2021/2022 (reviewed)
You find an unresponsive pt. who is not breathing. After activating the emergency response
system, you determine there is no pulse. What is your next action? Correct Answer: Start chest
compressions of at least 100 per min.
You are evaluating a 58 year old man with chest pain. The BP is 92/50 and a heart rate of
92/min, non-labored respiratory rate is 14 breaths/min and the pulse O2 is 97%. What assessment
step is most important now? Correct Answer: Obtaining a 12 lead ECG.
What is the preferred method of access for epi administration during cardiac arrest in most pts?
Correct Answer: Peripheral IV
An AED does not promptly analyze a rhythm. What is your next step? Correct Answer: Begin
chest compressions.
You have completed 2 min of CPR. The ECG monitor displays the lead below (PEA) and the pt.
has no pulse. You partner resumes chest compressions and an IV is in place. What management
step is your next priority? Correct Answer: Administer 1mg of epinephrine
During a pause in CPR, you see a narrow complex rhythm on the monitor. The pt. has no pulse.
What is the next action? Correct Answer: Resume compressions
What is a common but sometimes fatal mistake in cardiac arrest management? Correct Answer:
Prolonged interruptions in chest compressions.
Which action is a component of high-quality chest compressions? Correct Answer: Allowing
complete chest recoil
Which action increases the chance of successful conversion of ventricular fibrillation? Correct
Answer: Providing quality compressions immediately before a defibrillation attempt.
Which situation BEST describes PEA? Correct Answer: Sinus rhythm without a pulse
What is the best strategy for performing high-quality CPR on a pt. With an advanced airway in
place? Correct Answer: Provide continuous chest compressions without pauses and 10
ventilations per minute.
3 min after witnessing a cardiac arrest, one member of your team inserts an ET tube while
another performs continuous chest compressions. During subsequent ventilation, you notice the
presence of a waveform on the capnography screen and a PETCO2 of 8 mm Hg. What is the
significance of this finding? Correct Answer: Chest compressions may not be effective.