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Your patient is in cardiac arrest and has been intubated. To assess CPR quality, which should you do?
a. obtain a chest xray
b. check the patient's pulse
c. monitor the patient's PETCO2
d. obtain a 12-lead ECG - Answer: c. monitor the patient's PETCO2
,What is an effect of excessive ventilation?
a. decreased intrathoracic pressure
b. increased perfusion pressures
c. decreased cardiac output
d. increased venous return - Answer: c. decreased cardiac output
In addition to clinical assessment, which is the most reliable method to confirm and monitor correct
placement of an endotracheal tube?
a. arterial blood gas
b. continuous waveform capnography
c. chest radiography
d. hemoglobin level - Answer: b. continuous waveform capnography
Which is the recommended next step after a defibrillation attempt?
a. open the patient's airway
b. determine if a carotid pulse is present
c. resume CPR, starting with chest compressions
d. check the ECG for evidence of a rhythm - Answer: c. resume CPR, starting with chest compressions
Which is the maximum interval you should allow for an interruption in chest compressions?
a. 15 seconds
, b. 20 seconds
c. 25 seconds
d. 10 seconds - Answer: d. 10 seconds
A patient has a witnessed loss of consciousness. The lead II ECG reveals this rhythm. Which is the
appropriate treatment?
a. administration of epinephrine 1 mg IV push
b. administration of adenosine 6 mg IV push
c. defibrillation
d. synchronized cardioversion - Answer: c. defibrillation
Three minutes into a cardiac arrest resuscitation attempt, one member of your team insert an
endotracheal tube while another performs chest compressions. Capnography shows a persistent
waveform and a PETCO2 of 8 mm Hg. Which is the significance of this finding?
a. the endotracheal tue is in the esophagus
b. the patient meets the criteria for termination of efforts
c. the team is ventilating the patient too often (hyperventilation)
d. chest compressions may not be effective - Answer: d. chest compressions may not be effective
Which is the primary purpose of a medical emergency team or rapid response team?
a. providing online consultation to EMS personnel in the field
b. improving care for patients admitted to critical care units
c. improving patient care outcomes by identifying and treating early clinical deterioration