which of the following describes a properly sized oropharyngeal airway?
• What technique is considered the most effective for delivering bag-mask ventilation?
• What is the appropriate ratio of chest compressions to ventilations for adult CPR?
• Which condition is associated with difficulty breathing and bilateral wheezing?
• What initial action should be taken for a patient who is unresponsive, not breathing, but has a strong pulse?
• What does the letter "H" represent in the Hs and Ts of ACLS reversible causes?
• What is a key component of enhancing the CPR quality?
• Which of the following is NOT a question to ask during the neuro assessment?
• What does the term "ROSC" stand for?
• What is the most common type of stroke?
• What is the significance of high-quality chest compressions in CPR?
• Which team is activated shortly after a patient with AFIB arrives?
• What is the recommended treatment for chest discomfort that can be repeated?
• Which imaging technique is commonly used for initial assessment of an acute stroke?
• What is a complication of administering IV atropine in doses less than 0.5 mg?
• What is the primary goal of post-cardiac arrest care?
• What is the door-to-needle time goal for 85% or more of acute ischemic stroke patients treated with IV thrombolytics?
• What is the time goal for initiation of fibrinolytic therapy in appropriate patients after hospital arrival?
• With a diagnosis of STEMI, what is the most probable course of action?
• What does RQI stand for?
• What is the first step in the ACLS algorithm for a patient in cardiac arrest?
• How should airway management be prioritized in ACLS?
• What is a key principle of care in acute ischemic stroke management?
• What is an advantage of EMS alerting the receiving facility of a patient with suspected acute ischemic stroke?
• What is the recommended rate for providing rescue breaths to a patient in respiratory distress?
• If ST-segment elevation is noted in leads II, III, and aVF on a 12-lead ECG, how is this classified?
• What is one indication for administering magnesium sulfate in ACLS?
• What immediate action should be taken if a patient is suspected to have a stroke?
• What is essential in the time management of stroke patients upon arrival at the hospital?
• How much of a safety margin should be allowed for energy when using a transcutaneous pacemaker?
• What indicates that a patient has a high PETCO2 level during respiratory distress?
• A 54-year-old patient loses consciousness upon arrival at the ED after extreme shortness of breath. What initial actions should be taken?
• How should a rescuer position their hands during chest compressions?
• If a patient presents with a low blood pressure and bradycardia, what is a crucial assessment?
• What is the first step to assess and treat a patient presenting with symptomatic bradycardia?
• What is suggested for the management of an adult patient in cardiac arrest?
• What is a contraindication for the use of adenosine?
• What is a benefit of administering morphine for acute coronary syndrome?
• What is considered the first-line treatment for unstable bradycardia?
• What is the first step in the ACLS algorithm upon discovering a cardiac arrest?
• What complication can occur if a suction catheter is not properly used while suctioning?
• Identify the systolic blood pressure threshold for withholding fibrinolytic therapy in acute ischemic stroke.
• During the first 10 minutes after a patient shows symptoms of an MI, what should your first actions include?
• What is the importance of early defibrillation in ACLS?
• What is the recommended first dose of IV atropine for managing bradycardia?
• What should be administered if a patient with bradycardia does not respond to initial treatment?
• Which respiratory rate indicates tachypnea in an adult patient?
• In the context of ACLS, what does ROSC stand for?
• In which condition would you prioritize synchronized cardioversion over unsynchronized defibrillation?
• What is the goal for PCI in treating a STEMI patient?
• Why is effective communication crucial during a code scenario?
• During rescue breathing for an adult, what is the appropriate volume of air to deliver?
• Which of the following is a key component of high-quality CPR?
• What is the compression-ventilation ratio recommended for lone rescuers in pediatric CPR?
• Which diagnostic test is essential to order for the patient showing signs of a stroke?
• In an adult patient displaying nasal flaring and intercostal retractions, what condition might they be experiencing?
• The length of a correctly sized nasopharyngeal airway is the same as the distance from the tip of the nose to which anatomical landmark?
• For patients in cardiac arrest, when should rescue breaths be administered?
• Which technique is best for verifying correct tube placement in advanced airway management?
• In cases of advanced airway placement during CPR, how should ventilations be given?
• Which feature of a patient's breathing could indicate severe respiratory distress?
• What should be an immediate action if a pulse returns during resuscitation?
• What is the recommended time frame for administering alteplase to adults with acute ischemic stroke for optimal outcomes?
• What advice is given regarding the use of adrenaline during cardiac arrest situations?
• What is not part of the acute stroke pathway?
• What is the longest acceptable door-to-needle time for fibrinolysis when intended as a reperfusion strategy?
• What device on a resuscitation bag-mask device may limit sufficient tidal volume in patients with poor lung compliance?
• What drug is typically given for cardiac arrest with asystole or PEA?
• What is the tidal volume that is generally recommended to maintain normal oxygenation and carbon dioxide elimination?
• What is the time goal for neurologic assessment by the stroke team after hospital arrival?
• What is an important sign of respiratory distress in a young patient?
• Which vital sign would indicate poor perfusion in a patient?
