American Red Cross BLS Provider Questions and Answers

American Red Cross BLS Provider Questions and Answers You are working as part of a BLS team, providing care to a patient in cardiac arrest. Which actions demonstrate critical thinking? -Delivering a shock when the AED prompts Re-evaluating the situation for changes, interpreting these changes and modifying patient care accordingly -Anticipating roles and functions as part of a team based on the patient's presentation and condition -Acting as a role model for other team members -Determining a course of action based on assessment findings -Re-evaluating the situation for changes, interpreting these changes and modifying patient care accordingly -Anticipating roles and functions as part of a team based on the patient's presentation and condition -Determining a course of action based on assessment findings You are part of a team providing BLS care to a patient in cardiac arrest. The code team has been notified and has just arrived on the scene. Which person is responsible for communicating information about the patient's status to the code team? -No one. The code team needs to do their initial assessment -The team member who is asked questions by the code team -The first team member to volunteer this information -The person who is acting as the team leader The person who is acting as the team leader The BLS team is caring for a patient in respiratory arrest. As directed by the team leader, you go into the waiting room to speak to the family or others who may be present. Which statement best demonstrates good communication skills by the team member? -"I'm going to give you all the information I have quickly because I need to get back, but if you have any follow-up questions, you can ask the doctor when the doctor is available." -"His condition has not improved; I'll give you all the information I can and if you need to me to re-explain anything, please let me know." -"We are doing all we can for him, and I'm sure that he is going to get better soon." -"My shift is almost over. Another team member will come speak with you as soon as they can so you can get the latest information on your loved one's condition." "His condition has not improved; I'll give you all the information I can and if you need to me to re-explain anything, please let me know." Acting as the team leader during a resuscitation event, you use all available resources (including people, equipment and procedures) to promote effective and efficient teamwork and reduce the likelihood of human error. You are demonstrating which skill? -Crew resource management -Role modeling -Conflict resolution -Adaptability Crew resource management The BLS team is caring for a patient who just went into cardiac arrest. The team leader asks you to call the code team. Which statement demonstrates appropriate closed-loop communication? -"Got it. I will do that as soon as possible." -"Got it. Do you need me to do anything else?" -"Got it. I will also retrieve an AED." -"Got it. I'll call the code team." -"Got it. Do you need me to do anything else?" [Wrong] ~"Got it. I'll call the code team." After participating in a resuscitation event in which a pediatric patient did not survive, you are feeling very stressed and having difficulty with daily activities. What is the recommended action to help you cope with the stress? -Debrief with your co-workers to identify changes that could be made to improve future outcomes -Speak to your supervisor about your feelings -Take some time off to alleviate your stress -Consider a referral to a qualified mental health professional -Debrief with your co-workers to identify changes that could be made to improve future outcomes [Wrong] ~Consider a referral to a qualified mental health professional An adult patient is unresponsive. You have opened their airway and are simultaneously checking for breathing and a pulse. To check for breathing, which actions are appropriate to do? -Listen for escaping air. -Open the patient's mouth and look for an object. -Feel for breathing against your hand on their chest. -Look to see whether the chest rises and falls. -Feel for breathing against the side of your cheek. -Listen for escaping air. -Look to see whether the chest rises and falls. -Feel for breathing against the side of your cheek. You should perform early assessment for life-threatening bleeding during the initial impression and the breathing and pulse check. True or false? -True -False True Which statement(s) are true about your duty to act? -When a patient experiences a life-threatening emergency in your practice setting, you have a duty to act. -Although a duty to act may not always exist outside your practice setting, being prepared and willing to respond is essential. -Failure to fulfill your duty to act within your practice setting cannot result in legal action. -Your facility's specific protocols and your scope of practice may determine your appropriate actions. -When a patient experiences a life-threatening emergency in your practice setting, you have a duty to act. -Although a duty to act may not always exist outside your practice setting, being prepared and willing to respond is essential. -Your facility's specific protocols and your scope of practice may determine your appropriate actions. After performing a rapid assessment on an adult patient, you determine that they have ineffective ventilation and a central pulse. You recognize that the patient is experiencing: -Obstructed airway -Cardiac arrest -Shock -Respiratory failure -Obstructed airway [Wrong] ~Cardiac arrest You have determined that your patient is unresponsive. What steps of the rapid assessment should you do next? -Simultaneously check breathing and a pulse for no more than 10 seconds. -Quickly scan down the body looking for blood or other signs and symptoms that might not have been seen during the initial impression. -Deliver 1 ventilation every 6 seconds. -Begin CPR immediately. -Place the patient in a recovery position and monitor them until EMS arrives. -Simultaneously check breathing and a pulse for no more than 10 seconds. -Quickly scan down the body looking for blood or other signs and symptoms that might not have been seen during the initial impression. After performing a rapid assessment on an adult patient, you determine that they are not breathing, their central pulse is absent and they have no life-threatening bleeding. You recognize that the