EMR Chapter 7

25 July 2022
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question
You are attempting to open the airway of an unresponsive injured man with the jaw-thrust maneuver but are unable to adequately open the airway. You should:
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carefully perform the head tilt-chin lift maneuver to open the airway.
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When performing one- or two-rescuer CPR on an adult patient, you should reassess him or her:
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after every five cycles of CPR.
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In which of the following situations should you NOT initiate CPR?
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There is evidence of tissue decomposition.
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During two-rescuer CPR on a 60-year-old woman, the patient begins regurgitating. You should:
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immediately place the woman on her side.
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Blood clotting is the responsibility of:
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platelets.
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The correct compression to ventilation ratio for adult CPR is:
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30:2.
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If you are alone with an unresponsive patient, you should first:
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activate the emergency medical service (EMS) system and return to the patient.
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A patient with an infection would be expected to have an increase in:
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white blood cells.
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If an unresponsive adult patient is not breathing but has a weak pulse, you should:
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deliver one rescue breath every 5 to 6 seconds.
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The MOST detrimental effect that passive vomiting can have on a cardiac arrest patient is:
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aspiration into the lungs.
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A 4-year-old boy was electrocuted when he stuck a pin into an electrical outlet. You arrive at the scene and assess the child, who is motionless and is not breathing. A responding ambulance is approximately 5 minutes away. The MOST appropriate assessment and treatment sequence for this child consists of:
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assessing for a carotid pulse, performing 30 chest compressions, opening the airway, and delivering two rescue breaths.
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Oxygen passes from the blood cells into the cells of body tissues:
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at the capillary level.
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The left ventricle is the most muscular chamber of the heart because it:
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must force blood to all parts of the body.
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Which of the following statements regarding complications of CPR is correct?
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Ribs or cartilage may be broken despite proper CPR technique.
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Plasma constitutes _____ of a patient's total blood volume.
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55%
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Your assessment of an adult male reveals that he is unresponsive and not breathing. After instructing a bystander to call 9-1-1. You should:
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check for the presence of a carotid pulse for up to 10 seconds.
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All of the following are signs of obvious death, EXCEPT:
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an absent pulse.
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You arrive at a residence for a 70-year-old man who was found unresponsive by his neighbor. When you assess the patient, you note that his muscles are stiff and the areas of his body closest to the ground are purple. The neighbor tells you that he last spoke to the patient about 12 hours earlier. You should:
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not initiate resuscitation efforts.
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A pulse is generated when the:
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heart contracts and sends a wave of pressure through the arteries.
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In which of the following situations would it be MOST appropriate for the EMR to discontinue CPR?
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Spontaneous ventilation and circulation return.
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Which of the following is an example of abandonment?
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You discontinue CPR before paramedics arrive.
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If the AED states that a shock is advised, you should:
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ensure that no one is touching the patient.
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Plasma is:
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the fluid component of the blood.
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Which of the following statements regarding CPR is NOT correct?
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CPR by itself is often enough to resuscitate a patient in cardiac arrest.
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When performing chest compressions on any patient, it is important to:
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allow the chest to fully recoil between compressions.
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Blood is pumped throughout the entire body after it:
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has picked up oxygen in the lungs.
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If an uninjured patient is unresponsive but breathing adequately, you should:
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place the patient in the recovery position and call EMS.
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Which of the following is NOT a component of the circulatory system?
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lungs
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Most out-of-hospital cardiac arrest patients have an irregular electrical heart rhythm called:
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ventricular fibrillation.
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The AED should be applied in all of the following situations, EXCEPT:
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a nonbreathing patient who has a weak pulse.
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If pediatric-sized defibrillation pads and an energy reducer are not available for a child in cardiac arrest, you should:
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defibrillate with a regular AED.
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Under normal conditions, when the cells of the body receive blood, they:
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absorb oxygen and produce carbon dioxide.
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When performing two-rescuer CPR on an infant or child, you should:
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give two breaths after every 15 compressions.
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Compared to veins, arteries:
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carry blood away from the heart at high pressure.
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When performing chest compressions on a small child, you should:
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place the heel of one hand in the center of the chest.
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By compressing a patient's sternum during CPR, you:
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change pressure in the patient's chest and force blood through the body.
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When checking for a pulse in an adult patient, you should:
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check for at least 5 seconds but no more than 10 seconds.
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A patient who has experienced cardiac arrest:
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is unconscious, not breathing, and pulseless.
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In addition to CPR, many EMRs are also trained to perform:
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automated external defibrillation.
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A child is MOST accurately defined as a person who:
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is between 1 year and the onset of puberty.
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After a patient experiences cardiac arrest, brain damage usually begins within:
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4 to 6 minutes.
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Which component of the blood carries oxygen from the lungs to the body and brings carbon dioxide back to the lungs?
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red blood cells
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If you witness a patient's cardiac arrest, you should:
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begin CPR and apply an AED as soon as one is available.
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Regardless of the patient's age, chest compressions should be:
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performed at a rate of at least 100 per minute.
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When performing two-rescuer CPR on an infant, you should:
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use the two-thumb/encircling hands technique and deliver two breaths after every 15 compressions.
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Which of the following chambers of the heart pumps deoxygenated blood to the lungs?
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right ventricle
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The first link in the chain of survival involves:
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recognizing cardiac arrest and calling 9-1-1.
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If the family member of a cardiac arrest patient presents you with a living will, you should:
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follow your department's protocols.
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Which of the following statements regarding chest compressions on an infant is correct?
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Compress the sternum approximately one third the depth of the chest.
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If a rescuer is alone with an infant or child who is in cardiac arrest, when should the rescuer activate the EMS system?
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after five cycles (about 2 minutes) of CPR
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Brain damage may become irreversible in as little as _____ minutes following the onset of cardiac arrest.
answer
8
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A patient in cardiac arrest stands the greatest chance for survival if he or she:
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receives early defibrillation.
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Which of the following represents the MOST correct treatment sequence for a patient with unwitnessed cardiac arrest?
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Begin CPR, attach the AED and defibrillate once if indicated, resume CPR, and reassess in 2 minutes.
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Which of the following statements regarding child CPR is correct?
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Compress the chest with two hands in larger children.
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Which of the following statements regarding two-rescuer adult CPR is correct?
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Switching roles every 2 minutes will minimize rescuer fatigue.
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Which of the following is NOT a sign of effective CPR?
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Compressions are delivered at a rate of 80 per minute.
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If the AED advises "no shock," you should:
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perform CPR for 2 minutes and reassess.
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In between chest compressions, you should deliver rescue breaths that:
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are 1 second in duration.
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The function of the right atrium is to:
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receive blood from the veins of the body.
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If a cardiac arrest patient is found in a bed, you should:
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immediately place the patient on a firm, level surface.
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What is the proper location for performing chest compressions on a child or adult patient?
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center of the chest, in between the nipples
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If a patient is found to be unresponsive, the EMR's first action should be to:
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look for obvious signs of breathing.