Midterm Test
Handwashing is described as the single most important practice for:
aseptic technique
Scenario: A 53 yr old man suddenly collapses and becomes unresponsive. You witness him collapse and are the first rescuer to arrive. You find him lying motionless on the floor. Answer the next 4 questions specific to this scenario. 4. What action should you take when more rescuers arrive?
assign tasks to other rescuers and rotate compressors every 2 minutes or sooner to avoid fatigue
Correct body mechanics includes ____.
the use the strongest muscles
How often should rescue breaths be given in infants and children when a pulse is present?
1 breath every 3 to 5 seconds
How many times should you read the labels on solution bottles?
3 times
What is the correct compression-to-ventilation ratio for a single rescuer of a 3-year-old child?
30 compressions to 2 breaths
Nancy is performing CPR on Susie, a 4 year old who is not breathing and does not have a pulse. What should be the compression:ventilation ratio?
30:2
What is the general range for pulse rates in adults?
60 to 100 beats per minute
How many inches apart should the feet be to maintain a broad base of support?
8 to 10
You encounter an unresponsive 56-year-old man who has been taking hydrocodone after a surgical procedure. He is not breathing and has no pulse. You notice that his medication bottle is empty. You suspect an opioid-associated life-threatening emergency. A colleague activates the emergency response system and is retrieving the AED and naloxone. What is the most appropriate action for you to take next?
Begin CPR, starting with chest compressions
You are performing abdominal thrusts on a 9-year-old child when he suddenly becomes unresponsive. After you shout for nearby help, what is the most appropriate action to take next?
Begin high-quality CPR, starting with compressions
Scotty is a medical office assistant and must take a heavy box from the floor to the storage room located upstairs. He just finished a training class in ergonomics and body mechanics thru his employer, Texas Health Institute. Scotty is excited to use his new-found knowledge. How should Scotty lift the heavy box?
Bend at the hips and knees with the back straight, get close to the box, and lift using the leg muscles.
Which of the following are MOST likely signs of inadequate circulation?
Bluish color around the nose and mouth
While performing CPR on an adult, a second trained rescuer arrives with an AED. What should you do?
Continue CPR while the second rescuer turns on the AED and applies the pads
Which action can rescuers perform to potentially reduce the risk of gastric inflation?
Delivering each breath over 1 second
what does the acronym PASS stand for?
Pull, Aim, Squeeze, Sweep
What is important to remember about AED pad placement on infants?
You may need to place 1 pad on the chest and 1 on the back, according to the diagrams on the pads
You are a new nurse extern at Regional One Health. You go to the storage room to deposit dirty equipment and hit a container when you open the door. The container spills an unknow liquid onto the floor. You know you should consult a Material Safety Data Sheet to get information about cleaning up what type of spill?
chemical
You have your BSN and work for The WING in Memphis. You respond to acute traumas and you fly your patients to the appropriate hospital. Which emergency services professional would you be?
flight nurse
Janee is cleaning a patient's dentures when some of the soaking solution splashes into her eye. She starts screaming for help from her co-worker Tiffany. Tiffany runs into the room and tells Janee what to do. What is the FIRST thing Tiffany should tell Janee?
flush your eyes with water
You witness a worker fall off of a 2 story roof. When you arrive at the scene, he is unresponsive and not breathing. To open his airway and provide rescue breaths you should:
jaw thrust to prevent injury to the neck
You have just started CPR with an AED on an adult victim. The AED advises shocking the victim. This shock stuns the heart muscle allowing the electrical system to reset so that a normal, organized heart rhythm can return. Once the heart muscle begins contracting and pumping on its own and circulation returns, this is called?
return of spontaneous circulation (ROSC)
Scenario: A 53 yr old man suddenly collapses and becomes unresponsive. You witness him collapse and are the first rescuer to arrive. You find him lying motionless on the floor. Answer the next 4 questions specific to this scenario. 2. The man does not respond when you touch his shoulder and ask him if he is ok. What is you best next action?
shout for nearby help
Scenario: A 53 yr old man suddenly collapses and becomes unresponsive. You witness him collapse and are the first rescuer to arrive. You find him lying motionless on the floor. Answer the next 4 questions specific to this scenario. 1. Which is the first action you should take in this situation?
verify that the scene is safe for you and the victim
Which of the following statements is correct about relieving choking?
. if the victim cannot talk you should attempt to relieve the airway obstruction
What is the normal rate range for respirations in an adult?
12 to 20 breaths per minute
What is the correct compression-to-ventilation ratio for a 7-year-old child when 2 or more rescuers are present?
15 compressions to 2 breaths
You are about to apply AED pads to a patient's chest when you notice that the patient has several body piercings with jewelry on his chest. Which of the following should you do?
Avoid placing the pads directly over the jewelry
Which victim of a severe airway obstruction should receive abdominal thrusts?
An average size 27 year old
For what age victim is the 2 thumb-encircling hands technique recommended when 2 or more rescuers are present?
An infant younger than 1 year
What is the correct chest compression depth for an infant?
At least one third the depth of the chest, or about 1 1/2 inches
What is the correct chest compression depth for a child?
At least one third the depth of the chest, or about 2 inches
If a victim of cardiac arrest has an implanted pacemaker of defibrillator, what special steps should be taken?
