,1. You find an unresponsive patient who is not breathing. After activating the emergency
response system, you determine that there is no pulse. What is your next action?
A. Open the airway with a head tilt-chin lift.
B. Administer epinephrine at a dose of 1 mg/kg.
C. Deliver 2 rescue breaths each over 1 second.
D. Start chest compressions at a rate of at least 100/min. - CORRECT ANSWERS-Start
chest compressions at a rate of at least 100/min.
2. You are evaluating a 58- year-old man with chest pain. The blood pressure is 92/50
mm Hg, the heart rate is 92/min, the nonlabored respiratory rate is 14 breaths/min, and
the pulse oximetry reading is 97%. What assessment step is most important now?
A. PETCO2
B. Chest x-ray
C. Laboratory testing
D. Obtaining a 12-lead ECG - CORRECT ANSWERS-Obtaining a 12-lead ECG
3. What is the preferred method of access for epinephrine administration during cardiac
arrest in most patients?
A. Intraosseous
B. Endotracheal
C. Central intravenous
D. Peripheral intravenous - CORRECT ANSWERS-Peripheral intravenous
4. An activated AED does not promptly analyze the rhythm. What is your next action?
A. Begin chest compressions.
B. Discontinue the resuscitation attempt.
C. Check all AED connections and reanalyze.
D. Rotate AED electrodes to an alternate position. - CORRECT ANSWERS-Begin chest
compressions.
5. You have completed 2 minutes of CPR. The ECG monitor displays the lead II rhythm
below, and the patient has no pulse. Another member of your team resumes chest
compressions, and an IV is in place. What management step is your next priority?
A. Give 0.5 mg of atropine.
B. Insert an advanced airway.
C. Administer 1 mg of epinephrine.
D. Administer a dopamine infusion. - CORRECT ANSWERS-Administer 1 mg of
epinephrine.
6. During a pause in CPR, you see this lead II ECG rhythm on the monitor. The patient
has no pulse. What is the next action?
A. Establish vascular access.
B. Obtain the patient's history.
C. Resume chest compressions.
D. Terminate the resuscitative effort. - CORRECT ANSWERS-Resume chest
compressions.
, 7. What is a common but sometimes fatal mistake in cardiac arrest management?
A. Failure to obtain vascular access
B. Prolonged periods of no ventilations
C. Failure to perform endotracheal intubation
D. Prolonged interruptions in chest compressions - CORRECT ANSWERS-Prolonged
interruptions in chest compressions
8. Which action is a component of high-quality chest compressions?
A. Allowing complete chest recoil
B. Chest compressions without ventilation
C. 60 to 100 compressions per minute with a 15:2 ratio
D. Uninterrupted compressions at a depth of 12 inches - CORRECT ANSWERS-
Allowing complete chest recoil
9. Which action increases the chance of successful conversion of ventricular fibrillation?
A. Pausing chest compressions immediately after a defibrillation attempt
B. Administering 4 quick ventilations immediately before a defibrillation attempt
C. Using manual defibrillator paddles with light pressure against the chest
D. Providing quality compressions immediately before a defibrillation attempt -
CORRECT ANSWERS-Providing quality compressions immediately before a
defibrillation attempt
10. Which situation BEST describes pulseless electrical activity?
A. Asystole without a pulse
B. Sinus rhythm without a pulse
C. Torsades de pointes with a pulse
D. Ventricular tachycardia with a pulse - CORRECT ANSWERS-Sinus rhythm without a
pulse
11. What is the BEST strategy for performing high- quality CPR on a patient with an
advanced airway in place?
A. Provide compressions and ventilations with a 15:2 ratio.
B. Provide compressions and ventilations with a 30:2 ratio.
C. Provide a single ventilation every 6 seconds during the compression pause.
D. Provide continuous chest compressions without pauses and 10 ventilations per
minute. - CORRECT ANSWERS-Provide continuous chest compressions without
pauses and 10 ventilations per minute.
12. Three minutes after witnessing a cardiac arrest, one member of your team inserts
an endotracheal tube while another performs continuous chest compressions. During
subsequent ventilation, you notice the presence of a waveform on the capnography
screen and a PETCO2 level of 8 mm Hg. What is the significance of this finding?
A. Chest compressions may not be effective.
B. The endotracheal tube is no longer in the trachea.
C. The patient meets the criteria for termination of efforts.
response system, you determine that there is no pulse. What is your next action?
