PNC Emergency Procedures & Response 3 — Questions and Answers
Question 1: A parish nurse is training volunteers in CPR. Which compression-to-ventilation ratio applies to adult single-rescuer CPR?
- 15:2
- 30:2 (Correct answer)
- 5:1
- 30:1
Correct answer: 30:2
AHA guidelines specify a 30:2 compression-to-ventilation ratio for single-rescuer adult CPR to maintain adequate perfusion pressure.
Question 2: An elderly parishioner is found unresponsive. The parish nurse checks for a pulse for no more than how many seconds before initiating CPR?
- 5 seconds
- 10 seconds (Correct answer)
- 20 seconds
- 30 seconds
Correct answer: 10 seconds
AHA guidelines state pulse check should take no more than 10 seconds; if no pulse is confirmed quickly, CPR must begin immediately.
Question 3: During a winter church event, a person is found outside minimally responsive and extremely cold. The parish nurse suspects hypothermia. The correct field management includes:
- Vigorous rubbing of extremities to generate heat
- Remove wet clothing and apply warm dry blankets gently (Correct answer)
- Immerse the person in hot water immediately
- Give hot liquids by mouth and encourage walking
Correct answer: Remove wet clothing and apply warm dry blankets gently
Passive external rewarming with dry insulation and removal of wet clothing is appropriate prehospital management; vigorous manipulation can trigger ventricular fibrillation.
Question 4: A parish nurse learns that a congregation member collapsed at home and is receiving bystander CPR. She is directing care over the phone until EMS arrives. How deep should adult chest compressions be?
- At least 1 inch
- At least 2 inches (5 cm) (Correct answer)
- At least 3 inches (7.5 cm)
- Exactly 1.5 inches
Correct answer: At least 2 inches (5 cm)
AHA guidelines specify adult chest compressions should be at least 2 inches (5 cm) deep but no more than 2.4 inches to be effective without causing excess injury.
Question 5: A congregation member who takes warfarin sustains a deep laceration to the forearm. After applying direct pressure for 10 minutes with no cessation of bleeding, the parish nurse should:
- Apply a tourniquet 2 inches above the wound
- Continue direct pressure and elevate the arm while awaiting EMS (Correct answer)
- Pack the wound with dry gauze and release pressure every 2 minutes
- Apply ice directly to the wound and release pressure
Correct answer: Continue direct pressure and elevate the arm while awaiting EMS
For soft-tissue extremity bleeding in an anticoagulated patient, continued direct pressure combined with elevation is the appropriate prehospital approach pending emergency care.
Question 6: A parish nurse is called to assist a woman who appears to be having a stroke. Which acronym helps quickly identify stroke signs?
- SAMPLE
- OPQRST
- FAST (Correct answer)
- AVPU
Correct answer: FAST
FAST (Face drooping, Arm weakness, Speech difficulty, Time to call 911) is the standard community stroke recognition tool taught to laypersons and health educators.
Question 7: After completing a first aid response at a church event, the parish nurse documents the incident. What information is most critical to record regarding medications administered?
- The brand name preference of the patient
- Drug name, dose, route, time administered, and patient response (Correct answer)
- Only the drug name and the nurse's initials
- The cost of the medication and who supplied it
Correct answer: Drug name, dose, route, time administered, and patient response
Complete medication documentation—including drug, dose, route, time, and response—is essential for continuity of care and medicolegal protection.
PNC Emergency Procedures & Response 3
A parish nurse is training volunteers in CPR.
Which compression-to-ventilation ratio applies to adult single-rescuer CPR?