Watch the video below.
If you do not do well answering the questions on the screen as the video plays, take the multiple choice megacode scenario below the video.
The multiple choice megacode scenario provides a rationale when you do not answer a question correctly.
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Question 1 of 17
Scenario data: You are in the room of an 85 year old patient (female) performing an assessment. In the process of your assessment she gasps and becomes limp and unresponsive. Assessment:
Cardio: No pulse; (already has IV access)
Resp: No respirations; O2 is already on the patient 2L by NC
CNS: No response
Monitor: No monitor available upon collapse
As the first and only witness in the room at the time of collapse, what is the best first intervention listed below?CorrectIncorrect
Question 2 of 17
You shout for help and a crash cart. A coworker hears you and goes to activate the code blue response and get the crash cart. What is most commonly forgotten in emergencies when beginning CPR? The foot board or head board of hospital beds are often designed to be used as a back board in the case of emergencies.CorrectIncorrect
Question 3 of 17
As you are waiting for the crash cart, you start chest compressions. Shortly, your coworker, and several nurses arrive to assist. The defibrillator is attached to the patient and this is what you see.
The patient is pulseless. What is your first intervention?CorrectIncorrect
Question 4 of 17
You shock with 120 J. As the team leader, what will you ensure happens next?CorrectIncorrect
Question 5 of 17
You perform 5 cycles of CPR. As you complete CPR what is your next intervention?CorrectIncorrect
Question 6 of 17
You perform a rhythm check. This is what you see on the monitor:
The patient remains has no pulse. What is your next intervention?CorrectIncorrect
Question 7 of 17
You shock a second time and then begin CPR. What is recommended depth for chest compressions?CorrectIncorrect
Question 8 of 17
As CPR is continued, you prepare to administer a medication.
(True or False)
Vasopressin 40 U IV push can be given as a replacement for the 1st or 2nd dose of epinephrine?CorrectIncorrect
Question 9 of 17
You given the patient epinephrine IV push. What is the correct dose of epinephrine in the cardiac arrest algorithm?CorrectIncorrect
Question 10 of 17
After CPR (5 cycles) and a rhythm check which shock continued pulseless VT, you shock a 3rd time with 300 J and follow with 5 cycles CPR. After the 3rd shock during CPR you would normally give amiodarone, but it is not available. What is the other antiarrhythmic of choice when amiodarone is not available?CorrectIncorrect
Question 11 of 17
You give the lidocaine 1.5 mg/kg . What should you always do immediately after giving any IV medication?CorrectIncorrect
Question 12 of 17
You give the lidocaine followed by a 20 ml flush, and continue CPR. CPR consists of chest compressions and ventilations of a ratio of 30:2. After CPR, you perform a rhythm check which reveals continued pulseless VT. What do you do after the rhythm check?CorrectIncorrect
Question 13 of 17
Defibrillation is followed up with CPR for 5 cycles and now the rhythm check is as follows:
The patient remains unresponsive with no spontaneous breathing. Carotid pulse rate: 40’s. What rhythm does the rhythm strip show?CorrectIncorrect
Question 14 of 17
Since the patient is in a second degree block (type 1) and is symptomatic, you first give atropine 0.5 mg IV push followed by a 20ml flush of NS. The atropine does not increase the rate which remains at 40/min. What should your intervention be at this time?CorrectIncorrect
Question 15 of 17
You begin transcutaneous pacing with a rate of 60. The monitor shows good capture. VS at this time are: HR 60; SBP 90/50; Spontaneous respirations with a rate of 14, and the patient remains unresponsive. For this scenario what would be the most likely cause of the sudden cardiac arrest?CorrectIncorrect
Question 16 of 17
Since the cause of the cardiac arrest is most likely acute MI, which if the following is correct?CorrectIncorrect
Question 17 of 17
Congratulations, the patient has been treated effectively and post-resuscitation care has begun. Which of the following will occur during post-resuscitation care?CorrectIncorrect