Memo To: ASHI Basic Training Center Directors and Authorized Basic Instructors From: Ralph M. Shenefelt, Executive Program Director Date: 3-Jul-06 Re: Exam corrections There were a few errors with the written exams and answer keys released with the new 2006 Basic Life Support Instructor Guide. We have also incorporated some suggestions made by members for simplicity and clarity. This memo outlines the corrections made and includes the revised exams and keys. Although no corrections have been made to the infant exam and key, it is included for your convenience. Please replace the original exams and keys with these. Thank you for your patience, understanding and continued support of the American Safety and Health Institute. Written BLS Exams, Answer Sheets and Keys Adult BLS Exam Q13. Correct answer b. Corrected key. Q14. Question and answers revised for simplicity & clarity. Correct answer now d. Q18. Correct answer c. revised for clarity. Child BLS Exam Q8. Corrected typo. Q9. Added the word about for clarity. Infant BLS Exam Q7. Correct answer b. Added shading to key. Adult, Child and Infant BLS Exam Q17. Question and answers revised for simplicity & clarity. Correct answer now d. Q18. Answers revised for simplicity & clarity. Correct answer still b. Revised June 27, 2006 1
Adult BLS Exam Instructions: Read each of the questions carefully and then circle the letter of the correct answer on the separate answer sheet provided. Please do not write on exam. 1. To observe universal precautions means: a. Whether or not you think the victim s blood or body fluid is infected, you act as if it is. b. To quickly look for life-threatening conditions. c. To lower your risk for cardiovascular disease by making healthy lifestyle choices. d. To clear the patient before delivering a shock with an AED. 2. The links in the chain of survival in adults are: a. Ringing in the ears, dizziness, hiccups, and belching. b. Early Identification of SCA and Activation of Emergency Action Plan or EMS, early CPR, early Defibrillation, and early Advanced Life Support (ALS). c. Maintain a healthy weight, control your alcohol intake, don't smoke and exercise. d. High blood pressure, diabetes, smoking and high cholesterol level. 3. The warning signs and symptoms for heart attack: a. Can range from slight to severe. b. Are limited to chest pain that quickly spreads to the left arm only. c. Occur when the blood supply to part of the brain is suddenly interrupted. d. Occur when the heart is getting enough oxygenated blood flow. 4. You are caring for a 52-year-old female with a history of heart disease and allergy to aspirin. She is complaining of chest pain, shortness of breath and nausea. Treatment may include all of the following EXCEPT: a. Place the patient in position of comfort. b. Assist with administration of the patient s own prescribed nitroglycerin. c. Advise the patient to chew and swallow a half or whole adult aspirin tablet (162 to 325 mg.). d. Comfort, calm and reassure the patient. 5. If you suspect a person may be having a stroke, ask them to perform these three tasks: a. Inhale deeply, eat and drink something. b. Cough, stand, and write a simple sentence. c. Walk a straight line, blow out a deep breath, and touch their nose. d. Smile, raise both arms, and speak a simple sentence. 6. Emergency care for a stroke includes all of the following EXCEPT: a. Alerting EMS or your Emergency Action Plan immediately. b. Administering oxygen as trained or according to doctor s orders. c. Comforting, calming, and reassuring the patient. d. Asking the patient to take a 162-324mg of aspirin.
