IHM midterm review 2019-2020
What is a reason you would choose to perform chest thrusts instead of abdominal thrusts for an adult with an obstructed airway?
A) the patient is thin and frail B) the patient is coughing forcefully C) the patient is in a wheelchair D) the patient is lying unresponsive on the ground correct answer: C
While orienting a new medical assistant to the facility, you find a patient who is unresponsive in the exam room. You yell to the medical assistant, "Go get the AED!" Which response by the medical assistant demonstrates closed-loop communication?
A) " I'll go get the AED " B) " ok " C) " I'll call 9-1-1 " D) " begin CPR, I'll gather the equipment " correct answer: A
What is the correct rate of ventilation delivery for a child or infant in respiratory arrest?
A) 1 ventilation every 3-5 secs B) 1 ventilation every 5-6 secs C) 1 ventilation every 8-10 secs D) 1 ventilation every 10-12 secs correct answer: A
A well organized team response when performing CPR includes ensuring that providers switch off performing compressions every ____ minutes.
A) 2 B) 4 C) 5 D) 10 correct answer: A
You and your colleagues are performing CPR on a 6 year old child. What is the compression to ventilation ratio during multiple provider CPR?
A) 30:2 B) 15:2 C) 15:1 D) 30:1 correct answer: B
The nurse assesses a responsive 8 month old infant and determines the infant is choking. Which intervention should the nurse implement?
A) 5 chest thrusts and 5 ventilations B) 5 abdominal thrusts and 5 back blows C) 5 chest thrusts and 5 abdominal thrusts D) 5 back blows and 5 chest thrusts correct answer: D
You are alone performing high-quality CPR when a second responder arrives to take over compressions. When switching roles, you should minimize interruptions in chest compressions to less than how many seconds?
A) 5 sec B) 10 sec C) 15 sec D) 20 sec correct answer: B
You are preparing to deliver ventilations to an adult experiencing respiratory arrest. You should give 1 ventilation every:
A) 9-10 seconds B) 7-8 seconds C) 5-6 seconds D) 3-4 seconds correct answer: C
Which statement of about bag-valve-mask (BVM) resuscitators is true?
A) A BVM delivers ambient air, allowing the patient to receive a higher concentration of oxygen than the provider's exhaled air. B) Supplemental oxygen should always be attached to the BVM, regardless of local protocols. C) The BVM should extend past the patient's chin when it is properly placed. D) The bag should be depressed completely to deliver a volume of 1,000 to 2,000 mL of oxygen. correct answer: A
You are working in an OB/GYN office when your patient, Mrs. Tribble, suddenly goes into cardiac arrest. While preparing an AED, your colleague reminds you that Mrs. Tribble is 28 weeks pregnant. Which statement is true regarding the use of an AED on a pregnant patient?
A) AED use is safe for pregnant patients B) AED settings should be adjusted to pediatric doses in pregnant patients C) AED use is not safe for pregnant patients during the third trimester D) AED use is contraindicated in pregnant patients correct answer: A
You and two nurses have been performing CPR on a 72 year old patient, Mr. Phillips. When Mr. Phillips shows signs of ROSC, where should you perform the pulse check?
A) Carotid or radial arter B) Carotid or femoral artery C) femoral or brachial artery D) carotid or brachial artery correct answer: B
Which term refers to the ability to use readily available resources to find solutions to challenging or complex situations or issues that arise?
A) Critical thinking B) Problem solving C) communication D) teamwork correct answer:B
What is the fourth link in the In-Hospital Adult Cardiac Chain of Survival?
A) Early CPR to keep oxygen-rich blood flowing and to help dealy brain damage and death. B) Early defibrillation to help restore an effective heart rhythm and significantly increase the patient's chance of survival. C) Recognition of a cardiac emergency and activation of the emergency response system. D) Integrates post-cardiac arrest care to optimize ventilation and oxygenation and treat hypotension immediately after the return of spontaneous circulation. correct answer: B
Which statement is true regarding the administration of naloxone?
