NMC CBT - Nursing and Midwifery Council Computer-Based Test Basic Life Support and Emergency Management 1

Question 1

When performing chest compressions on an adult during CPR, what is the correct compression depth according to Resuscitation Council UK guidelines?

Accepted Answer

5–6 cm

Answer

The Resuscitation Council UK specifies that chest compressions should depress the sternum by 5–6 cm in adults. Insufficient depth reduces perfusion to vital organs, while excessive depth risks injury to ribs and internal structures.

Question 2

A patient is found unresponsive and not breathing normally. You have sent for help and an AED. What is the correct compression rate per minute during adult CPR?

Accepted Answer

100–120 compressions per minute

Answer

Resuscitation Council UK guidelines specify a compression rate of 100–120 per minute. Rates below 100 reduce cardiac output and rates above 120 decrease compression quality and depth.

Question 3

During a cardiac arrest in hospital, which team member should ideally take charge of coordinating the resuscitation effort?

Accepted Answer

The team leader, usually the most experienced clinician present

Answer

Effective resuscitation requires a designated team leader who assigns roles, communicates clearly, and makes clinical decisions. This is typically the most experienced clinician present, regardless of profession, not necessarily the first responder.

Question 4

A child aged 8 years is found unresponsive and not breathing. You are alone. After delivering 5 initial rescue breaths, what should you do next if there are no signs of life?

Accepted Answer

Begin 30 chest compressions followed by 2 rescue breaths

Answer

When alone with a child in cardiac arrest, after 5 initial rescue breaths, you should perform CPR for approximately 1 minute (using a 30:2 ratio when alone) before leaving to call for help, as paediatric arrests are often hypoxic in origin. Healthcare providers trained in paediatric life support use 15:2 when two rescuers are present, but the lone rescuer uses 30:2.

Question 5

You are caring for a patient who has had a witnessed cardiac arrest. An AED is attached and advises a shock. After delivering the shock, what is the immediate next action?

Accepted Answer

Resume CPR immediately starting with chest compressions

Answer

After delivering a defibrillation shock, CPR must be resumed immediately starting with chest compressions without pausing for a pulse check. The AED will prompt re-analysis after 2 minutes of CPR. Early uninterrupted compressions are critical for survival.

(NMC CBT) Nursing and Midwifery Council Computer-Based Test Practice Test

(NMC CBT) Nursing and Midwifery Council Computer-Based Test Practice Test

NMC CBT - Nursing and Midwifery Council Computer-Based Test Basic Life Support and Emergency Management 1