VER IF IED ANSWERS|ACTUAL COMPLETE EXAM|
ALREADY GRADED A+
how quickly does the chance of survival decline for every minute of defibrillation delay in patients
with ventricular fibrillation ((VF) who do not receive bystander CPR?
a) 7% to 10%
b) 5% to 6%
c) 11% to 13%
d) 3 %to 4 % ✔Correct Answer-a
coronary perfusion pressure (CPP) equals aortic_______ pressure minus ____ atrial diastolic
pressure
a) systolic, left
b) systolic, right
c) diastolic, left
d) diastolic, right ✔Correct Answer-D
what is an advantage of a systemic approach to patient assessment?
a) reduces the need for secondary assessment
b) standardizes treatment across systems of care
c) reduces the chances of missing important signs and symptoms
d) permits assessment modification based on patient symptoms ✔Correct Answer-C
what is the first step in the systematic approach to patient assessment?
a) primary assessment
b) secondary assessment
c) initial impression
d) BLS assessment ✔Correct Answer-c
what is the maximum amount of time you should simultaneously perform the pulse and breathing
checks?
a) 15 seconds
b) 20 seconds
c) 10 seconds
d) 5 seconds ✔Correct Answer-C
The BLS Assessment is a systematic approach to BLS for trained healthcare providers. This approach
st r e s s e s:
a) basic airway management
b) early cpr and defibrillation
c) defibrillation ✔Correct Answer-b
while performing the BLS assessment, you initiate high-quality CPR and assist ventilation with a bag-
mask device
th e A E D d oe s not r eco m m e n d a s h o c k
which action in the primary assessment should you perform first?
,a) attach a quantitative waveform capnography device
b) perform fluid resuscitation
c) determine if the patient's airway is patent
d) assessthe pat ient'soxygenat ion status ✔Correct Answer-C
th e initi al a s s e s s m e nt r e v e al s a c o n s ciou s p ati e nt
th e p ati e nt's ai r wa y is p at e nt, a n d a n a d v a n c e d ai r w a y is not in dic at e d
which action in the primary assessment should you perform next?
a) check for the presence of a pulse
b) remove clothing to perform a physical examination
c) administer oxygen as needed
d) check for neurologic function ✔Correct Answer-C
during CPR, chest compression fraction (CCF) should be at least ___% and idealls greater than ___%
✔Correct Answer-60 ,80
among others, which of the following factors has been associated with improved survival in patients
with cardiac arrest?
a) compression-onlyCPR
b) presence of 2 or more rescuers
c) immediate high -quality CPR
d) manual defibrillation ✔Correct Answer-C
which action is part of the secondary assessment of a conscious patient?
a) formulate a differential diagnosis
b) attach a monitor/defibrillator
c) give IV/IO f luidsif needed
d) determine the patient's level of consciousness ✔Correct Answer-a
which of the following are the "H" causes of reversible cardiac arrest?
1. hypocalcemia
2 .hy pothe r mi a
3 . h y p e r ten si v e c r isis
4 . hypovolemia
5. hyperkalemia/hypokalemia
6.hypercalcemia
7. Heyd e's syndr ome
8. HELLP syndrome
9. acid osis
10. hypoxia ✔Correct Answer-2 , 4 , 5 , 9 , 1 0
which of the following are the "T" causes of reversible cardiac arrest?
1. c o r on a r y th r o m b o si s
2. pulmonary thrombosis
3 . toxin s
4 . tho r a cic outlet s y n dr o m e
5. simple pneumothorax
6 . th y r otoxi co si s
7. ta c h y c a rd io m y o p at h y
8 . te n sion p n e u m otho r a x
,9. c a rd ia c ta m p o n a d e
10. d eep v ein th r o m b o si s ✔Correct Answer-1, 2, 3, 8, 9
Symptoms of ACS ✔Correct Answer-chest pain (tightness or pressure)
pressure fullness squeezingor pain in center o chest lastingseveral minutes
chest discomfort spreading to shoulder, neck one or both arms, or jaw. spread to
back or between shoulder blades
light-headed, dizzy, fainting, syncope, sweating, nausea, vomiting
unexplained SOB with or without chest discomfort
less common - epigastrium discomfort
what is the most common symptom of myocardial ischemia and infarction?
a) retrosternal chest pain
b) sweating
c) nausea
d) difficulty breathing ✔Correct Answer-a
which demographic group experiencing acute coronary syndromes is more likely to present without
chest pain?
a) females
b) adolescents
c) patients taking beta-blockers
d) smokers ✔Correct Answer-a
obtaining a ______ is the most important assessment tool for a patient displaying signs and
symptoms of acute coronary syndromes
a) blood glucose level
b) portable ultrasound
c) 12l-ead ECG
d) computed tomography scan ✔Correct Answer-C
What is the time goal for how quickly you should complete a fibrinolytic checklist once the patient
a rr iv e s in th e e m e r g e n c y d ep a r t m e nt?
a) 20 minutes
b) 15 minutes
c) 3 0 minutes
d) 1 0 minutes ✔Correct Answer-D
in a dd iti on to d ec r e a s e d IH C A, w h at a r e so m e oth e r b e n e fi ts of i m ple m e nti n g a r api d
response system?
1. decrease in total hospital length of stay
2. decreased ICU length of stay
3 . increase ICU admissions
4 . decreased emergency department admissions
5. in c r e a s e d h o s pital len gt h of st a y ✔Correct Answer-1 and 2
a p ati e nt without d ys p n e a h a s si g n s of a c ute co r on a r y s y n dro m e s
th e r e a r e no ob viou s si g n s of h e a r t failu r e.
you assess a noninvasively monitored oxyhemoglobin saturation
what is the oxygen saturation threshold below which supplemental oxygen would be required?
, a) 93%
b) 92%
c) 90%
d) 91% ✔Correct Answer-C
what is the main advantage of effective teamwork?
a) immediate CPR
b) division of tasks
c) early defibrillation
d) mastery of resuscitation skills ✔Correct Answer-B
what blood component is acted upon by aspirin administration during the management of a patient
with acute coronary syndromes?
a) plasma
b) red blood cells
c) platelets
d) white blood cells ✔Correct Answer-C
what is a contraindication to the administration of aspirin for the management of a patient with
acute coronary syndromes?
a) vomiting
b) recent gastrointestinal bleeding
c) nausea
d) shortness of breath ✔Correct Answer-B
what is a physiologic effect of nitroglycerin?
a) bronchodilation
b) platelet aggregation inhibition
c) binds to opioid receptors
d) reduces preload ✔Correct Answer-D
which clinical finding represents a contraindication to the administration of nitroglycerin?
a) anterior wall infarction
b) lateral wall infarction
c) posterior wall infarction
d) confirmed right ventricular infarction ✔Correct Answer-d
which class of medications commonly given to patients with acute coronary syndromes may be
adversely affected by morphine administration?
a) beta blockers
b) phosphodiesterase inhibitors
c) calcium channel blockers
d) oral antiplatelet medications ✔Correct Answer-d
what is a benefit of morphine when given for the management of acute coronary syndromes?
a) vasoconstriction
b) central nervous system analgesia
c) increases systemic vascular resistance
d) increases left ventricular preload ✔Correct Answer-b
you obtain a 12-lead ECG in a patient with retrosternal chest pain