BLS

Question 1

When a choking infant becomes unresponsive, what is one thing you need to do differently when performing CPR?

Answer 1

Check the airway for the obstructing object

Question 2

Steps for Unwitnessed collapse: Children and Infants (when Alone)

Answer 2

If you are alone, START CPR (30:2), After 2 min (if still alone) active emergency response system and get an AED

Question 3

Steps for unwitnessed collapse: Children and Infant (not Alone)

Answer 3

Send someone to get the AED, begin CPR, Use AED as soon as it is available

Question 4

Correct rate of ventilation delivery for a child or infant in respiratory arrest or failure

Answer 4

1 Ventilation every 2 to 3 seconds

Question 5

You suspect that an unresponsive patient has sustained a neck injury. Which technique should you use to open the patient’s airway?

Answer 5

Modified Jaw-Thrust Maneuver

Question 6

You and two nurses have been performing CPR on 76- year old Patient Bobby Shay. Mr. Shay shows signs of ROSC, where should you perform the pulse check?

Answer 6

Carotid and femoral artery

Question 7

You have assessed your patient and recognized that they are in cardiac arrest, you should begin CPR____

Answer 7

Immediately

Question 8

You are providing high-quality CPR on a 6 year old girl who weighs 44 pounds. The AED arrives, it does not have a pediatric setting and includes only ADULT AED Pads, what should you do?

Answer 8

Use the Adult AED Pads

Question 9

You walk into your patients’ room and notice they are slumped over in the chair and APPEAR unresponsive and cyanotic. You do not see signs of life-threatening bleeding. Which is the next appropriate action?

Answer 9

Check for responsiveness

Question 10

During a resuscitation, the team leader assigns team roles. You recognize that a task has been overlooked. Which is the most appropriate action?

Answer 10

ALERT the team leader immediately and identify for them what task has been overlooked

Question 11

After immediately initiating the emergency response system, what is the next link in the Adult-in-Hospital Cardiac chain of survival?

Answer 11

Early high quality CPR

Question 12

Nurse assesses a RESPONSIVE adult and determines she is CHOKING. What intervention should the nurse implement?

Answer 12

Cycles of 5 black blows and 5 abdominal thrust

Question 13

Your patient, Ms. Morgan, suddenly goes into cardiac arrest. She is 28 weeks pregnant and her fundus is ABOVE the umbilicus. What should you do?

Answer 13

Providers should perform high quality CPR and Continuous LUD until the infant is delivered, even if ROSC is achieve

Question 14

7 year old goes into sudden cardiac arrest, you initiate CPR and perform chest compressions at what rate?

Answer 14

100 to 120 compressions per minute

Question 15

Working as a dental assistant in a medical facility, you find a patient who is UNRESPONSIVE int he exam room. You yell to your medical assistant “Go get the AED” what should your medical assistant respond to demonstrate closed-loop communication?

Answer 15

‘I’ll go get the AED’

Question 16

You are alone performing high quality CPR when a second PROVIDER arrives to take over compressions. When switching roles, you should minimize interruptions in chest compressions to LESS than how many seconds?

Answer 16

10 seconds

Question 17

You are alone caring for a 4 months old infant who has gone into CARDIAC arrest, which is the most EFFECTIVE CPR technique to perform until helps arrives?

Answer 17

Standin/Kneeling at the side of the infant with your hips at a slight angle, provide chest compressions using the ENCIRCLING Thumbs technique and deliver ventilations with a pocket mask or face shield

Question 18

A well organized team response when performing high quality includes ensuring switching off providers performing compressions every ___minutes

Answer 18

2

Question 19

Well-organized team response when performing high quality CPR, ensures providers are switching off performing compressions every ___ CYCLES

Answer 19

5

Question 20

What is the appropriate compression depth for a 6-month-old who weighs 17 pounds?

Answer 20

About 1.5 inches

Question 21

Your patient has endotracheal tube in place, how does it affect compressions and ventilations?

Answer 21

Team should provide 1 ventilation every 6 seconds without pausing compressions

Question 22

You are preparing to deliver ventilations to an ADULT patient experiencing RESPIRATORY Arrest, you should give 1 ventilation every ___

Answer 22

6 seconds

Question 23

You are alone caring for a 10 month old infant with an obstructed airway who becomes UNRESPONSIVE, which action should you perform first?

Answer 23

Provide 30 chest compressions

Question 24

The Code team has arrived to take over resuscitative efforts, among members of the BLS Team, whose role is it COMMUNICATE to the code team the patients status and the care already provided

Answer 24

Team Leader

Question 25

You perform a rapid assessment and determine that your patient is experiencing CARDIAC arrest. Based on your assessment findings, you begin CPR to improve the patient's chances of survival. Which term refers to CLEARLY and RATIONALLY IDENTIFYING the CONNECTION BETWEEN INFORMATION AND ACTIONS?

Answer 25

Critical Thinking

Question 26

Hou is a child defined in terms of CPR/AED Care?

