Description
Mosbys Essentials for Nursing Assistants 5th Edition Test Bank
ISBN-13: 978-0323113175
ISBN-10: 0323113176
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Chapter 31: Assisting With Emergency Care
Test Bank
MULTIPLE CHOICE
- A life-threatening sensitivity to an antigen is
| a. | A seizure | c. | Anaphylaxis |
| b. | Respiratory arrest | d. | Cardiac arrest |
ANS: C PTS: 1 REF: p. 492
- What happens with sudden cardiac arrest?
| a. | There are violent and sudden contractions or tremors of muscles. |
| b. | The heart stops suddenly and without warning. |
| c. | Organs and tissues do not get enough blood. |
| d. | There is excessive blood loss in a short time. |
ANS: B PTS: 1 REF: p. 484
- Another term for convulsion is
| a. | Shock | c. | Seizure |
| b. | Stroke | d. | Fainting |
ANS: C PTS: 1 REF: p. 493
- Emergency care given to an ill or injured person before medical help arrives is
| a. | First aid | c. | Chain of Survival |
| b. | Basic Life Support | d. | Cardiopulmonary resuscitation (CPR) |
ANS: A PTS: 1 REF: p. 483
- Fainting is
| a. | When the heart stops without warning |
| b. | The sudden loss of consciousness from an inadequate blood supply to the brain |
| c. | The excessive loss of blood in a short time |
| d. | A condition that results when tissues do not get enough blood |
ANS: B PTS: 1 REF: p. 492
- Hemorrhage is
| a. | When the heart stops without warning |
| b. | The sudden loss of consciousness from an inadequate blood supply to the brain |
| c. | The excessive loss of blood in a short time |
| d. | A condition that results when organs and tissues do not get enough blood |
ANS: C PTS: 1 REF: p. 491
- Breathing stops but heart action continues for several minutes. This is
| a. | Stroke | c. | Cardiac arrest |
| b. | Respiratory arrest | d. | Shock |
ANS: B PTS: 1 REF: p. 484
- A seizure is
| a. | Violent and sudden contractions or tremors of muscle groups |
| b. | The excessive loss of blood in a short time |
| c. | The sudden loss of consciousness |
| d. | The same as a stroke |
ANS: A PTS: 1 REF: p. 493
- Shock results when
| a. | The heart and breathing stop without warning |
| b. | Breathing stops but heart action continues for several minutes |
| c. | Muscles groups contract violently |
| d. | Organs and tissues do not get enough blood |
ANS: D PTS: 1 REF: p. 492
- Emergencies occur
| a. | In hospital emergency rooms | c. | In medical centers |
| b. | In nursing centers | d. | Anywhere |
ANS: D PTS: 1 REF: p. 483
- The goals of first aid are to
| a. | Prevent death and prevent injuries from becoming worse |
| b. | Maintain an open airway and give rescue breathing |
| c. | Activate the Emergency Medical Services system (EMS) and keep the person warm |
| d. | Provide early CPR and early defibrillation |
ANS: A PTS: 1 REF: p. 483
- The EMS system is activated by
| a. | Dialing 911 | c. | Giving rescue breathing |
| b. | Calling the victim’s family member | d. | Starting CPR |
ANS: A PTS: 1 REF: p. 483
- In hospitals, the goal of the Rapid Response Team (RRT) is to
| a. | Perform CPR | c. | Prevent death |
| b. | Call 911 | d. | Start rescue breathing |
ANS: C PTS: 1 REF: p. 483
- You have activated the EMS system. When should you hang up the phone?
| a. | After telling what happened | c. | After telling how many people need help |
| b. | After giving your location | d. | After the operator hangs up |
ANS: D PTS: 1 REF: p. 483
- You find a victim lying on his right side. The person is breathing and has a pulse. However, he is bleeding from his right leg. You should do the following except
| a. | Cover him with something warm | c. | Try to control the bleeding |
| b. | Give him fluids | d. | Try to keep bystanders away |
ANS: B PTS: 1 REF: p. 491
- Chain of Survival actions are taken for the following except
| a. | Heart attack | c. | Choking |
| b. | Stroke | d. | Fainting |
ANS: D PTS: 1 REF: p. 484
- Chain of Survival actions for adults are
| a. | Early abdominal thrusts, early CPR, early defibrillation, and early access to emergency cardiovascular care |
| b. | Early first aid, early abdominal thrusts, early CPR, and early defibrillation |
| c. | Early CPR, early defibrillation, early advanced care, and organized post–cardiac arrest care |
| d. | Early CPR, and early transport to a hospital emergency room |
ANS: C PTS: 1 REF: p. 484
- A person is in sudden cardiac arrest. Which statement is incorrect?
| a. | Brain and organ damage will occur within minutes. |
| b. | Unless breathing and circulation are restored, permanent brain damage occurs. |
| c. | Unless normal heart rhythm is restored, the person will die. |
| d. | Abdominal thrusts are needed. |
ANS: D PTS: 1 REF: p. 484
- Which is not a major sign of sudden cardiac arrest?