7. Standing in line at a local government facility, a middle-aged man suddenly collapses. The man is unconscious, unresponsive, and occasionally gasping for breath. He looks dead. This condition is most likely and is best treated with and. a. Diabetes, sugar, insulin. b. Epilepsy, privacy, rest. c. Choking, abdominal thrusts, back blows. d. Sudden cardiac arrest, CPR, defibrillation. 8. You are providing rescue breathing to a 23-year-old found unresponsive at a party. An intoxicated bystander suddenly becomes violent and physically threatens you. You should: a. Provide about 2 minutes of CPR before leaving the patient. b. Get out of danger. c. Continue rescue breathing until the patient responds. d. Immediately attach AED pads to the patient. 9. You are attending to a patient who is unresponsive after being struck by an automobile. To open the airway use the: a. Head-tilt, chin lift. b. Jaw thrust without head-tilt. c. Bag mask device. d. Continuous positive airway pressure (CPAP) device. 10. You are attending to a patient who collapsed suddenly. It does not look like the patient is breathing adequately. You should: a. Tilt the head and lift the chin to open the airway. b. Give a series of abdominal thrusts. c. Perform a surgical cricothyroidotomy. d. Place the patient in a recovery position. 11. Chest compressions during CPR should be: a. Gentle and slow with frequent interruptions for pulse checks. b. Gentle and slow and interrupted as little as possible. c. Hard and fast with frequent interruptions for pulse checks. d. Hard and fast and interrupted as little as possible. 12. For proper chest compressions, a patient should be positioned: a. Face up on a firm, flat surface. b. Face up on a soft, flat surface. c. Prone. d. In the HAINES recovery position. 13. You and another professional rescuer are attending to a 17-year-old found unresponsive with inadequate, gasping breathing. After giving two rescue breaths and checking for a pulse, you are not certain if a pulse is present or not. You should: a. Carefully check the pulse for another 10 seconds. b. Start CPR; 30:2 c. Start CPR; 15:2 d. Place the patient on their side in the recovery position. Revised June 27, 2006 2
14. A roofer was electrocuted when his aluminum ladder contacted an energized power line. The scene has been made safe. An AED has been attached to the patient and a shock is advised. You should: a. Give 30 chest compressions and then deliver the shock. b. Give 2 rescue breaths and then deliver the shock. c. Check the carotid pulse. d. Clear the patient and deliver the shock. 15. After giving one shock, you should: a. Give 30 chest compressions followed by another shock. b. Give 5 cycles of 30:2. Reassess rhythm. c. Continue cycles of 30:2 until the physician in charge orders the resuscitation effort stopped. d. Remove the AED pads from the patient s chest. 16. While attending a holiday party an obviously intoxicated man starts gagging and coughing loudly and forcefully after swallowing a large portion of ham. A woman with him screams, Somebody please help him, he s choking! You should: a. Give the patient 5 back blows/slaps until the object is expelled. b. Give the patient a series of abdominal thrusts until the object is expelled. c. Give the patient 5 chest thrusts until the object is expelled. d. Encourage the patient to cough. 17. A woman suddenly grabs her throat and cannot make any sound. You ask "Are you choking? She nods yes. You should: a. Give the patient 5 back blows/slaps until the object is expelled. b. Give the patient a series of abdominal thrusts until the object is expelled. c. Give the patient 5 chest thrusts until the object is expelled. d. Encourage the patient to cough. 18. You are alone with a patient who is choking. You are performing abdominal thrusts when the patient suddenly collapses. You should: a. Give the patient 5 back blows/slaps until the object is expelled. b. Give the patient a series of abdominal thrusts until the object is expelled. c. Alert EMS and begin CPR. d. Place the man in a recovery position. 