Question 1

Which of the following arteries should be palpated in pulseless infants?

Accepted Answer

A) brachial 
B) radial 
C) carotid 
D) femoral 
A) brachial 
B) radial 
C) carotid 
D) femoral A

Question 2

After two attempts at securing the airway and ventilating an infant in respiratory arrest, you still cannot confirm adequate air movement. At this point, what should you do?

Accepted Answer

A) Provide external cardiac compressions. 
B) Apply 6 to 10 strong abdominal thrusts. 
C) Apply back blows, followed by chest thrusts. 
D) Try to ventilate again with smaller puffs. 
A) Provide external cardiac compressions. 
B) Apply 6 to 10 strong abdominal thrusts. 
C) Apply back blows, followed by chest thrusts. 
D) Try to ventilate again with smaller puffs. C

Question 3

You enter an adult woman's room and find her collapsed on the floor near the bed. When you shake her shoulder and shout, "Are you OK?" there is no response. What should your next, immediate step be?

Accepted Answer

A) Open her airway. 
B) Call for help (call a code). 
C) Begin chest compressions. 
D) Determine pulselessness. 
A) Open her airway. 
B) Call for help (call a code). 
C) Begin chest compressions. 
D) Determine pulselessness. B

Question 4

During properly performed external chest compression on infants, how much should the sternum be compressed?

Accepted Answer

A) 0.5 to 1.0 inch 
B) 1.0 to 1.5 inches 
C) 1.5 to 2.0 inches 
D) 2.0 to 2.5 inches 
A) 0.5 to 1.0 inch 
B) 1.0 to 1.5 inches 
C) 1.5 to 2.0 inches 
D) 2.0 to 2.5 inches

Question 5

During properly performed external chest compression on an adult, how should the heel of the hand be positioned?

Accepted Answer

A) three finger widths above the xiphoid tip, middle of sternum 
B) two finger widths below the manubrium, upper sternum 
C) one finger width below the intermammary line, midsternal line 
D) two finger widths above the xiphoid tip, lower half of sternum 
A) three finger widths above the xiphoid tip, middle of sternum 
B) two finger widths below the manubrium, upper sternum 
C) one finger width below the intermammary line, midsternal line 
D) two finger widths above the xiphoid tip, lower half of sternum

Question 6

Which of the following are differences between cardioversion and defibrillation?
I.	In cardioversion, the countershock is synchronized with the R wave.
II.	In defibrillation, more energy is applied.
III.	In cardioversion, the countershock is synchronized with the R wave.
IV.	In defibrillation, more energy is applied.

Accepted Answer

A) I only 
B) I and II 
C) II only 
D) III and IV 
A) I only 
B) I and II 
C) II only 
D) III and IV

Question 7

What is the best way to increase CPR survival rates in the field?

Accepted Answer

A) Provide early defibrillation. 
B) Start intravenous access immediately. 
C) Get the patient to a hospital. 
D) Immediately intubate the patient. 
A) Provide early defibrillation. 
B) Start intravenous access immediately. 
C) Get the patient to a hospital. 
D) Immediately intubate the patient.

Question 8

When coming upon an accident victim outside the hospital setting who appears unconscious, what should a practitioner immediately do?

Accepted Answer

A) Tilt the head and lift the chin to open the airway. 
B) Begin external cardiac (chest) compressions. 
C) Look for any obvious head or neck injuries. 
D) Move the victim to a flat, hard surface. 
A) Tilt the head and lift the chin to open the airway. 
B) Begin external cardiac (chest) compressions. 
C) Look for any obvious head or neck injuries. 
D) Move the victim to a flat, hard surface.

Question 9

What is the best way to avoid gastric distention during artificial ventilation?

Accepted Answer

A) Hyperextend the neck before each artificial breath. 
B) Use inspiratory breaths with low to moderate flows. 
C) Apply pressure over the cricoid during inspiration. 
D) Apply constant pressure to the lower abdomen. 
A) Hyperextend the neck before each artificial breath. 
B) Use inspiratory breaths with low to moderate flows. 
C) Apply pressure over the cricoid during inspiration. 
D) Apply constant pressure to the lower abdomen.

