# HeartCode BLS (American Heart Association)

You are a member of the emergency response team for your hospital and are called to a code blue. You arrive to find one of your colleagues leading a resuscitation attempt to an elderly patient. You notice that the person performing chest compressions seems to be tiring, and the compression rate is slowing.

When should rescuers switch positions during CPR?

A. Never switch rescuers, and maintain current roles
B. Switch rescuers at 5 minute intervals
C. Switch rescuers about every 2 minutes
D. Switch rescuers when placing the AED pads

C. Switch rescuers about every 2 minutes

You are a member of the emergency response team for your hospital and are called to a code blue. You arrive to find one of your colleagues leading a resuscitation attempt to an elderly patient. You notice that the person performing chest compressions seems to be tiring, and the compression rate is slowing.

You notice the person giving chest compressions is not allowing for complete chest recoil. What is your next course of action?

A. Stand back and await direction from the team leader
B. Take over leadership and give direction
C. Immediately take over chest compressions
D. Tell the compressor you notice decreased chest recoil

D. Tell the compressor you notice decreased chest recoil

Which victim requires high quality CPR?

A. A victim who is unresponsive, has a strong pulse, and is breathing adequately
B. A victim who is unresponsive with no normal breathing and no pulse
C. A victim who is responsive, has a pulse, and is having trouble breathing
D. A victim who is responsive, is having trouble breathing, and has a pulse less than 60/min

B. A victim who is unresponsive with no normal breathing and no pulse

While performing high-quality CPR on an adult, what action should you ensure is being accomplished?

A. Maintaining a compression rate of 90-120/min
B. Placing hands on the upper third of the sternum
C. Allowing the chest to recoil 1 inch
D. Compression to a depth of at least 2 inches

D. Compression to a depth of at least 2 inches

Why is defibrillation important?

A. It can restore a regular cardiac rhythm
B. It prevents re-arrest from occurring
C. It is not important for cardiac arrest
D. There is a 100% success rate in regaining a normal cardiac rhythm

A. It can restore a regular cardiac rhythm

Why is allowing complete chest recoil important when performing high-quality CPR?

A. There will be a reduction of rescuer fatigue
B. It will reduce the risk of rib fractures
C. The heart will adequately refill between compressions
D. The rate of chest compressions will increase

C. The heart will adequately refill between compressions

A victim with a foreign-body airway obstruction becomes unresponsive. What is your first course of action?

A. Start CPR, beginning with chest compressions
B. Roll the victim over and perform back blows
C. Perform abdominal thrusts
D. Perform blind finger sweeps

A. Start CPR, beginning with chest compressions

An 8-month old infant in the pediatric ward is eating lunch with the help of the ward volunteer. The infant suddenly begins to cough and is unable to make any noise shortly after. The volunteer picks up the infant and shouts for help.

You have determined that the infant is responsive and choking with a severe airway obstruction. How do you relieve the airway obstruction?

A. Encourage the infant to cough
B. Give sets of 5 back slaps and 5 chest thrusts
C. Begin 2 thumb-encircling hands chest compressions
D. Give abdominal thrusts

B. Give sets of 5 back slaps and 5 chest thrusts

An 8-month old infant in the pediatric ward is eating lunch with the help of the ward volunteer. The infant suddenly begins to cough and is unable to make any noise shortly after. The volunteer picks up the infant and shouts for help.

Which action do you perform to relieve choking in an unresponsive infant?

A. Perform CPR, and look in the mouth for the obstructing object
B. Give sets of 5 back slaps and 5 chest thrusts
C. Give sets of 5 abdominal thrusts and 5 back slaps
D. Attempt a blind finger sweep when giving breaths to remove the obstructing object

A. Perform CPR, and look in the mouth for the obstructing object

What is a consideration when using an AED?

A. You should never remove a transdermal medication patch before applying AED pads
B. On a hairy chest, the pads may not stick and may fail to deliver a shock
C. AEDs can be used while a victim is submerged in water
D. You should not use an AED on someone with an implanted pacemaker

B. On a hairy chest, the pads may not stick and may fail to deliver a shock

“Members of the team know their boundaries and ask for help before the resuscitation attempt worsens.” Match this statement with the most appropriate element of team dynamics listed.

A. Knowledge sharing
B. Knowing your limitations
C. Summarizing and reevaluation
D. Construction intervention

B. Knowing your limitations

A 9-year-old child suddenly collapses in the hallway of a hospital. A nurse finds the child and determines that the child is in cardiac arrest and begins CPR. The nurse activates the emergency response team, and 2 more nurses arrive.

What actions should occur next, to support a team-based resuscitation attempt?

A. 2 rescuers alternate using the AED and giving breaths
B. 1 rescuer gives CPR while the other 2 wait for advanced life support to arrive
C. 2 rescuers alternate giving chest compressions
D. 2 rescuers operate the AE while the third rescuer gives breaths

C. 2 rescuers alternate giving chest compressions

A 9-year-old child suddenly collapses in the hallway of a hospital. A nurse finds the child and determines that the child is in cardiac arrest and begins CPR. The nurse activates the emergency response team, and 2 more nurses arrive.

