Test I. Multiple Choice: There are 50 questions in the test. You will be given 1 hour to complete the test. Select the best answer and indicate it by encircling the letter of your choice. Erasures or any form of superimpositions are not allowed. Your score will be the number of questions correctly answered. Be sure to answer every question.

This test will measure Knowledge based learning on the status of the individual and the emergency situation.1. Which of this client’s condition needs Rescue Breathing?

a. Has pulse but no breathingb. No pulse and no breathingc. No pulse but has breathingd. A and C

2. When the brain is deprived of oxygen for 4-6 minutes, brain damage is a. not probableb. probablec. irreversible d. certain

3. A victim who is not breathing but has signs of circulationa. Has had a sudden cardiac arrestb. Needs compressions and breathsc. Needs rescue breathingd. Needs defibrillation

4. An infant in need of CPR will havea. Rapid and shallow breathingb. No breathing and no signs of circulationc. Sings of circulation and will be consciousd. Breathing and no signs of circulation

5. Which is a signal of breathing difficulty?a. Pain in the abdomenb. Pain radiating down the left armc. Unusual noises such as wheezing or gurglingd. Pain in the chest

This test will measure sound decision making in the emergency care of the individual/group in the emergency situation6. What should you do if the breaths you give do not make the victim’s chest

rise?a. Ask someone else to try giving the breathsb. Do a finger sweepc. Give two more breaths with more forced. Re-tilt the head and give breaths again

7. When should you stop giving CPR?a. when emergency personnel takes overb. If the scene becomes unsafe

c. When you are exhaustedd. All of the above

8. When do you STOP CPRa. Spontaneous breathing and pulse restored.

b. Operator is exhaustedc. Physician assumes responsibilityd. All of the above

9. These are the criteria for not starting CPR except;a. rigor mortis

b.decapitation c.dependent lividity d. pulseless

10. For a child victim of Cardiac Arrest what should you do first?a. Call for medical assistanceb. Perform one minute CPRc. Perform one minute Rescue Breathingd. Wait for medical assistance

This test will measure the promotion of safety of the individual while giving emergency nursing care

11. The depth of compression for infant is?a. 1-1 ½ inchesb. 1 ½ - 2 inchesc. 1/2-1 inchd. ½ inch

12. When giving chest compressions to an adult, the rescuer should compress the chest to a depth of

a. 1” to 1.5”b. 1.5” to 2”c. 2” to 2.5”d. 2.5” to 3”

13. Where on an infant victim should you feel for a pulse? a. Brachial artery in the arm

b. Carotid artery in the neck c. Femoral artery in the groin

d. Radial artery in the wrist14. Where on an adult victim should you feel for a pulse? a. Brachial artery in the arm

b. Carotid artery in the neck c. Femoral artery in the groin d. Radial artery in the wrist

15. Where on a child victim should you feel for a pulse? a. Brachial artery in the arm b. Carotid artery in the neck c. Femoral artery in the groin d. Radial artery in the wrist

16. Opening of airway for child with no cervical injury isa. jaw thrust maneuverb. maximum health tiltc. neutral plus positiond. neutral position

17. The ratio of ventilation and compression for infant isa. 30 compressions : 2 ventilationsb. 5 compressions : 2 ventilationsc. 5 compressions : 1 ventilationd.15 compressions : 1 ventilation

18. The ratio of ventilation and compressions for infant is-a.30 compressions : 2 ventilationsb. 5 compressions : 2 ventilationsc.5 compressions : 1 ventilationd.15 compressions : 1 ventilation

19. During compressions what will you use for a child victim?a.Heel of one hand, other hand on topb.Heel of one handc.Two fingersd.Three fingers

20. During compression what will you use for an infant victim? a. heel of one hand, other hand on top b. heel of one hand c. Two fingers d. Three fingers

21. Once you have started CPR on an adult when should you check to see whether the victim has a pulse? a. After the first two minutes and every two minutes thereafter

b. After the first minute and every few minutes thereafterc. After each minute of continuous CPR

d. Any of the above is acceptable22. When giving care to an infant who is unconscious and has obstructed airway,

where do you position your finger to give chest compressions? a. on the belly button b. at the top of the breastbone near the neck c. in the center of the breastbone, one finger width below the nipple line

d. in between the belly button and xiphoid process23. When giving rescue breaths to an infant, how should you breathe into the

victim? a. puff b. blow c. fast blow d. hard blow24. A way to ventilate the lungs of an infant. a. mouth to nose and mouth b. mouth to mouth

c. mouth to nose d. none of the above25. A way to ventilate the lungs of a child. a. mouth to nose and mouth b. mouth to mouth c. mouth to nose d. none of the above26. When giving chest compressions to a child, the rescuer should compress the

chest to a depth of a. 1” to 1.5” b. 1.5” to 2” c. 2” to 2.5” d. 2.5” to 3”27. A way to ventilate the lungs of an adult. a. mouth to nose and mouth b. mouth to mouth c. mouth to nose d. none of the above28. Opening of airway for an infant with no cervical injury is

a. jaw thrust maneuverb. maximum health tiltc. neutral plus positiond. neutral position

