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40) Which of the following BEST describes an appropriate shock sequence for the patient in
pulseless VT?
A) Shock, 2 minutes of CPR, analyze, shock again
B) Shock, shock, shock, pulse check, 2 minutes of CPR, shock, shock, shock
C) Shock, pulse check, shock, pulse check, shock, pulse check
D) Shock, shock, shock, shock
Objective: 18.11
41) You are transporting a 50-year-old male patient whom you successfully defibrillated at the
scene. You are 5 minutes away from the hospital when the patient goes back into cardiac arrest.
Which of the following is the best course of action?
A) Analyze the cardiac rhythm and deliver shocks as necessary.
B) Tell the driver to stop, analyze the cardiac rhythm, and deliver a shock as necessary.
C) Tell the driver to stop and assist you with CPR, and request another unit for assistance.
D) Initiate CPR and continue transporting.
Objective: 18.11
18
42) You are on the scene of a 65-year-old female patient in cardiac arrest. CPR is in progress and
the AED has been applied. The AED advises shock. After defibrillating the patient, what is your
next intervention?
A) Place in the recovery position.
B) Insert a Combitube.
C) Check for a pulse.
D) Continue CPR.
Objective: 18.11
43) You are the first on the scene of a 72-year-old patient in cardiac arrest. You have your
medical supply kit, oxygen, and an AED. At least 4 to 5 minutes of high-quality CPR has been
provided by the police officer who arrived before you. You have confirmed an open airway,
apnea, and pulselessness. Which of the following should you do next?
A) Perform one-rescuer CPR until additional personnel arrive.
B) Apply the defibrillator pads and shock as indicated.
C) Perform bag-valve-mask ventilations with supplemental oxygen for 30 seconds before
applying the defibrillator pads.
D) Contact medical direction before taking any action.
Objective: 18.11
19
44) Your patient is a 66-year-old female who has regained a pulse after a shock with an AED;
however, she remains unresponsive and is not breathing adequately. Which of the following
should be done next?
A) Assist ventilations with a bag-valve-mask device and supplemental oxygen and anticipate that
the patient may go back into cardiac arrest.
B) Deliver a fourth shock to improve the patient's respiratory status.
C) Remove the AED and assist the patient's ventilations with a bag-valve mask and supplemental
oxygen, and keep re-assessing the pulse.
D) Apply a nonrebreather mask with high-concentration oxygen and keep reassessing the pulse.
Objective: 18.12
45) You are on the scene of a 65-year-old female patient in cardiac arrest. CPR is in progress and
the AED has been applied. The AED does not advise shock. What is your next intervention?
A) Stop CPR and place the patient in the recovery position.
B) Insert a Combitube.
C) Continue CPR.
D) Replace the malfunctioning AED.
Objective: 18.12
20
46) In which of the following ways does cardiac arrest in children differ from cardiac arrest in
adults?
A) Cardiac arrest in children is more likely to be due to respiratory failure.
B) Ventricular fibrillation is common in children.
C) Ventricular fibrillation is not common in adults.
D) Cardiac arrest in adults is more likely to be due to respiratory failure.
Objective: 18.12
47) Automatic defibrillation is NOT appropriate in most cases of infant cardiac arrest due to
which of the following?
A) Ventricular fibrillation is not the primary cause of cardiac arrest in the pediatric patient.
B) The energy delivered by the AED would not be effective on an infant.
C) AEDs cannot effectively determine rhythms on patients weighing less than 20 pounds.
D) None of the above
Objective: 18.12
21
48) Which of the following patients should have an automated external defibrillator applied?
A) A 67-year-old man with severe, crushing chest pain that is not relieved by nitroglycerin
B) A 6-month-old in severe respiratory distress
C) A 19-year-old college athlete who collapsed during football practice and is pulseless and
apneic
D) A 40-year-old female in cardiac arrest due to chest injuries sustained in a motor vehicle crash
Objective: 18.12
49) Which of the following BEST describes the purpose of a continuous quality improvement
program for AED?
A) Taking disciplinary action for patient care errors
B) Eliminating the need for medical direction
C) Replacing continuing education
D) Improving patient outcomes in the community
Objective: 18.12
22
50) Mechanical CPR devices are used by EMS agencies in order to provide ________.
A) a 100% success rate
B) a faster response time to the scene
C) high-quality compressions
D) more efficient breaths
Objective: 18.13
23
