BCLS Practice Test

IRC BCLS prep questions

General Knowledge for Nursing and first MBBS students

1.Normal heart rate ___

 60 to 100 beats per minute

A normal resting heart rate for adults ranges from 60 to 100 beats per minute.

2. Lower heart rate per minute in a well trained athlete is low or high heart rate

Generally, a lower heart rate at rest implies more efficient heart function and better
cardiovascular fitness. For example, a well-trained athlete might have a normal
resting heart rate closer to 40 beats per minute.

3.Brady cardia
Answer:Bradycardia is a slower-than-normal heart rate. Your heart usually beats
between 60 and 100 times a minute. If you have bradycardia, your heart rate will
be less than 60 beats per minute

4.Tachycardia is a condition that makes your heart beat

ans: more than 100 times per minute.

5. Atrial fibrillation (also called AFib or AF) is a quivering or irregular heartbeat

(arrhythmia) that can lead to blood clots, stroke, heart failure and other heart-related
complications.

6. AED means
An automated external defibrillator (AED) is a portable electronic device that
automatically diagnoses the life-threatening cardiacarrhythmias of ventricular
fibrillation and pulseless ventricular tachycardia,[1] and is able to treat them
through defibrillation, the application of electricity which stops the arrhythmia,
allowing the heart to re-establish an effective rhythm.

7. AHA
American Heart Association's

8. When was CPR guidliens stated in which country USA most recongnised
guidelines in world
AHA guidelines
9.IRC means
Indian resuctation guidline
10.website for IRC
www.cprindia.in

11. What Is ILCOR

International Liaison Committee on Resuscitation (ILCOR)

12. Which association ar in ILCOR

AHA ( Usa)

EU resuscitation council (European Union)

Heart stroke foundation Canada (Canada)

ANZCOR (Austalian, Newzeland)

Resuscitation council of Southern Africa ( south Africa)

Inter American Heart foundation ( latin America)

Resuscitation council of asia ( japan,Singapore,korea etc)

13. IRC status in ILCOR

Internship council in ilcor in 2019.

14. COLS means chets compression life support ( IRC version of hands only )

14. BCLS (BLS version of aha)

15. What is ACLS

Ans: Advanced cardiac life support, or advanced cardiovascular life support, often
referred to by its abbreviation as "ACLS", refers to a set of clinical algorithms for
the urgent treatment of cardiac arrest, stroke, myocardial infarction, and other life-
threatening cardiovascular emergencies.

15. CCLS is Indian version of ACLS

15. PALS means

Pediatric Advanced Life Support
 16. ATLS means
Advanced trauma life support (ATLS) is a training program for medical providers
in the management of acute trauma cases, developed by the American College of
Surgeons.

17. Neonatal Resuscitation Program means

Resuscitation for new born and infants less than 1 year old

18. Neonate means

A newborn baby, specifically a baby in the first 4 weeks after birth
More questions

1. The compression to ventilation ratio for one rescuer giving CPR to individuals of
ANY age is:*

1. 30:1
2. 30:2
3. 15:1
4. 15:2
10:1 is not a correct compression to ventilation ratio and will result in inadequate
perfusion. 30:1 is not a correct ratio and will result in inadequate ventilation. 30:2 is
the AHA expert consensus for the correct ratio of compressions to ventilations. 15:2
is not the correct ratio for compressions to ventilations in single rescuer CPR.

2. How often should rescuers switch roles when performing two-rescuer CPR?*

1 After every cycle of CPR

2. After every two cycles of CPR

3. After every five cycles of CPR

4. After every 10 cycles of CPR
Changing roles after every cycle of CPR will create too many interruptions and
impair successful resuscitation. Changing roles after every 2 cycles of CPR will
create frequent interruptions in perfusion and is not consistent with AHA
recommendations. Changing roles after every 5 cycles of CPR is the currently
recommended frequency to promote high quality CPR. CPR is physically
demanding and waiting to switch roles every 10 cycles will likely fatigue the
rescuer performing chest compressions resulting in lower quality CPR.

3. The proper steps for operating an AED are:*

1. Power on the AED, attach electrode pads, shock the individual, and analyze the
rhythm
2. Power on the AED, attach electode pads, analyze the rhythm, clear the individual,
and deliver shock
3. Attach electrode pads, check pulse, shock individual, and analyze rhythm
4. Check pulse, attach electrode pads, analyze rhythm, shock patient
The patient must be analyzed before the AED will advise a shock. This represents
the correct steps for operating an AED. The rhythm must be analyzed before the
AED will advise a shock. A pulse check should have been done prior to attaching
the AED and is not part of AED operation. This sequence does not begin with
powering on the AED.