| a. | No response | c. | No pulse |
| b. | No breathing | d. | Low blood pressure |
ANS: D PTS: 1 REF: p. 484
- A person is in respiratory arrest. What will happen if breathing is not restored?
| a. | Cardiac arrest will occur. | c. | The person will have a stroke. |
| b. | The person will have a seizure. | d. | The person will go into shock. |
ANS: A PTS: 1 REF: p. 484
- Cardiopulmonary resuscitation (CPR)
| a. | Supports breathing and circulation | c. | Controls bleeding and prevents shock |
| b. | Prevents ventricular fibrillation | d. | Prevents injuries from becoming worse |
ANS: A PTS: 1 REF: p. 485
- What are the basic parts of CPR?
| a. | Circulation, pulse, blood pressure, and respiration |
| b. | Airway, breathing, chest compressions, and defibrillation |
| c. | Temperature, pulse, circulation, and respiration |
| d. | Compressions, early Automated External Defibrillator (AED), and early advanced care |
ANS: B PTS: 1 REF: p. 485
- What is a common cause of airway obstruction during cardiac arrest?
| a. | The tongue falling toward the back of the throat |
| b. | Loose dentures |
| c. | Poorly chewed meat |
| d. | Shock |
ANS: A PTS: 1 REF: p. 486
- What is used to open the airway during cardiac arrest?
| a. | Defibrillation | c. | The tongue-jaw lift maneuver |
| b. | The head tilt-chin lift method | d. | The finger sweep maneuver |
ANS: B PTS: 1 REF: p. 486
- A person is in cardiac arrest. After receiving no response from the person, which of the following should you do?
| a. | Give 2 rescue breaths. | c. | Check for breathing. |
| b. | Check for a pulse. | d. | Position the person supine. |
ANS: C PTS: 1 REF: p. 483
- A person is in cardiac arrest. Adequate breathing is determined the following except
| a. | Counting respirations for 30 seconds |
| b. | Looking to see if the chest rises and falls |
| c. | Listening for the escape of air when the person exhales |
| d. | Feeling for the flow of air on your cheek |
ANS: A PTS: 1 REF: p. 488
- You need to give mouth-to-mouth breathing. Which is incorrect?
| a. | Contact with blood, body fluids, secretions, and excretions is likely. |
| b. | Pinch the person’s nostrils shut. |
| c. | Place your mouth tightly over the person’s mouth. |
| d. | Remove your mouth from the person’s mouth after giving 2 rescue
breaths. |
ANS: D PTS: 1 REF: p. 487
- Which type of rescue breathing is used whenever possible?
| a. | Mouth-to-mouth |
| b. | Mouth-to-nose |
| c. | Mouth-to-barrier device |
| d. | The type the rescuer is most comfortable using |
ANS: C PTS: 1 REF: p. 487
- You need to start CPR. Which is correct?
| a. | 1 rescue breath is given after every 5 chest compressions |
| b. | 1 rescue breath is given after every 10 chest compressions |
| c. | 2 rescue breaths are given after every 15 chest compressions |
| d. | 2 rescue breaths are given after every 30 chest compressions |
ANS: D PTS: 1 REF: p. 488
- Before starting chest compressions, you need to check for a pulse. Which pulse site should you use?
| a. | The radial pulse | c. | The carotid pulse |
| b. | The apical pulse | d. | The femoral pulse |
ANS: C PTS: 1 REF: p. 485
- For effective chest compressions, the person must be positioned
| a. | In the recovery position on the floor |
| b. | In Fowler’s position |
| c. | In the supine position on a hard, flat surface |
| d. | In the semi-Fowler’s position on a firm mattress |
ANS: C PTS: 1 REF: p. 485
- To give effective chest compressions to an adult, which of the following should you do?
| a. | Give abdominal thrusts above the navel. |
| b. | Depress the sternum at least 2 inches. |
| c. | Depress the lower end of the sternum about 1 inch. |
| d. | Make a fist with one hand. |
ANS: B PTS: 1 REF: p. 485
- How many chest compressions are given to adults in 1 minute?
| a. | 5 | c. | 80 |
| b. | 15 | d. | 100 |
ANS: D PTS: 1 REF: p. 486
- You should start CPR only if the person
| a. | Has had a heart attack |
| b. | Is not responding, is not breathing, and has no pulse |
| c. | Consents |
| d. | Has a chance of recovery |
ANS: B PTS: 1 REF: p. 488
- Never practice CPR on another person.
| a. | True | b. | False |
ANS: A PTS: 1 REF: p. 489
- You are performing 2-rescuer CPR. How many compressions are given per minute?
| a. | 5 | c. | 80 |
| b. | 15 | d. | 100 |
ANS: D PTS: 1 REF: p. 489
- After starting CPR, a person is breathing and has a pulse, but is not responding. What should you do?