19. Sudden collapse and cardiac arrest in an adult is most likely caused by and require. a. Stroke, oxygen. b. Ventricular fibrillation, defibrillation. c. Suffocation, ventilation. d. Choking, abdominal thrusts. 20. Two rescuers are performing CPR. To prevent fatigue and maintain the quality of chest compressions, they should a. Interrupt CPR and change positions after resting a couple of minutes. b. Immediately stop chest compressions. Give about 10 to 12 rescue breaths per minute. c. Slow down and interrupt compressions more frequently to check the pulse. d. Quickly change positions every couple of minutes. Interrupt compressions as little as possible. Revised June 27, 2006 3
Adult BLS Exam Answer Sheet PRINT NAME Date Place an X over the correct answer. 1. A B C D 2. A B C D 3. A B C D 4. A B C D 5. A B C D 6. A B C D 7. A B C D 8. A B C D 9. A B C D 10. A B C D 11. A B C D 12. A B C D 13. A B C D 14. A B C D 15. A B C D 16. A B C D 17. A B C D 18. A B C D 19. A B C D 20. A B C D Revised June 27, 2006 4
Adult BLS Exam Answer Key 1. B C D 2. A C D 3. B C D 4. A B D 5. A B C 6. A B C 7. A B C 8. A C D 9. A C D 10. B C D 11. A B C 12. B C D 13. A C D 14. A B C 15. A C D 16. A B C 17. A C D 18. A B D 19. A C D 20. A B C Revised June 27, 2006 5
Child BLS Exam Instructions: Read each of the questions carefully and then circle the letter of the correct answer on the separate answer sheet provided. Please do not write on exam. 1. To observe universal precautions means: a. Whether or not you think the victim s blood or body fluid is infected, you act as if it is. b. To quickly look for life-threatening conditions. c. To lower a child s risk for cardiovascular disease by making healthy lifestyle choices. d. To clear the patient before delivering a shock with an AED. 2. The links in the chain of survival in children are: a. Injuries, drowning, and SIDS. b. Prevention, basic CPR, rapid activation of EMS, and prompt advanced life support. c. Assess, Alert, and Attend to the ABCDs. d. Proper nutrition, physical activity, sleep and parenting. 3. You are providing rescue breathing to a 5-year-old pulled unresponsive from a backyard pool. An intoxicated bystander suddenly becomes violent and physically threatens you. You should: a. Provide about 2 minutes of CPR before leaving the patient. b. Get out of danger. c. Continue rescue breathing until the patient responds. d. If an AED is available, expose the chest, turn it on and immediately attach it. 4. You are attending to a 10-year-old child who is unresponsive after being struck by an automobile. To open the airway use the: a. Head-tilt, chin lift. b. Jaw thrust without head-tilt. c. Bag mask device. d. Tracheal tube introducer. 5. Chest compressions during CPR should be; a. Gentle and slow with frequent interruptions for pulse checks. b. Gentle and slow and interrupted as little as possible. c. Hard and fast with frequent interruptions for pulse checks. d. Hard and fast and interrupted as little as possible. 6. The proper depth of chest compression in a 3-year-old child is about: a. ¼ depth of the chest. b. ⅓ to ½ depth of the chest. c. 1 ½ to 2 inches (4 to 5 cm). d. 16 inches (41 cm). Revised June 27, 2006 1
7. You are attending to a 4-year-old child who is not breathing, but definitely has a pulse. Using a rescue breathing mask or bag mask device you should: a. Give about 5 to 10 rescue breaths per minute. b. Give about 10 to 12 rescue breaths per minute. c. Give about 12 to 20 rescue breaths per minute. d. Give about 20 to 30 rescue breaths per minute. 8. A 7-year-old child has been electrocuted after playing around faulty electrical equipment. The scene has been made safe. You have just completed 5 cycles of compressions and breaths when an untrained coworker arrives with a standard adult AED. You should: a. Continue CPR. Do not attach the AED without child pads/system. b. Attach the AED, but do not turn it on. Wait for EMS to arrive with child pads/system. c. Do not attach the AED. Defibrillation is not recommended for children over 1 year of age. d. Turn the AED on, attach the pads and follow the voice prompts. 