AM
BLS EXAM QUESTIONS AND ANSWERS WITH COMPLETE
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You've gathered information about the patient and the emergency throughout the
rapid assessment. Now, you'll use the results of your assessment to quickly
recognize the emergency condition and determine your immediate course of
action.
For example, if you find the patient is not breathing (or has ineffective
ventilation) and their central pulse is present, you will implement care for
Recognize
respiratory arrest or respiratory failure. If you find that the patient is not
breathing (or only gasping)
and their central pulse is absent, you will implement care for cardiac arrest.
Other conditions requiring basic life support may include:
-Life-threatening injury or illness
-Obstructed airway
-Opioid overdose
Implement appropriate care based on your understanding of the patient's
condition. Proper care cannot be provided without effective assessment and
accurate recognition of the patient's condition. The care you provide may include:
-Delivering ventilations to a patient in respiratory arrest or respiratory failure.
Provide Care -Performing CPR on a patient in cardiac arrest.
-Positioning and providing care as needed for a patient with a life-threatening
injury or illness.
-Clearing an obstructed airway.
-Administering naloxone to a patient experiencing an opioid overdose.
After providing care, it is important to reassess the patient and the
effectiveness of your interventions to determine next steps based on your
Reassess and Document
findings.
Always document to establish a record of the events that took place, the care you
provided and the facts you discovered.
-Determine whether any additional help is needed
-Observe for any signs of illness or injury
Before you help an ill or injured patient, assess for any immediate dangers to
You are about to start your morning make sure that the environment is safe for you and any individuals present
rounds, when you hear a loud crash in during the event.
Mrs. Bailey's room. When you enter her Next, gather an initial impression of the patient's status, which includes looking for
doorway, you see her lying on the floor life-threatening bleeding. Your ability to quickly formulate an impression of
with her walker tipped over next to her. the patient before performing any hands-on techniques helps you to assess
You must first perform a visual survey. whether the emergency is life-threatening. While the initial impression does not
What actions should you take? identify a specific emergency, it does provide important clues to what might be
happening, and it may help determine whether a patient survives.
Finally, quickly identify what additional resources you may need in the situation,
such as a rapid response or resuscitation team or an advanced life support
unit available to respond, or any additional equipment such as an AED.
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As you approach Mrs. Bailey you note If the patient appears unresponsive, you need to check for responsiveness. If they
that she appears unresponsive and you are unresponsive, you should activate EMS, rapid response or resuscitation team.
do not see signs of life-threatening Then open the airway to a past-neutral position and check breathing and a pulse
bleeding. Which action should you for no more than 10 seconds; and at the same time, scan the body for life-
perform next? threatening bleeding. Finally, you should implement care based on your findings.
Mrs. Bailey is unresponsive. You suspect Modified Jaw Thrust maneuver
she may have a head injury. Which
technique should you use to open Mrs.
Bailey's airway?
Once the airway is open..... you simultaneously check for breathing, a pulse and life-threatening bleeding.
While simultaneously checking for No more than 10 sec
breathing and a pulse, you correctly
adhere to which amount of time?
As you check Mrs. Bailey's breathing, look to see whether her chest rises and falls, listen for escaping air and feel for
you... breathing against the side of your cheek.
Agonal breaths: Agonal breaths are isolated or infrequent gasps that occur in the
Rapid assessment of Mrs. Bailey's
absence of normal breathing in an unconscious patient. These breaths can occur
breathing reveals irregular, gasping
after the heart has stopped beating and are considered a sign of cardiac arrest.
breaths. You correctly identify this
Agonal breaths are not normal breathing. If the patient is demonstrating agonal
pattern of breathing as:
breaths, you need to care for the patient as if they are not breathing at all.
You note he is not breathing and has a Respiratory arrest
central pulse. You do not see signs of life-
threatening bleeding.
What emergency condition is Mr.
Henderson experiencing?
Deliver ventilations. Deliver 1 ventilation every 6 seconds for an adult patient, with
What action do you take for respiratory
each ventilation lasting about 1 second and making the chest rise.
arrest
Do this for 2 minutes and recheck breath and pulse
You note he is not breathing and has no Cardiac arrest
central pulse. You do not see signs of life-
threatening bleeding.
What emergency condition is he
experiencing?
-Surveillance and prevention
The Cardiac Chain of Survival
-Recognition of cardiac arrest and activation of the emergency response system
describes six actions that, when
-Early cardiopulmonary resuscitation (CPR) with an emphasis on chest
performed in rapid succession, increase
compressions
the patient's
-Rapid defibrillation
likelihood of surviving sudden
-Post-cardiac arrest care
cardiac arrest. Place the links of the
-Recovery (including additional treatment, observation, rehabilitation, and
In-Hospital Adult Cardiac Chain of
psychological support)
Survival in the
correct order.
You are working as part of a high- 1. Compressor
performance BLS team. Which roles 2.AED operator
would you and the other providers most 3.Team leader
likely fill? 4.Airway manager/ventilator
You are evaluating the quality of CPR 1. Visual observation
provided by the BLS team. Which 2.Feedback device (depth: 2.4 inches)
methods would you use for this 3.Chest compression fraction
evaluation? 4. Capnography
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