• In what scenario would you administer naloxone?
• Which rhythm is regarded as a shockable rhythm during defibrillation?
• Which finding is essential to confirm asystole before administering vasopressor therapy?
• What should be done to reassess a patient’s eligibility for fibrinolytic therapy?
• Within what time frame after symptom onset should early fibrinolytic therapy be initiated for STEMI patients without contraindications?
• What is the recommended depth for chest compressions in adult CPR?
• During the management of bradycardia, what is an important parameter to monitor continuously?
• What substances should be performed with caution to avoid further harm during ACLS?
• Patients with perfusing rhythms should receive ventilations approximately every how many seconds?
• What is the estimated probability of the Cincinnati prehospital stroke scale yielding one abnormal finding scored by prehospital providers?
• When should you provide additional oxygen during ACLS?
• If a patient demonstrates a heart rate of 40/min and is responsive yet complains of fatigue, what action should be taken?
• What is the primary treatment goal for a patient with suspected acute coronary syndrome (ACS)?
• What is the recommended ventilation rate for an adult in cardiac arrest with an advanced airway device in place?
• Which of the following is a common sign of stroke?
• Which tool contains three components: facial droop, arm drift, and abnormal speech tests for out-of-hospital neurologic evaluation?
• During two-rescuer ventilation, how long should the second rescuer squeeze the bag-mask device?
• What therapy is a recommended alternative to vasopressor infusion for managing unstable bradycardia unresponsive to atropine?
• If a patient is found to be rapidly improving, what is the status regarding their candidacy for fibrinolytic therapy?
• Within what time frame should a comprehensive neuro assessment be completed after hospital arrival?
• What is an advantage of EMS transport to a stroke hospital for a patient with suspected acute ischemic stroke?
• What should be done if loud gurgling sounds are heard while ventilating a patient?
• What is the optimal time goal for completing a fibrinolytic checklist upon a patient's arrival in the ED?
• Why should the airway be assessed quickly in a patient who has lost consciousness?
• How should you evaluate a patient's response when initiating CPR?
• What is the first-line medication for treating ventricular tachycardia with a pulse?
• What is a potential complication of using a nasopharyngeal airway that is too long?
• What is considered the average respiratory rate for an adult at rest?
• When should you occlude the side opening of a suction catheter when performing oropharyngeal suctioning?
• What is the primary factor affecting survival in cardiac arrest patients?
• What is the goal first medical contact-to-balloon inflation time for percutaneous coronary intervention?
• For a patient with obvious signs of heart failure, oxygen should be delivered if the oxygen saturation is less than which value?
• What is the single most reliable method for confirming the correct placement of an endotracheal tube?
• What is the recommended time frame for fibrinolytic therapy in ST-segment elevation myocardial infarction?
• What monitoring should be used to confirm effective CPR and assess patient response?
• How frequently should automated external defibrillators (AEDs) be maintained?
• What hypothesis is crucial when providing CPR?
• What should be initiated when oxygen saturation is low at 87%?
• In the context of cardiac arrest, what does the acronym "PEA" stand for?
• What is the maximum time from last known normal for performing endovascular therapy?
• What is the significance of intra-arrest therapies in ACLS?
• Which device is used for continuous chest compressions during CPR?
• When using a bag-mask device, how much tidal volume should be approximately delivered?
• What is the door-to-device time goal for a patient with acute ischemic stroke treated with endovascular therapy?
• What role does high-quality CPR play in the ACLS process?
• Which of the following symptoms indicates symptomatic bradycardia?
• What medication is commonly used to treat symptomatic bradycardia?
• When performing the jaw-thrust maneuver on patients with suspected cervical spine injury, where should the fingers be placed?
• What is the maximum time frame within which stabilization activities should be completed after patient arrival?
• Which questions would be essential in assessing the patient's condition further?
• What is a physiologic effect of nitroglycerin?
• How often should rescuers switch positions during CPR to avoid fatigue?
• A patient with difficulty breathing and an O2 saturation of 91% is likely experiencing which condition?
• Patients with respiratory failure commonly experience a rise in what level in arterial blood?
• What is one of the first actions taken for a suspected stroke patient?
• What is the priority action during the first few minutes of a cardiac arrest event?
• For a patient who is unresponsive to atropine and presents with persistent bradycardia, which treatment option should be considered?
• Which scenario requires the use of synchronized cardioversion?
• What is the appropriate action if a patient shows signs of agonal breathing?
• What action should be taken immediately upon recognizing respiratory distress in a patient?
• What is the proper technique for delivering rescue breaths?
• What is a risk associated with the insertion of a nasopharyngeal airway in patients with facial trauma?
• When is the use of an Automated External Defibrillator (AED) indicated?
• What is the first step in the use of an oropharyngeal airway?
• How should you interpret the ECG of a patient diagnosed with STEMI?
• What is the maximum length a suction catheter should be inserted into a patient's oropharynx beyond the tongue?
• What is the goal of post-resuscitation care?
• What indicates that immediate treatment for bradycardia is necessary?