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1. Which quality improvement component of systems of care best describes
the capture and review of data related to resuscitation education, processes,
and outcomes?: Measurement
2. Which one of the following is an interdependent component of systems of
care?: Structure
3. Science of Resuscitation. What is an effect of excessive ventilation?: de-
creased CO
4. Which is the maximum interval you should allow for an interruption in chest
compressions?: 10 s
5. Which is the recommended next step after a defibrillation attempt?: Resume
CPR, starting with chest compressions
6. What is the first step in the systematic approach to patient assessment?: -
Initial impression
7. Which action is part of the Secondary Assessment of a conscious patient?
Which action is part of the Secondary Assessment of a conscious patient?: -
Formulate a differential diagnosis
8. Which is one of the H's and T's that represent a potentially reversible
cause of cardiac arrest and other emergency cardiopulmonary conditions?: -
Hypothermia
9. The CPR Coach role can be blended into which of the following roles?: The
monitor/defibrillator
10. Which of the following is a responsibility of the CPR Coach?: Coordinating
compressor switches
11. High Quality BLS Part 1.What is the recommended compression rate for
high-quality CPR?: 100 to 120
12. Which best describes the length of time it should take to perform a pulse
check during the BLS Assessment?: 5-10 seconds
13. Which is a component of high-quality CPR?: Compression depth of at least
2 inches
14. Which component of high-quality CPR directly affects chest compression
fraction?: Interruptions
15. To properly ventilate a patient with a perfusing rhythm, how often do you
squeeze the bag?: Once every 6 seconds
16. Which is an acceptable method of selecting an appropriately sized oropha-
ryngeal airway?: Measure from the corner of the mouth to the angle of the mandible
17. Which action is likely to cause air to enter the victim's stomach (gastric
inflation) during bag-mask ventilation?: Ventilating too quickly
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, ACLS Precourse Work & Self-Assessment Questions
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18. In addition to clinical assessment, which is the most reliable method to
confirm and monitor correct placement of an endotracheal tube?: Continuous
waveform capnography
19. What are the 3 signs of clinical deterioration that would cause activation
of a rapid response system?: Symptomatic hypertension, unexplained agitation,
seizure
20. What is the purpose of a rapid response team (RRT) or medical emergency
team (MET)?: Identify and treat early clinical deterioration
21. What is the difference between stable angina and unstable angina?: Stable
angina involves chest discomfort during exertion
22. What is a classic symptom of acute ischemic chest discomfort?: Pain
radiating down the left arm
23. What is the most common symptom of myocardial ischemia and infarc-
tion?: Retrosternal chest pain
24. What is one goal of therapy for patients with ACS?: Relief of ischemic chest
discomfort
25. What is the recommended dose of aspirin if not contraindicated?: 162-325
mg
26. Which is a contraindication to the administration of aspirin for the man-
agement of a patient with ACS?: Recent GI bleed
27. What is the initial drug therapy for ACS?: Oxygen (if needed), aspirin, nitro-
glycerin, morphine (if needed)
28. A patient without dyspnea has signs of ACS. There are no obvious signs
of heart failure. You assess a noninvasively monitored oxyhemoglobin satu-
ration. Which patient should receive supplemental oxygen?: 88%
29. Which clinical finding represents a contraindication to the administration
of nitroglycerin?: Systolic blood pressure of 84
30. What is one major sign of a patient having a stroke?: facial droop
31. What are the major types of stroke?: Ischemic and hemorrhagic
32. What is the most common type of stroke?: ischemic stroke
33. What stroke screen was used in the stroke video?: CPSS
34. Which is a sign or symptom of stroke?: trouble speaking
35. Why is it important for EMS personnel to alert the receiving facility stroke
team as soon as possible?: Reduce the time interval to definitive care
36. What is the highest priority once the patient has reached the emergency
department/hospital?: CT Scan
37. What is the time goal for neurologic assessment by the stroke team or
designee and non-contrast CT or MRI performed after hospital arrival?: 20
mins
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