9. When a rescuer is alone and finds a child unresponsive and not moving, the rescuer should give about minutes of CPR before calling 9-1-1 or attaching an AED. a. 10 b. 20 c. 1 d. 2 10. To prevent yourself from hyperventilating when using a rescue breathing mask, you should: a. Take normal, not deep breaths. b. Take deep, fast breaths. c. Breathe into a paper bag. d. Hyperventilation during rescue breathing cannot be prevented. 11. During lunch a 4-year-old suddenly clutches her throat and looks very anxious. You quickly ask, "Are you choking? The child does not respond or make any sound, but she appears very frightened. You should: a. Encourage her to cough it out. b. Position the child flat on her back and give 30 hard and fast chest compressions. c. Kneel behind the child and give abdominal thrusts in rapid sequence. d. Attempt to give 2 breaths that make the chest visibly rise. 12. Two rescuers are performing CPR on a 6-year-old child. To prevent fatigue and maintain the quality of chest compressions, they should a. Interrupt CPR and change positions after resting a couple of minutes. b. Immediately stop chest compressions. Give 1 breath every 3 to 5 seconds. c. Slow down and interrupt compressions more frequently to check the pulse. d. Quickly change positions every couple of minutes. Interrupt compression as little as possible. Revised June 27, 2006 2
13. Sudden collapse and cardiac arrest in a 14-year-old is most likely caused by and require. a. Stroke, oxygen. b. Ventricular fibrillation, defibrillation. c. Suffocation, ventilation. d. Choking, abdominal thrusts. 14. The proper hand position for chest compression in a 7-year-old child is: a. Upper third of the breastbone, 1 hand. b. Lower most portion of the breastbone, two hands. c. Center of the chest, between the nipples, 1 or 2 hands. d. Two thumbs on the breastbone with the fingers encircling the chest. 15. You find an 11-year-old child blue and not breathing. You are not sure if she has a pulse. Her friend states that she collapsed and stopped moving after playing the pass out choking game. You are the only trained rescuer. You should: a. Send the friend to alert EMS. Open the airway and immediately give 2 rescue breaths that make the chest rise. b. Leave the child to alert EMS and get an AED, bag mask device, and oxygen. c. Give 1 breath every 3 to 5 seconds for about 2 minutes. d. Give 1 breath every 5 to 6 seconds for about 2 minutes. 16. If a child s chest does not rise with the first rescue breath. You should; a. Give 15 compressions and then 2 breaths. Repeat. b. Give 30 compressions and then 2 breaths. Repeat. c. Tilt the head, lift the chin, and give a second breath. d. Start CPR if the pulse is greater than 60 beats per minute. Revised June 27, 2006 3
Child BLS Exam Answer Sheet PRINT NAME Date Place an X over the correct answer. 1. A B C D 2. A B C D 3. A B C D 4. A B C D 5. A B C D 6. A B C D 7. A B C D 8. A B C D 9. A B C D 10. A B C D 11. A B C D 12. A B C D 13. A B C D 14. A B C D 15. A B C D 16. A B C D Revised June 27, 2006 4
Child BLS Exam Answer Key 1. B C D 2. A C D 3. A C D 4. A C D 5. A B C 6. A C D 7. A B D 8. A B C 9. A B C 10. B C D 11. A B D 12. A B C 13. A C D 14. A B D 15. B C D 16. A B D Revised June 27, 2006 5
Infant BLS Exam Instructions: Read each of the questions carefully and then circle the letter of the correct answer on the separate answer sheet provided. Please do not write on exam. 1. To observe universal precautions means: a. Whether or not you think the victim s blood or body fluid is infected, you act as if it is. b. To quickly look for life-threatening conditions. c. To lower an infant s risk for cardiovascular disease by making healthy lifestyle choices. d. To take CPR training and know how to keep infants safe. 2. The links in the chain of survival in children are: a. Injuries, drowning, and SIDS. b. Prevention, basic CPR, rapid activation of EMS, and prompt pediatric advanced life support. c. Assess, Alert, and Attend to the ABCDs. d. Proper nutrition, physical activity, sleep, and parenting. 