ACTUAL EXAM TEST BANK 160 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
1. You find an unresponsive pt. who is not breathing. After activating the
L L L L L L L L L L L
emergency response system,you determine there is no pulse.What is your
L L L L L L L L L L L L
next action?ANS: Start chest compressions of at least 100 per min.
L L L L L L L L L L L
2. You are evaluating a 58 year old man with chest pain.The BP is 92/50 and a
L L L L L L L L L L L L L L L L
heart rate of 92/min,non-labored respiratory rate is 14 breaths/min and the pulse
L L L L L L L L L L L L L
O2 is 97%.What assessment step is most important now? ANS:Obtaining a 12
L L L L L L L L L L L L L L
lead ECG.
L L
Identification of Chest Discomfort Suggestive of Ischemia L L L L L L
3. What is the preferred method of access for epi administration during cardiac
L L L L L L L L L L L
arrest in most pts? ANS: Peripheral IV
L L L L L L L
4. AnAED does not promptly analyze a rythm.What is your next step? ANS: Begin
L L L L L L L L L L L L L L
chest compressions.
L L
5. You have completed 2 min of CPR. The ECG monitor displays the lead below
L L L L L L L L L L L L L
(PEA)andthe pt.hasno pulse.You partner resumes chest compressions and anIV
L L L L L L L L L L L L L L L
is in place. What management step is your next priority? ANS: Administer 1mg of
L L L L L L L L L L L L L L
epinepherine
L
6. During a pause in CPR, you see a narrow complex rythm on the monitor. The pt.
L L L L L L L L L L L L L L L
has no pulse.What is the next action? ANS: Resume compressions
L L L L L L L L L L L
7. What is acommon but sometimes fatal mistake in cardiac arrest manage-
L L L L L L L L L L
ment? ANS: Prolonged interruptions in chest compressions.
L L L L L L L
8. Which action is a componant of high-quality chest comressions? ANS:
L L L L L L L L L
L L
,Allowing complete chest recoil
L L L L
9. Which action increases the chance of successful conversion of ventricular
L L L L L L L L L
fibrillation? ANS: Providing quality compressions immediately before a defibrillation
L L L L L L L L L
attempt.
L
10. Which situation BEST describes PEA? ANS:Sinus rythm without a pulse
L L L L L L L L L L
11. What is the best strategy for perfoming high-quality CPR on a pt.with an
L L L L L L L L L L L L
advanced airway in place? ANS:Provide continuouschest compressionswithout
L L L L L L L L L
pauses and 10 ventilations per minute.
L L L L L L
12. 3 min after witnessing a cardiac arrest, one memeber of your team in- serts
L L L L L L L L L L L L L
an ET tube while another performs continuous chest comressions. During
L L L L L L L L L L
subsequent bentilation,you notice the presence of a wavefom on the
L L L L L L L L L L L
capnogrophy screen and a PETCO2 of 8 mm Hg.What is the significance of this
L L L L L L L L L L L L L L L
finding? ANS: Chest compressions may not be effective.
L L L L L L L L
13. The use of quantitative capnography in intubated pt's does what? ANS:
L L L L L L L L L L
Allows- for monitoring CPR quality
L L L L L
L L
, 14. For the past 25 min,EMS crews have attempted resuscitation of a pt who
L L L L L L L L L L L L L
originallypresentedwithV-FIB.Afterthe1stshock,theECGscreendisplayed
L L L L L L L L L L L L
asystole which has persisted despite 2 doses of epi, a fluid bolus, and high
L L L L L L L L L L L L L L
quality CPR.What is your next treatment? ANS: Consider terminating resuscitive
L L L L L L L L L L L
efforts after consulting medical control.
L L L L L
15. Which is a safe and effective practice within the defibrillation sequence?-
L L L L L L L L L L
ANS:Be sure O2 is NOT blowing over the pt's chest during shock.
L L L L L L L L L L L L
16. During your assessment, your pt suddenly loses consciousness. After
L L L L L L L L
calling for help and determining that the pt.is not breathing,you are unsure
L L L L L L L L L L L L L L
whether the pt. has a pulse.What is your next action? ANS: Begin chest compres-
L L L L L L L L L L L L L L L
sions.
L
17. What is an advantage of using hands-free d-fib pads instead of d-fib
L L L L L L L L L L L
paddles? ANS: Hands-free allows for more rapid d-fib.
L L L L L L L L
18. What actionis recommendedtohelpminimize interruptionsinchestcom-
L L L L L L L L L L
pressions during CPR? ANS: Continue CPR while charging the defibrillator.
L L L L L L L L L L
Foundational Facts:Resume CPRWhile Manual Defibrillator is Charging L L L L L L L L
19. Which action is included in the BLS survey? ANS:Early defibrillation
L L L L L L L L L L
20. Which drug and dose are recommended for the management of a pt.in
L L L L L L L L L L L L
refractory V-FIB? ANS: Amiodarone 300mg
L L L L L
21. Whatistheappropriateintervalforaninterruptioninchestcompressions?-
L L L L L L L L L
ANS:10 seconds or less
L L L L
22. Which of the following is a sign of effective CPR? ANS:PETCO2 = or > 10mm
L L L L L L L L L L L L L L L
Hg
L
23. What is the purpose of a medical emergency team (MET) or rapid response
L L L L L L L L L L L L
team? ANS: Improving patient outcomes by identifying and treating early clinical
L L L L L L L L L L L
deteri- oration.
L L
FoundationalFacts:MedicalEmergencyTeams(METs)andRapidResponseTeams L L L L L L L L L
Lg Lg