A. Open the airway with a head tilt-chin lift.
B. Administer epinephrine at a dose of 1 mg/kg.
C. Deliver 2 rescue breaths each over 1 second.
D. Start chest compressions at a rate of at least 100/min. - CORRECT ANSWERS-Start
chest compressions at a rate of at least 100/min.
2. You are evaluating a 58- year-old man with chest pain. The blood pressure is 92/50
mm Hg, the heart rate is 92/min, the nonlabored respiratory rate is 14 breaths/min, and
the pulse oximetry reading is 97%. What assessment step is most important now?
A. PETCO2
B. Chest x-ray
C. Laboratory testing
D. Obtaining a 12-lead ECG - CORRECT ANSWERS-Obtaining a 12-lead ECG
3. What is the preferred method of access for epinephrine administration during cardiac
arrest in most patients?
A. Intraosseous
B. Endotracheal
C. Central intravenous
D. Peripheral intravenous - CORRECT ANSWERS-Peripheral intravenous
4. An activated AED does not promptly analyze the rhythm. What is your next action?
A. Begin chest compressions.
B. Discontinue the resuscitation attempt.
C. Check all AED connections and reanalyze.
D. Rotate AED electrodes to an alternate position. - CORRECT ANSWERS-Begin chest
compressions.
5. You have completed 2 minutes of CPR. The ECG monitor displays the lead II rhythm
below, and the patient has no pulse. Another member of your team resumes chest
compressions, and an IV is in place. What management step is your next priority?
A. Give 0.5 mg of atropine.
B. Insert an advanced airway.
C. Administer 1 mg of epinephrine.
D. Administer a dopamine infusion. - CORRECT ANSWERS-Administer 1 mg of
epinephrine.
6. During a pause in CPR, you see this lead II ECG rhythm on the monitor. The patient
has no pulse. What is the next action?
A. Establish vascular access.
B. Obtain the patient's history.
C. Resume chest compressions.
D. Terminate the resuscitative effort. - CORRECT ANSWERS-Resume chest
compressions.
, 7. What is a common but sometimes fatal mistake in cardiac arrest management?
A. Failure to obtain vascular access
B. Prolonged periods of no ventilations
C. Failure to perform endotracheal intubation
D. Prolonged interruptions in chest compressions - CORRECT ANSWERS-Prolonged
interruptions in chest compressions
8. Which action is a component of high-quality chest compressions?
A. Allowing complete chest recoil
B. Chest compressions without ventilation
C. 60 to 100 compressions per minute with a 15:2 ratio
D. Uninterrupted compressions at a depth of 12 inches - CORRECT ANSWERS-
Allowing complete chest recoil
9. Which action increases the chance of successful conversion of ventricular fibrillation?
A. Pausing chest compressions immediately after a defibrillation attempt
B. Administering 4 quick ventilations immediately before a defibrillation attempt
C. Using manual defibrillator paddles with light pressure against the chest
D. Providing quality compressions immediately before a defibrillation attempt -
CORRECT ANSWERS-Providing quality compressions immediately before a
defibrillation attempt
10. Which situation BEST describes pulseless electrical activity?
A. Asystole without a pulse
B. Sinus rhythm without a pulse
C. Torsades de pointes with a pulse
D. Ventricular tachycardia with a pulse - CORRECT ANSWERS-Sinus rhythm without a
pulse
11. What is the BEST strategy for performing high- quality CPR on a patient with an
advanced airway in place?
A. Provide compressions and ventilations with a 15:2 ratio.
B. Provide compressions and ventilations with a 30:2 ratio.
C. Provide a single ventilation every 6 seconds during the compression pause.
D. Provide continuous chest compressions without pauses and 10 ventilations per
minute. - CORRECT ANSWERS-Provide continuous chest compressions without
pauses and 10 ventilations per minute.
12. Three minutes after witnessing a cardiac arrest, one member of your team inserts
an endotracheal tube while another performs continuous chest compressions. During
subsequent ventilation, you notice the presence of a waveform on the capnography
screen and a PETCO2 level of 8 mm Hg. What is the significance of this finding?
A. Chest compressions may not be effective.
B. The endotracheal tube is no longer in the trachea.
C. The patient meets the criteria for termination of efforts.
