BLS MCQS

Explanation
•
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.

•
The 2010 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 2010 AHA guidelines recommend
initiating CPR prior to giving rescue breaths,
and this sequence does not activate EMS.
•
This sequence fails to activate EMS.

The critical characteristics of high

-
quality CPR include
which of the following?
a) Minimize
interruptions
b) Starting
chest compressions within 10 seconds of
recognition of cardiac
arrest
c) Push
hard and
fast
d) All
of the above
Explanation
•
Minimizing interruption of circulation by quickly
recognizing cardiac arrest and beginning CPR is an
important characteristic of high
-
quality CPR and is
emphasized by the AHA 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
2010 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.

The proper steps for operating an AED are:

a) Power
on the AED, attach electrode pads, shock the patient, analyze
the
rhythm
b) Check
pulse, attach electrode pads, analyze rhythm, shock patient
c) Attach
electrode pads, check pulse, shock patient, analyze rhythm
d) Power
on the AED, attach
electode
pads, analyze the rhythm, clear
the
patient, deliver shock
Explanation
•
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.

Q8
How
often should rescuers switch roles when
performing 2
-
rescuer CPR?
a) After
every 2 cycles of CPR
b) After
every 5 cycles of CPR
c) After
every 10 cycles of CPR
d) After
every cycle of CPR
Explanation
•
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

Q9
The 5 links in the adult Chain of Survival include all
of the following EXCEPT:
•
Early CPR
•
Advanced airway placement
•
Rapid Defibrillation
•
Integrated Post
-
Cardiac Arrest Care
Explanation
•
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
Q10
In an adult with an advanced airway in place during 2
-
rescuer CPR, breaths should be administered how often?
a) Every
6 to 8 seconds ( 8 to 10 breaths per minute)
b) Every
2 to 3 seconds ( 20 to 30 breaths per minute)
c) Every
10 to 12 seconds ( 5 to 6 breaths per minute)
d) Every
4 to 5 seconds ( 12 to 15 breaths per minute)
Explanation
•
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.

Source
•
National Health
C
are
P
rovider
S
olutions
•
Link
→
https://nhcps.com/bls
-
certification
-
practice
-
test/