Review Questions
God Knows
God Knows
1. Which of the following is the most important step to restore
oxygenation and ventilation for the unresponsive, breathless
submersion (near-drowning) victim?
a. attempt to drain water from breathing passages by performing the
Heimlich maneuver
b. begin chest compressions
c. provide cervical spine stabilization because a diving accident may
have occurred
d. open the airway and begin rescue breathing as soon as possible,
even in the water
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2. Which of the following choices lists in correct order the major
steps of CPR and defibrillation operation for an unresponsive
adult victim?
a. send someone to phone 911, check for pulse, attach the
defibrillator electrode pads, open the airway, provide 2 breaths if
needed, then turn on the defibrillator.
b. wait for defibrillator and barrier device to arrive, then open the
airway, provide 2 breaths if needed, check for pulse, and if no
pulse is present, attach the defibrillator and follow the proper
sequence
c. send someone to phone 911 and get the defibrillator, open the
airway, provide 2 breaths if needed, check for pulse, and if no
pulse is present, perform CPR, attach the defibrillator and follow
the proper sequence
d. provide 2 breaths, check for a pulse, call for the defibrillator,
provide chest compressions until the defibrillator arrives, attach
the defibrillator.
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3. The patient has no pulse and continues in V.fib. One shock was given, and still cannot convert the patient. What intervention would you do next?
a. Secure the airway by intubating the patient.
b. Give IV fluids rapidly, stat.
c. Place patient in trendelenburg position.
d Give IV Lasix, now.
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4. The patient was bradycardic, intubated on a ventilator. Suddenly, the patient becomes asystolic. The code team is called, CPR is begun. What is the first medication that should be given after intubation and IV placement?
a. Give amiodarone 300mg IV push.
b. Give lidocaine 1 to 1.5 mg/kg IV push.
c. Give diltiazem 20mg IV push.
d. Give epinephrine 1mg IV push.
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5. A patient has a pulse and has an unstable tachycardia heart rate of 180s. What intervention would be appropriate?
a. Give atropine 1mg IV push.
b. Give epinephrine 1mg IV push.
c. Prepare for synchronized cardioversion.
d. Give vasopressin 40 Units IV push.
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6. The patient is unresponsive; a code team is providing CPR. You are ready to move to your secondary assessment. What should be done first?
a. Place an IV for epinephrine 1mg IV push.
b. First get a set of vital signs, and then proceed.
c. Secure the airway by intubating the patient.
d. First get a chest x-ray so you know what’s going on.
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7. The last step of the secondary assessment is:
a. Defibrillate
b. Transcutaneous Pacing
c. Intubation
d. Determine the cause
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8. A sixty year old is unresponsive, pulseless, intubated being ventilated with a bag-valve mask, and CPR is being performed. What is the next most appropriate
intervention.
a. Place an IV.
b. Get a ventilator.
c. Place a foley catheter.
d. Consult a cardiologist.
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Questions to think about when you study:
How can you tell if it is an unstable tachycardia or bradycardia?
What drugs would you give to treat A.fib/A.flutter? SVT?
And bradycardia?
What are the characteristics of V.Tach?
What would you want to check if you saw this?
What treatments would you do for this?
What is the difference between Cardioversion and Defibrillation?
What two rhythms can you defibrillate?
What are the characteristics of asystole?
What do you want to confirm?
How do you treat it?
Click the Answers button to see the answers.