Two rescuers begin high-quality CPR while the third rescuer leaves to get the AED. What action supports 2-rescuer CPR?

A. Alternating the AED role every 2 minutes
B. Alternating the compressor role every 2 minutes
C. Alternating giving rescue breaths every 3 cycles
D. Alternating giving shocks every 3 cycles

B. Alternating the compressor role every 2 minutes

When performing CPR on an unresponsive choking victim, what modification should you incorporate?

A. There are no modifications to CPR for an unresponsive choking victim
B. You do not give breaths to an unresponsive choking victim
C. Each time you open the airway, look for the obstructing object
D. Attempt a jaw thrust instead of a head tilt-chin lift

C. Each time you open the airway, look for the obstructing object

You witness someone suddenly collapse. The person is unresponsive, you hear gasping sounds, and there is no pulse. What should you do next?

A. Begin CPR; the gasps are not normal breathing
B. Give rescue breaths only; the gasps are not normal breathing
C. Monitor the patient; the gasps are considered normal breathing
D. Begin CPR, even though gasping is normal breathing

A. Begin CPR; the gasps are not normal breathing

How do you perform chest compressions when providing high-quality CPR to a child victim?

A. By compressing the chest at least one third the depth of the chest, about 2 inches (5 cm)
B. By compressing the chest at least one fourth the depth of the chest, about 1.5 inches (4 cm)
C. By compressing the chest at least two thirds the depth of the chest, about 4 inches (10 cm)
D. By compressing the chest at least one half the depth of the chest, about 3 inches (8 cm)

A. By compressing the chest at least one third the depth of the chest, about 2 inches (5 cm)

A middle-aged man collapses. You and a second rescuer go to the victim and find that he is unresponsive, is not breathing, and does not have a pulse.

You and another rescuer begin CPR. After a few cycles, you notice the chest compression rate is slowing. What should you say to offer constructive feedback?

A. “You need to compress at a rate of 80 to 120 per minute.”
B. “You need to compress at a rate of at least 120 per minute.”
C. “You need to compress at a rate of 100 to 120 per minute.”
D. “You need to compress at a rate of at least 100 per minute.”

C. “You need to compress at a rate of 100 to 120 per minute.”

What ratio for compressions to breaths should be used for 1-rescuer infant CPR?

A. 30 compressions to 2 breaths
B. 5 compressions to 1 breath
C. 20 compressions to 2 breaths
D. 15 compressions to 2 breaths

D. 15 compressions to 2 breaths

A 37-year-old doctor is found on the hallway floor. A nurse assesses for scene safety and determines the doctor is unresponsive, is not breathing, and has no pulse. After dialing the hospital operator and requesting the call for a code, she begins performing high-quality compressions on the victim.

When the AED arrives, what is the first step for using it?

A. Apply the pads to the patient’s chest
B. Clear the patient
C. Turn on the AED
D. Press the shock butto

C. Turn on the AED

A 37-year-old doctor is found on the hallway floor. A nurse assesses for scene safety and determines the doctor is unresponsive, is not breathing, and has no pulse. After dialing the hospital operator and requesting the call for a code, she begins performing high-quality compressions on the victim.

After the AED pads are attached to the victim’s bare chest, the AED detects ventricular fibrillation. What is the next step when using the AED?

A. Check the victim for a carotid pulse
B. Follow the AED prompts
C. Check the patient
D. Press the shock button

B. Follow the AED prompts

How can rescuers ensure that they are providing effective breaths when using a bag-mask device?

A. Observing the chest rise with breaths
B. Delivering breaths quickly and forcefully
C. Always having oxygen attached to the bag
D. Allowing air to release around the mask

A. Observing the chest rise with breaths

Rapid defibrillation is a link in the adult Chain of Survival. Why is this important to survival?

A. It prevents respiratory arrest
B. It eliminates the abnormal heart rhythm
C. It prevents cardiac arrest
D. It provides normal respiration

B. It eliminates the abnormal heart rhythm

A middle-aged man collapses. You and a second rescuer go to the victim and find that he is unresponsive, is not breathing, and does not have a pulse.

Which action is most likely to positively impact this victim’s survival?

A. Ensuring scene safety
B. Providing rescue breaths
C. Checking the pulse frequently
D. Performing high-quality CPR

D. Performing high-quality CPR

What should you do if you need to use an AED on someone who has been submerged in water?

A. Pull the victim out of the water, but do not use the AED
B. Pull the victim out of the water, and wipe the chest
C. Do not pull the victim out of the water, but wipe the chest before placing pads
D. Do not move the victim, and do not use the AED

B. Pull the victim out of the water, and wipe the chest

Why is defibrillation important?

A. It is not important for cardiac arrest
B. It prevents rearrest from occurring
C. It can restore a regular cardiac rhythm
D. There is a 100% success rate in regaining a normal cardiac rhythm

C. It can restore a regular cardiac rhythm

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