Answer 26

Age of 1 to the onset of puberty

Question 27

You and your colleagues are performing CPR On a 6-year-old child. What is the compression to ventilation ratio during multiple provider CPR

Answer 27

15:2

Question 28

For Bag-valve-mask resuscitators, how many persons are preferred and why?

Answer 28

two person technique is preferred, because it provides better seal and ventilation volume

Question 29

You adult patient is in respiratory arrect due to opioid overdoes. Your team delivers 1 ventilation every 6 seconds. You administered the recommended dose of naloxone (2 mg IN (intravenous). How often is the dose be repeated

Answer 29

Every 2 to 3 minutes as needed

Question 30

Examples of Effective TEAM DYNAMICS

Answer 30

Clear Roles and responsibilities, knowledge sharing, debriefing, constructive intervention

Question 31

Assigning your team members to individual roles and outlining what each member needs to do during the resuscitation attempt is an example of what element of high-performance team dynamics?

Answer 31

Clear Roles and Responsibilites

Question 32

You and your team have initiated compressions and ventilation. The AED was ATTACHED, and 'no shock' was advised. Your team has continue CPR for 1 MINUTE, you tell your team "Gabby during the next analysis by the AED, I want you and Justin to switch positions and I want you to perform compressions for the next cycle.' Gabby replies, 'Got it, next time the AED Analyzes, I wil switch with Justin and assume the role of the compressor. This is an example of ...

Answer 32

Closed-loop Communication

Question 33

As a TEAM LEADER you notice that your COMPRESSOR is pushing too fast. It is important to correct actions that are incorrect and to be tactful. This is an example of what element of TEAM DYNAMICS?

Answer 33

Constructive Intervention

Question 34

What are the resuscitation traingle roles in a High-performance team?

Answer 34

Airway, Compressor, AED/Monitor/Defibrillator

Question 35

How can you achieve a high chest compression factor?

Answer 35

Minimize pauses in chest compressions

Question 36

Your ADULT FRIEND suddenly collapses at home, you determine she needs CPR. You start CPR, starting with chest compressions, and are about to deliver breaths by using mouth-to-mouth breaths. You open the airway using the head titl-chin life, what are your next actions?

Answer 36

Pinch the nose, seal your lips around your friends mouth, give 1 breath and blow for about 1 second (making sure the chest rises), give a second breath

Question 37

What is an indication for mouth-to-mouth rescue breaths?

Answer 37

A barrier device is NOT availabe

Question 38

What is the ratio for Rescue Breathing in an ADULT

Answer 38

give 1 breath every 6 seconds (10 breaths/min), each breath is over 1 second (making the chest rise), check the victims pulse every 2 minutes

Question 39

What are the steps for RESCUE breathing in Children and Infants

Answer 39

Give 1 breath every 2 to 3 seconds, give each breath over 1 second, make sure chest rise with each breath, check pulse every 2 minutes

Question 40

Rescue breaths to a 3-year old (child/infant) should be 1 breath every ____

Answer 40

2 to 3 seconds

Question 41

Having a bag-mask device provides ___ and consist of ___ and has a 1 way valve

Answer 41

Provides positive-pressure ventilation, consists of a bag attached to the a face mask

Question 42

A chest compression feedback device monitor, gives feedback on _____

Answer 42

compression depth, compression rate, chest recoild

Question 43

What are the steps for performing mouth-to-mouth-and-nose breaths for an INFANT

Answer 43

Perform head-tilt chin life, place your mouth over infant's mouth and nose (create an airtight seal) give 1 breath for about 1 second (watching the chest rise)

Question 44

A laryngeal mask airway, supraglottic airway device, and endotracheal tube are all types of _____ airway

Answer 44

Advanced Airway

Question 45

When advanced airway is in place, how do you perform CPR?

Answer 45

Perform CONTINOUS compressions at a rate of 100 to 120, give 1 breath every 6 seconds for adults, every 2-3 seconds for child/infant, NO Pauses in compressions to give breaths

Question 46

When providing rescue breaths to an ADULT victim, you should give breaths how

Answer 46

1 breath every 6 second

Question 47

When advanced airway is in place, chest compressions should be given at

Answer 47

100 to 120 per minute

Question 48

Opioid associate life threatening emergency causes the patient to ______ Breathing but still have a ______

Answer 48

Stop breathing, but still have a pulse

Question 49

True or False: Naloxone is a medication that can TEMPORARILY reverse the effects of opiod overdose

Answer 49

TRUE

Question 50

List the common routes of administration for naloxone

Answer 50

Intravenous, intramuscular, intranasal

Question 51

Opioid associated life threatening emergency, is a person who is UNRESPONSIVE, NOT Breathing, but has a pulse, your appropriate should be

Answer 51

give 1 rescue breath every 6 seconds for an adult, 1 rescue breath every 2 to 3 seconds in a child or infant, when naloxone is available give it (If local protocol allows)

Question 52

Cardiac arrest in pregnant patient is performing high quality CPR (to increase the mothers AND infants chance of survival), what other things should you do?

