BLS Exam

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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?

"I'll go get the AED."

You are preparing to deliver ventilations to an adult patient experiencing respiratory arrest. You should give 1 ventilation every

6 seconds

You are preparing to deliver ventilations to an adult patient experiencing respiratory arrest. You should give 1 ventilation every:

6 seconds

You are alone performing high-quality CPR when a second provider arrives to take over compressions. When switching roles, you should minimize interruptions in chest compressions to less than how many seconds?

10 seconds

A 7-year-old patient goes into sudden cardiac arrest. You initiate CPR and correctly perform chest compressions at which rate?

100 to 120 compressions per minute

Which statement about bag-valve-mask (BVM) resuscitators is true?

A two-person technique is the preferred methodology for BVM ventilations as it provides better seal and ventilation volume

Which mnemonic can help you easily recall and perform assessment?

ABC

You enter Ms. Evers's room and notice she is slumped over in her chair and appears unresponsive and cyanotic. You do not see signs of life-threatening bleeding. Which is the next appropriate action?

Check for responsiveness.

The code team has arrived to take over resuscitative efforts. Among the members of the BLS team, whose role is it to communicate to the code team the patient's status and the care already provided?

Team leader

After immediately initiating the emergency response system, what is the next link in the Adult In-Hospital Cardiac Chain of Survival?

Early high-quality CPR

You suspect that an unresponsive patient has sustained a neck injury. Which technique should you use to open the patient's airway?

Modified jaw-thrust maneuver

Which statement is true regarding the administration of naloxone?

Naloxone is safe to administer if the patient is not breathing and you cannot identify the drug overdosed.

What is a reason you would choose to perform chest thrusts instead of abdominal thrusts for an adult or child with an obstructed airway?

The patient is pregnant.

You are providing high-quality CPR on a 6-year-old patient who weighs 44 pounds. The AED arrives. It does not have a pediatric setting and includes only adult AED pads. What should you do?

Use the adult AED pads.

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?

Critical thinking

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?

Ensure everyone is clear of the patient.

You have assessed your patient and recognized that they are in cardiac arrest. You should begin CPR __________.

Immediately

What is the first link in the Pediatric Out-of-Hospital Chain of Survival?

Prevention

You are providing compressions on a 6-month-old who weighs 17 pounds. Which compression depth is appropriate for this patient?

About 1½ inches

You and two nurses have been performing CPR on a 72-year-old patient, Ben Phillips. When Mr. Phillips shows signs of ROSC, where should you perform the pulse check?

At the carotid or femoral artery

Your adult patient is in respiratory arrest due to an opioid overdose. The team is delivering 1 ventilation every 6 seconds. You administered the recommended dose of naloxone. How often may this dose be repeated?

Every 2 to 3 minutes as needed.

During a resuscitation, the team leader assigns team roles and tasks to each member. You recognize that a task has been overlooked. Which is the most appropriate action?

Alert the team leader immediately and identify for them what task has been overlooked.

Which term refers to the ability to use readily available resources to find solutions to challenging or complex situations or issues that arise?

Problem solving

You are alone and caring for a 9-month-old infant with an obstructed airway who becomes unresponsive. Which action should you perform first?

Provide 30 chest compressions.

You are working in an OB/GYN office when your patient, Mrs. Tribble, suddenly goes into cardiac arrest. She is 28 weeks pregnant and her fundus is above the umbilicus. Which statement is true regarding resuscitation for a pregnant patient?

Providers should perform high-quality CPR and continuous left uterine displacement (LUD). They should perform continuous LUD until the infant is delivered, even if ROSC is achieved.

What is the sixth link in the Adult In-Hospital Cardiac Chain of Survival?

Recovery in the form of rehabilitation, therapy and support from family and healthcare providers.

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?

Seal the mask with two hands using the E-C technique.

You and your colleagues have been providing high-quality CPR for and using the 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?

Stop CPR, check for breathing and a pulse and monitor Mr. Sauer until the advanced cardiac life support team takes over.

You are providing care for Mrs. Bove, who has an endotracheal tube in place. How does this affect compressions and ventilations?

The team should provide ventilations at a rate of 1 ventilation every 6 seconds without pausing compressions.

How is a child defined in terms of CPR/AED care?

Someone from the age of 1 to the onset of puberty

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?

Standing to the side of the infant with your hips at a slight angle, provide chest compressions using the encircling thumbs technique and deliver ventilations with a pocket mask or face shield.

A well-organized team response when performing high-quality CPR includes ensuring that providers switch off performing compressions every _____ minutes

2

The nurse assesses a responsive adult and determines she is choking. Which intervention should the nurse implement?

Cycles of 5 back blows and 5 abdominal thrusts.

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

1 ventilation every 2 to 3 seconds

The nurse assesses a responsive 8-month-old infant and determines the infant is choking. Which intervention should the nurse implement?

Cycles of 5 back blows and 5 chest thrusts

You and your colleagues are performing CPR on a 6-year-old child. What is the compression-to-ventilation ratio during multiple-provider CPR?

15:2


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