Table Of Specification Assessment Of Learnings, using multiple choice

1. Test I. Multiple Choice:
There are 50 questions in the test. You will be given 1 hour to complete the test.
Select the best answer and indicate it by encircling the letter of your choice. Erasures
or any form of superimpositions are not allowed. Your score will be the number of
questions correctly answered. Be sure to answer every question.
This test will measure Knowledge based learning on the status of the individual
and the emergency situation.
1. Which of this client’s condition needs Rescue Breathing?
a. Has pulse but no breathing
b. No pulse and no breathing
c. No pulse but has breathing
d. A and C
2. When the brain is deprived of oxygen for 4-6 minutes, brain damage is
a. not probable
b. probable
c. irreversible
d. certain
3. A victim who is not breathing but has signs of circulation
a. Has had a sudden cardiac arrest
b. Needs compressions and breaths
c. Needs rescue breathing
d. Needs defibrillation
4. An infant in need of CPR will have
a. Rapid and shallow breathing
b. No breathing and no signs of circulation
c. Sings of circulation and will be conscious
d. Breathing and no signs of circulation
5. Which is a signal of breathing difficulty?
a. Pain in the abdomen
b. Pain radiating down the left arm
c. Unusual noises such as wheezing or gurgling
d. Pain in the chest
This test will measure sound decision making in the emergency care of the
individual/group in the emergency situation
6. What should you do if the breaths you give do not make the victim’s chest
rise?
a. Ask someone else to try giving the breaths
b. Do a finger sweep
c. Give two more breaths with more force
d. Re-tilt the head and give breaths again
7. When should you stop giving CPR?
a. when emergency personnel takes over
b. If the scene becomes unsafe

2. c. When you are exhausted
d. All of the above
8. When do you STOP CPR
a. Spontaneous breathing and pulse restored.
b. Operator is exhausted
c. Physician assumes responsibility
d. All of the above
9. These are the criteria for not starting CPR except;
a. rigor mortis
b.decapitation
c.dependent lividity
d. pulseless
10. For a child victim of Cardiac Arrest what should you do first?
a. Call for medical assistance
b. Perform one minute CPR
c. Perform one minute Rescue Breathing
d. Wait for medical assistance
This test will measure the promotion of safety of the individual while giving
emergency nursing care
11. The depth of compression for infant is?
a. 1-1 ½ inches
b. 1 ½ - 2 inches
c. 1/2-1 inch
d. ½ inch
12. When giving chest compressions to an adult, the rescuer should compress the
chest to a depth of
a. 1” to 1.5”
b. 1.5” to 2”
c. 2” to 2.5”
d. 2.5” to 3”
13. Where on an infant victim should you feel for a pulse?
a. Brachial artery in the arm
b. Carotid artery in the neck
c. Femoral artery in the groin
d. Radial artery in the wrist
14. Where on an adult victim should you feel for a pulse?
a. Brachial artery in the arm
b. Carotid artery in the neck
c. Femoral artery in the groin
d. Radial artery in the wrist
15. Where on a child victim should you feel for a pulse?
a. Brachial artery in the arm
b. Carotid artery in the neck
c. Femoral artery in the groin
d. Radial artery in the wrist

3. 16. Opening of airway for child with no cervical injury is
a. jaw thrust maneuver
b. maximum health tilt
c. neutral plus position
d. neutral position
17. The ratio of ventilation and compression for infant is
a. 30 compressions : 2 ventilations
b. 5 compressions : 2 ventilations
c. 5 compressions : 1 ventilation
d.15 compressions : 1 ventilation
18. The ratio of ventilation and compressions for infant is-
a.30 compressions : 2 ventilations
b. 5 compressions : 2 ventilations
c.5 compressions : 1 ventilation
d.15 compressions : 1 ventilation
19. During compressions what will you use for a child victim?
a.Heel of one hand, other hand on top
b.Heel of one hand
c.Two fingers
d.Three fingers
20. During compression what will you use for an infant victim?
a. heel of one hand, other hand on top
b. heel of one hand
c. Two fingers
d. Three fingers
21. Once you have started CPR on an adult when should you check to see
whether the victim has a pulse?
a. After the first two minutes and every two minutes thereafter
b. After the first minute and every few minutes thereafter
c. After each minute of continuous CPR
d. Any of the above is acceptable
22. When giving care to an infant who is unconscious and has obstructed airway,
where do you position your finger to give chest compressions?
a. on the belly button
b. at the top of the breastbone near the neck
c. in the center of the breastbone, one finger width below the nipple line
d. in between the belly button and xiphoid process
23. When giving rescue breaths to an infant, how should you breathe into the
victim?
a. puff
b. blow
c. fast blow
d. hard blow
24. A way to ventilate the lungs of an infant.
a. mouth to nose and mouth
b. mouth to mouth

