Quiz_________________?
A 20-year-old man with respiratory depression is brought to the emergency department by
his parents. The parents state that "[They] found him at home with various needles and
syringes around him, but [they] have no idea what he took." Opioid overdose is suspected,
and an initial dose of naloxone is administered at 10 p.m. The patient does not respond to
this initial dose. The team would expect to administer a second dose after how many
minutes? -
Answer✅
4 minutes
The dose of naloxone may be repeated after 4 minutes. Additional doses, increased in a
stepwise fashion, are often necessary to reverse the respiratory depression.
Quiz_________________?
A 30-year-old patient has been brought to the emergency department in full cardiac arrest.
The cardiac monitor shows the following rhythm. Interpretation of this rhythm would
suggest which of the following as a possible precipitating factor? -
Answer✅
Electrocution
1
, The rhythm is ventricular fibrillation. Precipitating causes of ventricular fibrillation include
electrocution, myocardial ischemia or infarction, shock, stimulant overdose and ventricular
tachycardia.
Quiz_________________?
A 35-year-old female patient's ECG is consistent with STEMI. The ECG reveals a new ST-
segment elevation at the J point in leads V2 and V3 of at least which size? -
Answer✅
0.15 mV
New ST-segment elevation at the J point in leads V2 and V3 of at least 0.15 mV (1.5 mm) in
women 40 years or younger is considered diagnostic of STEMI.
Quiz_________________?
A 40-year-old patient in the waiting room of the primary care provider's office approaches a
staff member and says, "I'm having really severe, crushing chest pain that is moving to both
my arms." The patient is diaphoretic and dyspneic. Which action would be appropriate for
the staff member to take? -
Answer✅
Activate the emergency medical services system.
Early recognition of signs and symptoms along with activation of the emergency medical
services system is the first link in the ST-segment elevation myocardial infarction (STEMI)
Chain of Survival.
Quiz_________________?
A healthcare provider initiates ventilations to ensure adequate breathing and oxygenation.
While ventilations are being performed, capnography is established to evaluate the adequacy
of the ventilations. The healthcare provider determines that ventilations are adequate based
on which end-tidal carbon dioxide (ETCO2) value? -
2
, Answer✅
35 to 45 mmHg
End-tidal carbon dioxide values in the range of 35 to 45 mmHg confirm adequacy of
ventilation.
Quiz_________________?
A healthcare provider is establishing cardiac monitoring using a five-electrode system. The
healthcare provider demonstrates proper use of the system by placing the green electrode
in which location? -
Answer✅
On the lower right abdomen.
In a five-electrode cardiac monitoring system, the green electrode should be placed on the
lower right abdomen.
Quiz_________________?
A member of the resuscitation team is preparing to administer medications intravenously to
a patient in cardiac arrest. The team member follows each medication administration with a
bolus of fluid. How much would the team member give? -
Answer✅
10 to 20 mL
When administering medications during a cardiac arrest, all medications administrated
through the IV or intraosseous infusion route should be followed by a 10 to 20 mL fluid
bolus.
Quiz_________________?
3