3. You are attending to an 11-month-old infant who is unresponsive following an accidental poisoning. To open the airway use: a. The jaw thrust. b. The head-lift, chin-lift. c. Continuous positive airway pressure (CPAP). d. The tracheal tube introducer. 4. You are attending to an 8-month-old infant pulled limp and unresponsive from a bathtub. You are not sure if she is breathing. You should: a. Give 2 rescue breaths that make the chest visibly rise. b. Give a series of abdominal thrusts. c. Place the infant on her side in the recovery position. d. Give 5 back blows/slaps 5. The proper hand position for one rescuer chest compression in a 3-month-old infant is: a. 2 hands, the center of the chest, between the nipples. b. 1 hand, the center of the chest, between the nipples. c. 1 or 2 hands, the center of the chest, between the nipples. d. 2 fingertips, just below the nipple line. 6. Chest compressions during CPR should be: a. Gentle and slow with frequent interruptions for pulse checks. b. Gentle and slow and interrupted as little as possible. c. Hard and fast with frequent interruptions for pulse checks. d. Hard and fast and interrupted as little as possible. Revised June 27, 2006 1
7. The proper depth of chest compression in a 4-month-old infant is about: a. ¼ depth of the chest. b. ⅓ to ½ depth of the chest. c. 1 ½ to 2 inches (4 to 5 cm) d. 16 inches (41 cm) 8. A 2-month-old won t wake up from a nap. You tilt the head, lift the chin and hear no breathing. You should: a. Give 2 breaths that make the chest visibly rise. b. Give 30 external chest compressions. c. Give 2 breaths that make the stomach visibly rise. d. Place the infant on its side in the recovery position. 9. In infants, you may have to in order to give two rescue breaths that make the chest visibly rise. a. Try a couple of times. b. Perform needle cricothyrotomy. c. Hyperventilate. d. Give 5 back blows/slaps. 10. While performing rescue breaths with a pocket mask, you suddenly feel breathless and become dizzy and feel tiny prickling sensations in your hands. These are most likely symptoms of. You should: a. Acute Coronary Syndrome. Sit down and rest quietly. b. Hypoventilation. Take deeper, faster breaths. c. Hyperventilation. Take normal, not deep breaths. d. Hypoglycemia. Eat or drink something sugary. 11. While crawling around on the floor, an 11-month-old suddenly starts gagging and coughing forcefully. You should: a. Watch closely and be ready to take action if symptoms worsen. b. Give 5 back blows and 5 chest thrusts until the object is expelled. c. Give the abdominal thrusts in rapid sequence until the object is expelled. d. Give forceful rescue breaths until the stomach visibly rises. 12. While being fed, a baby suddenly stops making any sound and turns blue. You should: a. Raise the infant s arms in the air and shout, Spit it out. b. Give 5 back blows and 5 chest thrusts until the object is expelled. c. Give the abdominal thrusts in rapid sequence until the object is expelled. d. Give forceful rescue breaths until the stomach visibly rises. Revised June 27, 2006 2
13. Two rescuers begin CPR on a 4-month-old infant found unresponsive in his crib. The compression to ventilation ratio is. The preferred chest compression method is. a. 15:2. Two thumbs with the fingers encircling the chest. b. 30:2. Two thumbs with the fingers encircling the chest. c. 15:2. Two fingertips placed just below the nipple line. d. 30:2. Two fingertips placed just below the nipple line. 14. An 8-month-old infant blue and not breathing. After opening the airway and giving 2 rescue breaths that make the chest rise visibly, you should check the pulse for 5 but no more than 10 seconds. a. Brachial b. Carotid c. Femoral d. Radial 15. If an infant s chest does not rise with the first rescue breath. You should: a. Give 15 compressions and then 2 breaths. Repeat. b. Give 30 compressions and then 2 breaths. Repeat. c. Give 5 compressions and then 1 breath. Repeat. d. Tilt the head, lift the chin and give a second breath. 16. Air blown into the stomach during rescue breathing: a. Can increase lung movement, decrease vomiting, and increase the effectiveness of rescue breathing. b. Has no effect on lung movement, vomiting, and the effectiveness of rescue breathing. c. Can limit lung movement, cause vomiting, and reduce the effectiveness of rescue breathing d. Can increase the probability of successful defibrillation Revised June 27, 2006 3