Question 10

Which of the following are legitimate reasons for discontinuing basic life support measures?
I.if spontaneous breathing and a palpable pulse return
II.if a physician pronounces the arrest victim dead
III.if advanced life support measures become available

Accepted Answer

A) II and III 
B) I and II 
C) I, II, and III 
D) I and III 
A) II and III 
B) I and II 
C) I, II, and III 
D) I and III

Question 11

What is the major complication associated with manual removal of foreign material from the airway?

Accepted Answer

A) forcing the object deeper into the airway 
B) lacerating upper airway structures 
C) causing gagging and reflex bradycardia 
D) increasing the possibility of infection 
A) forcing the object deeper into the airway 
B) lacerating upper airway structures 
C) causing gagging and reflex bradycardia 
D) increasing the possibility of infection

Question 12

When properly performed, mouth-to-mouth (expired air) ventilation provides about how much oxygen?

Accepted Answer

A) 20% 
B) 16% 
C) 12% 
D) 30% 
A) 20% 
B) 16% 
C) 12% 
D) 30%

Question 13

What is the ideal route for the administration of most drugs used in emergency life support situations?

Accepted Answer

A) peripheral intravenous line 
B) intramuscular injection 
C) direct intracardiac injection 
D) endotracheal tube 
A) peripheral intravenous line 
B) intramuscular injection 
C) direct intracardiac injection 
D) endotracheal tube

Question 14

Which of the following is not a major hazard associated with abdominal thrusts?

Accepted Answer

A) rupture of abdominal viscera 
B) laceration of abdominal viscera 
C) rupture of thoracic viscera 
D) increased intracranial pressure 
A) rupture of abdominal viscera 
B) laceration of abdominal viscera 
C) rupture of thoracic viscera 
D) increased intracranial pressure

Question 15

What is the proper rate of external chest compressions for adults?

Accepted Answer

A) 40/min 
B) 60/min 
C) 80/min 
D) 100/min 
A) 40/min 
B) 60/min 
C) 80/min 
D) 100/min

Question 16

How do oropharyngeal and nasopharyngeal airways help to restore airway patency?

Accepted Answer

A) isolating or protecting the lower airway from aspiration 
B) displacing the soft palate and uvula posteriorly 
C) lifting and displacing the epiglottis anteriorly 
D) separating the tongue from the posterior pharyngeal wall 
A) isolating or protecting the lower airway from aspiration 
B) displacing the soft palate and uvula posteriorly 
C) lifting and displacing the epiglottis anteriorly 
D) separating the tongue from the posterior pharyngeal wall

Question 17

What is the proper rate of external chest compressions for children up to puberty?

Accepted Answer

A) 80/min 
B) 100/min 
C) 120/min 
D) 140/min 
A) 80/min 
B) 100/min 
C) 120/min 
D) 140/min

Question 18

A patient is having frequent premature ventricular contractions and runs of ventricular tachycardia. Which of the following drugs would be considered for this patient?
I.procainamide
II.epinephrine HCl
III.isoproterenol HCl
IV.amiodarone

Accepted Answer

A) I, II, and III 
B) II and IV 
C) I and IV 
D) I, II, III, and IV 
A) I, II, and III 
B) II and IV 
C) I and IV 
D) I, II, III, and IV

Question 19

When are oropharyngeal airways contraindicated?
I.when foreign body obstruction already exists
II.in patients who are unconscious or comatose
III.in cases of oromaxillary or mandibular trauma

Accepted Answer

A) I, II, and III 
B) I and III 
C) III 
D) I and II 
A) I, II, and III 
B) I and III 
C) III 
D) I and II

Question 20

Which of the following statements are true about adult external cardiac compression?