29. Which should you do to keep the airway open when giving rescue breaths if you do not suspect a head injury?

a. lift the chin b. tilt the head back and lift the chin c. tilt the head back and lift the neck d. roll the victim onto one side

30. For how many seconds do you check a victim’s signs of circulation a. no more than 10 seconds

b. 3-5 seconds c. about 60 seconds d. about 15-20 seconds31. The child is pulseless. The rescuer begins chest compressions. Since effective

chest compressions depend on proper technique, the rescuer should apply pressure a. on the lower sternum with the heel of one hand b. midway on the sternum with the tips of two fingers c. over the apex of the heart with the heel of one hand d. on the upper sternum with the heel of both hands32. If the rescuer had to perform mouth-to-mouth breathing for the infant, the

nurse should tilt the infant’s head back slightly in order to a. prevent airway obstruction b. minimize gastric distention c. prevent excessive pressure on the neck d. inhibit extensor posturing

(For questions # 33 – 43 )A 4th year student nurse is called to her neighbor’s home when a 56 year old Mr. Chavez collapses. After a quick assessment of the victim, the student nurse knows that cardiopulmonary resuscitation (CPR) is necessary. The nurse instructs Mrs.Chavez to call EMS

33. Mr. Chavez is lying in an upholstered reclining chair when the student nurse arrives. Where the victim should be positioned for cardiopulmonary resuscitation? a. On the sofa b. On the floor

c. On the tipped-back reclining chaird. On a mattress pulled onto the floor

34. After positioning Mr. Chavez, the student nurse next course of action should be to :

a. open the victim’s airwayb. elevate the victim’s head slightlyc. give the victim four quick breathsd. administer 30 quick cardiac compressions

35. Mr Chavez’s teenaged son steps forward and tells the student nurse that he knows CPR and can help. The student nurse initiates external cardiac compressions while the son administers artificial ventilations. The rate at which the student nurse should administer cardiac compressions should be

a. 40 to 60 per minuteb. 50 to 70 per minutec. 60 to 80 per minuted. 80 to 100 per minute

36. Which is the compression ventilation ration for two rescuer CPR?a. 4:1b. 5:1c. 5:2d. 6:3

37. The xiphoid process at the lower end of Mr. Chavez’s sternum should not be deeply compressed when performing wxternal cardiac compression because of the danger of lacerating the victim’s

a. lungb. liverc. stomachd. diaphragm

38. When performing external chest compressions on Mr Chavez, the student nurse should depress the sternum

a. ½” to 1”b. 1” to 1 ½”c. 1 ½” to 2”d. 2” to 2 ½”

39. During CPR, Mr. Chavez’s pulse should be checked at regular intervals using the

a. radial artery

b.celiac arteryc. carotid arteryd. brachial artery

40. If Mr. Chavez’s chest wall fails to rise with each inflation when the rescue breathing is administered, the most likely reason is that the

a. airway is not clearb. victim is beyond resuscitatingc. inflations are being given at too rapid a rated. rescuer is using inadequate force for cardiac massage

41. Mr. Chavez is transported by ambulance to hospital’s emergency room, where the admitting nurse quickly assesses the patient’s condition. Of the following observations, the one most often recommended for determining the effectiveness of CPR is noting whether the victim’s

a. pulse rate is normalb. pupils are reacting to lightc. mucous membranes are pinkd. systolic Blood pressure is at least 80mmHg

42. It is estimated that the maximum amount of time Mr. Chavez could have been without cardiopulmonary functioning and still not experience permanent brain damage is between

a. 1 and 2 minutesb. 4 and 6 minutesc. 8 and 10 minutesd. 12 and 15 minutes

43. Mr. Chavez regains consciousness and is breathing spontaneously. He is confused and very anxious. Which of the following courses of action is likely to give him the most support while a life saving measures is being performed?

