BLS Nclex review

The nurse is conducting a teaching session on basic life support (BLS) for nursing students. Which statement made by a nursing student indicates a need for further teaching?

"I will remember the algorithm airway, breathing, and compressions to guide my actions when providing BLS."

The nursing student is asked to describe the correct steps for performing adult cardiopulmonary resuscitation (CPR). Arrange the steps of adult CPR in the order of priority. All options must be used.

1 Determine unconsciousness by shaking the client and asking, "Are you OK?" 2 Perform chest compressions. 3 Open the client's airway. 4 Initiate breathing.

The nurse is reinforcing instructions regarding cardiopulmonary resuscitation (CPR) to a group of nursing students. The nurse tells the group that when performing chest compressions on adults, the sternum should be depressed to at least which depth?

2 inches

The nurse is providing cardiopulmonary resuscitation (CPR) to an adult cardiac arrest victim. Which is the proper compression-to-ventilation ratio for one-person CPR?

30:2

The nurse notes that an 8-year-old child is choking. As the nurse rushes to aid the conscious and alert child, the nurse plans to place the hands between which landmarks to remove the foreign body?

The umbilicus and xiphoid process

The nurse arrives at the scene of a code and begins to assist in performing cardiopulmonary resuscitation (CPR) on an adult client. The nurse knows that interruptions in performing chest compressions should be limited to less than how many seconds?

10

When performing cardiopulmonary resuscitation (CPR), the nurse should deliver how many breaths per minute to an adult client?

10

The nurse determines that a student in a basic cardiac life support (BCLS) course correctly performs cardiopulmonary resuscitation (CPR) on an infant when the nurse observes which rate of chest compressions delivered to the infant mannequin?

100 times per minute

The nurse employed in the pediatric unit working on the 11:00 pm to 7:00 am shift finds an infant unresponsive and without respiration or a pulse. The nurse plans to deliver chest compressions at which rate?

100 times per minute

An automatic external defibrillator (AED) is available to treat a client who goes into cardiac arrest. The nurse uses this equipment to determine cardiac rhythm by doing which?

Applying the adhesive patch electrodes to the skin and moving away from the client

To use an external cardiac defibrillator on a client, which action should be performed to check the cardiac rhythm?

Applying the adhesive patch electrodes to the skin and moving away from the client

The nurse witnesses a person starting to choke in the hospital cafeteria. Before performing abdominal thrusts, which action should the nurse perform?

Ask the client, "Are you choking?"

The nurse is caring for a client on a cardiac monitor who is alone in a room at the end of the hall. The client has a short burst of ventricular tachycardia (VT), followed by ventricular fibrillation (VF). The client suddenly loses consciousness. Which intervention should the nurse do first?

Call for help and initiate cardiopulmonary resuscitation (CPR).

The nurse in the newborn nursery receives a telephone call to prepare for the admission of a neonate born at 43 weeks' gestation with Apgar scores of 1 and 4. When planning for the admission of this infant, which is the nurse's highest priority?

Connecting the resuscitation bag to the oxygen outlet

The nurse should use which best method to open the airway of a victim who has a suspected neck injury?

Jaw thrust maneuver

The nurse is initiating cardiopulmonary resuscitation on an adult client. The nurse should place the hands in which position to begin chest compressions?

On the lower half of the sternum

An automatic external defibrillator (AED) interprets that the rhythm of a pulseless client is ventricular fibrillation. The nurse takes which action next?

Orders personnel away from the client, charges the machine, and depresses the discharge buttons

A licensed practical nurse (LPN) is a certified basic life support (BLS) instructor. The LPN is conducting a BLS recertification class and is discussing automated external defibrillation. A member of the class asks the LPN to identify the correct location for the placement of conductive gel pads to treat ventricular fibrillation. The LPN tells the class that the conductive gel pads are placed in which location on the client's chest?

Under the right clavicle and to the left of the precordium