CMT CMT Emergency Response and ACLS Protocols

Question 1

When a cardiac monitor technician identifies ventricular fibrillation on a remote telemetry unit, the FIRST action is to:

Accepted Answer

Notify the bedside nurse or charge nurse immediately

Answer

Immediately defibrillate the patient

Answer

Call the patient directly to verify consciousness

Answer

Start CPR through the intercom

Question 2

Per ACLS guidelines, what is the recommended energy for the first defibrillation shock for ventricular fibrillation with a biphasic defibrillator?

Accepted Answer

120–200 joules (manufacturer recommended)

Answer

100–120 joules

Answer

300 joules

Answer

360 joules

Question 3

During CPR, how frequently should the cardiac rhythm be checked?

Accepted Answer

Every 2 minutes (after each 5 cycles of CPR)

Answer

Every 1 minute

Answer

Every 5 minutes

Answer

Only when a shockable rhythm is suspected

Question 4

A telemetry patient goes into asystole. What rhythm does the CMT confirm before reporting to the team?

Accepted Answer

Check two leads to confirm true asystole, not fine VF or lead disconnect

Answer

Report immediately from one lead only

Answer

Wait 30 seconds to see if rhythm returns

Answer

Check only limb leads

Question 5

What is the recommended compression depth for adult CPR per current AHA guidelines?

Accepted Answer

At least 2 inches (5 cm), not exceeding 2.4 inches

Answer

1–1.5 inches

Answer

3 inches

Answer

As deep as possible without restriction

Question 6

Pulseless electrical activity (PEA) is characterized by:

Accepted Answer

Organized electrical activity on ECG but no palpable pulse

Answer

No electrical activity and no pulse

Answer

Chaotic electrical activity with a weak pulse

Answer

Absence of P waves only