Infant BLS Exam Answer Sheet PRINT NAME Date Place an X over the correct answer. 1. A B C D 2. A B C D 3. A B C D 4. A B C D 5. A B C D 6. A B C D 7. A B C D 8. A B C D 9. A B C D 10. A B C D 11. A B C D 12. A B C D 13. A B C D 14. A B C D 15. A B C D 16. A B C D Revised June 27, 2006 4
Infant BLS Exam Answer Key 1. B C D 2. A C D 3. A C D 4. B C D 5. A B C 6. A B C 7. A C D 8. B C D 9. B C D 10. A B D 11. B C D 12. A C D 13. B C D 14. B C D 15. A B C 16. A B D Revised June 27, 2006 5
Adult, Child and Infant BLS Exam Instructions: Read each of the questions carefully and then circle the letter of the correct answer on the separate answer sheet provided. Please do not write on exam. 1. To observe universal precautions means: a. To quickly look for life-threatening conditions. b. To clear the patient before delivering a shock with an AED. c. To protect yourself from the victim s blood or other body fluids. d. To lower your risk for cardiovascular disease by making healthy lifestyle choices. 2. The links in the chain of survival in children are: a. Airway, oxygen, and circulation. b. Assess, Alert, and Attend to the ABCDs. c. Proper nutrition, physical activity, sleep, and parenting. d. Prevention, CPR, activation of EMS, and advanced life support. 3. The links in the chain of survival in adults are: a. Preventing stroke, hypertension, high cholesterol, and cancer. b. Avoiding high blood pressure, diabetes, smoking, and high cholesterol level. c. Maintain a healthy weight, control your alcohol intake, don't smoke, and exercise. d. Early recognition, activation of EMS, CPR, defibrillation, and advanced life support. 4. The warning signs and symptoms for heart attack: a. Can vary in nature and range from slight to severe. b. Are limited to chest pain that quickly spreads to the left arm. c. Occur when the heart is getting enough oxygenated blood flow. d. Occur when the blood supply to part of the brain is suddenly interrupted. 5. You are caring for a 52-year-old female with a history of heart disease and allergy to aspirin. She is complaining of chest pain, shortness of breath and nausea. Treatment may include all of the following EXCEPT: a. Placing the patient in a position of comfort. b. Comforting, calming, and reassuring the patient. c. Advising the patient to chew and swallow a half or whole aspirin tablet. d. Assisting with administration of the patient s own prescribed nitroglycerin. 6. If you suspect a person may be having a stroke, ask them to perform these three tasks: a. Inhale deeply, eat, and drink something. b. Cough, stand, and write a simple sentence. c. Smile, raise both arms, and speak a simple sentence. d. Walk a straight line, blow out a deep breath, and touch their nose. 7. Standing in line at a local government facility, a middle-aged man suddenly collapses. The man is unconscious, unresponsive and occasionally gasping for breath. He looks dead. This condition is most likely caused by and treated with: a. Seizure, ventilation, recovery position. b. Choking, abdominal thrusts, back blows. c. Sudden cardiac arrest, CPR, defibrillation. d. Cerebral Vascular Accident, ventilation, oxygen. Revised June 27, 2006 1
