ACLS 2025 RQI Study Review Questions and Answers with complete solution New

ACLS 2025 RQI Study Review Questions
and Answers with complete solution
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New
Which pulses should be assessed to monitor systemic perfusion in a child? - CORRECT
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ANSWER-peripheral and central
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What should the first rescuer arriving on the scene of an unresponsive infant or child
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do? (in order) - CORRECT ANSWER-1. verify scene safety
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2. check for responsiveness
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3. shout for help Il` Il` Il`

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4. activate the emergency response system
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Why may excessive ventilation during CPR be harmful? - CORRECT ANSWER-- it
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increases intrathoracic pressure Il` Il`

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- it impedes venous return
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If you cannot achieve effective ventilation (ie, the chest does not rise), do the following: -
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CORRECT ANSWER-- reposition/reopen the airway (sniffing position)
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- verify mask size and ensure a tight face-mask seal Il` Il` Il` Il` Il` Il` Il` Il` Il`




- suction the airway if needed Il` Il` Il` Il` Il`




- check the O2 source Il` Il` Il` Il`




- check the ventilation bag and mask Il` Il` Il` Il` Il` Il`




- treat gastric inflation (NG/OG) Il` Il` Il` Il`




- consider 2-person bag-mask ventilation and inserting an OPA
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Ventilation rate - CORRECT ANSWER-1 breath every 2-3 seconds delivered over 1 Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`

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second (20-30 breaths per minute)
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Early signs of tissue hypoxia - CORRECT ANSWER-- tachypnea
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- increased respiratory effort (nasal flaring, retractions)
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- tachycardia
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- pallor, mottling, cyanosis
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- agitation, anxiety, irritability
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Late signs of tissue hypoxia - CORRECT ANSWER-- bradypnea, inadequate respiratory
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effort, apnea Il`

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- increased respiratory effort (head bobbing, seesaw respirations, grunting)
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- bradycardia
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- pallor, mottling, cyanosis
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- decreased level of consciousness
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What is the role of the diaphragm during normal breathing in infants? - CORRECT
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ANSWER-pulls the ribs slightly inward
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S/S mild respiratory distress - CORRECT ANSWER-- mild tachypnea
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- mild increase in respiratory effort (nasal flaring, retractions)
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- abnormal airway sounds (stridor, wheezing, grunting)
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S/S Severe respiratory distress - CORRECT ANSWER-- marked tachypnea
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- marked increase in respiratory effort Il` Il` Il` Il` Il`




- paradoxical throacoabdominal breathing (seesaw breathing) Il` Il` Il` Il` Il`




- accessory muscle use (head bobbing) Il` Il` Il` Il` Il`




- abnormal airway sounds (grunting) Il` Il` Il` Il`




- decreased level of consciousness
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S/S Impending respiratory arrest - CORRECT ANSWER-- bradypnea, apnea, respiratory
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pauses
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- low oxygen saturation (hypoxemia) despite high-flow supplemental oxygen
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- inadequate respiratory effort (shallow respirations) Il` Il` Il` Il` Il`




- decreased level of consciousness (unresponsive) Il` Il` Il` Il` Il`




- bradycardia
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What steps should be taken as part of initial management of a child in respiratory
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distress? - CORRECT ANSWER-- monitor O2 sat by pulse ox Il` Il` Il`

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- monitor HR, rhythm, and, BP
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- support an open airway
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Stridor - CORRECT ANSWER-high-pitched breathing during inspirations
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Crackles - CORRECT ANSWER-breath sounds heart during expirations
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How should 1-rescuer infant compressions be delivered? - CORRECT ANSWER-- two
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fingers or two thumbs Il` Il` Il`

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- rate of 100-120
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- single rescuer (30:2)
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- two rescuer (15:2)
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How should 1-rescurer child compressions be delivered? - CORRECT ANSWER-either
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one or two hands
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- compress at least 1/3 the chest diameter (approximately 2 inches)
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Guidelines for rescue breathing for infants and children - CORRECT ANSWER-- give 1 Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




breath every 2-3 seconds (about 20-30/min)
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- given each breath in 1 second Il` Il` Il` Il` Il` Il`




- visible chest rise Il` Il` Il`




- check pulse every 2 minutes Il` Il` Il` Il` Il`




- use oxygen as soon as it is available
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2-person bag mask ventilation may be necessary when: - CORRECT ANSWER--
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making a seal is difficult Il` Il` Il` Il`

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- the provider's hands are too small
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- significant airway resistance (asthma) or poor lung compliance)
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- restricting spinal motion is necessary
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Best position to maintain an open airway - CORRECT ANSWER-- infant: place padding
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