Answer 52

Perform compressions and use an AED, shock from the AED will not harm the infant, if additional rescuers are present and they are trained, perform continuous lateral uterine displacement

Question 53

After a pregnant patient is revived after sustaining a cardiac arrest, they should be placed on their _____Side to improve blood flow to her heart and therefore the infant

Answer 53

LEFT

Question 54

In Choking, a severe airway obstruction the patient will show signs of poor air exchange and difficulty breathing such as...

Answer 54

silent cough, inability to speak or breath, cyanosis, universal sign of chocking (clutching the neck with both hands)

Question 55

How to perform abdominal thrust on adult and children?

Answer 55

Stand or knee behind the victim, place your arms around the victims waist, locate the navel, make a fist, place thumb side of your first against victim abdomen, make quick forceful UPward thrust, repeat until object is expelled or patient becomes unresponsive

Question 56

How to use a pocket Mask? Know the steps

Answer 56

Position yourself at the victim's side, place the pocket mask on victim's face (use the bridge of the nose to guide to the correct position), seal the mask (index and thumb along the edges), remaining fingers go along the bony margin of the jaw, lift the jaw, perform health tilt child to open airway, deliver 1 breath over 1 second enough to make the victims chest rise

Question 57

If the chocking victim is obese or pregnant and you can not wrap your arms around the waist, you should...

Answer 57

wrap your arms around their chest, perform chest thrust instead of abdominal thrusts

Question 58

At the nursing home, you are assisting an adult who is chocking. You have given them back blows and abdominal thrust, but they have become unresponsive, what do you do?

Answer 58

Send someone to activate the emergency response system, lower the victim to the ground, and perform CPR with the exemption of looking for the obstruction object after opening the airway and before giving breaths, if you see the object remove it, no blind sweeps

Question 59

How is CPR performed differently when an advanced airway is in place?

Answer 59

No pauses for ventilations, compressions are continuous at a rate of 100 to 120

Question 60

Naloxone is commonly administered

Answer 60

intramuscular, intravenous, intranasal

Question 61

Severe airway obstructions usually means the patient is

Answer 61

unable to speak

Question 62

You respond to a collapsed pregnant patient, you are the only rescuer, you follow the BLS sequence, she is unresponsive, not breathing, and had no pulse. She is visibly pregnant you activate the emergency response system. What is your next action?

Answer 62

Begin Chest Compressions

Question 63

When performing abdominal thrust on adults/children what direction should your thrusts be?

Answer 63

Upward

Question 64

If a chocking victim is too large to wrap your arms around the waist you should perform

Answer 64

chest thrust

Question 65

What are the steps for a choking infant (up to 1 year)

Answer 65

Kneel or sit with infant on your lap, hold the infant facedown (head slightly lower that the chest), support the head and jaw with your hand, rest your forearm on thigh to provide support, 5 back slaps, turn baby for 5 quick downward chest thrust ...repeat until object is removed or patient becomes unresponsive

Question 66

Choking victim became unresponsive, you should for help and send someone to activate the emergency response system, what is next?

Answer 66

Lay the infant on a hard flat surface, begin CPR with 1 exception, each time you open the airway to give breaths look for the object, if you see the object and it can be easily removed remove it with a pinky sweep (no object no sweep)

Question 67

If a choking infant becomes unresponsive, and you are alone you should

Answer 67

Perform 2 minutes or 5 cycles of CPR and then go activate the emergency response system

Question 68

Minimizing interruptions while using an AED when 2 or more rescuers are present means

Answer 68

one rescuer should continue chest compressions while the other operates the AED

Question 69

Rescuers should continue high quality CPR

Answer 69

until the AED delivers a prompt to clear for the victims analysis

Question 70

During Cardiac Arrest, the AED said NO shock advised, you should

Answer 70

immediately resume CPR, STARTING with CHEST Compressions

Question 71

How is CPR differ in an UNRESPONSIVE adult chocking victim?

Answer 71

the airway is checked for the obstructing object

Question 72

What are special considerations for defibrillation in children less than 8 years of age?

Answer 72

A manual defibrillator is preferred for infants less than 1 year of age. Use smaller size pads if available, but can use adult pads, do not place both pads on the chest (pads should not touch), you can use smaller-sized pads on infants

Question 73

You are alone and your phone is out of battery and witnessed a children/infant collapsed you should

Answer 73

Leave the victim to activate emergency response system, get the AED before beginning CPR, use the AED as soon as it is availableY

Question 74

You and your friend are at downtown park and witnessed a child collapse, what should you do

Answer 74

send your friend to get the AED, begin CPR Immediately, use the AED as soon as it is available

Question 75

You do not witness a child collapse, and are alone you should

Answer 75

Start CPR, Cycles of 30:2, after 2 minutes, if still alone activate emergency response system and get the AED

Question 76

You and your friend did not see the child collapse, you should

Answer 76

send your friend to get the AED, begin CPR, use AED when avaible