TEMS PROTOCOL High Performance CPR

Question 1

High-Performance CPR should be initiated when the patient:

A. Is hypotensive with altered mental status
B. Has shallow respirations
C. Does not have a pulse and is not breathing
D. Has a heart rate below 40

Answer 1

C
Does not have a pulse and is not breathing

Question 2

The recommended adult chest compression rate is:

A. 80–100/min
B. 90–110/min
C. 100–120/min
D. 120–140/min

Answer 2

C
100-120/min

Question 3

External feedback devices such as metronomes are recommended to help control:

A. Compression depth
B. Compression recoil
C. Compression rate
D. Ventilation volume

Answer 3

C
Compression rate

Question 4

Adult chest compression depth should be at least:

A. 1 inch
B. 1.5 inches
C. 2 inches (5 cm)
D. 2.5 inches

Answer 4

C
2 inches

Question 5

ETCO₂ values below 10 mmHg should prompt the team to:

A. Administer epinephrine
B. Shock the patient
C. Evaluate CPR quality
D. Change compressors immediately

Answer 5

C
Evaluate CPR quality

Question 5

Pediatric chest compression depth should be approximately:

A. 2 inches
B. 1 inch
C. ¼ chest depth
D. ⅓ anterior-posterior chest depth

Answer 5

D.
⅓ anterior-posterior chest depth

Question 6

Over-ventilation during CPR should be avoided because it:

A. Causes barotrauma
B. Decreases venous return
C. Interrupts compressions
D. All of the above

Answer 6

D
All of the above

Question 6

Which action is required to ensure proper chest recoil?

A. Compress slower
B. Pause after each compression
C. Avoid leaning on the chest
D. Increase compression depth

Answer 6

C
Avoid leaning on the chest

Question 7

Adult CPR ventilation ratio without an advanced airway is:

A. 15:2
B. 30:2
C. 20:2
D. Continuous ventilations

Answer 7

B
30:2

Question 8

Pediatric CPR ratio for a single rescuer is:

A. 15:2
B. 30:2
C. 20:2
D. 3:1

Answer 8

B
30:2

Question 9

Newly born resuscitation uses which compression-to-ventilation ratio?

A. 15:2
B. 30:2
C. 5:1
D. 3:1

Answer 9

D
3:1

Question 9

Pediatric CPR ratio with multiple rescuers is:

A. 30:2
B. 20:2
C. 15:2
D. 3:1

Answer 9

C
15:2

Question 10

After placement of an advanced airway in adults, ventilations should occur at:

A. 12–20 breaths/min
B. 10 breaths/min or less
C. 15 breaths/min
D. 1 breath every 3 seconds

Answer 10

B.
10 breaths/min or less

Question 11

Pediatric asynchronous ventilation rate after an advanced airway is no faster than:

A. 10 breaths/min
B. 20 breaths/min
C. 30 breaths/min
D. 40 breaths/min

Answer 11

B
20 breaths/min

Question 11

The purpose of defibrillator pre-charging is to:

A. Reduce battery use
B. Increase shock energy
C. Minimize compression interruptions
D. Prevent accidental shock

Answer 11

C
Minimize compression interruptions

Question 11

During rhythm checks, the compressor should:

A. Step away completely
B. Continue compressions lightly
C. Hover hands over the chest
D. Prepare airway equipment

Answer 11

C
Hover hands over the chest

Question 12

Medication administration during cardiac arrest should occur:

A. During rhythm checks
B. After compressions stop
C. During active compressions
D. Only after ROSC

Answer 12

C
During active compressions

Question 13

When intubating during CPR, compressions should:

A. Be paused
B. Be slowed
C. Continue uninterrupted
D. Stop once tube passes cords

Answer 13

C
Continue uninterrupted

Question 14

Early insertion of an advanced airway helps improve CCF by allowing:

A. Faster ventilations
B. Less medication use
C. Continuous compressions with asynchronous ventilations
D. Longer rhythm checks

Answer 14

C.
Continuous compressions with asynchronous ventilations