Rapid Response Teams
Which statement best describes the purpose of a Rapid Response Team?
A. Manage patients already in cardiac arrest
B. Prevent patient deterioration before arrest occurs
C. Replace the primary provider during emergencies
B. Prevent patient deterioration before arrest occurs
A “Code Blue” most commonly indicates:
A. Cardiac or respiratory arrest
B. Sepsis with hypotension
C. Acute stroke
A. Cardiac or respiratory arrest
What is the recommended adult chest compression rate?
A. 80–100/min
B. 100–120/min
C. 120–140/min
B. 100–120/min
Shock is best defined as an acute condition of:
A. Hypotension
B. Impaired tissue perfusion
C. Cardiac failure
B. Impaired tissue perfusion
Which organ system is most sensitive to decreased oxygen delivery?
A. Renal
B. Gastrointestinal
C. Central nervous system
C. Central nervous system
Who is permitted to activate a Rapid Response Team in most hospitals?
A. Only physicians
B. Only registered nurses
C. Any healthcare worker (and sometimes family)
C. Any healthcare worker (and sometimes family)
Which intervention must begin immediately during a code unless a valid DNR exists?
A. Intubation
B. Chest compressions
C. Medication administration
B. Chest compressions
High-quality chest compressions should have a depth of at least:
A. 1 inch (2.5 cm)
B. 1.5 inches (4 cm)
C. 2 inches (5 cm)
C. 2 inches (5 cm)
When cells lack oxygen, they switch to anaerobic metabolism, producing:
A. Ketones
B. Carbon dioxide
C. Lactic acid
C. Lactic acid
Decreased urine output during shock primarily reflects hypoperfusion of the:
A. Kidneys
B. Liver
C. Lungs
A. Kidneys
Which assessment finding most strongly suggests early clinical deterioration?
A. Mild hypotension
B. Altered mental status
C. Bradycardia
B. Altered mental status
Which role is responsible for directing the code and making treatment decisions?
A. Primary bedside nurse
B. Code leader
C. Nursing supervisor
B. Code leader
To maintain CPR quality, compressors should switch approximately every:
A. 1 minute
B. 2 minutes
C. 5 minutes
B. 2 minutes
Which group correctly lists the major types of shock?
A. Hypovolemic, cardiogenic, distributive, obstructive
B. Septic, hemorrhagic, anaphylactic, neurogenic
C. Acute, chronic, compensated, uncompensated
A. Hypovolemic, cardiogenic, distributive, obstructive
Early tachypnea in shock is most often a response to:
A. Pain
B. Metabolic acidosis
C. Hypovolemia alone
B. Metabolic acidosis
Failure to rescue most commonly occurs due to:
A. Delayed recognition of deterioration
B. Lack of emergency equipment
C. Poor CPR technique
A. Delayed recognition of deterioration
Which team member is primarily responsible for crowd control and coordinating resources?
A. Respiratory therapist
B. Pharmacist
C. Nursing supervisor
C. Nursing supervisor
Which airway maneuver is preferred if cervical spine injury is suspected?
A. Head-tilt chin-lift
B. Jaw-thrust maneuver
C. Neck extension
B. Jaw-thrust maneuver
Which stage of shock is characterized by tachycardia and vasoconstriction?
A. Initiation
B. Compensatory
C. Refractory
B. Compensatory
Which laboratory value best reflects severity of tissue hypoxia?
A. Serum potassium
B. White blood cell count
C. Serum lactate
C. Serum lactate
Which organization supports the use of Rapid Response Teams to improve patient safety?
A. Centers for Medicare & Medicaid Services (CMS)
B. World Health Organization (WHO)
C. The Joint Commission
C. The Joint Commission
Which action by the first responder is most appropriate?
A. Begin CPR and direct someone to call a code
B. Wait for additional staff before acting
C. Obtain a full set of vital signs
A. Begin CPR and direct someone to call a code
Which device allows rapid rhythm analysis and defibrillation by trained laypersons?
A. Cardiac monitor
B. Manual defibrillator
C. Automated external defibrillator (AED)
C. Automated external defibrillator (AED)
Progression of untreated shock most commonly leads to:
A. Acute respiratory alkalosis
B. Isolated renal failure
C. Multiple organ dysfunction syndrome (MODS)
C. Multiple organ dysfunction syndrome (MODS)
Patchy skin discoloration associated with poor perfusion in shock is known as:
A. Cyanosis
B. Ecchymosis
C. Mottling
C. Mottling