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Basic Life Support And Emergency Care Question Paper

Basic Life Support And Emergency Care 

Course:Bachelor Of Science In Nursing And Public Health

Institution: Kenyatta University question papers

Exam Year:2009



KENYATTA UNIVERSITY
UNIVERSITY EXAMINATIONS 2008/2009
SECOND SEMESTER EXAMINATION FOR THE DEGREE OF
BACHELOR OF SCIENCE (ENVIRONMENTAL HEALTH), BACHELOR OF
SCIENCE (NURSING SCIENCES), BACHELOR OF SCIENCE
(NUTRITION AND DIETETICS)

HSU 100: BASIC LIFE SUPPORT AND EMERGENCY CARE


DATE: Wednesday
16th September 2009 TIME:
2.00pm-4.00pm
------------------------------------------------------------------------------------------------------------
INSTRUCTIONS:
This paper consists of 3 sections. Time allowed 2 hours
Section A: MCQ
Section B: Short answer questions
Section C: Long answer questions
Write your answer in the booklet provided.
Each section should begin on a separate page. Total = 100marks
Section A:
MCQ
Choose the single best response. Answer by placing a tick on the choice given
Each question carries one (1) mark
1.
Following injury, skills of Basic Life Support (BLS) are primarily focused in
preventing deaths arising from
a)
2nd peak of death
b)
Blood loss associated with fractures
c)
Third peak of death
d)
Multiple organ system
2.
Concerning HAZCHEM symbols, which is false
a)
Contains telephone number for further information
b)
Contains United Nations number for substance
c)
Top left panel letter “E’ contains public safety hazard
d)
Are hazardous chemicals on road that must be removed.
Page 1 of 5
3.
Which is the first priority when handling unresponsive adult before arrival of
(AED) Automatic External Defibrillator
a)
Send for AED
b)
Call for help
c)
Open airway
d)
CPR 30:2
4.
Public access defibrillation programmes have been successful in
a)
Witnessed cardiac arrest at home
b)
Cardiac arrest in private or residential settings
c)
Airports casinos and ports facilities
d)
Hospitals and medical facilities
5.
The leading course of death in people aged 1-44 years age is
a)
Trauma
b)
Cancer
c)
Cardiovascular diseases
d)
None of the above
6.
The second link of chain of survival in basic life support is
a)
Early access
b)
Early CPR
c)
Early advance life support
d)
Early defibrillation
7.
A victim of cardiac arrest has
a)
No response
b)
Complains of chest pain
c)
Light headedness or feeling dizzy during pain
d)
Strong cough and movement of eyebrows
8.
Which are the modifiable risk factors for stroke and heart attack
a)
Transient ischaemic attack
b)
Obesity
c)
Diabetes mellitus
d)
High blood cholesterol



Page 2 of 5
9.
Which of the following techniques should you use to dislodge a foreign body
airway obstruction in a patient who is conscious but in advanced stage of
pregnancy or one who is very obese?
a)
Back blows
b)
Finer sweeps
c)
Chest thrust
d)
Abdominal thrust
10.
In which of the following types of airway obstructions will abdominal
compression generally be effective?
a)
Coughing
b)
Partial
c)
Complete
d)
Breathing
11.
You are using the “Look, listen and feel techniques on a patient and discover that
there is no movement of air you should immediately
a)
Call for help
b)
Open airway
c)
Begin ventilations
d)
Begin chest compressions
12.
You are alone with a child and have established that he is unresponsive and need
CPR. Your highest priority is to:
a)
Begin CPR
b)
Activate the Ems system
c)
Conduct a primary survey
d)
Conduct a secondary survey
13.
Which if the following is NOT a sign or symptom of sudden upper airway
obstruction
a)
Ability to speak
b)
Inability to cough
c)
Grasping the throat
d)
Rhonchus



Page 3 of 5
14.
Chest compression helps to
a)
Pump blood to the brain and maintain oxygen flow to the brain
b)
Increase blood sugar so that the victim does not faint
c)
Jump start the heart
d)
Allow for defibrillation
15.
The rate of chest compressions in an infant is at least
a)
70 times per minute
b)
80 times per minute
c)
90 times per minute
d)
100 times per minute
16.
Which of the following correctly matched concerning Haddon Matrix of Road
accidents
a)
Vehicle: speed limits
b)
Environment: impact absorbing barriers
c)
Vehicle: use of safety belts
d)
Host: airbag deploys
17.
Which of the following constitutes futility of a resuscitation attempts?
a)
End stage with organ failure with reversible cause
b)
Measures that prolong life
c)
Severely damaged brain with breathing difficulty
d)
Advanced HIV disease with drug poisoning
18.
When is precordial thump beneficial
a)
When given within first 5 minutes
b)
When given by lay rescuers
c)
Confirmed cardiac arrest delivered within 10 seconds, before arrival of
defibrillator
d)
Any time during cardiac arrest
19.
What is the role of CPR in the chain of survival?
a)
To buy time
b)
To prevent cardiac arrest
c)
To restart the heart
d)
To restore quality life






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