BLS

After providing initial care, which actions must you implement?

-Reassess the patient and the effectiveness of your interventions to determine the next steps. Apply another appropriate care measure for the initial presenting problem or a new problem. Document to establish a record of the events that took place, the care you provided and the facts you discovered. -All of the above.

Rapid assessment of Mrs. Bailey's breathing reveals irregular, gasping breaths. You correctly identify this pattern of breathing as:

Agonal Breaths

As you approach Mrs. Bailey you note that she appears unresponsive and you do not see signs of life-threatening bleeding. Which action should you perform next?

Check for responsiveness.

An adult patient is unresponsive. You have opened their airway and are simultaneously checking for breathing and a pulse. To check for breathing, which actions are appropriate to do?

Listen for escaping air. Feel for breathing against the side of your cheek. Look to see whether the chest rises and falls.

After 2 minutes of delivering ventilations to an adult patient in respiratory arrest, you reassess them for breathing and a pulse. What should you do if the patient's pulse becomes absent?

Start CPR immediately and use an AED when it is available

You have been performing multiple-provider CPR and using an AED on an adult patient in cardiac arrest. The patient is now showing signs of return of spontaneous circulation (ROSC). Which action(s) would the team perform?

Stop CPR/AED. Check for breathing and a carotid or femoral pulse. Monitor the patient until the advanced cardiac life support team takes over.

An adult patient in respiratory failure may have some ventilation; however, this ventilation is insufficient to sustain needed gas exchange, oxygen and carbon dioxide. True or false?

True

The team leader assigns roles, supports the team, monitors the delivery of CPR and makes adjustments in real time. The team members deliver expert care within their assigned roles, assist others as needed (as long as they can maintain their own assigned responsibilities) and communicate effectively with the team leader and each other. True or false?

True

After completing a rapid assessment, you'll use your findings to quickly recognize the emergency condition and determine your immediate course of action. True or false?

Yes

As you check Mrs. Bailey's breathing, you look to see whether her chest rises and falls, listen for escaping air and feel for breathing against the side of your cheek. Is this the correct course of action?

Yes

Providers are preparing to deliver ventilations with a BVM to a patient in cardiac arrest. One provider seals the mask with both hands using the E-C hand position and simultaneously opens the airway to a past-neutral position. The other provider delivers smooth, effortless ventilations that last about 1 second and make the chest begin to rise. This is the preferred technique for delivering BVM ventilations when an advanced airway is not in place. True or false?

true

You have determined that your patient is unresponsive. What steps of the rapid assessment should you do next?

-Simultaneously check breathing and a pulse for no more than 10 seconds. Correct -Quickly scan down the body looking for blood or other signs and symptoms that might not have been seen during the initial impression.

The Cardiac Chain of Survival describes six actions that, when performed in rapid succession, increase the patient's likelihood of surviving sudden cardiac arrest. Place the links of the In-Hospital Adult Cardiac Chain of Survival in the correct order.

1 Surveillance and prevention 2 Recognition of cardiac emergency and activation of emergency response system 3 Early high-quality CPR 4 Early defibrillation 5 Integrated post-cardiac arrest care 6 Recovery

You are evaluating the quality of CPR provided by the BLS team. Which methods could you use for this evaluation?

1. Chest compression fraction 2. Capnography 3. Feedback device 4. Visual observation

You are working as part of a high-performance BLS team. Which roles would you and the other providers most likely fill?

1. Compressor 2. AED operator 3. Team leader 4. Airway manager/ventilator

You are working with a BLS team performing CPR on a 62-year-old female patient. Which actions demonstrate high-quality CPR?

1. Deliver smooth ventilations that last about 1 second each and make the chest begin to rise2. Allow for full chest recoil after each compression.3. Compress the chest at a rate of 100 to 120.

You demonstrate high-quality CPR by keeping interruptions in CPR to less than _____ seconds.

10

What is the correct rate of ventilation delivery for an adult in respiratory arrest or respiratory failure?

6

You are caring for a pregnant patient (30 weeks gestation) in cardiac arrest. The patient's fundus is above the umbilicus. Which of the following steps are appropriate?

Activate maternal and neonatal resuscitation teams. Correct Provide continuous high-quality CPR and left uterine displacement. Correct Make sure AED pads do not incorporate any breast tissue. Perform resuscitative cesarean delivery (RCD), if trained, within 5 minutes from the time of arrest.

Which of the following statements about performing chest compressions for adults are true?

Allow the chest to fully recoil after each compression. Correct Provide smooth compressions at a rate of 100 to 120. Correct Compress the chest to a depth of at least 2 inches (5 cm).

