Question 1

The nurse chooses which method and concentration of oxygen administration until intubation is established in a patient who has sustained a cardiopulmonary arrest?

Accepted Answer

A)  Bag-valve-mask at FiO2 of 100% 
B)  Bag-valve-mask at FiO2 of 50% 
C)  Mouth-to-mask ventilation with supplemental oxygen 
D)  Non-rebreather mask at FiO2 of 100%

Question 2

The patient has been admitted to a critical care unit with a diagnosis of acute myocardial infarction.Suddenly the monitor alarms and the screen shows a flat line.What action should the nurse take first?

Accepted Answer

A)  Administer epinephrine by intravenous push. 
B)  Begin chest compressions. 
C)  Check patient for unresponsiveness. 
D)  Defibrillate at 360 J.

Question 3

Which of the following statements about defibrillation are correct? (Select all that apply)

Accepted Answer

A)  Early defibrillation (if warranted) is recommended before other actions. 
B)  It is not necessary to ensure that personnel are clear of the patient if hands-off defibrillation is used. 
C)  It is not necessary to synchronize the defibrillation shocks. 
D)  Paddles/patches can be placed anteriorly and posteriorly on the chest. 
E)  All models of defibrillators are the same for standardization.

Question 4

The nurse needs to evaluate arterial blood gases before the administration of which drug?

Accepted Answer

A)  Calcium chloride 
B)  Magnesium sulfate 
C)  Potassium 
D)  Sodium bicarbonate

Question 5

Postresuscitation goals include which of the following? (Select all that apply)

Accepted Answer

A)  Control dysrhythmias 
B)  Maintain airway 
C)  Maintain blood pressure 
D)  Wean off oxygen 
E)  Early ambulation

Question 6

What is the major reason for using a treatment to lower body temperature after cardiac arrest to promote better neurological recovery?

Accepted Answer

A)  Hypothermia decreases the metabolic rate by 7% for each decrease of 1° C. 
B)  Lower body temperatures are beneficial in patients with low blood pressure. 
C)  Temperatures of 40° C may reduce neurological impairment. 
D)  The lower body temperature leads to decreased oxygen delivery.

Question 7

The nurse knows that in advanced cardiac life support,the secondary survey includes steps A-B-C-D,in which "D" refers to:

Accepted Answer

A)  defibrillate. 
B)  differential diagnosis. 
C)  diltiazem intravenous push. 
D)  do not resuscitate.

Question 8

The patient has a transcutaneous pacemaker in place.Pacemaker spikes followed by QRS complexes are noted on the cardiac rhythm strip.To determine if the pacemaker is working,the nurse must do which of the following?

Accepted Answer

A)  Obtain a 12-lead electrocardiogram (ECG). 
B)  Call for a pacemaker interrogation. 
C)  Palpate the pulse. 
D)  Run a 2-minute monitor strip for analysis.

Question 9

Benefits of having the family present during resuscitation include which of the following? (Select all that apply)

Accepted Answer

A)  Facilitates the grief process 
B)  Lets the family see that everything is being done 
C)  Sustains patient-family relationships 
D)  Allows the staff easy access to ask for organ transplant 
E)  Provides a sense of closure

Question 10

The patient has pulseless electrical activity (PEA).What action by the nurse takes priority?

Accepted Answer

A)  Begin high-quality CPR. 
B)  Assist with chest tube placement. 
C)  Prepare equipment for a pericardiocentesis. 
D)  Attach the patient to a transcutaneous pacemaker.

Question 11

A patient is admitted to the critical care unit with bradycardia at a heart rate of 39 beats/min and frequent premature ventricular contractions.The nurse notes that the patient is lethargic and reports dizziness for the past 12 hours.Which of the following are acceptable initial treatments for this patient?

Accepted Answer

A)  Atropine 
B)  Epinephrine 
C)  Lidocaine 
D)  Transcutaneous pacemaker 
E)  Magnesium sulfate infusion

Exam 10: Rapid Response Teams and Code Management