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BLS Recertification

BLS Megacode Scenario 3

By Mark Dzwonkiewicz, FP-C, LI | Medically reviewed by Carmen Corder, DNP, CCRN on November 13, 2024

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Question 1 of 14

1. Question
You are a first responder trained in Basic Life Support. You are in the high school gymnasium and see one of the teachers collapse to the floor.

You approach the man on the floor.

1. Your first action is to:
- a. Establish unresponsiveness
- b. Ensure scene safety
- c. Feel for a pulse
- d. Begin CPR
Correct

Incorrect
Question 2 of 14

2. Question
You quickly scan the surroundings and determine that there are no threats.

2. The next step you should take is to:
- a. Establish unresponsiveness
- b. Shout for help
- c. Begin CPR
- d. Begin rescue breathing
Correct

Incorrect
Question 3 of 14

3. Question
3. The next step you should take is to:
- a. Establish unresponsiveness
- b. Check for a pulse and breathing
- c. Begin CPR
- d. Begin rescue breathing
Correct

Incorrect
Question 4 of 14

4. Question
The teacher does not immediately respond to your shouting (verbal stimuli).

You apply a sternal rub (physical stimuli) and get no response. You determine that the teacher is not responsive.

4. The next step you should take is to:
- a. Begin CPR
- b. Monitor the teacher until the AED arrives
- c. Check for a pulse and breathing
- d. Begin rescue breathing
Correct

Incorrect
Question 5 of 14

5. Question
You determine that the teacher has no pulse and is not breathing. Someone is calling EMS and retrieving the AED.

5. Your next intervention is to:
- a. Open the airway
- b. Begin CPR starting with chest compressions
- c. Begin CPR starting with breaths
- d. Look in the airway to check for an airway obstruction
Correct

Incorrect
Question 6 of 14

6. Question
You do CPR until the bystander brings the AED.

6. Once the AED arrives, the next step is to:
- a. Continue CPR
- b. Check for a pulse again
- c. Follow the AED voice prompts and apply the AED pads
- d. Attempt to bring the person up to a sitting position to provide a better airway
Correct

Incorrect
Question 7 of 14

7. Question
You continue CPR as the bystander opens the AED to activate it. He connects the wires to the machine.

You stop CPR and open the man’s shirt to expose his chest. You notice a patch on his chest.

7. The next action is to:
- a. Continue rescue breathing
- b. Resume CPR
- c. Apply the AED pads
- d. Remove the patch from the chest
Correct

Incorrect
Question 8 of 14

8. Question
You remove the patch and quickly clean off any gel or residue from the patch. You feel for a pacemaker and do not feel any.

8. Your next action is to:
- a. Apply the AED pads
- b. Roll the person to his side
- c. Begin rescue breathing
- d. Attempt to bring the person up to a sitting position to provide a better airway
Correct

Incorrect
Question 9 of 14

9. Question
9. For this adult, the correct positions for the pads are:
- a. Left upper chest and right ribs under the armpit
- b. Right upper chest and left ribs under the armpit
- c. Left and right upper chest
- d. Anterior and posterior chest
Correct

Incorrect
Question 10 of 14

10. Question
You apply the AED pads and instruct everyone not to touch the person as the AED machine analyzes his rhythm.

The AED advises shock delivery.

10. The next step you should take is to:
- a. Resume CPR
- b. Push the shock button on the AED machine
- c. Wait for a second reminder from the AED to shock
- d. Call out for everyone to stand clear of the person
Correct

Incorrect
Question 11 of 14

11. Question
You verify that no one is touching the person

11. Your next action is to:
- a. Push the shock button
- b. Resume CPR
- c. Quickly check the pulse and breathing
- d. Wait for EMS
Correct

Incorrect
Question 12 of 14

12. Question
12. After the shock is delivered, the next action you should take is to:
- a. Allow the AED to analyze the rhythm
- b. Resume CPR
- c. Begin rescue breathing
- d. Wait for EMS
Correct

Incorrect
Question 13 of 14

13. Question
The AED advises stopping CPR. You move back from the teacher and allow the AED to analyze the rhythm.

The AED advises continuing CPR.

13. You understand that the reason the AED did not advise another shock is that:
- a. The AED did not detect a shockable rhythm
- b. Defibrillation should not happen more often than every 5 minutes
- c. CPR is better than defibrillation
- d. All the above
Correct

Incorrect
Question 14 of 14

14. Question
14. Shockable rhythms include all the following EXCEPT:
- a. Pulseless ventricular tachycardia
- b. Coarse ventricular fibrillation
- c. Asystole
- d. All these rhythms are shockable
Correct

Incorrect