Hernandez [2024] Latest Update 2024-2025
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After one shock and 2 minutes of CPR, the rhythm check reveals no change in the
rhythm. What is the appropriate next intervention? - CORRECT ANSWER: Resume
CPR, administer one shock and administer epinephrine.
As team leader, Dr. Hudson is responsible for monitoring CPR quality. Which of the
following actions are necessary to ensure high-quality CPR? - CORRECT ANSWER: 1.
Minimizing interruptions to compressions.
2. Providing compressions that are at least 2 inches (5 centimeters), but not more than
2.4 inches (6 centimeters), deep.
3. Providing compressions at a rate of 100 to 120 per minute.
4. Avoiding excessive ventilations.
Based on the primary assessment findings, what additional actions should the team
take? - CORRECT ANSWER: 1. Ensure vascular access and administer atropine.
2. Administer supplemental oxygen.
In addition to resuming CPR, what other actions should the team take at this time? -
CORRECT ANSWER: 1. Administer epinephrine.
2. Consider establishing an advanced airway.
3. Consider underlying causes (Hs and Ts).
Mr. Hernandez has a pulse and is making an effort to breathe but is still unresponsive.
The monitor shows normal sinus rhythm with a rate of 80 bpm. Mr. Hernandez's vital
signs are as follows:Blood pressure: 128/80 mmHgHeart rate: 80 bpm, radial pulses
, presentRespirations: 9 breaths/minSpO2: 90%ETCO2: 60 mmHgWhat should the team
do next? - CORRECT ANSWER: 1. Request laboratory studies to assist in evaluating
perfusion status.
2. Obtain a 12-lead ECG.
3. Administer supplemental oxygen at a rate of 10-15 liters/min.
4. Support ventilations at a rate of 10 to 12 breaths/min to lower the end-tidal carbon
dioxide (ETCO2) level to 35-40 mmHg.
Mr. Hernandez is found to be unresponsive, with no pulse and no breathing. What is the
appropriate next intervention? - CORRECT ANSWER: Begin CPR and administer one
shock.
Mr. Hernandez remains in pulseless ventricular tachycardia. What is the appropriate
next intervention? - CORRECT ANSWER: Resume CPR, administer one shock and
administer amiodarone.
Mr. Hernandez remains unresponsive to verbal commands. What therapy should the
team initiate to promote his neurological recovery? - CORRECT ANSWER: Targeted
temperature management (TTM)
The team decides to intubate Mr. Hernandez. How does this affect compressions and
ventilations? - CORRECT ANSWER: The team should provide ventilations at a rate of 1
ventilation every 6 seconds without pausing compressions.
The team resumes CPR, delivers a third shock and administers amiodarone, 300 mg IV
push. At the next rhythm check, the monitor displays this rhythm. What action should
the team take next? - CORRECT ANSWER: Check for a pulse.
This is the rhythm that the telemetry technician observed on the cardiac monitor at the
central telemetry station. What is your interpretation of the rhythm on the cardiac
monitor? - CORRECT ANSWER: Sinus Bradycardia
Three minutes after the initial dose of atropine is administered, Mr. Hernandez's heart
rate has increased slightly to 34 bpm, but there is no change in his clinical condition.