8. You are providing care to a 23-year-old found unresponsive at a party. The victim is breathing adequately and has a pulse. You should immediately: a. Provide about 2 minutes of CPR. b. Place the patient in the recovery position. c. Identify and correct the cause of the unresponsiveness. d. If an AED is available, expose the chest, turn it on and immediately attach it. 9. The proper hand position for one-rescuer chest compressions for a 3-month-old infant is: a. 2 fingertips, just below the nipple line. b. 1 or 2 hands, center of chest, between the nipples. c. 1 hand, the center of the chest, between the nipples. d. 2 hands, the center of the chest, between the nipples. 10. You are attending to a child who is unresponsive after being struck by an automobile. To immediately open the airway use the: a. Head-tilt, chin lift. b. Oropharyngeal airway. c. Bag-valve-mask device. d. Jaw thrust without head-tilt. 11. You are attending to a patient who collapsed suddenly. It does not look like the patient is breathing adequately and there is no sign of trauma. You should immediately: a. Tilt the head and lift the chin. b. Provide two minutes of CPR. c. Give a series of abdominal thrusts. d. Place the patient in a recovery position. 12. Chest compressions during CPR should be: a. Hard and fast and interrupted as little as possible. b. Gentle and slow and interrupted as little as possible. c. Hard and fast with frequent interruptions for pulse checks. d. Gentle and slow with frequent interruptions for pulse checks. 13. For proper chest compressions, a patient should be positioned: a. Face up on a soft, flat surface. b. Face up on a firm, flat surface. c. Prone and on a firm, flat surface. d. In the left-lateral recovery position. 14. The proper depth of chest compression in a 3-year-old child is about: a. ¼ the depth of the chest. b. ½ to 1 inch (1 to 2.5 cm). c. 1 ½ to 2 inches (4 to 5 cm). d. ⅓ to ½ the depth of the chest. 15. Two rescuers are performing CPR on a 9-year-old child who collapsed suddenly. An AED is available. You should: a. Attach the AED and follow the voice prompts. b. Attach the AED only if it has the child pads/system. c. Continue CPR (15:2) for 5 cycles then attach the AED. d. Continue CPR (30:2) for 5 cycles then attach the AED. Revised June 27, 2006 2
16. You and another rescuer are attending to a 17-year-old found unresponsive with inadequate, gasping breathing. After giving two rescue breaths and checking for a pulse, you are not certain if a pulse is present or not. You should: a. Start CPR; 15:2 b. Start CPR; 30:2 c. Attach the AED and follow the voice prompts. d. Give 1 rescue breath about every 5 to 6 seconds. 17. A roofer was electrocuted when his aluminum ladder contacted an energized power line. The scene has been made safe. An AED has been attached to the patient and a shock is advised. You should: a. Give 30 chest compressions and then deliver the shock. b. Give 2 rescue breaths and then deliver the shock. c. Check the carotid pulse. d. Clear the patient and deliver the shock. 18. After delivering a shock, you should: a. Check the pulse. b. Immediately resume chest compressions. c. Give 30 chest compressions and deliver another shock. d. Turn off the AED. 19. When two or more rescuers are performing CPR on an infant, the compression to ventilation ratio and preferred chest compression method is: a. 30:2 with two thumbs and the fingers encircling the chest. b. 15:2 with two thumbs and the fingers encircling the chest. c. 30:2 with two fingertips placed just below the nipple line. d. 15:2 with two fingertips placed just below the nipple line. 20. You have opened the airway of an unresponsive 47-year-old male. In order to assess for adequate breathing you should: a. Feel for a carotid pulse. b. Listen for air coming from the mouth. c. Listen to the chest for equal lung sounds. d. Look in the mouth for a possible obstruction. 21. A woman suddenly grabs her throat and cannot make any sound. You ask "Are you choking? She nods yes. You should: a. Provide 5 chest thrusts. b. Encourage her to cough. c. Give about 5 cycles of CPR. d. Deliver a series of abdominal thrusts. 22. You are alone with a patient who is choking. You are performing abdominal thrusts when the patient suddenly collapses. You should: a. Telephone for help and then perform CPR. b. Give 5 back blows until the object is expelled. c. Perform a blind finger sweep to remove the obstruction. d. Give a series of abdominal thrusts until the object is expelled. Revised June 27, 2006 3
