Healthcare and Nursing Emergency Procedures & Critical Care 2

Question 1

During adult CPR, what is the recommended chest compression depth?

Accepted Answer

At least 2 inches (5 cm) but not more than 2.4 inches (6 cm)

Answer

AHA guidelines call for adult compressions of 2 to 2.4 inches to maximize perfusion while limiting injury.

Question 2

What chest compression rate is recommended for high-quality adult CPR?

Accepted Answer

100-120 per minute

Answer

A rate of 100-120 compressions per minute optimizes coronary and cerebral perfusion.

Question 3

A client develops stridor, hives, and hypotension minutes after receiving IV penicillin. What is the nurse's priority medication?

Accepted Answer

Epinephrine 0.3-0.5 mg IM in the anterolateral thigh

Answer

IM epinephrine is the first-line treatment for anaphylaxis because it reverses airway edema and vasodilation.

Question 4

Per Surviving Sepsis guidance, what initial fluid bolus is recommended for a client with sepsis-induced hypotension?

Accepted Answer

30 mL/kg crystalloid within the first 3 hours

Answer

Guidelines recommend at least 30 mL/kg of IV crystalloid within 3 hours for sepsis-induced hypoperfusion.

Question 5

Which assessment findings are most consistent with neurogenic shock after a cervical spinal cord injury?

Accepted Answer

Hypotension, bradycardia, warm dry skin

Answer

Loss of sympathetic tone causes vasodilation and unopposed vagal activity, producing hypotension, bradycardia, and warm skin.

Healthcare and Nursing Practice Test