FREQUENTLY MISSED PRACTICE QUESTIONS - AUGUST 2017
If you follow us on Facebook, you know that we frequently post practice questions and invite our community to test their knowledge. AMRI fans do well on most of the questions; however, there are some that they miss. These questions are a great learning tool to help you prepare for your recertification. Below are the four frequently missed questions with the correct answers and a brief explanation why.
QUESTION 1:
Alteplase, Recombinant (rtPA); Streptokinase; Reteplase Recombinant; and Tenecteplase are all:
A. Anti-hypertensive agents
B. Fibrinolytic agents
C. Anti-inflammatory agents
D. Angiotension converting enzymes
The best answer is B, Fibrinolytic agents.
Here's Why: Alteplase, recombinant (rtPA); rtreptokinase; reteplase recombinant and tenecteplase are all fibrinolytic agents.
QUESTION 2:
If the initial 6.0 mg. bolus of adenosine is ineffective, how should the next dose be administered?
A. Double the dose (12 mg.)
B. Repeat at the same dose (6 mg.)
C. Starting a continuous infusion of adenosine
D. None of the above
The best answer is A, double the dose (12 mg.).
Here's Why: Current recommendations are to double the dose (12 mg.) for the second round. If not effective, some practitioners give a third dose of 12 mg. despite the fact that there is no evidence of benefit.
QUESTION 3:
The initial (1st shock) energy level that should be administered for pediatric defibrillation is:
A. 1.0 joule/kg
B. 2.0 joules/kg
C. 3.0 joules/kg
D. 4.0 joules/kg
The best answer is B, 2.0 joules/kg.
Here's Why: The initial energy recommendation for the first shock when treating pediatric patients is 2.0 joules/kg.
QUESTION 4:
Regarding emergency ventilation during CPR:
A. It is not required when a victim is found by a single rescuer
B. Ventilation should begin as soon as other rescuers arrive
C. Is mandatory for the non-breathing patient with a pulse
D. All of the above
The best answer is D, All of the above.
Here's Why: Based on the 2015 Guidelines for CPR & ECC, chest compressions, rather than ventilation is encouraged when finding a collapsed victim. As soon as other trained rescuers arrive, ventilation should begin. Once an advanced airway (ET tube, etc.) is in place, ventilation should be given at a rate of 8 – 10 per minute. In the event a collapsed victim is no longer breathing and has a pulse, rescue breathing should be immediately initiated.
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