The first step in the cardiac chain of survival is:

1
The first step in the cardiac chain of survival
is

• a. To give CPR as soon as possibleb. To
  recognize the problem and quickly call
• 9-1-1c. To give early defibrillationd. To
  get the victim quickly to advanced care

2

• b. To recognize the problem and quickly call9-1-1

3
For CPR an adult is defined as someone -

• Over the age of 6
• Over the age of 8
• Over the age of 12
• Over 80 pounds in weight

4

• B. Over the age of 8

5
Put a victim in the recovery position when the
victim is

• Unresponsive and breathing
• Being given CPR
• Responsive after being resuscitated
• Being analyzed by an AED

6

• A. Unresponsive and breathing

7
If you open an unresponsive victims airway and
do not detect signs of breathing, you should
first

• Start chest compressions
• Try to open the airway again
• Give abdominal thrusts for an airway obstruction
• Give two rescue breaths

8

• d. Give two rescue breaths

9
To ensure your air goes into the victims lungs
during rescue breathing -

• Watch the victims chest rise and fall
• Listen for the gurgles of air passing through the
  airway
• Blow until resistance indicates the lungs are
  full
• Blow approximately 1/3 of your own lug capacity
  in each breath

10

• A. Watch the victims chest rise and fall

11
Each rescue breath is given over a period of -

• 1 second
• 2 seconds
• 3 seconds
• 5 seconds

12

• A. 1 second

13
To give abdominal thrusts to a responsive choking
adult, position your hands -

• Just below the middle of an imagined line drawn
  between the nipples
• In the middle of the abdomen just above the navel
• On both sides about 6 inches outward from the
  navel
• On top of the lower tip of the sternum
  (breastbone)

14

• B. In the middle of the abdomen just above the
  navel

15
For an unresponsive chocking adult you should -

• Give abdominal thrusts from behind the victim
• Give abdominal thrusts with the victim lying down
• Give CPR
• Blow forcefully into the victims mouth to clear
  the object

16

• C. Give CPR

17
To reduce the risk of disease transmission, use a
barrier device whenever -

• Assessing a victim
• Treating any victim you think may be HIV positive
• Touching a victim for any reason
• Providing rescue breaths

18

• D. Providing rescue breaths

19
Basic life support consists of skills used for

• Any victim with severe bleeding
• A victim thought to be having heart attack
• A victim who is not breathing
• A victim being treated by a paramedic

20

• C. A victim who is not breathing

21
Chest compressions are given in CPR at a rate of
-

• 60 compressions per minute
• 80 compressions per minute
• 100 compressions per minute
• 120 compressions per minute

22

• C. 100 compressions per minute

23
The depth of chest compressions in CPR for an
adult is

• ½-1 inch
• 1-1 ½ inch
• 1 ½ inch 2 inches
• 2 2 ½ inches

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• C. 1 ½ inch 2 inches

25
An AED works by shocking the heart to -

• Speed it up when it is beating too slowly
• Start it beating again after brain death has
  begun
• Restore a normal rhythm
• Start the lungs breathing

26

• C. Restore a normal rhythm

27
What is the correct ratio of compressions to
breaths in CPR?

• 15 to 1
• 15 to 2
• 30 to 1
• 30 to 2

28

• D. 30 to 2

29
To prevent an unresponsive victims tongue from
blocking the airway -

• Thrust the victims jaw forward and upward
• Tilt the victims head back and lift the chin
• Turn the victims head to the left side
• Open the mouth as wide as possible

30

• B. Tilt the victims head back and lift the chin

31
What should you doe for a chocking victim who is
coughing?

• Start CPR
• Give the victim back blows
• Give abdominal thrusts
• Encourage continued coughing

32

• D. Encourage continued coughing

33
Use an AED immediately for

• A nonbreathing victim seen to collapse suddenly
• An unresponsive victim pulled from the water
• A victim experiencing a stroke
• A chocking victim who becomes unresponsive

34

• A. A nonbreathing victim seen to collapse suddenly

35
To learn whether a responsive adult is choking,
ask

• Can you speak?
• Do I have your consent to give you abdominal
  thrusts?
• Are you choking?
• Can you tell me your name?

