BLS CERTIFICATION EXAM PREPARATION
WITH ANSWERS
◉ You and another provider are delivering ventilations with a
bag-valve-mask (BVM) resuscitator to an adult patient in cardiac
arrest. Which of the following statements are correct?
Answer: 1. Hold the mask in place with the E-C hand position
2. Ensure that the chest begins to rise.
3. Seal the mask and open the airway by lifting the jaw into the
mask.
4. Bag-valve-mask (BVM) ventilations should be performed as a
two-person technique to provide a better seal and ventilation
volume.
◉ Identify the situations in which it is safe to use an AED.
Answer: Environmental Considerations
-Do not use an AED near flammable or combustible materials (e.g.
gasoline).
-It is safe to use an AED when the person is lying on a metal
surface, but don't allow the AED pads to contact the metal surface.
-Do not use an AED if the person is in or near water. Avoid getting
the AED wet.It is safe to use AEDs in all weather conditions. If
possible, provide a dry environment before using AED. Remove
the person's wet clothing and wipe the chest dry before placing
the AED pads.
,Person-Specific Considerations
-It is safe to use an AED on a pregnant woman.If the person has a
pacemaker or ICD, adjust pad placement as necessary to avoid
placing the AED pads directly over the device. Healthcare
professionals should learn from their healthcare education how to
determine if a person uses a pacemaker or ICD.
-Remove any transdermal medication patches (e.g. nitroglycerin)
that you see before using an AED. Wear gloves when removing
these patches
-If the person has thick chest hair that interferes with pad-to-skin
contact, quickly shave the areas where the pads will be placed.
◉ You are working with a BLS team performing CPR on a 62-year-
old female patient. Which actions demonstrate high-quality CPR?
Answer: 1. Deliver smooth ventilations that last about 1 second
each and make the chest begin to rise
2. Allow for full chest recoil after each compression.
3. Compress the chest at a rate of 100 to 120.
◉ You are providing care for an adult patient in respiratory arrest.
Which actions demonstrate appropriate care?
Answer: 1. Deliver 1 ventilation every 6 seconds.
2. Continue to check breathing and pulse every 2 minutes. If pulse
becomes absent, start CPR.
,◉ You demonstrate high-quality CPR by keeping interruptions in
CPR to less than _____ seconds.
Answer: 10
◉ An adult patient suffers cardiac arrest in bed and requires CPR.
When compressing the patient's chest, which technique promotes
high-quality CPR?
Answer: - Place down a CPR board or activate the system in the
bed to ensure a firm CPR surface.
- Adjust the bed or use a secure step or stool so you are at an
appropriate working height.
- Position yourself so your shoulders are directly over your hands.
- Place one hand on top of the other and interlace your fingers or
hold them up so that they are not resting on the patient's chest
- Keep your arms straight and lock your elbows. Compress the
chest using a straight down-and-up motion.
◉ You and another provider have recognized that an adult patient
is in cardiac arrest. An advanced airway is not in place. Which
actions demonstrate appropriate care?
Answer: 1. One provider focuses on rapid assessment and starting
CPR immediately; the other calls for additional resources and gets
the AED.
2. You use a compression-to-ventilation ratio of 30:2
, ◉ You are caring for a pregnant patient (30 weeks gestation) in
cardiac arrest. The patient's fundus is above the umbilicus. Which
of the following steps are appropriate?
Answer: - Activate maternal and neonatal resuscitation teams.
- Provide continuous high-quality CPR and left uterine
displacement.
- Make sure AED pads do not incorporate any breast tissue.
- Perform resuscitative cesarean delivery (RCD), if trained, within
5 minutes from the time of arrest.
◉ Recovery Positions
Answer: To place a supine adult patient in a recovery position:
Kneel at the patient's side.
Lift the patient's arm closest to you up next to their head.
Place the patient's arm farthest from you next to their side.
Grasp their leg closest to you, flex it at the hip and bend the knee
toward their head.
Place one of your hands on the patient's shoulder and your other
hand on their hip farthest from you.
Using a smooth motion, roll the patient toward you by pulling
their shoulder and hip with your hands. Make sure the patient's
head remains in contact with their extended arm.
Stop all movement when the patient is on their side.
Place their knee on top of the other knee so that both knees are in
a bent position.
