EXAM TEST BANK 160 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
After verifying unresponsiveness and abnormal breathing, you activate the
emergency response team. What is your next action? - ANSWER: Check for a pulse
What is the recommended next step after defibrillation attempt - ANSWER: begin
CPR, starting with chest compressions.
What is the recommended target temperature range for achieving therapeutic
hypothermia after cardiac arrest - ANSWER: 32-36 *c
Which rhythm requires synchronized cardioversion? - ANSWER: Unstable
supraventricular tachycardia
What is the appropriate interval for an interruption in chest compressions -
ANSWER: 10 seconds or less
Which treatment or medication is appropriate for the treatment of a patient in
asystole? - ANSWER: epinephrine
A patient in respiratory failure becomes apneic but continues to have a strong pulse.
The heart rate is dropping rapidly and now shows a sinus bradycardia at a rate of
30/min. What intervention has the highest priority? - ANSWER: Simple airway
maneuvers and assisted ventilation
An activated AED does not promptly analyze the rhythm. What is your next action? -
ANSWER: Begin chest compressions.
A 56 year old reports that he has palpitations but not chest pain or difficulty
breathing. BP 132/68, P 130 and regular, R 12 bpm, o2 sat 95%, lead 11 wide
complex tach. . What is next action? - ANSWER: Seek expert consultation
What is an advantage of using hands-free d-fib pads instead of d-fib paddles? -
ANSWER: Hands-free allows for more rapid d-fib.
What is the usual post-cardiac arrest target range for PETCO2 who achieves return of
spontaneous circulation (ROSC)? - ANSWER: 35-40mm Hg
A patient with pulseless ventricular tachycardia is defibrillated. What is the next
action? - ANSWER: Start chest compressions at a rate of at least 100/min.
, What is the purpose of a medical emergency team or rapid response team? -
ANSWER: Improving patient outcomes by identifying and treating early clinical
deterioration
A patient in respiratory distress and with a blood pressure of 70/50 mm Hg presents
with the following lead II ECG rhythm:
What is the appropriate next intervention? - ANSWER: Synchronized cardioverison
What survival advantages does CPR provide to a patient in ventricular fibrillation? -
ANSWER: Produces a small amount of blood flow to the heart
A responder caring for a patient with a history of CHF. Patient experiences SOB, BP
68/50,P 190 which term best describes this patient - ANSWER: Unstable SVT
Which is an appropriate and important intervention to perform for a patient who
achieves ROSC during an out-of-hospital resuscitation? - ANSWER: Transport patient
to facility capable of performing PCI
A patient has sudden onset of dizziness. The patients P 160, BP 110/70. , R 18 o2 sat
98% - ANSWER: Vagal maneuvers
What is the appropriate ventilation strategy for adult with P80? - ANSWER: 1 breath
every 5/6 seconds
What is minimum systolic BP one should achieve with fluid in hypotension post
cardiac patient who achieves ROSC - ANSWER: 90 mm Hg
After verifying the absence of a pulse, you initiate CPR with adequate bag-mask
ventilation. The patient's lead II ECG appears below. What is your next action? -
ANSWER: IV or IO access
What is the recommendation on the use of cricoid pressure to prevent aspiration
during cardiac arrest - ANSWER: Not recommended for routine use
Which conditionis a contraindication to theraputic hypothermia during the post-
cardiac arrest period for pt's who achieve return of spontaneous circulation (ROSC)?
- ANSWER: Responding to verbal commands
What is the recommended first intravenous dose of amiodarone for a patient with
refractory v -fib? - ANSWER: 300 mg
Which of the following is a sign of effective CPR? - ANSWER: PETCO2 ≥10 mm Hg
How long should it take to perform a pulse check during BLS survey? - ANSWER: 5-10
seconds