patient is experiencing: -Cardiac arrest -Myocardial infarction (MI) -Respiratory arrest -Shock -Cardiac arrest After determining an adult patient is unresponsive, what is the best site to check for a pulse? -Brachial artery -Radial artery -Posterior tibial artery -Carotid artery -Carotid artery An adult in the waiting room has collapsed to the floor. During your visual survey, you determine that the scene is safe, the patient appears unresponsive and they do not appear to have life-threatening bleeding. What is your next step? -Check for breathing, a pulse and life-threatening bleeding. -Start CPR immediately. -Open the airway. -Check for responsiveness. -Check for responsiveness. After providing initial care, which actions must you implement? -Reassess the patient and the effectiveness of your interventions to determine the next steps. -Apply another appropriate care measure for the initial presenting problem or a new problem. -Document to establish a record of the events that took place, the care you provided and the facts you discovered. -All of the above. -All of the above. You enter an adult patient's room to provide routine care. Noticing the patient slumped over in the recliner, you perform a quick visual survey. This includes which of the following actions? -Checking for life-threatening bleeding -Reviewing the patient chart -Observing the time of the emergency event -Determining the need for additional resources -Obtaining an initial impression of the patient -Checking for life-threatening bleeding -Determining the need for additional resources -Obtaining an initial impression of the patient 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? -Ensure that the chest begins to rise. -Hold the mask in place with the E-C hand position. -Seal the mask and open the airway by lifting the jaw into the mask. -Bag-valve-mask (BVM) ventilations should be performed as a two-person technique to provide a better seal and ventilation volume. -Maintain an open airway in a neutral position. -Ensure that the chest begins to rise. -Hold the mask in place with the E-C hand position. -Seal the mask and open the airway by lifting the jaw into the mask. -Bag-valve-mask (BVM) ventilations should be performed as a two-person technique to provide a better seal and ventilation volume. The Cardiac Chain of Survival describes six actions that, when performed in rapid succession, increase the patient's likelihood of surviving sudden cardiac arrest. Place the links of the In-Hospital Adult Cardiac Chain of Survival in the correct order. -Surveillance and prevention -Integrated post-cardiac arrest care -Early high-quality CPR -Recovery -Recognition of cardiac emergency and activation of emergency response system -Early defibrillation 1. Surveillance and prevention 2. Recognition of cardiac emergency and activation of emergency response system 3. Early high-quality CPR 4. Early defibrillation 5. Integrated post-cardiac arrest care 6. Recovery The team leader assigns roles, supports the team, monitors the delivery of CPR and makes adjustments in real time. The team members deliver expert care within their assigned roles, assist others as needed (as long as they can maintain their own assigned responsibilities) and communicate effectively with the team leader and each other. True or false? True Identify the situations in which it is safe to use an AED. -If the patient is near flammable or combustible materials, such as free flowing oxygen -If the patient is pregnant, providing the AED pads do not incorporate any breast tissue -If the patient has a pacemaker or implantable cardioverter-defibrillators (ICDs), providing the AED pads are not placed directly over the device -If the patient is lying in a large puddle of water -If the patient is wearing jewelry or has body piercings, providing the AED pads are not placed directly over any metallic jewelry or piercings -If the patient is lying on a metal surface, providing the AED pads do not touch the surface and no one is touching the patient during shock -If the patient is pregnant, providing the AED pads do not incorporate any breast tissue -If the patient has a pacemaker or implantable cardioverter-defibrillators (ICDs), providing the AED pads are not placed directly over the device -If the patient is wearing jewelry or has body piercings, providing the AED pads are not placed directly over any metallic jewelry or piercings -If the patient is lying on a metal surface, providing the AED pads do not touch the surface and no one is touching the patient during shock After performing a rapid assessment on an adult patient, you determine they are unresponsive, breathing and their pulse is present. You suspect they have a head and neck injury. What actions should you take? -Wait to activate EMS, the rapid response team or the resuscitation team until you have concluded your secondary assessment. -Perform primary assessment (Airway, Breathing, Circulation, Disability, Exposure) and emergent/initial interventions. -Place them in left lateral decubitus position. -Perform secondary assessment as patient condition allows. -Reassess patient, recognize issues and provide care as needed. -Perform primary assessment (Airway, Breathing, Circulation, Disability, Exposure) and emergent/initial interventions. -Perform secondary assessment as patient condition allows. -Reassess patient, recognize issues and provide care as needed. An adult patient suffers cardiac arrest in bed and requires CPR. When compressing the patient's chest, which technique promotes high-quality CPR? -Place your hands on the center of the patient's chest above the nipple line. -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. -Position yourself so your shoulders are directly over your hands. -Overlap your hands, slightly bend your elbows and use your arm muscles to compress the chest. -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. -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. -Position yourself so your shoulders are directly over your hands. -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. You demonstrate high-quality CPR by keeping interruptions in CPR to less than _____ seconds. 