Accepted Answer

A) Compressions should displace the sternum at least 3 to 4 inches. 
B) Compressions should occur at a rate of 60 to 80 per minute. 
C) Compression time should at least equal the upstroke phase. 
D) Compressions can be safely interrupted for up to 50 seconds. 
A) Compressions should displace the sternum at least 3 to 4 inches. 
B) Compressions should occur at a rate of 60 to 80 per minute. 
C) Compression time should at least equal the upstroke phase. 
D) Compressions can be safely interrupted for up to 50 seconds.

Exam 34: Emergency Cardiovascular Life Support

Which of the following arteries should be palpated in pulseless infants?

After two attempts at securing the airway and ventilating an infant in respiratory arrest, you still cannot confirm adequate air movement. At this point, what should you do?

You enter an adult woman's room and find her collapsed on the floor near the bed. When you shake her shoulder and shout, "Are you OK?" there is no response. What should your next, immediate step be?

During properly performed external chest compression on infants, how much should the sternum be compressed?

During properly performed external chest compression on an adult, how should the heel of the hand be positioned?

What is the best way to increase CPR survival rates in the field?

When coming upon an accident victim outside the hospital setting who appears unconscious, what should a practitioner immediately do?

What is the best way to avoid gastric distention during artificial ventilation?

Which of the following are legitimate reasons for discontinuing basic life support measures? I.if spontaneous breathing and a palpable pulse return II.if a physician pronounces the arrest victim dead III.if advanced life support measures become available

What is the major complication associated with manual removal of foreign material from the airway?

When properly performed, mouth-to-mouth (expired air) ventilation provides about how much oxygen?

What is the ideal route for the administration of most drugs used in emergency life support situations?

Which of the following is not a major hazard associated with abdominal thrusts?

What is the proper rate of external chest compressions for adults?

How do oropharyngeal and nasopharyngeal airways help to restore airway patency?

What is the proper rate of external chest compressions for children up to puberty?

A patient is having frequent premature ventricular contractions and runs of ventricular tachycardia. Which of the following drugs would be considered for this patient? I.procainamide II.epinephrine HCl III.isoproterenol HCl IV.amiodarone

When are oropharyngeal airways contraindicated? I.when foreign body obstruction already exists II.in patients who are unconscious or comatose III.in cases of oromaxillary or mandibular trauma

Which of the following statements are true about adult external cardiac compression?

History of Respiratory Care

Quality and Evidence-Based Respiratory Care

Patient Safety, Communication, and Record Keeping

Principles of Infection Control

Ethical and Legal Implications of Practice

Physical Principles of Respiratory Care

Computer Applications in Respiratory Care

The Respiratory System

The Cardiovascular System

Ventilation

Gas Exchange and Transport

Solutions, Body Fluids, and Electrolytes

Acid-Base Balance

Regulation of Breathing

Bedside Assessment of the Patient

Interpretation of Clinical Laboratory Data

Interpreting the Electrocardiogram

Analysis and Monitoring of Gas Exchange

Pulmonary Function Testing

A Review of Thoracic Imaging

Nutrition Assessment

Pulmonary Infections

Obstructive Lung Disease: Copd, Asthma, and Related Diseases

Interstitial Lung Disease

Pleural Diseases

Pulmonary Vascular Disease

Acute Lung Injury, Pulmonary Edema, and Multiple System Organ

Lung Cancer

Neuromuscular and Other Diseases of the Chest Wall

Disorders of Sleep

Neonatal and Pediatric Respiratory Disorders

Airway Pharmacology

Airway Management

Humidity and Bland Aerosol Therapy

Aerosol Drug Therapy

Storage and Delivery of Medical Gases

Medical Gas Therapy

Lung Expansion Therapy

Bronchial Hygiene Therapy

Respiratory Failure and the Need for Ventilatory Support

Mechanical Ventilators

Physiology of Ventilatory Support

Initiating and Adjusting Ventilatory Support

Noninvasive Positive Pressure Ventilation

Monitoring and Management of the Patient in the Intensive Care Unit

Discontinuing Ventilatory Support

Neonatal and Pediatric Respiratory Care

Patient Education and Health Promotion

Cardiopulmonary Rehabilitation

Respiratory Care in Alternative Settings

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