PRE`ASSES

Mr. Goodman is unresponsive. Valerie must now simultaneously check for breathing and a pulse for no more than ___.

10

What is the correct rate of ventilation delivery for a child or infant in respiratory arrest or respiratory failure?

2 to 3 seconds.

What is the correct volume of air to deliver during BVM ventilations?

700ml

TEAM RESPONSESCENARIO HARRY PRICE Lauren's response is an example of what type of communication?

CLOSED LOOP COMM

This is an example of effective family communication.

TRUE

Mr. Goodman is exhibiting signs and symptoms of which condition?

heart attack

Acting as the team leader during a resuscitation event, you use all available resources (including people, equipment and procedures) to promote effective and efficient teamwork and reduce the likelihood of human error. You are demonstrating which skill?

Crew resource management

The BLS team is caring for a patient who just went into cardiac arrest. The team leader asks you to call the code team. Which statement demonstrates appropriate closed-loop communication?

"Got it. I'll call the code team."

Kirron arrived and took over compressions. To ensure high-quality CPR, providers should switch off giving compressions every ___ minutes or sooner if the provider giving compressions is fatigued.

2

A 28-year-old patient (27 weeks' gestation) was admitted to the intensive care unit for treatment of pneumonia-related sepsis. The patient goes into cardiac arrest. When should a trained provider perform resuscitative cesarean delivery (RCD)?

Actually, RCD should be performed within 5 minutes from the time of arrest.

To minimize interruptions in chest compressions, what should Valerie do during the AED analysis and shock?

Clear the patient and prepare to resume CPR immediately after the shock is delivered or if no shock is advised.

The team's action best represents which practice used to prevent errors?

Crew resource management

You and additional providers have been caring for a child in respiratory arrest with a pulse of 65 bpm. After 2 minutes, you reassess the child for breathing and a pulse. What should you do if the central pulse decreases to 50 bpm with signs of poor perfusion despite adequate ventilations and oxygen?

If their central pulse decreases to ≤ 60 bpm with signs of poor perfusion despite adequate ventilations and oxygen, start CPR immediately.

When you asked the daughter to assist you with Mrs. Price, you took advantage of a readily available resource to find a solution. This is an example of:

Problem Solving

When Joanne returns with the AED, what is her first step?

That's not it. The first step when using an AED is for Joanne to turn on the AED and follow the prompts. Then, she should attach the AED pads to the patient's bare chest while Valerie continues CPR. Both providers should clear the patient during rhythm analysis and shock delivery. After delivering the shock, they should immediately resume CPR.

Joanne and Valerie switched to operating the BVM. While Joanne sealed the mask, Valerie depressed the bag. This is the preferred technique for BVM ventilation. True or false?

True

You have been caring for a young child in respiratory failure with a central pulse of 56 bpm and signs of poor perfusion. When you reassess them, you find their central pulse is now 68 bpm and their perfusion has improved. You stop CPR and deliver 1 ventilation every 2 to 3 seconds until the patient is ventilating sufficiently. This is the correct action. True or false?

True

Paloma is 9 years old and weighs 62 pounds. Single-provider CPR is in progress and you have just arrived with the AED. You set up the AED and apply pediatric AED pads while CPR continues.

f

To perform compressions on Maggie, you use the encircling thumbs technique (i.e., two thumbs centered on the sternum just below the nipple line with fingers encircling the chest).

f

When delivering ventilations to Jalen, a 6-year-old patient, you open his airway to a neutral position.

f

Ben is a 4-year-old child in cardiac arrest due to drowning. After recognizing that he is in cardiac arrest, you begin CPR immediately starting with compressions.

false

Joanne correctly applied the AED pads using the anterior/lateral position. However, if Mr. Goodman had a pacemaker or ICD, she would adjust pad placement as necessary to avoid placing the AED pads directly over the pacemaker or ICD. True or false?

true

Maggie is 4 years old and weighs 42 pounds. You simultaneously check for breathing and a pulse (carotid) for no more than 10 seconds. At the same time, you scan the body for bleeding.

true

The BLS team is caring for a patient in respiratory arrest. As directed by the team leader, you go into the waiting room to speak to the family or others who may be present. Which statement best demonstrates good communication skills by the team member?

"His condition has not improved; I'll give you all the information I can and if you need to me to re-explain anything, please let me know."

You are working as part of a BLS team, providing care to a patient in cardiac arrest. Which actions demonstrate critical thinking?

Re-evaluating the situation for changes, interpreting these changes and modifying patient care accordingly Correct Anticipating roles and functions as part of a team based on the patient's presentation and condition Correct Determining a course of action based on assessment findings

A 32-year-old patient (30 weeks' gestation) goes into cardiac arrest. The fundus is above the umbilicus. How can team members maximize the effectiveness of chest compressions for this patient?

Team members can maximize the effectiveness of chest compressions for this patient by positioning the patient in the supine position and providing manual left uterine displacement.

Valerie has established that Mr. Goodman is in cardiac arrest and she has exposed the chest. She must immediately begin CPR while Joanne retrieves and sets up the AED. Which actions should the team take to ensure that they are providing high-quality CPR?

That's not it. Provide smooth compressions at a rate of at least 100 to 120 per minute and a depth of at least 2 inches. Allow the chest to fully recoil after each compression; compression and recoil times should be approximately equal. Minimize interruptions in chest compressions to less than 10 seconds. Provide smooth, effortless ventilations that last about 1 second each and make the chest begin to rise; allow the air to exit before delivering next ventilation. Avoid excessive ventilations.

You are part of a team providing BLS care to a patient in cardiac arrest. The code team has been notified and has just arrived on the scene. Which person is responsible for communicating information about the patient's status to the code team?

The person who is acting as the team leader

After the resuscitation event, the BLS team conducted a debriefing session to ensure continuous resuscitation quality improvement. Which observation or data point suggests a need for improvement?

hat's incorrect. According to expert consensus, a CCF of at least 60% is needed to promote optimal outcomes, and the goal should be 80%.

Aaliyah is 11 years old and weighs 97 lbs. She shows signs of puberty including breast development. You provide chest compressions at a depth of at least 2 inches (5 cm) but no more than 2.4 inches (6 cm).

t

After the shock is delivered (or if no shock is advised) you will switch from single-provider to multiple-provider CPR. Since two providers are now performing CPR and Paloma does not have an advanced airway in place, you switch to a compression/ventilation ratio of 15:2.

t

Sadie is a 2.5-year-old child weighing 28 pounds. To perform high-quality chest compressions, you may need to use a one-hand technique

t

When you attempt to apply the adult AED pads, you realize they will touch one another on Paloma's chest. Instead of the anterior/lateral position, you use the anterior/posterior position for AED pad placement.

t

You recognize that Maggie is in cardiac arrest. You are alone and do not have a mobile phone or other form of communication. Although you called out for someone to help and get an AED, nobody responded. You did not witness Maggie collapse, so you provide 2 minutes of CPR before leaving Maggie to get help.

true