Question 1

After successful resuscitation, the heart rate of neonate being ventilated with 100% O2 drops to 50/min. What should you do now?

Accepted Answer

A)  Assess the infant's peripheral pulses. 
B)  Begin external chest compressions at 100 or more per minute. 
C)  Continue to observe the infant for signs of shock. 
D)  Begin external chest compressions at 50/min. 
A)  Assess the infant's peripheral pulses. 
B)  Begin external chest compressions at 100 or more per minute. 
C)  Continue to observe the infant for signs of shock. 
D)  Begin external chest compressions at 50/min.

Question 2

When properly performed, mouth-to-mouth (expired air) ventilation provides approximately how much oxygen (O2)?

Accepted Answer

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

Question 3

What is the initial energy level for a biphasic defibrillation of an adult patient?

Accepted Answer

A)  120 to 200 J 
B)  200 to 300 J 
C)  300 to 360 J 
D)  400 J 
A)  120 to 200 J 
B)  200 to 300 J 
C)  300 to 360 J 
D)  400 J

Question 4

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.

Question 5

Which of the following arteries should be palpated in pulseless adults and children older than 1 year of age?

Accepted Answer

A)  Brachial 
B)  Radial 
C)  Carotid 
D)  Femoral 
A)  Brachial 
B)  Radial 
C)  Carotid 
D)  Femoral

Question 6

Which of the following are legitimate reasons for discontinuing basic life-support measures?
1) If spontaneous breathing and a palpable pulse return
2) If a physician pronounces the arrest victim dead
3) If advanced life-support measures become available

Accepted Answer

A) 2 and 3 only 
B) 1 and 2 only 
C) 1, 2, and 3 
D) 1 and 3 only 
A) 2 and 3 only 
B) 1 and 2 only 
C) 1, 2, and 3 
D) 1 and 3 only

Question 7

Should the initial attempt to ventilate fail, which of the following actions would you suggest?

Accepted Answer

A)  Reposition the victim's head and repeat the effort. 
B)  Place a handkerchief over the victim's mouth and continue. 
C)  Use the jaw thrust maneuver instead of the head-tilt and chin-lift. 
D)  Immediately perform the Heimlich maneuver (abdominal thrusts). 
A)  Reposition the victim's head and repeat the effort. 
B)  Place a handkerchief over the victim's mouth and continue. 
C)  Use the jaw thrust maneuver instead of the head-tilt and chin-lift. 
D)  Immediately perform the Heimlich maneuver (abdominal thrusts).

Question 8

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

Accepted Answer

A)  0.5 in 
B)  1.0 in 
C)  1.5 in 
D)  2.0 in 
A)  0.5 in 
B)  1.0 in 
C)  1.5 in 
D)  2.0 in

Question 9

Which of the following are differences between cardioversion and defibrillation?
1) In cardioversion, the countershock is synchronized with the R wave.
2) In defibrillation, more energy is applied.
3) In cardioversion, the countershock is synchronized with the R wave.
4) In defibrillation, more energy is applied.

Accepted Answer

A) 1 only 
B) 1 and 2 only 
C) 2 only 
D) 3 and 4 only 
A) 1 only 
B) 1 and 2 only 
C) 2 only 
D) 3 and 4 only

Question 10

When are nasopharyngeal airways contraindicated?
1) When foreign body obstruction already exists
2) In neonatal/pediatric patients
3) In cases of trauma to the nasal region
4) When the jaws of a patient cannot be separated

Accepted Answer

A) 2 and 4 only 
B) 2 and 3 only 
C) 2, 3, and 4 only 
D) 1, 2, and 3 only 
A) 2 and 4 only 
B) 2 and 3 only 
C) 2, 3, and 4 only 
D) 1, 2, and 3 only

Question 11

How long should the health care provider assess for a pulse on an unresponsive patient?

Accepted Answer

A)  5 sec 
B)  10 sec 
C)  15 sec 
D)  30 sec 
A)  5 sec 
B)  10 sec 
C)  15 sec 
D)  30 sec

Question 12

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 13

A patient is having frequent premature ventricular contractions and runs of ventricular tachycardia. Which of the following drugs would be considered for this patient?
1) Procainamide
2) Epinephrine HCl
3) Atropine
4) Amiodarone

Accepted Answer

A) 1 and 3 only 
B) 2 only 
C) 1 and 4 only 
D) 2, 3, and 4 only 
A) 1 and 3 only 
B) 2 only 
C) 1 and 4 only 
D) 2, 3, and 4 only

Question 14

During CPR, how can you judge if ventilation is effective?

Accepted Answer

A)  Observing the patient's chest rise and fall 
B)  Seeing the patient's pupils constrict with light 
C)  Feeling the return of a palpable carotid pulse 
D)  Hearing gurgling sounds over the epigastrium 
A)  Observing the patient's chest rise and fall 
B)  Seeing the patient's pupils constrict with light 
C)  Feeling the return of a palpable carotid pulse 
D)  Hearing gurgling sounds over the epigastrium

Question 15

Which of the following statements is true about the use of O2 during advanced cardiac life support (ACLS)?

Accepted Answer

A)  Expired air ventilation is sufficient during provision of ACLS. 
B)  The highest possible FiO2 should be applied as quickly as possible. 
C)  Lack of O2 (hypoxia) has little effect on other ACLS procedures. 
D)  An FiO2 of 0.5 is most optimal for avoiding toxicity. 
A)  Expired air ventilation is sufficient during provision of ACLS. 
B)  The highest possible FiO2 should be applied as quickly as possible. 
C)  Lack of O2 (hypoxia) has little effect on other ACLS procedures. 
D)  An FiO2 of 0.5 is most optimal for avoiding toxicity.