WITH ANSWERS
◉ You and another provider are delivering ventilations with a
bag-valve-mask (BVM) resuscitator to an adult patient in cardiac
arrest. Which of the following statements are correct?
Answer: 1. Hold the mask in place with the E-C hand position
2. Ensure that the chest begins to rise.
3. Seal the mask and open the airway by lifting the jaw into the
mask.
4. Bag-valve-mask (BVM) ventilations should be performed as a
two-person technique to provide a better seal and ventilation
volume.
◉ Identify the situations in which it is safe to use an AED.
Answer: Environmental Considerations
-Do not use an AED near flammable or combustible materials (e.g.
gasoline).
-It is safe to use an AED when the person is lying on a metal
surface, but don't allow the AED pads to contact the metal surface.
-Do not use an AED if the person is in or near water. Avoid getting
the AED wet.It is safe to use AEDs in all weather conditions. If
possible, provide a dry environment before using AED. Remove
the person's wet clothing and wipe the chest dry before placing
the AED pads.
,Person-Specific Considerations
-It is safe to use an AED on a pregnant woman.If the person has a
pacemaker or ICD, adjust pad placement as necessary to avoid
placing the AED pads directly over the device. Healthcare
professionals should learn from their healthcare education how to
determine if a person uses a pacemaker or ICD.
-Remove any transdermal medication patches (e.g. nitroglycerin)
that you see before using an AED. Wear gloves when removing
these patches
-If the person has thick chest hair that interferes with pad-to-skin
contact, quickly shave the areas where the pads will be placed.
◉ You are working with a BLS team performing CPR on a 62-year-
old female patient. Which actions demonstrate high-quality CPR?
Answer: 1. Deliver smooth ventilations that last about 1 second
each and make the chest begin to rise
2. Allow for full chest recoil after each compression.
3. Compress the chest at a rate of 100 to 120.
◉ You are providing care for an adult patient in respiratory arrest.
Which actions demonstrate appropriate care?
Answer: 1. Deliver 1 ventilation every 6 seconds.
2. Continue to check breathing and pulse every 2 minutes. If pulse
becomes absent, start CPR.
,◉ You demonstrate high-quality CPR by keeping interruptions in
CPR to less than _____ seconds.
Answer: 10
◉ An adult patient suffers cardiac arrest in bed and requires CPR.
When compressing the patient's chest, which technique promotes
high-quality CPR?
Answer: - Place down a CPR board or activate the system in the
bed to ensure a firm CPR surface.
- Adjust the bed or use a secure step or stool so you are at an
appropriate working height.
- Position yourself so your shoulders are directly over your hands.
- Place one hand on top of the other and interlace your fingers or
hold them up so that they are not resting on the patient's chest
- Keep your arms straight and lock your elbows. Compress the
chest using a straight down-and-up motion.
◉ You and another provider have recognized that an adult patient
is in cardiac arrest. An advanced airway is not in place. Which
actions demonstrate appropriate care?
Answer: 1. One provider focuses on rapid assessment and starting
CPR immediately; the other calls for additional resources and gets
the AED.
2. You use a compression-to-ventilation ratio of 30:2
, ◉ You are caring for a pregnant patient (30 weeks gestation) in
cardiac arrest. The patient's fundus is above the umbilicus. Which
of the following steps are appropriate?
Answer: - Activate maternal and neonatal resuscitation teams.
- Provide continuous high-quality CPR and left uterine
displacement.
- Make sure AED pads do not incorporate any breast tissue.
- Perform resuscitative cesarean delivery (RCD), if trained, within
5 minutes from the time of arrest.
◉ Recovery Positions
Answer: To place a supine adult patient in a recovery position:
Kneel at the patient's side.
Lift the patient's arm closest to you up next to their head.
Place the patient's arm farthest from you next to their side.
Grasp their leg closest to you, flex it at the hip and bend the knee
toward their head.
Place one of your hands on the patient's shoulder and your other
hand on their hip farthest from you.
Using a smooth motion, roll the patient toward you by pulling
their shoulder and hip with your hands. Make sure the patient's
head remains in contact with their extended arm.
Stop all movement when the patient is on their side.
Place their knee on top of the other knee so that both knees are in
a bent position.