4. Where should you attempt to perform a pulse check in a child who is anywhere
from one year to puberty?*

. Brachial artery
2. Ulnar artery
. Temporal artery

. Carotid or femoral artery

The brachial artery located on the upper arm is used in infants below 1 year old. The
ulnar artery is not used to perform pulse checks in BLS. The temporal artery is not
used to perform pulse checks in BLS. The carotid and femoral arteries are used to
perform pulse checks in BLS on children from 1 year of age to puberty.

5. The initial Basic Life Support (BLS) steps for adults are:*

1. Assess the individual, give two rescue breaths, defibrillate, and start CPR

2 Assess the individual, activate EMS and get AED, check pulse, and start CPR
3 Check pulse, give rescue breaths, assess the individual, and defibrillate
4. Assess the individual, start CPR, give two rescue breaths, and defibrillate
The 2015 AHA guidelines recommend starting CPR before initiating rescue
breathing. Assessing the victim, activating EMS, rapid use of an AED, checking
pulse, and beginning CPR is the correct sequence of events for BLS. The 2015 AHA
guidelines recommend initiating CPR prior to giving rescue breaths, and this
sequence does not activate EMS. This sequence fails to activate EMS.

6. The critical characteristics of high-quality CPR include which of the following?*

 1. Starting chest compressions within 10 seconds of recognition of cardiac arrest
2. Pushing hard and fast
3. Minimizing interruptions
4. All of the above
Minimizing interruption of circulation by quickly recognizing cardiac arrest and
beginning BCLS is an important characteristic of high-quality CPR and is
emphasized by guidelines. Pushing hard enough to compress the heart and squeeze
blood out, and fast enough to raise blood pressure is a vital characteristic of high-
quality CPR and is emphasized in the 2015 AHA guidelines. Minimizing
interruptions in CPR keeps blood pressure high enough to perfuse vital organs
including the heart and brain and is critical to improving outcomes in cardiac arrest.

7. The five steps in the Adult Chain of Survival include all of the following EXCEPT:*

1. Early CPR
2. Rapid defibrillation

3 Advanced airway placement

4. Integrated post-cardiac arrest care

Early CPR provides vital oxygen to the brain and vital organs increasing the
likelihood of recovery. Rapid defibrillation increases the chance of effectively
restoring a normal heart rhythm. Advanced airway placement is not part of the BLS
adult chain of survival. Post cardiac arrest care reduces the possibility of long-term
impairment and increases the chance of a victim making a full recovery.

8. The IRC guidelines for CPR recommended BCLS sequence of steps are:*

1. Chest compressions, Airway, Breathing

2. None of the above
3. Airway, Breathing, Check pulse
4. Airway, Breathing, Chest compressions
The recommended steps for CPR is are chest compressions, airway management,
and rescue breathing. Chest compressions have the greatest impact for survival.
Many rescuers fail to push hard or fast enough. High-quality chest compressions
have the greatest chance to save a life.

9. Which of the following are signs of airway obstruction?*

1. Poor air exchange

 2. High-pitched noise while inhaling
3. Inability to speak

4. All of the above

Poor airway exchange results in impaired ventilation and may be a sign of airway
obstruction. High pitched noise while inhaling, called stridor, is a sign of upper
airway impairment and may represent a partial airway obstruction. Speech requires
movement of air across the vocal cords. An airway obstruction will prevent this air
movement and therefore speech. All of the above represent signs of possible airway
obstruction.

10. In an adult with an advanced airway in place during two-rescuer CPR, how often
should the breaths be administered?*
1. Every 2 to 3 seconds (20 to 30 breaths per minute)
2. Every 4 to 5 seconds (12 to 15 breaths per minute)
3. Every 6 to 8 seconds (8 to 10 breaths per minute)
4. Every 10 to 12 seconds (5 to 6 breaths per minute)

Twenty to thirty breaths per minute will result in hyperventilation which impedes
return of spontaneous circulation. One breath every 4 to 5 seconds will result in
hyperventilation and is faster than the AHA guidelines recommend. One breath
every 6 to 8 seconds results in 8 to 10 breaths per minute, and is the correct
ventilation rate for an adult victim with an advanced airway. One breath every 10 to
12 seconds is slower than AHA guidelines recommend.

11. Which of these answers appropriately describes how to perform chest compressions

on an adult?

