Skills Practicum Take Home (open book) Test (traughber made)

A. Pulseless electrical Activity (PEA)

1. Because this patient has an organized rhythm on the monitor but remains pulseless, we call this rhythm: A. Pulseless electrical Activity (PEA) B. Sinus Bradycardia C. Ventricular Tachycardia D. Ventricular Fibrillation

D. All of the above

1. How can hyperventilation be detrimental? A. Increase intrathoracic pressure B. Decrease venous return to the heart C. Diminish cardiac output D. All of the above

A. Epinephrine

1. Once the patient is defibrillated and high quality CPR is in progress, the first drug you would expect to give would be: A. Epinephrine B. Lidocaine C. Magnesium Sulfate D. Morphine

C. Contact a medical command physician for possible termination orders

1. The above patient has had high quality CPR for 30 minutes. He has received multiple doses of epinephrine and the monitor now shows asystole. What would be appropriate at this point? A. Ask the family what they would like you to do B. Load the patient in the ambulance with CPR in progress and transport to the nearest trauma center C. Contact a medical command physician for possible termination orders D. Continue CPR for an additional 10 minutes

D. Amiodarone

1. The antiarrhythmic drug that would be utilized if the patient remained in ventricular fibrillation would be: A. Epinephrine B. Cardizem C. Adenosine D. Amiodarone

A. 10 seconds

1. What amount of time should ACLS providers minimize interruptions during chest compressions? A. 10 seconds B. 20 seconds C. 30 seconds D. 60 seconds

B. Responsiveness, Activate EMS and get AED, Circulation, Defibrillation

1. What does the BLS Survey want you to assess which of the following? A. Airway, Breathing, Circulation, Defibrillation B. Responsiveness, Activate EMS and get AED, Circulation, Defibrillation C. Airway, Blood Pressure, CPR, Differential Diagnosis D. Circulation, Breathing, Cardiac Assessment Drugs

D. Placement of laryngeal mask airway (LMA)

1. Which item is NOT a basic airway skill? A. Head tilt-chin-lift maneuver B. Jaw-thrust maneuver without head extension C. Bag-mask ventilation D. Placement of laryngeal mask airway (LMA)

C. Multiple leaders of the team

1. Which of the following is NOT an element of effective resuscitation team dynamics? A. Closed-loop communication B. Clear roles and responsibilities C. Multiple leaders of the team D. Knowing one's limitations

D. Start compressions at least 100 per minute but no more than 120 per minute

1. You are in the library when a gentleman who was standing at the desk collapses. He falls to the ground and does not appear to be breathing. You send the clerk to call 911 and to get the AED. Because he is not responding and doesn't appear to be breathing normally you should immediately: A. Deliver 2 breaths followed by 15 compressions B. Do nothing C. Open the Airway, deliver 4 breaths, and await the arrival of the AED D. Start compressions at least 100 per minute but no more than 120 per minute

D. Epinephrine

1. You are on your way home when you are called to a wedding reception at a local hotel. The 82 year old grandfather of the bride has collapsed while standing in the reception line. He was discussing his latest project when he started sweating and then lost consciousness. A family friend started CPR. His son immediately called 911. You quickly perform the BLS primary survey. You immediately ask for a defibrillator. If the first shock is unsuccessful and the patient is still unresponsive, which drug should be administered first? A. Amiodarone, Vasopressin and Epinephrine B. Epinephrine or Lidocaine C. Magnesium Sulfate, Epinephrine and Amiodarone D. Epinephrine

C. Epinephrine

1. You are responding on an ambulance to a wedding where the elderly father of the bride has collapsed while dancing. Bystanders say he was complaining of chest pain earlier but didn't want to mess up the celebration by going to the hospital. He was dancing when he suddenly lost consciousness and fell to the ground. Bystanders have started CPR. You arrived and placed the patient on the monitor. It shows sinus bradycardia but the patient has no palpable pulse. CPR continues with high quality compressions and ventilation. You have established IV access. The only drug appropriate in this scenario would be: A. Amiodarone B. Lidocaine C. Epinephrine D. Atropine

A. Defibrillate at 200 joules, or manufacturer guidelines

1. You are working in an emergency department. Your patient is a 69 year old male who is being treated for chest pain. He has an IV in place and is on a bedside monitor. Diagnostic tests are complete and he is awaiting the arrival of the cardiac catheterization team. You go into his room to check on him and he suddenly loses consciousness. You look up at the monitor and see ventricular fibrillation. You are not sure whether you feel a pulse or not. You should immediately: A. Defibrillate at 200 joules, or manufacturer guidelines B. Ventilate using a BVM C. Have another nurse to double check the presence of a pulse D. Precordial thump

A. Immediately utilize the AED

1. You have been doing compressions on the above patient for about a minute when the clerk arrives with the AED. You should: A. Immediately utilize the AED B. Continue CPR and await EMS to defibrillate the patient C. Continue compressions for at least 5 minutes D. Ventilate patient twice immediately prior to defibrillation

D. Put the AED aside and continue with compressions

1. You have turned the AED on and placed electrodes. The AED fails to analyze the rhythm. You should: A. Use the second set of pads located in the case B. Call the manufacturer (list on the back) to discuss how to fix it C. Turn it off and back on again D. Put the AED aside and continue with compressions