OSCE Emergency Response Procedures 2

Question 1

A patient in the ED suddenly becomes unresponsive and apneic with no pulse. What is the correct sequence to initiate ACLS?

Accepted Answer

Call for help, begin CPR, attach defibrillator, establish IV access

Answer

The ACLS sequence prioritizes calling for help and immediate CPR, then defibrillation and vascular access.

Question 2

During a mass casualty incident (MCI), a patient is breathing at 8 breaths/min, has a radial pulse, and cannot follow commands. Using START triage, what color tag is assigned?

Accepted Answer

Red (Immediate)

Answer

Respiratory rate <10 or >30, absent radial pulse, or inability to follow commands each independently classify a patient as Red (Immediate) in START triage.

Question 3

When performing a needle thoracostomy for tension pneumothorax, the preferred landmark in the US is:

Accepted Answer

2nd intercostal space, midclavicular line

Answer

The 2nd intercostal space at the midclavicular line (above the 3rd rib) is the standard US landmark for emergency needle decompression.

Question 4

A nurse discovers a patient with an O2 sat of 72% and increasing respiratory distress. The rapid response team arrives. Which action has the HIGHEST priority?

Accepted Answer

Open the airway and apply high-flow oxygen

Answer

Airway and oxygenation are always the first priority; a sat of 72% represents life-threatening hypoxemia requiring immediate oxygen delivery.

Question 5

A code blue is called in a hospital corridor. The AED arrives and analyzes the rhythm as 'No Shock Advised.' The next step is:

Accepted Answer

Resume CPR immediately for 2 minutes

Answer

When the AED advises no shock, CPR must resume immediately; interruptions to chest compressions worsen outcomes in non-shockable rhythms like PEA and asystole.

OSCE Practice Test

OSCE Practice Test

OSCE Emergency Response Procedures 2