RQI Basic Life Support (BLS) Provider Practice Test

If ROSC is achieved, what is the next phase of management?

Immediately discharge to home Resume high-quality CPR indefinitely Transport to hospital without monitoring Transition to post-resuscitation care.

Correct Answer:

Transition to post-resuscitation care.

Explanation:

After ROSC, the next phase is post-resuscitation care. This means shifting from getting the heart beating again to stabilizing the patient and protecting the brain and organs. Focus on secure airway and adequate ventilation/oxygenation, ensure good perfusion with appropriate blood pressure support, and use targeted temperature management if indicated to reduce brain injury. The patient should be monitored closely in an appropriate setting (often ICU) with a rapid workup for reversible causes and early consideration of definitive treatments, such as coronary evaluation if a cardiac cause is suspected. Discharging home or continuing CPR indefinitely aren’t appropriate once ROSC is achieved; the next step is structured post-resuscitation care in a monitored setting.

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