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1. Your patient is in cardiac arrest and has been intubated. To assess CPR
quality, which should you do?
A. Monitor the patient's PETCO 2
B. Obtain a 12-lead ECG
C. Check the patient's pulse
D. Obtain a chest x-ray - ANSWER A. Monitor the patient's PETCO 2
2. Which is the primary purpose of a medical emergency team or rapid
response team?
A. Improving care for patients admitted to critical care units
B. Improving patient outcomes by identifying and treating early clinical
deterioration
C. Providing diagnostic consultation to emergency department patients
D. Providing online consultation to EMS personnel in the field -
ANSWER B. Improving patient outcomes by identifying and treating
early clinical deterioration
3. What is the recommended oral dose of aspirin for patients suspected of
having one of the acute coronary syndromes? - ANSWER 160 to 325 mg
4. A patient is in pulseless ventricular tachycardia. Two shocks and 1 dose of
epinephrine has been given. Which is the next drug to anticipate to
administer? - ANSWER amiodarone 300 mg
5. What is the initial priority for an unconscious patient with any tachycardia
on the monitor? - ANSWER Determine whether pulses are present.
,6. You have completed your first 2-minute period of CPR. You see an
organized, nonshockable rhythm on the ECG monitor. What is the next
action? - ANSWER Have a team member attempt to palpate a carotid pulse.
7. Emergency medical responders are unable to obtain a peripheral IV for a
patient in cardiac arrest. What is the next most preferred route for drug
administration? - ANSWER Intraosseous (IO)
8. What is the appropriate rate of chest compressions for an adult in cardiac
arrest? - ANSWER At least 100/min
9. A responder is caring for a patient with a history of congestive heart failure.
The patient is experiencing shortness of breath, a blood pressure of 68/50
mm Hg, and a heart rate of 190/min. The patient's lead II ECG is displayed
below. - ANSWER stable supraventricular tachycardia
10.What is the most appropriate intervention for a rapidly deteriorating patient
who has this lead II ECG? - ANSWER Synchronized cardioversion
11.What is the purpose of a medical emergency team (MET) or rapid response
team (RRT)? - ANSWER Improving patient outcomes by identifying and
treating early clinical deterioration
12.What is the recommended assisted ventilation rate for patients in respiratory
arrest with a perfusing rhythm? - ANSWER 10 to 12 breaths per minute
13.Family members found a 45-year-old woman unresponsive in bed. The
patient is unconscious and in respiratory arrest. What is the recommended
, initial airway management technique? - ANSWER Performing a head tilt-
chin lift maneuver
14.A patient in respiratory distress and with a blood pressure of 70/50 mm Hg
presents with the following lead II ECG rhythm:
15.What is the appropriate next intervention? - ANSWER Synchronized
cardioversion
16.You are monitoring a patient with chest discomfort who suddenly becomes
unresponsive. You observe the following rhythm on the cardiac monitor. A
defibrillator is present. What is your first action? - ANSWER Give a single
shock
17.what do you do after return of spontaneous circulation - ANSWER maintain
O2 sat at 94%
treat hypotension (fluids vasopressor)
12 lead EKG
if in coma consider hypothermia
if not in coma and ekg shows STEMI or AMI consider re-perfusion
18.Which one of the following is an interdependent component of systems of
care? - ANSWER Structure
19.Which of the following is a responsibility of the CPR coach? - ANSWER
Coordinating compressor switches
20.What is the recommended compression rate for high-quality CPR? -
ANSWER 100-120 compressions per minute
, 21.Which best describes the length of time it should take to perform a pulse
check during the BLS assessment? - ANSWER 5-10 seconds
22.Which is a component of high-quality CPR? - ANSWER Depth of a least 2
inches
23.Which component of high-quality CPR directly affects chest compression
fraction? - ANSWER Interruptions
24.To properly ventilate a patient with a perfusing rhythm, how often do you
squeeze the bag? - ANSWER Once every 6 seconds
25.What is the immediate danger of excessive ventilation during the post-
cardiac arrest period for patients who achieve ROSC? - ANSWER
Decreased cerebral blood flow
26.What is the recommended target temperature range for achieving therapeutic
hypothermia after cardiac arrest? - ANSWER 32°C to 34°C
27.What is the recommended duration of therapeutic hypothermia after
reaching the target temperature? - ANSWER 12 to 24 hours
28.What is the danger of routinely administering high concentrations of oxygen
during the post- cardiac arrest period for patients who achieve ROSC? -
ANSWER Potential oxygen toxicity
29.What is the recommended dose of epinephrine for the treatment of
hypotension in a post- cardiac arrest patient who achieves ROSC? -
ANSWER 0.1 to 0.5 mcg/kg per minute IV infusion