Questions with Correct Answers

ACLS: Primary and Secondary Assessment

Questions with Correct Answers BLS assessment - Correct Answer 1. Check for responsiveness and breathing

• Shout for help
• Check for breathing and pulse
• Defibrilation

Check for responsiveness and breathing - Correct Answer 1. Give oxygen to pt's with acute cardiac symptoms

• Simultaneously shake and shout (if trauma touch and talk)
• If unrespsonive, pt not breathing or breathing agonally then shout for help

Shout for help - Correct Answer 1. Activate the emergency response system

• Get and AED if one is available
• Send someone to acticate the emergency response system and obtain an AED

Check for breathing and pulse - Correct Answer 1. Check for absent or abnormal breathing

• If their is only gasping by lookingat or scanning the chest for movement for about 5-10 seconds
• Ideally the pulse check is performed and simultaneously with the breathing check to minimize

delay in detection of cardiac arrest and initiation of CPR

• Check for pulse 5-10 seconds
• If no pulse within 10 seconds, start CPR, beginning with chest compressions
• If there is a pulse start recuse breathing at 1 breath every 5-6 seconds. Check pulse about every 2

minutes.

• If no pulse check for a shockable rhythm with an AED/defibrilator as soon as it arrives. Provide

shock as indicated

• Follow each shock immediately with CPR, beginning with compressions

No pulse for 10 seonds - Correct Answer Start CPR beginning with chest compression If there is a pulse - Correct Answer Start rescue breathing at 1 breath every 5-6 seconds. Check pulse every 2 minutes 1 / 2

No pulse - Correct Answer Check for a shockable rhythm with an AED/defibrillator soon as it arrives.Provide shock as indicated Defibrillation - Correct Answer 1. If no pulse, check for a shockable rhythm with an AED/defibrilator as soon as it arrives

• Provides shocks as indicated
• Follow each shock immediately with CPR, beginning with compressions

Interruptions in chest compression - Correct Answer 1. Interruptions no longer than 10 seconds, except in extreme circumstances, such as removing the patient from a dangerous environment

• When compressions are stopped blood flow to brain and heart stops

How to prevent interruptions - Correct Answer Avoid:

• Prolonged rhythm analysis
• Frequent or inappropriate pulse checks
• Taking to long to give breaths to the pt
• Unnecessarily moving the pt

Quality compressions - Correct Answer 1. Compress the chest at lead 2 inches

• Compress the chest at a rate of 110-120
• Compress the chest hard and fast
• Allow complete chest recoil after each compression
• Minimize interruptions in compressions (10 seconds or less)
• Avoid excessive ventilations
• Switch compressor about every 2 minutes or earlier if fatigued, switch should take less than 5

seconds Primary assessment - Correct Answer 1. Airway

• Breathing
• Circulation
• Defibrillation
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