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Bls Practice 1

The document is a practice test for BLS certification that consists of 10 multiple choice questions about CPR guidelines. It provides the questions, possible answer choices, and explanations for the correct answers based on AHA guidelines. The questions cover topics like compression to ventilation ratios, switching roles during two-rescuer CPR, operating an AED, checking pulses in children, initial BLS steps, characteristics of high-quality CPR, the adult chain of survival, recommended CPR sequence, signs of airway obstruction, and ventilation rates for an adult with an advanced airway.

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Purushothama Rao Nalamati
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2K views

Bls Practice 1

The document is a practice test for BLS certification that consists of 10 multiple choice questions about CPR guidelines. It provides the questions, possible answer choices, and explanations for the correct answers based on AHA guidelines. The questions cover topics like compression to ventilation ratios, switching roles during two-rescuer CPR, operating an AED, checking pulses in children, initial BLS steps, characteristics of high-quality CPR, the adult chain of survival, recommended CPR sequence, signs of airway obstruction, and ventilation rates for an adult with an advanced airway.

Uploaded by

Purushothama Rao Nalamati
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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BLS Practice Test

Take the free BLS Practice Test provided below in order to prepare you for our
official BLS online exam. The practice exam consists of 10 multiple-choice
questions that are derived from the BLS provider handbook and adhere to
the latest AHA and ECC guidelines. Correct answers and explanations
are displayed after you answer each question.

1. The compression to ventilation ratio for one rescuer giving CPR to


individuals of ANY age is:*
o 30:1

o 30:2

o 15:1

o 15:2
10:1 is not a correct compression to ventilation ratio and will result in
inadequate perfusion. 30:1 is not a correct ratio and will result in inadequate
ventilation. 30:2 is the AHA expert consensus for the correct ratio of
compressions to ventilations. 15:2 is not the correct ratio for compressions to
ventilations in single rescuer CPR.
2. How often should rescuers switch roles when performing two-rescuer
CPR?*
o After every cycle of CPR

o After every two cycles of CPR

o After every five cycles of CPR

o After every 10 cycles of CPR


Changing roles after every cycle of CPR will create too many interruptions
and impair successful resuscitation. Changing roles after every 2 cycles of
CPR will create frequent interruptions in perfusion and is not consistent with
AHA recommendations. Changing roles after every 5 cycles of CPR is the
currently recommended frequency to promote high quality CPR. CPR is
physically demanding and waiting to switch roles every 10 cycles will likely
fatigue the rescuer performing chest compressions resulting in lower quality
CPR.
3. The proper steps for operating an AED are:*
o Power on the AED, attach electrode pads, shock the
individual, and analyze the rhythm
o Power on the AED, attach electode pads, analyze the rhythm,
clear the individual, and deliver shock

o Attach electrode pads, check pulse, shock individual, and


analyze rhythm

o Check pulse, attach electrode pads, analyze rhythm, shock


patient
The patient must be analyzed before the AED will advise a shock This
represents the correct steps for operating an AED. The rhythm must be
analyzed before the AED will advise a shock. A pulse check should have been
done prior to attaching the AED and is not part of AED operation. This
sequence does not begin with powering on the AED.
4. Where should you attempt to perform a pulse check in a child who is
anywhere from one year to puberty?*
o Brachial artery

o Ulnar artery

o Temporal artery

o Carotid or femoral artery


The brachial artery located on the upper arm is used in infants below 1 year
old. The ulnar artery is not used to perform pulse checks in BLS. The
temporal artery is not used to perform pulse checks in BLS. The carotid and
femoral arteries are used to perform pulse checks in BLS on children from 1
year of age to puberty.
5. The initial Basic Life Support (BLS) steps for adults are:*
o Assess the individual, give two rescue breaths, defibrillate,
and start CPR

o Assess the individual, activate EMS and get AED, check pulse,
and start CPR

o Check pulse, give rescue breaths, assess the individual, and


defibrillate

o Assess the individual, start CPR, give two rescue breaths, and
defibrillate
The 2015 AHA guidelines recommend starting CPR before initiating rescue
breathing. Assessing the victim, activating EMS, rapid use of an AED,
checking pulse, and beginning CPR is the correct sequence of events for BLS.
The 2015 AHA guidelines recommend initiating CPR prior to giving rescue
breaths, and this sequence does not activate EMS. This sequence fails to
activate EMS.
6. The critical characteristics of high-quality CPR include which of the
following?*
o Starting chest compressions within 10 seconds of recognition
of cardiac arrest

o Pushing hard and fast

o Minimizing interruptions

o All of the above


Minimizing interruption of circulation by quickly recognizing cardiac arrest
and beginning CPR is an important characteristic of high-quality CPR and is
emphasized by the AHA guidelines. Pushing hard enough to compress the
heart and squeeze blood out, and fast enough to raise blood pressure is a
vital characteristic of high-quality CPR and is emphasized in the 2015 AHA
guidelines. Minimizing interruptions in CPR keeps blood pressure high enough
to perfuse vital organs including the heart and brain and is critical to
improving outcomes in cardiac arrest.
7. The five steps in the Adult Chain of Survival include all of the
following EXCEPT:*
o Early CPR

o Rapid defibrillation

o Advanced airway placement

o Integrated post-cardiac arrest care


Early CPR provides vital oxygen to the brain and vital organs increasing the
likelihood of recovery. Rapid defibrillation increases the chance of effectively
restoring a normal heart rhythm. Advanced airway placement is not part of
the BLS adult chain of survival. Post cardiac arrest care reduces the
possibility of long-term impairment and increases the chance of a victim
making a full recovery.
8. The 2015 AHA guidelines for CPR recommended BLS sequence of
steps are:*
o Chest compressions, Airway, Breathing

o None of the above

o Airway, Breathing, Check pulse

o Airway, Breathing, Chest compressions


The recommended steps for CPR is are chest compressions, airway
management, and rescue breathing. Chest compressions have the greatest
impact for survival. Many rescuers fail to push hard or fast enough. High-
quality chest compressions have the greatest chance to save a life.
9. Which of the following are signs of airway obstruction?*
o Poor air exchange
o High-pitched noise while inhaling

o Inability to speak

o All of the above


Poor airway exchange results in impaired ventilation and may be a sign of
airway obstruction. High pitched noise while inhaling, called stridor, is a sign
of upper airway impairment and may represent a partial airway obstruction.
Speech requires movement of air across the vocal cords. An airway
obstruction will prevent this air movement and therefore speech. All of the
above represent signs of possible airway obstruction.
10. In an adult with an advanced airway in place during two-rescuer
CPR, how often should the breaths be administered?*
o Every 2 to 3 seconds (20 to 30 breaths per minute)

o Every 4 to 5 seconds (12 to 15 breaths per minute)

o Every 6 to 8 seconds (8 to 10 breaths per minute)

o Every 10 to 12 seconds (5 to 6 breaths per minute)


Twenty to thirty breaths per minute will result in hyperventilation which
impedes return of spontaneous circulation. One breath every 4 to 5 seconds
will result in hyperventilation and is faster than the AHA guidelines
recommend. One breath every 6 to 8 seconds results in 8 to 10 breaths per
minute, and is the correct ventilation rate for an adult victim with an
advanced airway. One breath every 10 to 12 seconds is slower than AHA
guidelines recommend.
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