ACTUAL EXAM TEST BANK 160 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
1. Youfindanunresponsive pt.whois notbreathing.Afteractivatingthe
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emergencyresponsesystem,youdeterminethereisnopulse.Whatisyournext
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action?ANS: Startchestcompressions ofatleast100 permin.
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2. Youare evaluatinga 58 yearoldmanwith chest pain.The BPis 92/50 and aheart
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rateof92/min,non-laboredrespiratoryrateis14breaths/minandthe pulse O2 is
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97%.What assessment stepis mostimportant now?ANS:Obtaining a 12 lead ECG.
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Identification ofChestDiscomfortSuggestive ofIschemia ‘ ‘ ‘ ‘ ‘ ‘
3. What is the preferred method of access for epi administration during cardiac
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arrest inmostpts?ANS:Peripheral IV
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4. An AED does not promptly analyze a rythm. What is your next step? ANS: Begin
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chestcompressions.
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5. Youhavecompleted2minofCPR.TheECGmonitordisplaystheleadbelow(PEA)
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and the pt. has no pulse. You partner resumes chest compressions and an IV is in
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place. What management step is your next priority? ANS: Administer 1mg of
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epinepherine
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6. DuringapauseinCPR,youseeanarrowcomplexrythmonthemonitor.Thept. has ‘ ‘ ‘ ‘ ‘ ‘ ‘ ‘ ‘ ‘ ‘ ‘ ‘ ‘ ‘ ‘
nopulse.What is the next action?ANS:Resume compressions
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7. Whatisacommonbutsometimesfatalmistakeincardiacarrestmanage-
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ment? ANS:Prolonged interruptionsin chestcompressions.
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8. Whichactionisacomponantofhigh-qualitychestcomressions?ANS:Allowing
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complete chestrecoil
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1/19‘ ‘
,9. Whichactionincreasesthechanceofsuccessfulconversionofventricular
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fibrillation?ANS:Providing qualitycompressions immediately before a defibrillation
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attempt.
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10. WhichsituationBEST describes PEA?ANS:Sinusrythm withouta pulse
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11. What is the best strategy forperfoming high-quality CPR ona pt.with an
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advancedairwayinplace?ANS:Providecontinuouschestcompressionswithout
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pausesand 10 ventilationsper minute.
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12. 3 minafterwitnessing a cardiac arrest,one memeberofyourteamin- serts an
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ET tube whileanotherperforms continuous chest comressions.During
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subsequentbentilation,younoticethepresenceofawavefomonthe
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capnogrophy screen and a PETCO2of 8 mmHg.What is the significance ofthis
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finding?ANS: Chestcompressions maynotbe effective.
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13. Theuseofquantitativecapnographyinintubatedpt'sdoeswhat?ANS:Allows-
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for monitoring CPR quality
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, 14. Forthe past 25 min,EMScrewshave attemptedresuscitation ofa ptwho
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originallypresentedwithV-FIB.Afterthe1stshock,theECGscreendisplayed
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asystole whichhas persisted despite 2 doses ofepi,a fluidbolus,andhighquality
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CPR.What is yournext treatment? ANS:Consider terminating resuscitive effortsafter
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consulting medical control.
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15. Whichis a safeandeffectivepractice withinthe defibrillationsequence?-
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ANS:BesureO2isNOTblowingoverthept'schestduringshock.
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16. Duringyourassessment,yourptsuddenly loses consciousness.After ‘ ‘ ‘ ‘ ‘ ‘ ‘ ‘
callingforhelpanddeterminingthatthept.isnotbreathing,youareunsure
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whetherthe pt.has a pulse.What is yournext action?ANS:Begin chestcompres-
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sions.
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17. Whatisanadvantageofusinghands-freed-fibpadsinsteadofd-fib
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paddles? ANS:Hands-free allowsfor more rapid d-fib.
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18. Whatactionisrecommendedtohelpminimizeinterruptionsinchestcom-
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pressions during CPR?ANS: Continue CPRwhile charging the defibrillator.
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FoundationalFacts:ResumeCPRWhileManualDefibrillatorisCharging ‘ ‘ ‘ ‘ ‘ ‘ ‘ ‘
19. Whichactionis includedinthe BLSsurvey?ANS:Earlydefibrillation ‘ ‘ ‘ ‘ ‘ ‘ ‘ ‘ ‘ ‘
20. Whichdruganddosearerecommendedforthemanagementofapt.in ‘ ‘ ‘ ‘ ‘ ‘ ‘ ‘ ‘ ‘ ‘ ‘
refractory V-FIB?ANS:Amiodarone 300mg
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21. Whatistheappropriateintervalforaninterruptioninchestcompressions?-
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ANS:10 secondsorless
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22. WhichofthefollowingisasignofeffectiveCPR?ANS:PETCO2=or>10mm Hg ‘ ‘ ‘ ‘ ‘ ‘ ‘ ‘ ‘ ‘ ‘ ‘ ‘ ‘ ‘ ‘
23. What is the purpose of a medical emergency team (MET) or rapid response
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team? ANS: Improving patient outcomes by identifying and treating early clinical deteri-
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oration.
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FoundationalFacts:MedicalEmergencyTeams(METs)andRapidResponseTeams ‘ ‘ ‘ ‘ ‘ ‘ ‘ ‘ ‘
(RRTs)
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