4. c. mouth to nose
d. none of the above
25. A way to ventilate the lungs of a child.
a. mouth to nose and mouth
b. mouth to mouth
c. mouth to nose
d. none of the above
26. When giving chest compressions to a child, the rescuer should compress the
chest to a depth of
a. 1” to 1.5”
b. 1.5” to 2”
c. 2” to 2.5”
d. 2.5” to 3”
27. A way to ventilate the lungs of an adult.
a. mouth to nose and mouth
b. mouth to mouth
c. mouth to nose
d. none of the above
28. Opening of airway for an infant with no cervical injury is
a. jaw thrust maneuver
b. maximum health tilt
c. neutral plus position
d. neutral position
29. Which should you do to keep the airway open when giving rescue breaths if
you do not suspect a head injury?
a. lift the chin
b. tilt the head back and lift the chin
c. tilt the head back and lift the neck
d. roll the victim onto one side
30. For how many seconds do you check a victim’s signs of circulation
a. no more than 10 seconds
b. 3-5 seconds
c. about 60 seconds
d. about 15-20 seconds
31. The child is pulseless. The rescuer begins chest compressions. Since effective
chest compressions depend on proper technique, the rescuer should apply pressure
a. on the lower sternum with the heel of one hand
b. midway on the sternum with the tips of two fingers
c. over the apex of the heart with the heel of one hand
d. on the upper sternum with the heel of both hands
32. If the rescuer had to perform mouth-to-mouth breathing for the infant, the
nurse should tilt the infant’s head back slightly in order to
a. prevent airway obstruction
b. minimize gastric distention
c. prevent excessive pressure on the neck
d. inhibit extensor posturing

5. (For questions # 33 – 43 )A 4th year student nurse is called to her neighbor’s
home when a 56 year old Mr. Chavez collapses. After a quick assessment of the
victim, the student nurse knows that cardiopulmonary resuscitation (CPR) is
necessary. The nurse instructs Mrs.Chavez to call EMS
33. Mr. Chavez is lying in an upholstered reclining chair when the student nurse
arrives. Where the victim should be positioned for cardiopulmonary
resuscitation?
a. On the sofa
b. On the floor
c. On the tipped-back reclining chair
d. On a mattress pulled onto the floor
34. After positioning Mr. Chavez, the student nurse next course of action should
be to :
a. open the victim’s airway
b. elevate the victim’s head slightly
c. give the victim four quick breaths
d. administer 30 quick cardiac compressions
35. Mr Chavez’s teenaged son steps forward and tells the student nurse that he
knows CPR and can help. The student nurse initiates external cardiac
compressions while the son administers artificial ventilations. The rate at which
the student nurse should administer cardiac compressions should be
a. 40 to 60 per minute
b. 50 to 70 per minute
c. 60 to 80 per minute
d. 80 to 100 per minute
36. Which is the compression ventilation ration for two rescuer CPR?
a. 4:1
b. 5:1
c. 5:2
d. 6:3
37. The xiphoid process at the lower end of Mr. Chavez’s sternum should not be
deeply compressed when performing wxternal cardiac compression because of
the danger of lacerating the victim’s
a. lung
b. liver
c. stomach
d. diaphragm
38. When performing external chest compressions on Mr Chavez, the student
nurse should depress the sternum
a. ½” to 1”
b. 1” to 1 ½”
c. 1 ½” to 2”
d. 2” to 2 ½”
39. During CPR, Mr. Chavez’s pulse should be checked at regular intervals using
the
a. radial artery

6. b.celiac artery
c. carotid artery
d. brachial artery
40. If Mr. Chavez’s chest wall fails to rise with each inflation when the rescue
breathing is administered, the most likely reason is that the
a. airway is not clear
b. victim is beyond resuscitating
c. inflations are being given at too rapid a rate
d. rescuer is using inadequate force for cardiac massage
41. Mr. Chavez is transported by ambulance to hospital’s emergency room,
where the admitting nurse quickly assesses the patient’s condition. Of the
following observations, the one most often recommended for determining the
effectiveness of CPR is noting whether the victim’s
a. pulse rate is normal
b. pupils are reacting to light
c. mucous membranes are pink
d. systolic Blood pressure is at least 80mmHg
42. It is estimated that the maximum amount of time Mr. Chavez could have
been without cardiopulmonary functioning and still not experience permanent
brain damage is between
a. 1 and 2 minutes
b. 4 and 6 minutes
c. 8 and 10 minutes
d. 12 and 15 minutes
43. Mr. Chavez regains consciousness and is breathing spontaneously. He is
confused and very anxious. Which of the following courses of action is likely
to give him the most support while a life saving measures is being performed?
a. occasionally hold his hand firmly
b. ask him if he knows why he is afraid
c. remind him that his wife is in the room
d. tell him that he can help most by trying to relax
44. A student nurse on the way to school finds an old man lying on the floor
unresponsive. The victim is not breathing and does not have a pulse, and the
student nurse immediately calls out for help. The next nursing action is which
of the following?
a. open the airway
b. give the client rescue breathing
c start chest compressions
d. ventilate with a mouth to mouth resuscitation
45. A student nurse witness a neighbor’s husband sustain a fall from the roof of
his house. The student nurse rushes to the victim and determines the need to
open the airway. The nurse opens the airway in this victim by using which method?
a. flexed position
b. head tilt-chin lift
c. jaw thrust maneuver
d. modified head tilt chin lift.

