Post Course Quiz

How often should the person doing High quality CPR compression be rotated off of the chest?

a.) Every 3 minutes
b.) Every 4 minutes
c.) When they themselves collapse
d.) Every 2 minutes

After a 2mg dose of dilaudid, the patient is found unresponsive, not breathing, but with a pulse on the medical surgical floor. The code has been called after confirmation of a pulse and no breathing. What is the recommended simple airway maneuver to open this airway?

a.) Jaw thrust
b.) Head tilt/Chin lift
c.) Intubation
d.) Placement of an OPA

T/F: Cricoid pressure is no longer recommended to be used routinely during intubation

True
False

When an order or assignment is given, the RN should acknowledge the order and verbally state when the drug is given or task is taken on. What element of effective resuscitation team dynamics does this represent?

a.) Closed loop communication
b.) Knowing ones limitations
c.) Clear messaging
d.) Knowing professional limitations

A 57 year old has called 911 due to new onset right sided weakness. The patient denies any chest pain or seizure activity. Vital signs are stable with a b/p of 160/70- HR 78 in a normal sinus rhythm, respiration are at 18 and non labored and oxygen saturation is 95% on room air. What is the next best step?

a.) 12 lead ECG
b.) Prehospital Cincinnati Stroke Scale
c.) Give 81 mg of ASA
d.) Apply oxygen

The patient has had return of spontaneous circulation (ROSC) but the blood pressure remains labile after the recommended (By AHA) 1-2 liters of volume resuscitation for the patient in an attempt to achieve a systolic B/P > 90. The team leader orders an Epinephrine drip to assist the blood pressure. Knowing that the Epi Drip dosage is different than the 2-10 mg/min that is used to support pressure during a bradycardia, what is the Epi drip dosage for B/P support with ROSC?

a.) 2-10 mcgs/kg/min
b.) 0.1-0.5 mcgs/kg/min
c.) 10-20 mg/min
d.) 1 mg IVP then drip at 2-10 mg/min

Nitroglycerin is contraindicated in patients with chest pain when we have a bradycardia, SBP< 90, right sided heart attack (II, III and AVF with signs of right sided heart failure) or use of a phosphodiesterase within how many hours?

a.) 12 hours
b.) 24 hours
c.) 24-48 hours
d.) 72 hours

How long do you suction down an ETT if the victim is intubated during an arrest situation?

a.) Hyperventilate, then suction for 30 seconds
b.) Suction only mouth and nose
c.) Suction during withdrawal of the catheter, for no longer than 10 seconds
d.) Suction during withdrawal of the catheter, for no longer than 30 seconds

What is the IMMEDIATE danger of hyperventilating during ROSC?

a.) pulmonary hypertension
b.) Oxygen toxicity
c.) Decreased oxygenated cerebral blood flow, caused by decreased venous return to the heart
d.) VQ mismatch

The patient has achieved ROSC. What is the first, next step?

a.) Optimize oxygenation and ventilation
b.) Targeted temperature management (TTM)
c.) Cath Lab for percutaneous intervention (PCI)
d.) Lab draw

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