AND SOLUTIONS RATED A+
✔✔All of the following are elements of adult high-performance CPR, EXCEPT:
A. maintaining a 2:30 ratio of ventilations to compressions.
B. placing the heel of one hand on the center of the victim's chest.
C. compressing the patient's chest to no more than 1 inch in depth before allowing full
relaxation.
D. compression rate of at least 100 per minute. - ✔✔C. compressing the patient's chest
to no more than 1 inch in depth before allowing full relaxation.
✔✔You are on the scene of a 68-year-old male patient complaining of severe chest pain
for the last 20 minutes. He has a previous history of myocardial infarction and states it
feels "just like the last time." You have applied oxygen and assisted him in administering
aspirin and nitroglycerin with no reduction in the chest pain. Your nearest facility is 5
minutes away, a Level III Trauma Center is 10 minutes away, and a hospital with
cardiac catheterization capabilities is 20 minutes away. The patient is requesting to be
transported to his cardiologist's hospital, which is 30 minutes away. Which hospital is
the best destination?
A. The nearest hospital with cardiac catheterization
B. The trauma center
C. The hospital the patient requests
D. The nearest facility - ✔✔A. The nearest hospital with cardiac catheterization
✔✔Which of the following people is allowed to continue providing patient care when the
patient is to be "cleared" for delivery of a shock via the defibrillator?
A. Anyone in contact with the patient below the level of the patient's knees
B. The EMT performing bag-valve mask ventilations
C. The provider who is ventilating the patient, so long as the patient has been intubated
by a paramedic so that the provider does not directly touch the patient
D. None of the above - ✔✔D. None of the above
✔✔EMTs arrive at the scene of a cardiac arrest to see a police officer beginning to
defibrillate the patient. At what point should the EMTs take over?
A. Only if the EMTs feel the police office is incompetent to administer the AED correctly
B. After a "no shock indicated" message is received but otherwise not until the patient is
resuscitated
C. After the shock is delivered or a "no shock indicated" message is received
D. Immediately, even if interrupting the police office in the middle of shocking the patient
- ✔✔C. After the shock is delivered or a "no shock indicated" message is received
✔✔Which of the following BEST describes the continued need for prehospital advanced
cardiac life support, even when EMTs in the community carry AEDs?
A. The patient may need medications to support his cardiac rhythm and blood pressure
prior to attempting defibrillation.
, B. Before attempting defibrillation, it may be necessary to obtain a 12-lead ECG on the
patient.
C. Not all cardiac arrests are due to problems that respond to defibrillation.
D. All of the above - ✔✔C. Not all cardiac arrests are due to problems that respond to
defibrillation.
✔✔You are the first on the scene of a 72-year-old patient in cardiac arrest. You have
your medical supply kit, oxygen, and an AED. At least 4 to 5 minutes of high-quality
CPR has been provided by the police officer who arrived before you. You have
confirmed an open airway, apnea, and pulselessness. Which of the following should you
do next?
A. Perform bag-valve mask ventilations with supplemental oxygen for 30 seconds
before applying the defibrillator pads.
B. Perform one-rescuer CPR until additional personnel arrive.
C. Apply the defibrillator pads and shock as indicated.
D. Contact medical direction before taking any action. - ✔✔C. Apply the defibrillator
pads and shock as indicated.
✔✔Which of the following BEST describes an appropriate shock sequence for the
patient in ventricular tachycardia?
A. Shock, shock, shock, shock
B. Shock, pulse check, shock, pulse check, shock, pulse check
C. Shock, 2 minutes of CPR, reanalyze, shock again if indicated
D. Shock, shock, shock, pulse check, 2 minutes of CPR, shock, shock, shock - ✔✔C.
Shock, 2 minutes of CPR, reanalyze, shock again if indicated
✔✔Your patient is a 66-year-old female who has regained a pulse after a shock with an
AED; however, she remains unresponsive and is not breathing adequately. Which of the
following should be done next?
A. Ventilate the patient with high-concentration oxygen and transport immediately.
B. Deliver a fourth shock to improve the patient's respiratory status.
C. Apply a nonrebreather mask with high-concentration oxygen and keep reassessing
the pulse.
D. Remove the AED, assist the patient's ventilations with a bag-valve mask and
supplemental oxygen, and keep reassessing the pulse. - ✔✔A. Ventilate the patient with
high-concentration oxygen and transport immediately.
✔✔Once an EMT has begun resuscitative efforts, when may the EMT cease those
efforts?
A. The EMT's partner gives the order to cease.
B. No other rescuer is available to relieve the EMT.
C. Spontaneous circulation and breathing occur.
D. The patient has no pulse after 1 minute. - ✔✔C. Spontaneous circulation and
breathing occur.