1. Compressions should be slow to allow for full recoil

2. Using one arm, press to 1/3 depth of chest
3. Palms placed midline on the lower 1/3 of the sternum
4. Palms placed in center of sternum above the nipples, using both arms

12. What is the compression to breath ratio in two-person CPR for an adult?

1.20:2
2.30:2
3.40:2
4.25:2

13. How many chest compressions a minute should be given to the patient during CPR?
1. 100-120
 2. There is no evidence showing how many chest compressions should be given.
3. 100 per 2 minute cycle
4. 80-100

14. You witness the collapse of an individual having a heart attack. What is your first
priority?

1. Begin chest compressions immediately

2. Activate an emergency response team
3. immediately provide rescue breathes
4. Retrieve a nearby AED

15. An infant becomes unresponsive and stops breathing. A strong pulse is still present.
How many rescue breaths a minute should be given until help arrives or the infant
starts breathing on its own?

1. 12-20 breaths a minute

2. 10-14 breaths a minute
3. 8-10 breaths a minute
4. 15-22 breaths a minute

16. How long should you check for a carotid pulse on an adult?

1. for a full two minutes

2. 5-10 seconds
3. 10-15 seconds
4. at least 30 seconds

17. You just performed 5 cycles of CPR on an adult. You reassess for a pulse. No pulse
is present. What is your next course of action?

1. call ( emergency number)

2. immediately reinitiate CPR
3. search for an AED
4. none of the above

18. Which of these actions is inappropriate when treating a chocking adult?

1. Stand directly behind the adult and place both of your arms around the
patient’s waist
2. use a blind finger sweep if a patient is choking and no foreign object is
seen
3. All of the above
 4. None of the above

19. What is the compression to breath ratio when performing CPR on an infant with
two providers?

1. 25:2
2. 15:2
3. 20:2
4. 30:2

20. How often should you recheck for a pulse when you are performing rescue
breaths on an unconscious patient with a pulse?

1. Every 45 seconds
2. Every 1 minute
3. Every 2 minutes
4. Every 4 minutes
Below is a wide-ranging set of BLS practice questions and answers for you to take
advantage of. While these exact questions and answers will not show up verbatim
on our official BLS Certification or Recertification Exam, they are a direct
representation of the types of questions you can expect in regards to the format and
style.
  
21.) Which of the following describes the proper sequences of BCLS?
A.) Pulse check, rescue breath, compression
B.) Airway, breathing, compression
C.) 1, 2, 3, 4, 5
D.) C - A – B
  
22.) The pulse assessed in an adult cardiac arrest victim is called the ______
pulse?
A.) Groin
B.) Radial
C.) Carotid
D.) Temporal
 Why :
  
23.) Choose the proper order of the Adult Chain of Survival:
A.) Recognition, Call EMS, Advanced Life Support, Defibrillate, Post-
Cardiac Arrest Care
B.) Recognition, Early CPR, Defibrillate, Advanced Life Support, Post-
Cardiac Arrest Care
 C.) CPR, Recognition, Call EMS, Defibrillate, Advanced Life Support
D.) Recognition, Defibrillation, CPR, Call EMS, Advanced Life Support
  
25.) True/False: Most rescuers describe child cardiac arrest situations as more
stressful than adult cases.
A.)True
B.)False
  
26.) You find an unresponsive victim without a pulse. You do not have a mask.
What is the next step for an untrained lay responder?
A.) Go call 911
B.) Wait until EMS arrives
C.) Begin CPR and perform mouth-to-mouth
D.) Use your shirt over their mouth as a barrier
  
27.) What is the correct compression-to-ventilation ratio for Two-Rescuer
Infant BLS?
A.) 30:2
B.) 30:1
C.) 15:2
D.) 15:1
  
28.) You attempt to deliver a breath through a mask but it does not go in. What
is the next step?
A.) Hyperextend the neck
B.) Blow harder
C.) Discard mask and use mouth-to-mouth
D.) Reposition the airway
  
29.) You are treating an adult choking victim. They initially can cough, but
now are grasping their throat and turning blue. What is the next step?
A.) Heimlich Maneuver
B.) Begin CPR
C.) Rescue breathing
D.) Check pulse
  

Answers:
1.) D
2.) C
3.) B
4.) A
 5.) C
6.) C
7.) D
8.) A

What does CPR stand for

1. Cardiopulmonary rescue

2. Cardiac personal resuscitation

3. Caring personal rescue

4. Cardiopulmonary resuscitation

Question 2 of 10
 What is CPR?
1. Chest compressions

2. Back blows

3. A combination of chest compressions and rescue breathing

4. Rescue breathing

Question 3 of 10
 When is CPR performed?
 
