COKO Emergency Response Procedures 3 — Questions and Answers
Question 1: A client with a known peanut allergy accidentally ingests a product containing peanuts and develops hives, throat tightening, and difficulty breathing. What is the PRIORITY intervention?
- Administer oral antihistamine and observe
- Use the client's epinephrine auto-injector and call 911 (Correct answer)
- Offer water and have the client lie down
- Apply a cold pack to the throat area
Correct answer: Use the client's epinephrine auto-injector and call 911
Anaphylaxis is life-threatening and requires immediate epinephrine administration (if available) and activation of emergency services.
Question 2: During an outdoor fitness session in summer, a client stops sweating, has hot dry skin, and becomes confused. Which heat emergency does this describe and what is the immediate action?
- Heat exhaustion; move to shade and hydrate orally
- Heat stroke; move to cool environment and apply cold water/ice packs while activating EMS (Correct answer)
- Heat cramps; stretch the affected muscles and administer electrolytes
- Heat syncope; elevate legs and allow rest
Correct answer: Heat stroke; move to cool environment and apply cold water/ice packs while activating EMS
Hot dry skin with confusion indicates heat stroke (not heat exhaustion), requiring rapid cooling and immediate EMS activation as core temperature is dangerously elevated.
Question 3: A client experiences a grand mal seizure during a gym session. Which action is CONTRAINDICATED during the seizure?
- Move objects away from the client to prevent injury
- Time the duration of the seizure
- Attempt to restrain the client's limb movements (Correct answer)
- Position the client on their side after convulsions stop
Correct answer: Attempt to restrain the client's limb movements
Restraining someone during a seizure can cause fractures or dislocations and should never be done; the kinesiologist should protect the environment around the client instead.
Question 4: Which of the following is the correct compression depth for adult CPR according to current resuscitation guidelines?
- 1–1.5 inches (2.5–4 cm)
- At least 2 inches (5 cm), not exceeding 2.4 inches (6 cm) (Correct answer)
- 3–4 inches (7.5–10 cm)
- 0.5–1 inch (1.3–2.5 cm)
Correct answer: At least 2 inches (5 cm), not exceeding 2.4 inches (6 cm)
Guidelines recommend compressing the chest at least 2 inches (5 cm) but no more than 2.4 inches (6 cm) to optimize cardiac output without causing injury.
Question 5: A kinesiologist is working with a client who has a pacemaker. When applying AED pads, which placement modification is required?
- Place one pad directly over the pacemaker device
- Place pads at least 1 inch (2.5 cm) away from the pacemaker (Correct answer)
- Use pediatric pads instead of adult pads
- Do not use an AED on clients with pacemakers
Correct answer: Place pads at least 1 inch (2.5 cm) away from the pacemaker
AED pads should be placed at least 1 inch away from an implanted device to prevent interference with defibrillation current delivery.
Question 6: After an emergency event in a fitness facility, what is the kinesiologist's professional responsibility regarding documentation?
- Documentation is optional if the client recovers fully
- Complete a detailed incident report as soon as possible after the event (Correct answer)
- Wait for the client to file a report before documenting
- Only document if the client required hospitalization
Correct answer: Complete a detailed incident report as soon as possible after the event
Timely and thorough incident reporting is a professional and legal obligation that protects the client, the kinesiologist, and the facility regardless of outcome.
Question 7: A client with a history of asthma develops wheezing and difficulty breathing after exercise. Their rescue inhaler provides no relief after two puffs. What is the appropriate next step?
- Administer a second rescue inhaler from the first aid kit
- Call 911 and continue to support the client in an upright position (Correct answer)
- Have the client breathe into a paper bag
- Encourage pursed-lip breathing and wait 15 minutes
Correct answer: Call 911 and continue to support the client in an upright position
Failure of rescue bronchodilator after two doses indicates a severe exacerbation requiring emergency services; keeping the client upright helps breathing mechanics.
COKO Emergency Response Procedures 3
A client with a known peanut allergy accidentally ingests a product containing peanuts and develops hives, throat tightening, and difficulty breathing.
What is the PRIORITY intervention?