10 You have been performing multiple-provider CPR and using an AED on an adult patient in cardiac arrest. The patient is now showing signs of return of spontaneous circulation (ROSC). Which action(s) would the team perform? -Continue compressions for another minute. -Stop CPR/AED. -Check for breathing and a carotid or femoral pulse. -Give 2 ventilations. -Remove the AED pads. -Monitor the patient until the advanced cardiac life support team takes over. -Stop CPR/AED. -Check for breathing and a carotid or femoral pulse. -Monitor the patient until the advanced cardiac life support team takes over. You are working with a BLS team performing CPR on a 62-year-old female patient. Which actions demonstrate high-quality CPR? -Compress the chest to a depth of about 1½ inches. -Allow for full chest recoil after each compression. -Interrupt chest compressions as needed to frequently assess the patient. -Compress the chest at a rate of 100 to 120 per minute. -Deliver smooth ventilations that last about 1 second each and make the chest begin to rise. -Allow for full chest recoil after each compression. -Compress the chest at a rate of 100 to 120 per minute. -Deliver smooth ventilations that last about 1 second each and make the chest begin to rise. You arrive with an AED and prepare to apply the pads while the BLS team continues to provide CPR. You apply the pads using the anterior/lateral pad placement. -Center of the patient's chest on the sternum -Center of the patient's abdomen just below the navel -Patient's lower right chest along the midaxillary line, a few inches below the right armpit -Patient's upper left chest, below the left clavicle to the left of the sternum -Patient's upper right chest, below the right clavicle to the right of the sternum -Patient's lower left chest along the midaxillary line, a few inches below the left armpit -Patient's upper right chest, below the right clavicle to the right of the sternum -Patient's lower left chest along the midaxillary line, a few inches below the left armpit You and a team of trained providers are performing CPR on an adult patient. One team member has gone to get additional resources and the AED. Which of the following statements are true about AED use? -Team members should rotate roles every 2 minutes, which is generally during the AED analysis, to prevent compressor fatigue. -When the AED arrives, the team should stop CPR to set up the AED and apply the pads. -The compressor should continue providing compressions until the AED pads are applied and the AED prompts that it is analyzing. -After the shock is delivered and the AED prompts shock delivered, the team should immediately resume CPR. -The AED operator and airway manager/ventilator should clear the patient while the AED analyzes, however the compressor should continue giving compressions until the AED prompts shock/no shock advised. -Team members should rotate roles every 2 minutes, which is generally during the AED analysis, to prevent compressor fatigue. -The compressor should continue providing compressions until the AED pads are applied and the AED prompts that it is analyzing. -After the shock is delivered and the AED prompts shock delivered, the team should immediately resume CPR. 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? -Use a compression-to-ventilation ratio of 30:2. -Begin CPR immediately after identifying cardiac arrest. -Switch positions every 5 minutes to minimize provider fatigue. -Provide continuous compressions without pausing for ventilations. -Use a compression-to-ventilation ratio of 15:2. -Use a compression-to-ventilation ratio of 30:2. -Begin CPR immediately after identifying cardiac arrest. An adult patient with an endotracheal tube (ET) in place experiences cardiac arrest and requires CPR. Which of the following statements are true when performing high-quality CPR with an ET tube in place? -The providers deliver 20 ventilations per minute. -The providers remove the ET tube before delivering ventilations. -The providers perform compressions at one-half the usual rate. -The providers perform continuous compressions without pausing for ventilations. -The providers deliver 1 ventilation every 6 seconds. -The providers perform continuous compressions without pausing for ventilations. -The providers deliver 1 ventilation every 6 seconds. You are working as part of a high-performance BLS team. Which roles would you and the other providers most likely fill? -Environmental technologist -Compressor -Team leader -Communications specialist -Airway manager/ventilator -AED operator -Compressor -Team leader -Airway manager/ventilator -AED operator You are evaluating the quality of CPR provided by the BLS team. Which methods could you use for this evaluation? -Feedback device -Arterial blood gas levels -Capnography -Chest compression fraction -Visual observation -Feedback device -Capnography -Chest compression fraction -Visual observation 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? -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. -Apply fetal monitors to properly assess fetal status. -Place the patient in the left lateral decubitus position and perform high-quality CPR. -Perform resuscitative cesarean delivery (RCD), if trained, within 5 minutes from the time of arrest. -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. You are providing care for an adult patient in respiratory arrest. Which actions demonstrate appropriate care? -Start CPR immediately. -Deliver 1 ventilation every 6 seconds. -Deliver 2 ventilations each lasting about 1 second. -Continue to check breathing and pulse every 2 minutes. If pulse becomes absent, start CPR. -Use an AED as soon as it is available. -Deliver 1 ventilation every 6 seconds. -Continue to check breathing and pulse every 2 minutes. If pulse becomes absent, start CPR. What is the first step of the In-Hospital Pediatric Cardiac Chain of Survival? -Surveillance and prevention -Recognition of cardiac emergency and activation of emergency response system -Pediatric advanced life support -Early high-quality CPR Surveillance and prevention A 9-year-old child is in cardiac arrest. You and another provider are present. The child's parents/legal guardians are not present. You stay with the child to begin CPR. Which actions would be appropriate for the second provider to do? -Stay with the provider and continue assessing the child. -Assist with CPR for 2 minutes before leaving to get additional resources. -Activate EMS, rapid response or resuscitation team. -Call a parent/legal guardian to obtain consent. -Retrieve AED and resuscitation equipment. -Activate EMS, rapid response or resuscitation team. -Retrieve AED and resuscitation equipment.