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
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emergencyresponsesystem,youdeterminethereis nopulse.What isyour next
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action?ANS: Start chest compressions of at least 100 per min.
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2. You are evaluating a 58 year old man with chest pain.The BP is 92/50 and a heart
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rate of 92/min,non-labored respiratory rate is 14 breaths/min and the pulse O2 is
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97%.What assessment step is most important now? ANS:Obtaining a 12 lead
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ECG.
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Identification of Chest Discomfort Suggestive of Ischemia .1, .1, .1, .1, .1, .1,
3. What is the preferred method of access for epi administration during cardiac
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arrest in most pts? 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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chest compressions.
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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.The pt. has ,
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no pulse.What is the next action? ANS: Resume compressions
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7. Whatis acommonbutsometimesfatalmistakeincardiacarrestmanage-
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ment? ANS: Prolonged interruptions in chest compressions.
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8. Whichactionisacomponantofhigh-qualitychestcomressions? ANS:Allowing .1, .1, .1, .1, .1, .1, .1, .1, .1, ,
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,.1, complete chest recoil .1, .1,
9. Whichactionincreasesthechanceofsuccessfulconversionofventricular
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fibrillation? ANS: Providing quality compressions immediately before a defibrillation
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attempt.
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10. Which situation BEST describes PEA? ANS:Sinus rythm without a pulse
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11. What is the best strategy for perfoming high-quality CPR on a pt.with an
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advancedairwayinplace? ANS:Providecontinuouschestcompressionswithout
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pauses and 10 ventilations per minute.
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12. 3 min after witnessing a cardiac arrest,one memeber of your team in- serts an
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ET tube while another performs continuous chest comressions. During
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subsequentbentilation,younoticethepresenceofawavefomonthe
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capnogrophy screen and a PETCO2 of 8 mm Hg.What is the significance of this
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finding? ANS: Chest compressions may not be effective.
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13. Theuseofquantitativecapnographyinintubatedpt'sdoeswhat? ANS:Allows-
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for monitoring CPR quality
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, 14. For the past 25 min,EMS crews have attempted resuscitation of a pt who
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originallypresentedwithV-FIB.Afterthe1stshock,theECGscreendisplayed
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asystole which has persisted despite 2 doses of epi, a fluid bolus, and high
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quality CPR.What is your next treatment? ANS: Consider terminating resuscitive
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efforts after consulting medical control.
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15. Which is a safe and effective practice within the defibrillation sequence?- .1 , .1, .1, .1, .1, .1 , .1, .1, .1, .1,
ANS:Be sure O2 is NOT blowing over the pt's chest during shock.
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16. During your assessment, your pt suddenly loses consciousness. After .1, .1, .1, .1, .1, .1, .1, .1,
callingforhelpanddeterminingthatthept.is notbreathing,youareunsure
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whether the pt.has a pulse.What is your next action? ANS:Begin chest compres-
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sions.
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17. Whatis anadvantageof usinghands-freed-fibpadsinsteadofd-fib
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paddles? ANS: Hands-free allows for more rapid d-fib.
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18. Whatactionisrecommendedtohelpminimizeinterruptionsinchestcom-
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pressions during CPR? ANS: Continue CPR while charging the defibrillator.
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FoundationalFacts:Resume CPRWhile Manual Defibrillator is Charging .1, ,
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19. Which action is included in the BLS survey? ANS:Early defibrillation .1 , .1, .1, .1, .1, .1, .1, .1, ,
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20. Whichdrug anddose are recommendedforthe management ofa pt.in .1, .1 , .1, .1, .1, .1, .1, .1, .1, .1, .1, ,
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refractory V-FIB? ANS: Amiodarone 300mg
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21. Whatistheappropriateintervalforaninterruptioninchestcompressions?-
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ANS:10 seconds or less
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22. Whichofthe following is a signofeffectiveCPR? ANS:PETCO2 =or> 10mm .1, .1, .1, .1, .1, .1, .1, .1, .1, .1, ,
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Hg
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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
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deteri- oration.
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FoundationalFacts:MedicalEmergencyTeams(METs)andRapidResponseTeams ,
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g g
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