NCLEX-PN: Basic Life Support questions
A nurse is teaching CPR to a group of nursing students. The nurse asks a student to describe the reason why blind fingers sweeps are avoided in infants. The nurse determines that the student understands the reason if the student makes which statement? A. "The object may have been swallowed" B. "The infant may bite down on the finger" C. "The mouth is too small to see the object" D. " The object may be forced back further into the throat"
Blind finger sweeps are not recommended for infants and children because of the risk of forcing the object further down into the airway. The answer is D: the object may be forced back further into the throat
A nurse understands that which of the following is a correct guideline for adult CPR for a health care provider? A. One breath should be given for every five compressions B. Two breaths should be given for every 15 compressions C. Initially, two quick breaths should be given as rapidly as possible. D. Each rescue breath should be given over 1 second and should produce a visible chest rise.
During adult CPR, each rescue breath should be given over 1 second and should produce a visible chest rise. Health care providers should employ a 30 compression to 2 ventilation ratio for the adult victim. The answer is D: Each rescue breath should be given over 1 second and should produce a visible chest rise.
A nurse is performing CPR on an adult. The nurse delivers how many breaths per minute to the client? A. 6 B. 10 C. 18 D. 20
Each rescue breath is delivered over 1 second at a rate of 1 breath every 6 to 8 seconds(8 to 10 ventilations per minute). The answer is B: 10
A nurse is performing CPR on an infant. When performing chest compressions, the nurse understands that the compression rate is at least: A. 60 times per minute B. 80 times per minute C. 100 times per minute D. 160 times per minute
For an infant, the rate of chest compression is at least 100 per minute. The answer is C: 100 times per minute
A nurse witnesses a neighbor's husband sustain a fall from the roof of his house. The nurse rushes to the victim and determines the need to open the airway. The nurse opens the airway in this victim with the use of which method? A. Flexed position B. head tilt chin lift C. Jaw thrust maneuver D. Modified head tilt chin lift
If a neck injury is suspected, the jaw thrust maneuver is used to open the airway; The head tilt chin lift produces hyper extension of the neck and could cause complications if a neck injury is present. The answer is C: jaw thrust maneuver
A nurse on the day shift walks into a client's room and finds the client unresponsive. The client is not breathing and does not have a pulse, and the nurse immediately calls out for help. The next nursing action is which of the following? A. Deliver breaths B. Give the client oxygen C. Start chest compressions D. Ventilate with a mouth to mask device
The nurse would follow C.A.B(compressions, airway, breathing). Therefore the next nursing action would be to start chest compressions. The answer is C: start chest compressions
A nurse attempts to relieve an airway obstruction on a 6 year old conscious child. The nurse performs this maneuver by placing the hands between: A. The groin and the abdomen B. The umbilicus and the groin C. The lower abdomen and the chest D. The umbilicus and xiphoid process
The rescuer places the thumb side of one fist against the victim's abdomen in the midline slightly above the umbilicus and well below the tip of the xiphoid process; the rescuer grasps the fist with the other hand and delivers up to 5 thrusts. The answer is D: The umbilicus and xiphoid process.
Which of the following is the most appropriate location for assessing the pulse of an infant who is less than 1 year old? A. Radial B. Carotid C. Brachial D. Popliteal
To assess a pulse in an infant(child<1 year), the pulse is checked at the brachial artery. The answer is C: brachial
A nursing instructor asks a nursing student to describe the procedure for relieving an airway obstruction on an unconscious pregnant woman at 8 months gestation. The student describes the procedure correcly if the student states to: A. Place the hands in the pelvis to perform the thrusts. B. Perform abdominal thrusts until the object is dislodged. C. Perform left lateral abdominal thrusts until the object is dislodged. D. Place a rolled blanket under the right abdominal flank and hip area
To relieve an airway obstruction on an unconscious woman in an advanced stage of pregnancy, the woman is placed on her back. A wedge, such as a pillow or rolled blanket, is placed under the right abdominal flank and hip to displace the uterus to the left side of the abdomen; the other options will cause harm to the woman and the fetus. The answer is D: Place a rolled blanket under the right abdominal flank and hip area
A nurse is performing CPR on an adult client. The nurse understands that when performing chest compressions, one should depress the sternum: A. 1 inch B. 3/4 inch C. 2 inches D. 3 inches
When performing CPR on an adult client, the sternum is depressed 2 inches. The answer is C: 2 inches