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Which is a nonmodifiable risk factor for heart disease?


A) Increasing age
B) Diabetes mellitus
C) Depression
D) Obesity

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After the automated external defibrillator (AED) delivers a shock, you should


A) resume CPR beginning with chest compressions.
B) resume CPR beginning with rescue breaths.
C) allow the AED to reassess the patient's heart rhythm.
D) allow the AED to deliver a secondary shock.

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A

How can you avoid delivering inappropriate shocks with an automated external defibrillator (AED) ?


A) Wear down new batteries to prevent the possibility of power surges.
B) Remove the AED pads when transporting a patient.
C) Attach the pads first and then turn on the AED unit.
D) Only attach the AED to unresponsive and pulseless patients.

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When delivering CPR to an adult patient, you should perform chest compressions at a rate of how many per minute?


A) 100
B) 80
C) 60
D) 120

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A

Your patient is complaining of chest pain. In addition to performing a physical exam of the chest, you should also examine the


A) head.
B) abdomen.
C) face.
D) extremities.

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Patients with a myocardial infarction most often report that their pain is


A) in the upper abdomen.
B) under the breastbone.
C) through the neck.
D) down the arms and legs.

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Which is an acceptable situation to stop CPR?


A) You discover the patient has a diabetes bracelet.
B) You have used an AED and there is no change in heart rhythm.
C) You feel light-headed and tired from the exertion.
D) You believe that the patient has no chance of survival.

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When is it acceptable to stop CPR?


A) When the victim's family informs you that the ambulance has arrived.
B) When you feel light-headed as if you are about to pass out.
C) When the victim's family asks you to stop performing CPR.
D) When you feel upset that your CPR does not revive the victim.

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When the heart is in ventricular fibrillation,


A) dead tissue causes an irregular heartbeat.
B) the usual nerve impulses from the brain are interrupted.
C) a blocked coronary artery induces a heart attack.
D) the electrical impulses are completely disorganized.

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The chain of survival includes


A) early access, early drugs, early oxygen, and early advanced care.
B) early oxygen, early drugs, early CPR, and early defibrillation.
C) early CPR, early transportation, early oxygen, and early defibrillation.
D) early access, early CPR, early defibrillation, and early advanced care.

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In the heart, automaticity means


A) the automatic production of electricity by heart cells.
B) the automatic circulation of blood to the heart muscle.
C) the automatic resetting of the heart in the event of fibrillation.
D) the automatic regulation of oxygen volume in the blood.

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What is the most important thing that you can do for your patient, while waiting for an AED, if you cannot detect a pulse or respirations?


A) Find a blanket and elevate the patient's legs.
B) Hold the patient's c-spine in a neutral position.
C) Assist the patient's breathing with a bag valve mask.
D) Perform cardiopulmonary resuscitation.

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Most automated external defibrillators (AEDs) in use today will


A) advise the rescuer of which steps to take.
B) need manual input of vital signs before shocking.
C) automatically assess and shock the patient.
D) require the rescuer to manually operate all functions.

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Why is it important to let the patient's chest recoil between compressions during cardiopulmonary resuscitation (CPR) ?


A) To allow blood to flow into the heart and air to flow into the lungs.
B) To lessen the risk of breaking the patient's ribs during CPR.
C) To allow you to watch for the return of spontaneous breathing.
D) To decrease your fatigue and help you perform better CPR.

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Which patient is the highest priority?


A) A man experiencing widespread chest pain with a systolic blood pressure of 94.
B) A man with chest pain who says that it "usually happens after running."
C) A woman diagnosed with congestive heart failure who has swelling in her ankles.
D) A responsive diabetic woman with a blood pressure of 129/90.

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Your 45 year old patient is complaining of chest pain and shortness of breath. She tells you that she wants to walk downstairs to wait for the ALS ambulance outside in the fresh air. You should


A) open a window and slowly walk her over, monitoring changes in her pulse rate.
B) assess her standing blood pressure and, if permissible, have her walk downstairs.
C) convince her to remain seated and wait for the arrival of advanced life support.
D) assist her to the building's elevator and continue to monitor her while you wait outside.

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Where does the heart muscle obtain its own supply of oxygen-rich blood?


A) From the carotid arteries
B) From the aorta
C) From the coronary arteries
D) From the pulmonary arteries

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For infants, the ratio of chest compressions to rescue breaths is


A) 25:2
B) 20:2
C) 35:2
D) 30:2

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Which is a cause of secondary hypertension?


A) Migraines
B) Bulemia
C) Epilepsy
D) Obesity

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You are getting ready to apply an automated external defibrillator (AED) to a patient in cardiac arrest when you notice a small lump below the skin on his upper abdomen. His wife confirms that it is a pacemaker. You should


A) continue performing CPR until the ambulance arrives and do not use the AED.
B) apply one of the AED pads directly over the pacemaker.
C) place a rubber glove over the pacemaker and administer a shock.
D) apply the AED pads and keep them at least 1 inch from the pacemaker.

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D

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