A) Naloxone can only be administered intramuscularly B) Naloxone is not recommended for patients experiencing cardiac arrest C)Naloxone can be used to reverse the effects of opioids and benzodiazepines. D) Naloxone is safe to administer if the patient is not breathing and you cannot identify the drug overdosed. correct answer: D
You are providing care for Mrs. Bove, who has an endotracheal tube in place. How does this affect compressions and ventilations?
A) The team should provide compressions and ventilations at a ratio of 30:2 B) Te team should provide ventilations at a rate of 1 ventiilation every 6 seconds C) The team should provide ventilations at a rate of 1 ventilations every 10 seconds without pausing compressions D) The team should provide compressions and ventilations at a ratio of 15:1 correct answer: B
The three basic elements of action for a provider when an emergency event occurs are_________, recognize, care.
A) approach B) address C)attend D) assess correct answer: D
The systematic and continuous approach to providing emergent patient care includes which three elements?
A) approach, recognize, care B) assess, respond, care C) approach, respond, care D) assess, recognize, care correct answer: D
A 7 year old patient goes into sudden cardiac arrest. You initiate CPR and correctly perform chest compressions at which rate?
A) at least 60 compressions per minute B) 80-100 compressions per minute C) 100-120 compressions per minute D) over 120 compressions per minute correct answer: C
You perform a rapid assessment and determine that your patient is experiencing cardiac arrest. On the basis of 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?
A) critical thinking B) problem solving C) communication D) teamwork correct answer: A
What is the first link in the Pediatric Cardiac Chain of Survival?
A) early, high-quality CPR B) prevention of arrest C) recognizing cardiac arrest and summoning advanced help D) advanced life support correct answer: B
The BLS team is performing CPR on a patient experiencing cardiac arrest. Soon after the AED pads have been placed, the device alerts, "Shock advised." What is the most important initial action?
A) ensure that everyone is clear of the patient B) immediately deliver the shock as advised C) reassess for the presence of a pulse D) continue providing effective chest compressions correct answer: A
You and your co-worker Jake are operating a BVM during multiple-provider CPR for an adult. You manage the airway while Jake delivers ventilations. Which statement correctly describes the appropriate technique for operating the BVM?
A) stand behind the patient's head and open the airway to a neutral position B) seal the mask with two hands using the E-C technique C) depress the bag completely to deliver a volume of 1,00 to 2,00 mL oxygen D) Deliver smooth, effortless ventilations that make teh chest fully rise over 1-2 seconds correct answer: B
You are alone caring for a 4- month-old infant who has gone into cardiac arrest. Which is the most effective CPR technique to perform until help arrives?
A) standing to the side of the infant, provide chest compressions using the two finger technique and deliver ventilations with a pocket mask or face shield. B) Standing to the side of the infant, provide chest compressions using the one hand technique and deliver ventilations with a pocket mask or face shield. C) Standing at the infant's feet, provide chest compressions using the encircling thumbs technique and deliver ventilations with a BVM. D) Standing to the side of the infant, provide hands-only CPR correct answer: A
You and your colleagues have been providing high quality CPR for and using an AED on Mr. Sauer. While providing ventilations, you notice that Mr. Sauer moves and appears to be breathing. What is the correct course of action?
A) stop CPR and perform a shout-tap-shout sequence to check for responsiveness B) continue CPR until the advanced cardiac life support team takes over C) wait for AED to analyze his heart rhythm and follow the AED prompts D) stop CPR, check for breathing and pulse and monitor Mr.Sauer until the advanced cardiac life support team takes over correct answer: D
During a resuscitation, the team leader assigns team roles and tasks each member. You recognize that a task has been overlooked. Which is the most appropriate action?
A) take on the responsibility of the task, as long as you can maintain your own responsibilities B) Alert the team leader immediately and identify for them what task has been overlooked C) assign the overlooked task to another team member D) do the task you were assigned; wait for the team leader to realize what was overlooked correct answer: B
