Question

1. to open the airway with a jaw thrust, position yourself:

a. below the patients hips.
b. above the patients head.
c. at the side of the patient, close to the chest.
d. at the side of the patient, close to the head.

1. allow ______________ between chest compressions so the heart can refill.

a. excessive ventilation
b. carotid pulse checks
c. complete chest recoil
d. longer and more frequent interruptions

1. you are using a bag - mask device to ventilate a 16 - year - old in cardiac arrest who suddenly collapsed. an endotracheal tube has been placed by an advanced life support provider on the resuscitation team. proper ventilation technique in the situation requires that you:

a. squeeze the bag to deliver 1 breath every 6 seconds.
b. squeeze the bag to deliver 1 breath every 10 seconds.
c. squeeze the bag to deliver 1 breath when the aed is analyzing the heart rhythm.
d. squeeze the bag to deliver 1 breath during each pause in compressions.

1. the first link in the out - of - hospital pediatric cardiac arrest chain of survival is:

a. activating ems by calling 911 or activating your occupational emergency action plan.
b. preventing causes of respiratory failure or respiratory arrest, which lead to cardiac arrest.
c. providing advanced life support (als) treatment with a focus on rosc, and transport to a hospital.
d. supporting a patients physical and emotional needs that are ongoing after hospital discharge.

1. early recognition of cardiac arrest and prompt activation of ems is which link in the adult out - of - hospital chain of survival?

a. post - cardiac arrest care
b. high - quality cpr
c. advanced resuscitation
d. activation of emergency response

1. you are the only bls provider responding to witnessed collapse of a 11 - year - old child during a softball game. the scene is safe, and you have taken standard precautions. the patient is unresponsive and gasping occasionally. you do not feel a carotid pulse and an aed is within sight. what should you do?

a. assess for a femoral pulse and, if absent, deliver about 2 minutes of cpr.
b. open the airway and provide rescue breathing or bag - mask ventilation.
c. immediately start high - quality cpr, beginning with chest compressions.
d. activate ems or your occupational emergency action plan and get the aed.

1. you and another bls provider are giving cpr to a 7 - year - old child when the aed arrives. you turn on the aed, switch the aed to pediatric energy levels, and apply the pads. the other bls provider should:

a. continue high - quality compressions while the aed is charging.
b. loudly say, \clear!\ to make sure no one is touching the patient.
c. press the button on the aed to deliver the shock, if advised.
d. pause compressions and breaths until the aed is ready to analyze.

Explanation:

1. Question 1: The jaw - thrust maneuver is used to open the airway without extending the neck, typically done by positioning oneself at the side of the patient close to the head.
2. Question 2: Complete chest recoil between compressions allows the heart to refill. Excessive ventilation can be harmful, carotid pulse checks are for assessing circulation (not for chest compression refilling), and longer/more frequent interruptions are bad for CPR.
3. Question 3: When an endotracheal tube is in place, the ventilation rate is 1 breath every 6 seconds.
4. Question 4: The first link in the out - of - hospital pediatric cardiac arrest chain of survival is preventing causes of respiratory failure/arrest (which can lead to cardiac arrest). Activating EMS is part of the adult chain in a different context here.
5. Question 5: Early recognition of cardiac arrest and prompt activation of EMS is the “Activation of Emergency Response” link in the adult Out - of - Hospital chain of survival.
6. Question 6: For a child in cardiac arrest (unresponsive, no pulse), the immediate action is to start high - quality CPR beginning with chest compressions.
7. Question 7: When using an AED during CPR, one provider should continue high - quality compressions while the AED is charging.

Answer:

1. d. At the side of the patient, close to the head.
2. c. Complete chest recoil.
3. a. Squeeze the bag to deliver 1 breath every 6 seconds.
4. b. Preventing causes of respiratory failure or respiratory arrest, which lead to cardiac arrest.
5. d. Activation of Emergency Response.
6. c. Immediately start high - quality CPR, beginning with chest compressions.
7. a. Continue high - quality compressions while the AED is charging.