1. If a person is choking

2. If a person faints

3. If a person has an asthma attack

4. If a person is in cardiac arrest

Question 4 of 10
 What is one of the most common causes of cardiac arrest?
1. Heartburn

2. Atrial Fibrillation
 3. Ventricular fibrillation

4. Defibrillation

Question 5 of 10
 When is the best time to administer CPR?

1
Ten minutes after a cardiac incident
.

2
As soon as possible after a cardiac incident
.

3
Fifteen minutes after a cardiac incident
.

4
One to three minutes after a cardiac incident
.

Question 6 of 10
 Why is CPR important?
1. It provides a small supply of blood and oxygen to the brain and vital organs

2. It keeps the aorta from collapsing

3. It keeps the heart beating

4. It prevents cardiac arrest

Question 7 of 10
 What does C-A-B stand for?

1. Circulation airway breathing

2. Cardiac abnormal beat

3. Cicrulatory abnormal breathing
 4. Circulation and breathing

Question 8 of 10
 What does a cycle of CPR consist of?
1. Twenty chest compressions and three rescue breaths

2. Thirty chest compressions and two rescue breaths

3. Twenty chest compressions and two rescue breaths

4. Thirty chest compressions and three rescue breaths

Question 9 of 10
 What is the proper rate of chest compressions in CPR?
1. 60 per minute

2. 40 per minute
3. 100 per minute
4. 80 per minute

Question 10 of 10
 What does the AMA recommend untrained bystanders do if they witness
a cardiac emergency?
1. Call for help but do not perform CPR

2. Call for help and perform hands-only CPR

3. Call for help and perform CPR

4. Nothing

1.    What is the most critical component of CPR?

A.    Airway management
B.    Rescue breathing
C.    Chest compressions
D.    All of the above
2. When is it the right time to make sure the scene of an accident is safe?
A.    After getting the emergency response started.
B.    Immediately upon seeing the victim.
C.    After delivering a shock with an AED device.
D.    As soon as emergency medical professionals arrive.
3.    In order to protect your safety while providing CPR, you should:
A.    Use a one-way mouth guard.
B.    Use disposable gloves.
C.    Check the area for dangers such as gas fumes or chemical spills.
D.    All of the above.
4.    “Agonal breathing” is a form of struggling breathing that sounds like
gasping or gurgling. A person who shows signs of agonal breathing should get
CPR right away.
A.    True
B.    False
5.    How long should you take to check for a pulse?
A.    10 seconds maximum
B.    15 seconds maximum
C.    20 seconds maximum
D.    25 seconds maximum
6.    How deep should chest compressions be for an adult victim?
A.    At least 1 inch (2.5 cm) deep.
B.    At least 2 inches (5 cm) deep.
C.    At least 5 inches (7.5 cm) deep.
D.    At least 7 inches (10 cm) deep.
7.    Where should you place your hand to provide chest compressions to an
adult?
A.    Just above the nipple line.
B.    At the center of the victim’s breastbone.
C.    At the lower half of the victim’s breastbone.
D.    At the upper half of the victim’s breastbone.
8.    What is the rate of compression when delivering CPR?
A.    40 compressions per minute
B.    60 compressions per minute
C.    80 compressions per minute
D.    100 compressions per minute
9.    What should you do first when operating an AED?
A.    Turn the AED on.
B.    Attach the pads to the victim’s chest.
C.    Perform rescue breathing on the victim 2 times.
D.    Perform 5 CPR cycles before delivering the AED shock.
10.    You have delivered an AED shock to a patient. What should you do next?
A.    Check to see if the patient has a pulse.
B.    Start CPR again, beginning with chest compressions.
C.    Wait for the AED’s instructions to continue.
D.    Deliver 2 rescue breaths to the patient.
11.    When delivering CPR to an infant, the correct depth of compression is:
A.    A minimum of 1 inch (2.5 cm)
B.    A minimum of 1.5 inches (4 cm)
C.    A minimum of 2 inches (5 cm)
D.    A minimum of 3 inches (8 cm)
12.    How do you check for responsiveness in an infant?
A.    Call 911
B.    Gently tap the infant’s feet.
C.    Shout at the infant.
D.    Shake the infant.
13.    How do you open an unresponsive victim’s airway?
A.    Tilt their head back.
B.    Tilt their head back and lift the chin.
C.    Turn the victim on their side.
D.    Use a one-way mouth guard.
14.    What is the proper compression-to-breaths ratio when performing CPR on
a child along with an additional rescuer?
A.    15:2
B.    30:2
C.    5:1
D.    50:2