7. 46. A nursing student is asked to describe the correct steps for performing adult
cardiopulmonary resuscitation. Which of the following are the correct steps in
adult CPR?
1 – Initiate breathing
2 – Open the client’s airway
3 – Determine breathlessness
4 – Perform chest compressions
5 – Check for a pulse at the carotid artery
6 – Determine unconsciousness by shaking the client and asking
“ Are you Ok”?
a. 4 2 3 6 5 1
b. 4 2 6 3 1 5
c. 4 2 5 1 6 3
d. 4 2 6 3 5 1
47. When you perform chest compressions on an adult, why is it important to
keep your shoulders directly over your hands and your elbows locked?
a. So that you don’t injure your elbows’ joints
b. So that the proper wrist angle is maintained throughout the compression
c. So that you use the weight of your upper body to compress the chest and
don’t tire out too quickly
d. So that the chest is compressed exactly one inch
48. A nurse is teaching cardiopulmonary resuscitation to a group of nursing
students. The nurse asks a student to describe the reason why blind finger
sweeps are avoided in infants. The nurse determines that the student
understands this reason if the student makes which statement?
a. The object may have been swallowed
b. The infant may bite down on the finger
c. The mouth is too small to see the object
d. The object may be forced back father into the throat
Evaluates progress towards expected patient outcomes
49. Which of the following sings would indicate that cardiopulmonary
resuscitation was effective?
a. the appearance of mottling
b. dilation of pupils
c. palpable peripheral pulses
d. cool, dry skin
50. As Mr. Chavez’s son provides rescue breathing, Mr. Chavez will exhale by
a. normal relaxation of the chest
b. gentle pressure of the rescuer’s hand on the upper chest
c. the pressure of the cardiac compressions
d. turning his head to side

8. Test II. Fill in the blanks for 12 points.
Directions: Supply the appropriate data being asked in the table. You will be given 15
minutes to complete the test. Each item is worth 1 point.
Performs age specific safety measures in all aspects of individual care.
INFANT CHILD ADULT
Cardiac Compression 100 compressions/min
Rate of compression 30:2
Depth of compression ½-1”
Assess for pulse Carotid artery
quality of blow (rescue Full blow
breathing)
Ventilation 2 ventilation
Test III. Identification Type for 10 points.
Directions: You will be given 15 minutes to complete the test. Erasures or any form
of superimpositions are not allowed. Your score will be the number of questions
correctly answered. Be sure to supply an answer in the space provided located after
an item.
*To assess the students in the definition of legal terms in the performance of
emergency nursing care.
1.) This refers to the threat of violence caused by an immediate show of force or by
any physical contact by someone to another person without consent
___________________
2.) Is the crime that represents the unlawful physical contact and has a the intention
to cause grievous bodily harm ________________
3.) A term in jurisprudence that can be a possible defense against civil or criminal
liability and obtaining a permission to perform a medical procedure
________________
4.) This is a type of permission granted by the person and expressly authorizes the
health care provider to give appropriate care _________
5.) Is another form of permission which is not expressly granted by a person, but
rather inferred from a person's actions and the facts and circumstances of a
particular situation _____________
6.) Is a form of tort, and possibly a crime, wherein a person is intentionally
confined without legal authority _________________
7.) This refers to the capacity of a rational individual to make an informed, non-
coerced decision for him/her self _______________
8.) A form of tort and a conduct that is culpable because it falls short of what a
reasonable person would do to protect another individual from foreseeable risks
of harm during a certain procedure ______________

9. 9.) Occurs when a health care professional has already begun emergency treatment
of a patient and then suddenly walks away while the patient is still in need,
without securing the services of an adequate substitute or giving the patient
adequate opportunity to find one _____________
10.) International accepted laws or acts protecting from liability those who choose to
aid others who are injured or ill and also utilizes the principle of 'duty to rescue'
___________________