Question 16

Causes of ventricular fibrillation include which of the following?
1) Damage to the sinoatrial node
2) Digitalis overdose
3) Severe hypoxia
4) Myocardial infarction (MI)

Accepted Answer

A) 2 and 4 only 
B) 1, 2, and 3 only 
C) 2, 3, and 4 only 
D) 1, 3, and 4 only 
A) 2 and 4 only 
B) 1, 2, and 3 only 
C) 2, 3, and 4 only 
D) 1, 3, and 4 only

Question 17

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

Question 18

What is the leading cause of death among adults over the age of 40 in the United States?

Accepted Answer

A)  Chronic pulmonary disease 
B)  Sudden cardiac arrest 
C)  Motor vehicle trauma 
D)  Airway obstruction 
A)  Chronic pulmonary disease 
B)  Sudden cardiac arrest 
C)  Motor vehicle trauma 
D)  Airway obstruction

Question 19

If an infant patient has a pulse but is not breathing, ventilation must be started immediately at what rate?

Accepted Answer

A)  5 to 6 breaths/min 
B)  10 to 12 breaths/min 
C)  6 to 8 breaths/min 
D)  20 breaths/min 
A)  5 to 6 breaths/min 
B)  10 to 12 breaths/min 
C)  6 to 8 breaths/min 
D)  20 breaths/min

Question 20

What is the most common cause of airway obstruction in unconscious patients?

Accepted Answer

A)  Foreign body lodged in the upper airway 
B)  Oral or nasal secretions blocking the pharynx 
C)  Tongue falling back into the pharynx 
D)  Severe spasm of the laryngeal musculature 
A)  Foreign body lodged in the upper airway 
B)  Oral or nasal secretions blocking the pharynx 
C)  Tongue falling back into the pharynx 
D)  Severe spasm of the laryngeal musculature

Exam 37: Emergency Cardiovascular Life Support

After successful resuscitation, the heart rate of neonate being ventilated with 100% O2 drops to 50/min. What should you do now?

When properly performed, mouth-to-mouth (expired air) ventilation provides approximately how much oxygen (O2)?

What is the initial energy level for a biphasic defibrillation of an adult patient?

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?

Which of the following arteries should be palpated in pulseless adults and children older than 1 year of age?

Which of the following are legitimate reasons for discontinuing basic life-support measures? 1) If spontaneous breathing and a palpable pulse return 2) If a physician pronounces the arrest victim dead 3) If advanced life-support measures become available

Should the initial attempt to ventilate fail, which of the following actions would you suggest?

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

When are nasopharyngeal airways contraindicated? 1) When foreign body obstruction already exists 2) In neonatal/pediatric patients 3) In cases of trauma to the nasal region 4) When the jaws of a patient cannot be separated

How long should the health care provider assess for a pulse on an unresponsive patient?

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

A patient is having frequent premature ventricular contractions and runs of ventricular tachycardia. Which of the following drugs would be considered for this patient? 1) Procainamide 2) Epinephrine HCl 3) Atropine 4) Amiodarone

During CPR, how can you judge if ventilation is effective?

Which of the following statements is true about the use of O2 during advanced cardiac life support (ACLS)?

Causes of ventricular fibrillation include which of the following? 1) Damage to the sinoatrial node 2) Digitalis overdose 3) Severe hypoxia 4) Myocardial infarction (MI)

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

What is the leading cause of death among adults over the age of 40 in the United States?

If an infant patient has a pulse but is not breathing, ventilation must be started immediately at what rate?

What is the most common cause of airway obstruction in unconscious patients?

History of Respiratory Care

Delivering Evidence-Based Respiratory Care

Quality, Patient Safety, and Communication, and Recordkeeping

Principles of Infection Prevention and Control

Ethical and Legal Implications of Practice

Physical Principles of Respiratory Care

E-Medicine in Respiratory Care

Fundamentals of Respiratory Care Research

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

Interpreting Clinical and Laboratory Data

Interpreting the Electrocardiogram

Analysis and Monitoring of Gas Exchange

Pulmonary Function Testing

Review of Thoracic Imaging

Flexible Bronchoscopy and the Respiratory Therapist

Nutrition Assessment

Pulmonary Infections

Obstructive Lung Disease: Chronic Obstructive Pulmonary Disease Copd, Asthma, and Related Diseases

Interstitial Lung Disease

Pleural Diseases

Pulmonary Vascular Disease

Acute Respiratory Distress Syndrome

Trauma, Burns and Near Drowning

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

Airway Clearance Therapy Act

Respiratory Failure and the Need for Ventilatory Support

Mechanical Ventilators

Physiology of Ventilatory Support

Patient Ventilator Interaction

Initiating and Adjusting Invasive Ventilatory Support

Noninvasive Ventilation

Extracorporeal Life Support Ecls

Monitoring 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

Filters

After successful resuscitation, the heart rate of neonate being ventilated with 100% O₂ drops to 50/min. What should you do now?

When properly performed, mouth-to-mouth (expired air) ventilation provides approximately how much oxygen (O₂)?

Which of the following statements is true about the use of O₂ during advanced cardiac life support (ACLS)?