American Safety & Health Institute

CPR for the Professional Rescuer EMS PROVIDER EXAM

INSTRUCTIONS: Read each of the following questions carefully and then circle the letter of the correct answer on the separate answer sheet provided. Please do not write on exam.

1. You are called to a local store for a “woman down”. You find an elderly female lying on her side near an open car door. Your first action should be to: A. Turn on power to your AED, and attach the electrodes to the patient’s chest. B. Open the airway and assess breathing. C. Quickly remove the patient’s dentures to prevent airway obstruction. D. Assess the scene and determine if it is safe to approach.

2. You are attending to an unresponsive 20-year-old male who hit his head diving into a pool. The patient has been removed on a spine board by lifeguards. The preferred method of opening and maintaining the airway of this patient is: A. Head-tilt without jaw thrust. B. Jaw thrust without head-tilt. C. Recovery position. D. Head tilt – chin lift.

3. You are making breakfast at home when you are startled by loud pounding on your front door. As you reach the door, you hear your neighbor crying, “HELP ME”. Upon opening the door, you find her holding a very pale and bluish 9-month-old infant. You should: A. Call EMS. B. Perform chest compressions. C. Check the carotid pulse. D. Provide one minute of rescue effort, and then call EMS.

4. A 13-year-old female is found slumped against the wall in the school bathroom. Upon your arrival, her lips are bluish. She is gasping approximately 4 times per minute. The scene is safe. You should: A. Assess responsiveness, position victim on her back and open the airway. B. Perform 15 chest compressions at a rate of 100 per minute. C. Place the patient in the recovery position and carefully monitor breathing. D. Deliver up to 5 forceful back blows between her shoulder blades.

5. You are attempting to ventilate a 45-year-old male who was discovered in bed, unresponsive, and not breathing. The patient’s chest does not rise with your rescue breaths. First, you should: A. Perform 15 chest compressions at a rate of 100 per minute. B. Straddle the patient and perform 5 upward abdominal thrusts. C. Reposition the airway, and reattempt to ventilate. D. Apply moderate cricoid pressure with your thumb and index finger.

American Safety & Health Institute 1 EMS PROVIDER EXAM APR 2003 6. You are called for an “unconscious person”. En route you are advised that family members are performing CPR on a 60-year-old male. When CPR is performed within 4 - 6 minutes of EMS arrival: A. It usually does not provide any benefit. B. It increases survival from cardiac arrest. C. It reduces the possibility of successful defibrillation. D. It decreases survival from cardiac arrest.

7. You are attending to an 11-month-old infant who is not breathing following submersion in a bathtub. After giving two slow breaths and confirming chest rise, you should check for signals of circulation, including the ______. A. Brachial pulse; B. Carotid pulse; C. Radial pulse; D. Femoral pulse.

8. You respond to a call for “trouble breathing”. Upon arrival you find a 25-year-old female who is obviously pregnant. Her husband states they were laughing about something during dinner when she began coughing uncontrollably. The patient is conscious and states, “I’m okay,” between vigorous episodes of coughing. You should: A. Perform quick, inward chest thrusts until the airway is clear. B. Perform quick, upward abdominal thrusts until the airway is clear. C. Deliver up to 5 back blows between the shoulder blades. D. Encourage her to continue coughing.

9. Continuing with the above scenario, the woman’s coughing becomes extremely weak and her efforts to breathe significantly increase. Her lips become slightly bluish in color. You ask if she is choking, and she nods. You ask if she can speak. She cannot. You should: A. Perform quick, inward chest thrusts until the airway is clear or patient becomes unresponsive. B. Perform quick, upward abdominal thrusts until the airway is clear or patient becomes unresponsive. C. Deliver up to 5 forceful back blows between her shoulder blades. D. Encourage her to continue coughing.

10. Continuing with the above scenario, the woman becomes unconscious. You lower her to the floor and: A. Use a tongue-jaw lift to perform a finger sweep. B. Straddle the patient and perform 5 upward abdominal thrusts. C. Perform 15 chest compressions at a rate of 100 per minute D. Turn on power to your AED and attach the electrodes to the patient’s chest.

11. Continuing with the above scenario, your actions are not successful. Her chest is motionless, and you do not hear or feel any air movement. Now you should: A. Apply a barrier mask, open the airway, and attempt to ventilate. B. Deliver up to 5 back blows between the shoulder blades. C. Perform 15 chest compressions until the airway is clear. D. Perform up to 5 abdominal thrusts until the airway is clear.

American Safety & Health Institute 2 EMS PROVIDER EXAM APR 2003 12. Continuing with the above scenario, your actions above are not successful. Her chest does not rise. Now you should: A. Reposition the patient’s head, reopen the airway, and reattempt to ventilate. B. Deliver up to 5 back blows between the shoulder blades. C. Perform 15 chest compressions. D. Perform up to 5 abdominal thrusts.

13. Your actions are successful. The patient coughs weakly, begins breathing adequately, but remains unconscious. Now you should: A. Use a tongue-jaw lift to perform a finger sweep. B. Apply a barrier mask, open the airway, and ventilate twice C. Perform 15 chest compressions at a rate of 100 per minute. D. Place the patient in the recovery position and carefully monitor breathing.

14. You and your partner are attempting to resuscitate a 5-month-old male discovered in his crib, unresponsive and not breathing. The compression rate and preferred compression technique are: A. 100 per minute, heel of 2 hands; B. 100 per minute, heel of 1 hand; C. At least 100 per minute, two-thumb technique; D. At least 100 per minute, two-finger technique.

