ANSWERS|A GRADE(DOWNLOAD TO
SCORE A)
Recognize - Answers - ✔✔You've gathered information about the patient and the
emergency throughout the rapid assessment. Now, you'll use the results of your
assessment to quickly recognize the emergency condition and determine your
immediate course of action.
For example, if you find the patient is not breathing (or has ineffective ventilation) and
their central pulse is present, you will implement care for respiratory arrest or respiratory
failure. If you find that the patient is not breathing (or only gasping) and their central
pulse is absent, you will implement care for cardiac arrest.
Other conditions requiring basic life support may include:
-Life-threatening injury or illness
-Obstructed airway
-Opioid overdose
Provide Care - Answers - ✔✔Implement appropriate care based on your understanding
of the patient's condition. Proper care cannot be provided without effective assessment
and accurate recognition of the patient's condition. The care you provide may include:
-Delivering ventilations to a patient in respiratory arrest or respiratory failure.
-Performing CPR on a patient in cardiac arrest.
-Positioning and providing care as needed for a patient with a life-threatening injury or
illness.
-Clearing an obstructed airway.
-Administering naloxone to a patient experiencing an opioid overdose.
Reassess and Document - Answers - ✔✔After providing care, it is important to
reassess the patient and the effectiveness of your interventions to determine next steps
based on your findings.
Always document to establish a record of the events that took place, the care you
provided and the facts you discovered.
You are about to start your morning rounds, when you hear a loud crash in Mrs. Bailey's
room. When you enter her doorway, you see her lying on the floor with her walker
tipped over next to her. You must first perform a visual survey. What actions should you
take? - Answers - ✔✔-Determine whether any additional help is needed
-Observe for any signs of illness or injury
Before you help an ill or injured patient, assess for any immediate dangers to make sure
that the environment is safe for you and any individuals present during the event.
Next, gather an initial impression of the patient's status, which includes looking for life-
threatening bleeding. Your ability to quickly formulate an impression of the patient
,before performing any hands-on techniques helps you to assess whether the
emergency is life-threatening. While the initial impression does not identify a specific
emergency, it does provide important clues to what might be happening, and it may help
determine whether a patient survives.
Finally, quickly identify what additional resources you may need in the situation, such as
a rapid response or resuscitation team or an advanced life support unit available to
respond, or any additional equipment such as an AED.
As you approach Mrs. Bailey you note that she appears unresponsive and you do not
see signs of life-threatening bleeding. Which action should you perform next? - Answers
- ✔✔If the patient appears unresponsive, you need to check for responsiveness. If they
are unresponsive, you should activate EMS, rapid response or resuscitation team. Then
open the airway to a past-neutral position and check breathing and a pulse for no more
than 10 seconds; and at the same time, scan the body for life-threatening bleeding.
Finally, you should implement care based on your findings.
Mrs. Bailey is unresponsive. You suspect she may have a head injury. Which technique
should you use to open Mrs. Bailey's airway? - Answers - ✔✔Modified Jaw Thrust
maneuver
Once the airway is open..... - Answers - ✔✔you simultaneously check for breathing, a
pulse and life-threatening bleeding.
While simultaneously checking for breathing and a pulse, you correctly adhere to which
amount of time? - Answers - ✔✔No more than 10 sec
As you check Mrs. Bailey's breathing, you... - Answers - ✔✔look to see whether her
chest rises and falls, listen for escaping air and feel for breathing against the side of
your cheek.
Rapid assessment of Mrs. Bailey's breathing reveals irregular, gasping breaths. You
correctly identify this pattern of breathing as: - Answers - ✔✔Agonal breaths: Agonal
breaths are isolated or infrequent gasps that occur in the absence of normal breathing
in an unconscious patient. These breaths can occur after the heart has stopped beating
and are considered a sign of cardiac arrest. Agonal breaths are not normal breathing. If
the patient is demonstrating agonal breaths, you need to care for the patient as if they
are not breathing at all.
You note he is not breathing and has a central pulse. You do not see signs of life-
threatening bleeding.
What emergency condition is Mr. Henderson experiencing? - Answers - ✔✔Respiratory
arrest
, What action do you take for respiratory arrest - Answers - ✔✔Deliver ventilations.
Deliver 1 ventilation every 6 seconds for an adult patient, with each ventilation lasting
about 1 second and making the chest rise.
Do this for 2 minutes and recheck breath and pulse
You note he is not breathing and has no central pulse. You do not see signs of life-
threatening bleeding.
What emergency condition is he experiencing? - Answers - ✔✔Cardiac arrest
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. -
Answers - ✔✔-Surveillance and prevention
-Recognition of cardiac arrest and activation of the emergency response system
-Early cardiopulmonary resuscitation (CPR) with an emphasis on chest compressions
-Rapid defibrillation
-Post-cardiac arrest care
-Recovery (including additional treatment, observation, rehabilitation, and psychological
support)
You are working as part of a high-performance BLS team. Which roles would you and
the other providers most likely fill? - Answers - ✔✔1. Compressor
2. AED operator
3. Team leader
4. Airway manager/ventilator
You are evaluating the quality of CPR provided by the BLS team. Which methods would
you use for this evaluation? - Answers - ✔✔1. Visual observation
2. Feedback device (depth: 2.4 inches)
3. Chest compression fraction
4. Capnography
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? - Answers - ✔✔1. After the shock is delivered, the
team should immediately resume CPR. They do not need to wait for the AED prompt.
2. Team members should rotate roles every 2 minutes, which is generally during the
AED analysis, to prevent compressor fatigue.
3. The compressor should continue providing compressions until the AED pads are
applied and the AED prompts that it is analyzing
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? - Answers - ✔✔1. Stop CPR.2.
Check for breathing and pulse.3. Monitor the patient until the advanced cardiac life
support team takes over.