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• C. Are you choking?

37
One reason you can stop CPR is that -

• 10 minutes have passed
• The AED battery is dead
• You are too exhausted to continue
• The nearest hospital is over 50 miles away

38

• C. You are too exhausted to continue

39
Choking care for a pregnant woman who is
responsive includes

• Chest thrusts from a position straddling a lying
  victim
• Chest thrusts from behind a standing victim
• Abdominal thrusts from behind a standing victim
• Back blows from behind a standing victim

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• B. Chest thrusts from behind a standing victim

41
To prevent a victim from vomiting during CPR, you
should -

• Keep your fingers off the chest when compressing
• Keep the victims head turned slightly to one
  side
• Not blow too forcefully when giving rescue
  breaths
• Allow the chest to recoil completely between
  compressions

42

• C. Not blow too forcefully when giving rescue
  breaths

43
To give abdominal thrusts to a responsive choking
adult -

• Thrust directly inward into the abdomen
• Thrust inward and downward itno the abdomen
• Thrust inward and upward into the abdomen
• Squeeze the ribs tight on both sides

44

• C. Thrust inward and upward into the abdomen

45
To give CPR chest compressions to an adult, place
your hands -

• On the upper half of the breastbone slightly
  above the nipples
• Where the lower ribs meet the breastbone
• Just above the navel
• On the lower half of the breastbone midway
  between the nipples

46

• D. On the lower half of the breastbone midway
  between the nipples

47
When connected properly to the victim, the AED
unit will advise you when

• You should give a shock
• The victim is breathing
• The victims airway is clear
• The victim is about to vomit

48

• A. You should give a shock

49
Immediately after the AED delivers the first
shock, you should -

• Wait for the AED to analyze the victims rhythm
  again
• Give rescue breathing without chest compressions
• Perform CPR
• Push the button to deliver a second shock

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• C. Perform CPR

51
Call EMS for -

• Any victim who is bleeding
• Any victim who is unresponsive
• Any victim who has a seizure
• Any victim who has had a heart attack in the past

52

• B. Any victim who is unresponsive

53
Who has the right to refuse medical care?

• Any competent adult
• Any adult
• Any responsive adult
• Any person over age 18

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• A. Any competent adult

55
A head injury may cause what signs and symptoms
to develop hours later?

• Problems with speech or vision
• A rash on the chest
• Fever
• Extreme thirst

56

• A. Problems with speech or vision

57
The initial assessment of a victim includes -

• Examining the victims whole body
• Checking for breathing
• Feeling the victims skin temperature
• Asking how the victim feels

58

• B. Checking for breathing

59
To clean a shallow wound you should -

• Run water on it for 5 minutes
• Wait until a scab has formed and then wash it
• Scrub it clean with a brush
• Soak it with hydrogen peroxide

60

• A. Run water on it for 5 minutes

61
To control severe bleeding from a wound, apply
pressure -

• Between the wound and the heart
• Directly on the wound
• Circumferentially just above the wound
• Anywhere along the artery supplying blood to the
  wound area

62

• B. Directly on the wound

63
A victim in shock should be kept -

• Well hydrated by giving the victim water to drink
• From becoming overheated by spraying the victims
  body with water
• Awake and moving if possible
• Warm by covering with a blanket or coat

64

• D. Warm by covering with a blanket or coat

65
Put on gloves before you care for a victim with -

• Any severe injury or sudden illness
• Any bleeding or presence of body fluids
• Any contagious disease
• Any airway obstruction

66

• B. Any bleeding or presence of body fluids

67
The first step to take with a severe
second-degree burn is to-

• Stop the burning and cool the area
• Prevent infection by covering the area
• Remove jewelry or clothing before swelling begins
• Call 9-1-1