a. occasionally hold his hand firmlyb. ask him if he knows why he is afraidc. remind him that his wife is in the roomd. tell him that he can help most by trying to relax

44. A student nurse on the way to school finds an old man lying on the floor unresponsive. The victim is not breathing and does not have a pulse, and the student nurse immediately calls out for help. The next nursing action is which of the following?

a. open the airwayb. give the client rescue breathingc start chest compressionsd. ventilate with a mouth to mouth resuscitation

45. A student nurse witness a neighbor’s husband sustain a fall from the roof of his house. The student nurse rushes to the victim and determines the need to open the airway. The nurse opens the airway in this victim by using which method?

a. flexed positionb. head tilt-chin liftc. jaw thrust maneuverd. modified head tilt chin lift.

46. A nursing student is asked to describe the correct steps for performing adult cardiopulmonary resuscitation. Which of the following are the correct steps in adult CPR?

1 – Initiate breathing2 – Open the client’s airway3 – Determine breathlessness4 – Perform chest compressions5 – Check for a pulse at the carotid artery6 – Determine unconsciousness by shaking the client and asking

“ Are you Ok”?a. 4 2 3 6 5 1b. 4 2 6 3 1 5c. 4 2 5 1 6 3d. 4 2 6 3 5 1

47. When you perform chest compressions on an adult, why is it important to keep your shoulders directly over your hands and your elbows locked?

a. So that you don’t injure your elbows’ jointsb. So that the proper wrist angle is maintained throughout the compressionc. So that you use the weight of your upper body to compress the chest and

don’t tire out too quicklyd. So that the chest is compressed exactly one inch

48. A nurse is teaching cardiopulmonary resuscitation to a group of nursing students. The nurse asks a student to describe the reason why blind finger sweeps are avoided in infants. The nurse determines that the student understands this reason if the student makes which statement?

a. The object may have been swallowedb. The infant may bite down on the fingerc. The mouth is too small to see the objectd. The object may be forced back father into the throat

Evaluates progress towards expected patient outcomes49. Which of the following sings would indicate that cardiopulmonary resuscitation was effective?

a. the appearance of mottlingb. dilation of pupilsc. palpable peripheral pulses

d. cool, dry skin 50. As Mr. Chavez’s son provides rescue breathing, Mr. Chavez will exhale by

a. normal relaxation of the chestb. gentle pressure of the rescuer’s hand on the upper chestc. the pressure of the cardiac compressionsd. turning his head to side

Test II. Fill in the blanks for 12 points.

Directions: Supply the appropriate data being asked in the table. You will be given 15 minutes to complete the test. Each item is worth 1 point. Performs age specific safety measures in all aspects of individual care.

INFANT CHILD ADULTCardiac Compression 100 compressions/minRate of compression 30:2Depth of compression ½-1” Assess for pulse Carotid arteryquality of blow (rescue breathing)

Full blow

Ventilation 2 ventilation

Test III. Identification Type for 10 points.

Directions: You will be given 15 minutes to complete the test. Erasures or any form of superimpositions are not allowed. Your score will be the number of questions correctly answered. Be sure to supply an answer in the space provided located after an item.

*To assess the students in the definition of legal terms in the performance of emergency nursing care.

1.) This refers to the threat of violence caused by an immediate show of force or by any physical contact by someone to another person without consent ___________________

2.) Is the crime that represents the unlawful physical contact and has a the intention to cause grievous bodily harm ________________

3.) A term in jurisprudence that can be a possible defense against civil or criminal liability and obtaining a permission to perform a medical procedure ________________

4.) This is a type of permission granted by the person and expressly authorizes the health care provider to give appropriate care _________

5.) Is another form of permission which is not expressly granted by a person, but rather inferred from a person's actions and the facts and circumstances of a particular situation _____________

6.) Is a form of tort, and possibly a crime, wherein a person is intentionally confined without legal authority _________________

7.) This refers to the capacity of a rational individual to make an informed, non-coerced decision for him/her self _______________

8.) A form of tort and a conduct that is culpable because it falls short of what a reasonable person would do to protect another individual from foreseeable risks of harm during a certain procedure ______________

9.) Occurs when a health care professional has already begun emergency treatment of a patient and then suddenly walks away while the patient is still in need, without securing the services of an adequate substitute or giving the patient adequate opportunity to find one _____________

10.) International accepted laws or acts protecting from liability those who choose to aid others who are injured or ill and also utilizes the principle of 'duty to rescue' ___________________