Avoid placing the AED pad directly over the implanted device
After making sure the scene is safe, what should be the NEXT action when approaching a victim found to be lying on the floor?
Check to see if the victim is responsive
As you are the babysitter (mentioned in another question in this test) for your neighbor's child Sam, and Sam collapses. You have activated the emergency response; who would be one of the first responders on scene?
EMT
Which emergency careers profession did we study that has the job responsibilities of providing immediate treatment, diagnosing the problem, ordering test, and creating a post-emergency treatment plan?
Emergency/Trauma physician
What is an example of a bloodborne pathogen?
Hepatitis C
In which locations do most out-of-hospital cardiac arrests occur?
Homes
If you suspect that an unresponsive victim has head or neck trauma, what is the preferred method for opening the airway?
Jaw thrust
You are babysitting your neighbor's 3 year-old child, Sam. He is busy playing with his toys when suddenly you witness Sam collapse onto the floor. What should you do?
Leave Sam, go to the kitchen to call 911, then return and begin CPR starting with compressions if he has no pulse and is not breathing
Which is the preferred technique for giving rescue breaths to an infant?
Mouth-to-mouth-and-nose
What is not an example of an opioid?
Naloxone
Which victim would need only rescue breathing?
No breathing and a pulse
Which step is one of the universal steps for operating an AED?
Placing the pads on the victim's bare chest
What is the most appropriate first step to take as soon as the AED arrives at the victim's side?
Power on the AED
Your 27-year-old roommate uses opioids. You find him unresponsive with no breathing, but a strong pulse. You suspect an opioid-associated life-threatening emergency. A friend is phoning 9-1-1 and is looking for the naloxone autoinjector. What action should you take?
Provide rescue breathing: 1 breath every 5 to 6 seconds
What is the appropriate action to demonstrate closed-loop communication when the team leader assigns you a task?
Repeat back to the team leader the task you were assigned
Which is the most common cause of cardiac arrest in children?
Respiratory failure or shock
What action should you take when the AED is analyzing the heart rhythm?
Stand clear of the victim
Janee and Tiffany work at a VA retirement home and have similar patient care assignments. At the end of every shift, Janee is tired and her back and shoulders ache, while Tiffany feels pretty good. What MOST LIKELY causes the difference?
Tiffany must use good body mechanics.
What should you do when using an AED on an infant or a child less than 8 years of age?
Use adult AED pads if the AED does not have child pads
If a manual defibrillator is not available for an infant victim, which action should you take?
Use an AED equipped with a pediatric dose attenuator
You are alone and find a potential victim. What is your first step?
Verify that the scene is safe for you and the victim
Which statement best describes sudden cardiac arrest?
When an abnormal rhythm develops and the heart stops beating unexpectedly
Which describes the correct hand position when giving abdominal thrusts?
With arms around victim, make a fist with one hand, cover with other hand
There is a fire on the 5th floor of your hospital building. You are a new nurse, but you have learned the emergency procedures for the facility and how to respond in certain life-threatening situations. Therefore, you know that when you use the fire extinguisher, you should aim it:
at the base of the fire.
To get close to an object, ____.
bend from the hips and knees
Solutions used in health care facilities ____.
can be dangerous, so avoid eye and skin contact
You are babysitting an 8 month old child who is crawling on the floor when they suddenly start coughing, gagging, and crying. It appears to be a mild airway obstruction. What should you do?
don't interfere with infant's own attempt to expel foreign body, but stay with the child
OSHA requires that all health care workers use standard precautions in the workplace, which includes which of the following barrier device?
face mask
You have earned your EMT basic and intermediate, and now you plan to continue studying with an additional 1000 hours and earning your associated degree. This new level of education will allow you to have more skills and a greater scope of practice. Which emergency services professional would you be?
paramedic
You are getting ready to move a patient up in bed, and your supervisor tells you to broaden your base of support. You should:
place your feet further apart
What does this symbol tell a healthcare worker? (BIOHAZARD SYMBOL)
practice standard precautions
Texas Health Institute conducted a study of their office space in hopes of decreasing their workplace accident rate. The study showed repeated injuries from office equipment, so they decide to send their employees for ergonomics training. After this training, their employees should know how to:
prevent injuries in the work environment
In case of fire in a health care facility, the most important thing to do is ____.
remain calm
If a particle gets in your eye, ____.
report it immediately
What does the acronym RACE stand for?
rescue, activate, contain, extinguish
Paul and Scotty both work for Texas Health Institute and their company just sent them to accident prevention training. While observing good body mechanics, how should Paul, a radiologic technologist, move a portable x-ray machine to a patient's room?
stand close to the machine and push using the weight of the body
Scenario: A 53 yr old man suddenly collapses and becomes unresponsive. You witness him collapse and are the first rescuer to arrive. You find him lying motionless on the floor. Answer the next 4 questions specific to this scenario. 3. Several rescuers respond, and you ask them to activate the emergency response system and retrieve the AED and emergency equipment. As you check for pulse and breathing, you notice that the man is gasping for air and making snorting sounds. You do not feel a pulse. What is your next action?
start high quality CPR, beginning with chest compressions
After performing CPR for 5 minutes, the team leader frequently interrupts chest compressions to check for pulse even though the victim has no organized rhythm when the AED analyzes the rhythm. What action demonstrates constructive intervention?
suggest to resume chest compressions without delay