PNC Emergency Procedures & Response 3

Question 1

A parish nurse is training volunteers in CPR. Which compression-to-ventilation ratio applies to adult single-rescuer CPR?

Accepted Answer

30:2

Answer

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?

Accepted Answer

10 seconds

Answer

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:

Accepted Answer

Remove wet clothing and apply warm dry blankets gently

Answer

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?

Accepted Answer

At least 2 inches (5 cm)

Answer

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:

Accepted Answer

Continue direct pressure and elevate the arm while awaiting EMS

Answer

For soft-tissue extremity bleeding in an anticoagulated patient, continued direct pressure combined with elevation is the appropriate prehospital approach pending emergency care.

(PNC) Parish Nurse Certification Practice Test

(PNC) Parish Nurse Certification Practice Test

PNC Emergency Procedures & Response 3