| a. | Continue CPR until medical help arrives. |
| b. | Continue rescue breathing. |
| c. | Position the person in the recovery position. |
| d. | Measure the person’s blood pressure. |
ANS: C PTS: 1 REF: p. 491
- A defibrillator is
| a. | Used to deliver a shock to the heart when a person is in ventricular fibrillation |
| b. | Used to give rescue breathing |
| c. | A device used for CPR and only available in hospitals |
| d. | Used to start ventricular fibrillation |
ANS: A PTS: 1 REF: p. 487
- Defibrillation as soon as possible after onset of ventricular fibrillation increases the person’s chance of survival.
| a. | True | b. | False |
ANS: A PTS: 1 REF: p. 487
- The recovery position is
| a. | The prone position | c. | Fowler’s position |
| b. | The supine position | d. | A side-lying position |
ANS: D PTS: 1 REF: p. 491
- What is the purpose of the recovery position?
| a. | It helps the person wake up. | c. | It prevents pressure ulcers. |
| b. | It keeps the airway open. | d. | It promotes good alignment. |
ANS: B PTS: 1 REF: p. 491
- The recovery position is not used for persons with neck injuries.
| a. | True | b. | False |
ANS: A PTS: 1 REF: p. 491
- Which statement about hemorrhage is incorrect?
| a. | Internal hemorrhage can be seen. |
| b. | Bleeding from an artery occurs in spurts. |
| c. | To stop external bleeding, apply direct pressure to the bleeding site. |
| d. | The EMS system must be activated. |
ANS: A PTS: 1 REF: p. 491
- A person has external bleeding. Direct pressure does not stop the bleeding. What should you do?
| a. | Place a sterile dressing over the bleeding site. |
| b. | Start CPR. |
| c. | Apply pressure above the bleeding site. |
| d. | Apply pressure below the bleeding site. |
ANS: C PTS: 1 REF: p. 491
- To control external bleeding, do the following except
| a. | Remove any object that may have pierced the person |
| b. | Elevate the affected part |
| c. | Place a sterile dressing or clean material over the wound |
| d. | Apply pressure directly over the bleeding site |
ANS: A PTS: 1 REF: p. 491
- Which is not a sign or symptom of anaphylaxis?
| a. | Sweating | c. | High blood pressure |
| b. | Shortness of breath | d. | Irregular pulse |
ANS: C PTS: 1 REF: p. 492
- The person in shock has the following except
| a. | Falling blood pressure | c. | Dry, red skin |
| b. | Rapid, weak pulse | d. | Restlessness and confusion |
ANS: C PTS: 1 REF: p. 492
- A person is in shock. Do the following except
| a. | Keep the person lying down | c. | Keep the person warm |
| b. | Keep the airway open | d. | Give the person fluids |
ANS: D PTS: 1 REF: p. 492
- Seizures are caused by
| a. | Shock | c. | Cardiac arrest |
| b. | An abnormality in the brain | d. | Uncontrolled bleeding |
ANS: B PTS: 1 REF: p. 493
- During a partial seizure
| a. | The person loses consciousness | c. | A body part may jerk |
| b. | All muscles contract at once | d. | Incontinence occurs |
ANS: C PTS: 1 REF: p. 493
- Which statement about generalized seizures is incorrect?
| a. | The body is rigid because all muscles contract at once. |
| b. | Jerking and twitching movements occur. |
| c. | Urinary and fecal incontinence may occur. |
| d. | First aid can stop the seizure. |
ANS: D PTS: 1 REF: p. 493
- A person is having a seizure. Which is incorrect?
| a. | Protect the person’s head. |
| b. | Position the person supine. |
| c. | Loosen tight clothing and jewelry. |
| d. | Move furniture, equipment, and sharp objects away from the person. |
ANS: B PTS: 1 REF: p. 493
- A person is having a seizure. Which is correct?
| a. | Restrain the person’s movements. |
| b. | Offer fluids. |
| c. | Put your fingers between the person’s teeth. |
| d. | Stay with the person. |
ANS: D PTS: 1 REF: p. 493
- A person fainted. Which measure is correct?
| a. | Have the person sit or lie down. | c. | Start CPR. |
| b. | Raise the person’s legs. | d. | Give rescue breaths. |
ANS: B PTS: 1 REF: p. 492
- A person fainted. Do the following except
| a. | Loosen tight clothing |
| b. | Raise the persons legs |
| c. | Have the person walk around to stimulate circulation |
| d. | After recovery from fainting, assist the person to a sitting position |
ANS: C PTS: 1 REF: p. 492
- Basic emergency care for a stroke includes the following except
| a. | Positioning the person on the unaffected side |
| b. | Raising the person’s head without flexing the neck |
| c. | Loosening tight clothing |
| d. | Keeping the person quiet and warm |
ANS: A PTS: 1 REF: p. 493
- Burns to the eyes and face are more serious than burns to the arm or leg.
| a. | True | b. | False |
ANS: A PTS: 1 REF: p. 494
- The person has the right to refuse care during an emergency.
| a. | True | b. | False |
ANS: A PTS: 1 REF: p. 494