15. You are attempting to resuscitate a 14-year-old male who collapsed during a school track event. Three shocks have just been delivered by an automated external defibrillator. There are no signals of circulation. You should:

A. Remove the pads and terminate the resuscitation attempt. B. Remove the batteries and replace them with fresh ones. C. Perform one minute of CPR. D. Place the patient in the recovery position.

16. You respond to an “unknown medical problem”. Upon arrival, an older man greets you at the door and states, “Something is wrong with my wife”. You find a 68-year-old female seated at her kitchen table. Although the woman is having trouble speaking, you are able to make out that she has a severe headache and a sudden onset of weakness on her left side. The woman has a history of high blood pressure. You suspect ______and decide to ______.

A. Alcoholism, have her sign a release; B. Bronchitis, administer oxygen and transport without delay; C. Stroke, administer oxygen and transport without delay; D. Hepatitis, use body substance isolation precautions & transport.

17. You and your partner are using a bag-valve-mask and supplemental oxygen to ventilate an unresponsive 22-year-old male who overdosed. Your partner is maintaining the patient’s airway and bag-valve-mask seal. In order to reduce the risk of gastric inflation and vomiting, you should:

A. Squeeze the bag slowly, over one to two seconds, until the chest rises. B. Squeeze the bag rapidly, less than one second, until the abdomen rises. C. Maintain slight, upward pressure on the abdomen using the heel of one hand. D. Maintain considerable, downward pressure on the abdomen using both hands.

American Safety & Health Institute 3 EMS PROVIDER EXAM APR 2003 18. Continuing with the above scenario, an additional rescuer arrives on the scene. In order to further help reduce the risk of vomiting and aspiration, she applies moderate, downward pressure to the:

A. Bag; B. Mask; C. Valve; D. Cricoid cartilage.

19. In addition to the measures taken above, the risk of gastric inflation, vomiting and aspiration can also be reduced by making sure that the amount of ventilation given to the patient: A. is less than the amount required to make the chest rise. B. is more than the amount required to make the chest rise. C. is just enough to make the chest rise. D. exceeds lower esophageal opening pressure.

20. You are caring for a 51-year-old female complaining of chest discomfort. While telling you about her previous heart attack, the patient suddenly gasps and slumps forward in her chair. You should: A. Assess responsiveness. B. “Power on” your AED, attach the electrodes to the patient’s chest, and begin analyzing. C. Place the patient in the recovery position. D. Begin chest compressions immediately.

21. You are attempting to resuscitate a “man down” at your local city park. When applying the AED electrodes, you notice a small lump and scar on the patient, indicating an implanted medical device. You should:

A. Place the pad directly over the device. B. Place the pad at least one inch to the side of the device. C. Place the pad next to the device, with one edge of the pad touching it. D. Never attach an AED to a patient with an implanted medical device.

22. You are performing chest compressions on a 6-year-old child who is in cardiac arrest after being struck by an automobile. You perform ___ compression(s), then pause to allow your partner to give ____ ventilation(s).

A. 5:1 B. 1:5 C. 15:2 D. 2:15

23. You respond to a “baby not breathing”. Upon arrival, the parents of a 4-month-old male infant tell you that he sucked a pacifier into his mouth. The infant is unresponsive, blue, and limp. After opening the airway, you perform a tongue-jaw lift, see the pacifier, and remove it carefully. Blind finger sweeps should not be performed on infants and children because:

A. the tongue is too large. B. the lungs are too small. C. a foreign body may be pushed back into airway causing further obstruction or injury. D. none of the above.

American Safety & Health Institute 4 EMS PROVIDER EXAM APR 2003 24. You are called for a “driver slumped over the wheel”. Upon arrival, you find a large, undamaged SUV parked on the side of the road. Inside, a 38-year-old male is unresponsive in the driver’s seat. After extricating the patient, you open the airway and assess breathing. Since the patient is not breathing adequately, you apply a mask to the patient’s face and attempt to ventilate. You feel strong resistance and do not see any chest rise. This is most often caused by______.

A. the patient’s tongue. B. airway obstruction by a foreign body. C. airway obstruction by vomit. D. inadequate force of ventilation.

25. You are called to an “accident with injuries”. Upon arrival, bystanders direct you to the drainage ditch running along the highway where a 23-year-old motorcyclist lies motionless, his mouth filled with blood. Due to the potential of exposure to bloodborne pathogens during suctioning, what personal protective equipment should be used?

A. Disposable gloves; B. Surgical-type mask; C. Eye protection; D. All of the above.

American Safety & Health Institute 5 EMS PROVIDER EXAM APR 2003 CPR for the Professional Rescuer EMS PROVIDER ANSWER SHEET

PRINT NAME ______Date ______

1. A B C D

2. A B C D

3. A B C D

4. A B C D

5. A B C D

6. A B C D

7. A B C D

8. A B C D

9. A B C D

10. A B C D

11. A B C D

12. A B C D

13. A B C D

14. A B C D

15. A B C D

16. A B C D

17. A B C D

18. A B C D

19. A B C D

20. A B C D

21. A B C D

22. A B C D

23. A B C D

24. A B C D

25. A B C D

American Safety & Health Institute 6 EMS PROVIDER EXAM APR 2003 CPR for the Professional Rescuer EMS PROVIDER ANSWER KEY