23. Sudden collapse and cardiac arrest in an adult is MOST LIKELY caused by and requires: a. Stroke, oxygen. b. Suffocation, ventilation. c. Choking, abdominal thrusts. d. Ventricular fibrillation, defibrillation. ASHI Basic Life Support Program 24. Two rescuers are performing CPR. To prevent fatigue and maintain the quality of chest compressions, they should: a. Interrupt CPR and change positions after resting a couple of minutes. b. Slow down and interrupt compressions more frequently to check the pulse. c. Immediately stop chest compressions and deliver about 10 to 12 rescue breaths per minute. d. Change positions every couple of minutes with compressions interrupted as little as possible. 25. Air blown into the stomach during rescue breathing: a. Can limit lung movement, cause vomiting, and reduce the effectiveness of rescue breathing. b. Can increase the probability of a successful resuscitation when used in conjunction with an AED. c. Can increase lung movement, decrease vomiting, and increase the effectiveness of rescue breathing. d. Can decrease lung movement, decrease vomiting, and increase the effectiveness of rescue breathing. 26. You are attending to a 4-year-old child who is not breathing adequately, but definitely has a pulse. Using a rescue breathing mask or bag mask device you should: a. Give about 5 to 10 rescue breaths per minute. b. Give about 10 to 12 rescue breaths per minute. c. Give about 12 to 20 rescue breaths per minute. d. Give about 20 to 30 rescue breaths per minute. 27. You find an 11-year-old child who is blue and not breathing. You are not sure if she has a pulse. Her friend states that she collapsed and stopped moving after playing the pass out choking game. You are the only trained rescuer. You should: a. Give 1 breath every 5 to 6 seconds for about 2 minutes. b. Perform 5 cycles of CPR at 30:2 and then send the friend to alert EMS. c. Leave the child to alert EMS and get an AED and have the friend perform CPR. d. Send the friend to alert EMS, open the airway and immediately give 2 rescue breaths. 28. If a child s chest does not rise with the first rescue breath. You should: a. Give 15 compressions and then 2 breaths. b. Reposition the airway and give a second breath. c. Perform 5 abdominal thrusts and look in the airway. d. Start CPR if the pulse is less than 60 beats per minute. 29. The proper hand position for chest compression in a 7-year-old child is: a. Upper third of the breastbone, 1 hand. b. Lower most portion of the breastbone, two hands. c. Center of the chest, between the nipples, 1 or 2 hands. d. Two thumbs on the breastbone with the fingers encircling the chest. 30. While crawling around on the floor, an 11-month-old suddenly starts gagging and coughing forcefully. You should: a. Give forceful rescue breaths until the stomach visibly rises. b. Give 5 back blows and 5 chest thrusts until the object is expelled. c. Watch closely and be ready to take action if the symptoms worsen. d. Give abdominal thrusts in rapid sequence until the object is expelled. Revised June 27, 2006 4
Adult, Child and Infant BLS Exam Answer Sheet PRINT NAME Date Place an X over the correct answer. 1. A B C D 2. A B C D 3. A B C D 4. A B C D 5. A B C D 6. A B C D 7. A B C D 8. A B C D 9. A B C D 10. A B C D 11. A B C D 12. A B C D 13. A B C D 14. A B C D 15. A B C D 16. A B C D 17. A B C D 18. A B C D 19. A B C D 20. A B C D 21. A B C D 22. A B C D 23. A B C D 24. A B C D 25. A B C D 26. A B C D 27. A B C D 28. A B C D 29. A B C D 30. A B C D Revised June 27, 2006 5
Adult, Child and Infant BLS Exam Answer Key 1. A B D 2. A B C 3. A B C 4. B C D 5. A B D 6. A B D 7. A B D 8. A C D 9. B C D 10. A B C 11. B C D 12. B C D 13. A C D 14. A B C 15. B C D 16. A C D 17. A B C 18. A C D 19. A C D 20. A C D 21. A B C 22. B C D 23. A B C 24. A B C 25. B C D 26. A B D 27. A B C 28. A C D 29. A B D 30. A B D Revised June 27, 2006 6