68

• A. Stop the burning and cool the area

69
An area of skin burned by contact with a chemical
should be flushed with running water for how long?

• At least 5 minutes
• At least 10 minutes
• At least 20 minutes
• At least 30 minutes

70

• D. At least 30 minutes

71
A victim with a spinal injury may have -

• Flushed red skin on the abdomen
• Jerky movements on one side of the body
• A breathing problem an inability to move areas of
  the body
• Blood in the urine

72

• C. A breathing problem an inability to move areas
  of the body

73
If the victim has a large piece of glass impaled
in a leg wound, you should -

• Dress and bandage the wound around the object
• Remove the object and stop the bleeding
• Remove the object if it is less than 2 inches
  deep, then dress the wound
• Not touch the object or the wound but wait for
  help

74

• A. Dress and bandage the wound around the object

75
A bandage wrapped around a victims ankle may be
too tight if the victims toes are -

• Cold
• Hot
• Red
• Ticklish

76

• A. Cold

77
If an organ is protruding from an open abdominal
injury, you should-

• Gently push it back in and then bandage the wound
• Gently push it back in, spray the wound with
  water, and leave it open
• Not push it back in, but cover the wound with a
  moist or dry occlusive dressing
• Not push it back in, but pack ice around the
  organ and wound opening

78

• C. Not push it back in, but cover the wound with
  a moist or dry occlusive dressing

79
Ice should be used on a musculoskeletal injury
for no longer than __ minutes at a time.

• 10
• 20
• 30
• 40

80

• B. 20

81
Consider the possibility of a heart attack -

• Only if the victim is experiencing chest pain or
  pressure
• In all victims experiencing any breathing
  difficulty
• If the victims signs and symptoms last more than
  4 hours
• In a victim with a wide range of symptoms

82

• D. In a victim with a wide range of symptoms

83
Call 9-1-1 for a victim having a seizure -

• At all times
• If the victim is not known to have epilepsy
• If the victim is older than 50 years of age
• If the victim is wearing an epilepsy medical ID

84

• B. If the victim is not known to have epilepsy

85
The signs and symptoms of a diabetic emergency
include -

• dry, flushed skin, and rapid breathing
• Lack of hunger and thirst
• Sudden dizziness, mood changes
• Abdominal pains, swollen hands and feet

86

• C. Sudden dizziness, mood changes

87
Stroke frequently affects the victims ability to
-

• Speak
• Digest food
• Stay warm
• Breathe

88

• A. Speak

89
The common signs and symptoms of asthma include -

• Wheezing and difficulty breathing
• Inability to cough
• Itchy skin
• Sudden sleepiness

90

• A. Wheezing and difficulty breathing

91
Give activated charcoal to a victim of swallowed
poisoning -

• Whenever the victim has swallowed a liquid poison
• When so instructed by the labeling on the
  activated charcoal package
• If the Poison Control Center advises you to
• If the victim is experiencing diminished
  responsiveness

92

• C. If the Poison Control Center advises you to

93
Someone with a severe allergy to bee stings may
carry what drug for emergency use?

• Nitroglycerine
• An inhaler
• Glucose pills
• An EpiPen

94

• D. An EpiPen

95
Do not warm a victim with severe hypothermia by -

• Covering the victim with blankets
• Bringing the victim inside from the cold
• Removing the victims wet clothing
• Giving the victim a hot bath

96

• D. Giving the victim a hot bath

97
The best action to take for a victim of
heatstroke is to -

• Immerse the victim in a tub of water to which ice
  has been added
• Cool the victim by spraying or sponging the skin
  with cold water
• Have the victim drink as much fluid as possible,
  even if nauseous
• Keep the victim up and moving around until EMS
  personnel arrive

98

• B. Cool the victim by spraying or sponging the
  skin with cold water

99
You can move an unresponsive victim if you need
to -

• Drive the victim to the hospital
• Position the victim for CPR
• Cover a shock victim with a blanket
• Get to a telephone to call 9-1-1

100

• B. Position the victim for CPR