Answers to the Multiple Choice 
Review Questions

God Knows
God Knows
1. Which of the following is the most important step to restore 
    cerebral blood flow to the unresponsive, breathless submersion 
    (near-drowning) victim?

    b. begin chest compressions

2.  Which of the following choices lists in correct order the major 
     steps of CPR and defibrillation operation for an unresponsive 
     adult victim?

     c. send someone to phone 911 and get the defibrillator, check 
        for a pulse and provide 30 chest compressions if no pulse, 
        open the airway, provide 2 breaths if needed, perform CPR 
        for 5 cycles, attach the defibrillator when it arrives and follow 
        the proper sequence

3.  The patient has no pulse and continues in V.fib. One shock was 
     given, and still cannot convert the patient.  What intervention 
     would you do next?

     a. Resume CPR beginning with 30 chest compressions. 

4. The patient was bradycardic, intubated on a ventilator.  
    Suddenly, the patient becomes asystolic.  The code team is 
    called, CPR is begun.  What is the first medication that should 
    be given after IV is established? 

    d. Give epinephrine 1mg IV push.

5. A patient has a pulse and has an unstable tachycardia heart rate  
    of 180s.  What intervention would be appropriate?

    c. Prepare for synchronized cardioversion.

6. The patient is unresponsive; a code team has stopped CPR to 
    defibrillate.  Someone is having trouble with the AED taking 
    more than 10 seconds to troubleshoot. What should be said 

    c.  “I will resume chest compressions until you are ready to place 
         the AED. Ok?” 

7. The last step of the secondary assessment is:

    d.  Determine the cause  

8. A sixty year old is unresponsive, pulseless, intubated being 
    ventilated with a bag-valve mask, and CPR is being performed.  
    What is the next most appropriate intervention.

    a. Establish an IV or IO route.