After performing a rapid assessment on an adult patient, you determine that they are not breathing, their central pulse is absent and they have no life-threatening bleeding. You recognize that the patient is experiencing:

Cardiac arrest

After determining an adult patient is unresponsive, what is the best site to check for a pulse?

Carotid artery

You enter an adult patient's room to provide routine care. Noticing the patient slumped over in the recliner, you perform a quick visual survey. This includes which of the following actions?

Checking for life-threatening bleeding Determining the need for additional resources Obtaining an initial impression of the patient

You are providing care for an adult patient in respiratory arrest. Which actions demonstrate appropriate care?

Deliver 1 ventilation every 6 seconds. Continue to check breathing and pulse every 2 minutes. If pulse becomes absent, start CPR.

You are about to start your morning rounds, when you hear a loud crash in Mrs. Bailey's room. When you enter her doorway, you see her lying on the floor with her walker tipped over next to her. You must first perform a visual survey. What actions should you take?

Determine whether any additional help is needed. Correct Observe for any signs of illness or injury, including life-threatening bleeding.

Identify the situations in which it is safe to use an AED.

If the patient is wearing jewelry or has body piercings, providing the AED pads are not placed directly over any metallic jewelry or piercings Correct No response given If the patient has a pacemaker or implantable cardioverter-defibrillators (ICDs), providing the AED pads are not placed directly over the device Correct If the patient is pregnant, providing the AED pads do not incorporate any breast tissue Correct If the patient is lying on a metal surface, providing the AED pads do not touch the surface and no one is touching the patient during shock

Mrs. Bailey is unresponsive. You suspect she may have a head injury. Which technique should you use to open Mrs. Bailey's airway?

Modified Jaw Thrust

While simultaneously checking for breathing and a pulse, you correctly adhere to which amount of time?

No more than 10 seconds

You arrive with an AED and prepare to apply the pads while the BLS team continues to provide CPR. You apply the pads using the anterior/lateral pad placement.

Patient's upper right chest, below the right clavicle to the right of the sternum Patient's lower left chest along the midaxillary line, a few inches below the left armpit

After performing a rapid assessment on an adult patient, you determine they are unresponsive, breathing and their pulse is present. You suspect they have a head and neck injury. What actions should you take?

Perform primary assessment (Airway, Breathing, Circulation, Disability, Exposure) and emergent/initial interventions. Perform secondary assessment as patient condition allows. Correct Reassess patient, recognize issues and provide care as needed.

An adult patient suffers cardiac arrest in bed and requires CPR. When compressing the patient's chest, which technique promotes high-quality CPR?

Place down a CPR board or activate the system in the bed to ensure a firm CPR surface. Position yourself so your shoulders are directly over your hands. Correct Place one hand on top of the other and interlace your fingers or hold them up so that they are not resting on the patient's chest.

You and another provider are delivering ventilations with a bag-valve-mask (BVM) resuscitator to an adult patient in cardiac arrest. Which of the following statements are correct?

Seal the mask and open the airway by lifting the jaw into the mask. Ensure that the chest begins to rise. Bag-valve-mask (BVM) ventilations should be performed as a two-person technique to provide a better seal and ventilation volume. Correct Hold the mask in place with the E-C hand position.

You and a team of trained providers are performing CPR on an adult patient. One team member has gone to get additional resources and the AED. Which of the following statements are true about AED use?

Team members should rotate roles every 2 minutes, which is generally during the AED analysis, to prevent compressor fatigue. Correct The compressor should continue providing compressions until the AED pads are applied and the AED prompts that it is analyzing. Correct After the shock is delivered and the AED prompts shock delivered, the team should immediately resume CPR.

An adult patient with an endotracheal tube (ET) in place experiences cardiac arrest and requires CPR. Which of the following statements are true when performing high-quality CPR with an ET tube in place?

The providers deliver 1 ventilation every 6 seconds. Correct The providers perform continuous compressions without pausing for ventilations.

You should perform early assessment for life-threatening bleeding during the initial impression and the breathing and pulse check. True or false?

True

You and another provider have recognized that an adult patient is in cardiac arrest. An advanced airway is not in place. Which actions demonstrate appropriate care?

Use a compression-to-ventilation ratio of 30:2. Correct Begin CPR immediately after identifying cardiac arrest.

Which statement(s) are true about your duty to act?

When a patient experiences a life-threatening emergency in your practice setting, you have a duty to act. Correct Although a duty to act may not always exist outside your practice setting, being prepared and willing to respond is essential.

Once the airway is open, you simultaneously check for breathing, a pulse and life-threatening bleeding. Is this the correct course of action?

Yes