4. A victim of a car accident has just vomited and now appears to be coughing up blood. He is breathing very quickly and his pulse is weak and fast. What is most likely wrong? He___

1. has internal bleeding.

2. is having a diabetic emergency

3. is having a heart attack.

4. is having a seizure.

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5. You are first on scene and the victim is unresponsive, pulseless and has vomited. You do not feel comfortable performing mouth-to-mouth ventilation. What is best the approach?

1. Compression only CPR

2. Do not initiate resuscitation

3. Wait for the ambulance to arrive

4. Wipe off the face or cover with shirt

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6. The following are carried out during the primary survey in emergency assessment EXCEPT?

1. Airway

2. Breathing

3. Exposure

4. Full set of vital signs

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7. An unconscious casualty is lying on his back and has broken leg. What position is best for the casualty?

1. Leave them as they are

2. Lying down with the legs raised

3. Recovery position

4. Sitting up position

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8. When a nurse is performing a primary survey in the emergency department, what is being assessed?

1. The acuity of the patient’s condition to determine priority of care

2. The status of airway, breathing, circulation, disability, and exposure/environmental control

3. Whether the patient is responsive enough to provide needed information

4. Whether the personnel of the emergency department are adequate to treat the patient

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9. Which assessment scale is used as a tool to check a patient’s level of consciousness?

1. AVPB

2. AVPU

3. GMC

4. GSC

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10. The one-hand technique of CPR is used for___

1. Infants

2. Adults

3. Children under 8 years old

4. Casualties with chest injury

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11. The two-fingers technique of CPR is used for___

1. Infants

2. Adults

3. Children under 8 years old

4. Casualties with chest injury

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12. To perform this technique, the unconscious victim’s forehead is pushed while pulling up on the bony part of the jaw with two or three fingers of your other hand to lift the chin. This technique is known as____

1. Forehead tilt

2. Head lift

3. Head tilt/chin lift

4. Jaw lift

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13. During CPR, chest compressions are carried out at a rate of at least___

1. 100 compressions/hour

2. 100 compressions/minute

3. 30 compressions/30 seconds

4. 30 compressions/minute

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14. What nursing intervention is done during the “E” step of the primary survey?

1. Assess mental status and capillary refill for signs of shock.

2. Elicit history and head-to-toe assessment.

3. Obtain full set of vital signs.

4. Remove the patient’s clothing and assess.

15 / 22

15. The nurse is performing cardiopulmonary resuscitation on an adult patient. When performing chest compressions, the nurse understands that correct hand placement is located over the ______

1. Lower half of the sternum

2. Lower third of the sternum

3. Upper half of the sternum

4. Upper third of the sternum

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16. What treatment does a victim whose life threating condition is “not breathing” need?

1. 12 to 15 rescue breaths per minute and correct CPR

2. Start CPR immediately

3. The Heimlich maneuver, two rescue breath and CPR

4. You should follow the steps for rescue breathing

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17. When performing CPR on an infant, how deep should the chest compressions be?

1. 1½ inches.

2. 2 inches

3. 2½ inches

4. 3 inches

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18. The Glasgow Coma Scale is used to determine the level of____

1. blood glucose

2. blood pressure

3. consciousness

4. alertness

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19. CPR cannot prevent possible brain damage unless initiated within _____ minutes of an arrest.

1. 3 minutes

2. 6 minutes

3. 8 minutes

4. 10 minutes

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20. Mr Frimpong is not breathing and has injuries to the face that prevent you from performing mouth-to-mouth. What do you do?

1. Fan the patient and wait for the ambulance

2. Give 15 chest compressions and wait for the ambulance

3. Give chest compression at rate of 100 per minute

4. Try 5 abdominal thrusts and 30 chest compressions

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21. One of the aims of first aid is to preserve life. This includes____

1. The life of the victim only

2. The life of the first aider only

3. The lives of the victim and first aider only

4. The lives of the victim, bystanders and the first aider

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22. Which of the following is NOT a reason why we put unconscious casualties in the recovery position?

1. If they vomit, it drains out rather than choking them

2. It allows the tongue to fall back

3. It allows the tongue to fall forward

4. It is safe and comfortable position

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