7.0 Special Situations and Recovery CPR/AED Practice Quiz
30 exam-style questions covering 10% of the CPR/AED exam. Instant feedback on every answer, progress tracking, no signup required.
This domain is part of the CPR / AED Certification practice test. Each question is tagged by exam objective and difficulty so you can drill exactly the areas you need.
Sample Questions
An adult is unresponsive with slow, shallow breathing after a suspected drug exposure, and naloxone is available. AHA Part 9 makes a key safety point about giving naloxone in this situation. Which statement matches?
- A. Naloxone should be withheld unless the rescuer is sure of the drug taken
- B. Naloxone reverses all known overdoses regardless of the substance
- C. Naloxone is safe to administer even if you're not sure what drug the person took
- D. Naloxone is reserved for ALS-only administration
AHA Part 9 explicitly says naloxone is safe to administer even if you are not sure what drug the person took.
Per AHA Part 9, naloxone may be administered by which routes during an opioid emergency response by appropriately trained rescuers?
- A. Only via a deep subcutaneous injection in the abdomen
- B. Only by mouth (oral)
- C. Only as a continuous IV infusion
- D. Intravenously, intramuscularly, and intranasally
AHA Part 9 lists intravenous, intramuscular, and intranasal as common routes for naloxone administration.
AHA Part 9 explains how an opioid overdose progresses to cardiac arrest. Which mechanism does the manual describe?
- A. Opioids stimulate the heart to beat too fast
- B. Opioids block oxygen absorption directly in the lungs
- C. Opioids affect the brainstem and suppress the brain's natural drive to breathe, causing respiratory depression and slowing the heart rate
- D. Opioids damage the kidneys, leading to immediate cardiac arrest
AHA Part 9 says opioids affect the brainstem, which controls breathing; high doses suppress the natural drive to breathe, slow the heart rate, and can lead to cardiac arrest.
AHA Part 10 lists possible signs of heart attack beyond chest pain. Which set of locations matches what the manual describes for upper-body discomfort?
- A. Pain or discomfort that may occur in the left arm (commonly), both arms, upper back, neck, jaw, or stomach
- B. Pain only in the right ankle
- C. Pain only in the lower back below the waist
- D. Pain only in the toes and feet
AHA Part 10 describes upper-body discomfort that can include the left arm, commonly, but can also occur in both arms, the upper back, neck, jaw, or stomach.
AHA Part 10 describes stroke as a 'time-critical' emergency. Which statement best summarizes the rationale?
- A. Every minute counts because more brain tissue dies as treatment is delayed
- B. Stroke patients can wait days for treatment without consequence
- C. Strokes only matter if the person is over 80 years old
- D. Stroke care does not depend on the time of symptom onset
AHA Part 10 says stroke is a time-critical emergency where every minute counts, every minute treatment is delayed, more brain tissue dies.
After giving an initial dose of naloxone to an adult in suspected opioid overdose, the person does not respond. According to AHA Part 9, what is the recommended interval before considering a second dose?
- A. Wait at least 30 minutes before any second dose
- B. Never give a second dose under any circumstances
- C. Give a second dose if the person does not respond within 2 to 3 minutes after the first dose
- D. Give 5 doses immediately one after another
AHA Part 9 says given the potency of opiates, you may need to give a second dose of naloxone if the person does not respond within 2 to 3 minutes after the first dose.
An alert adult on a sidewalk is having chest pain you suspect is a heart attack. According to AHA Part 10, what dose of aspirin is recommended if the person can chew and swallow it and has no contraindications?
- A. 5 to 10 mg of aspirin
- B. 5000 mg of aspirin
- C. 1000 mg of aspirin
- D. 162 to 325 mg of aspirin
AHA Part 10 directs rescuers to encourage alert adults experiencing chest pain to chew and swallow aspirin in the 162 to 325 mg range, unless they have a known aspirin allergy or have been told not to take it.
AHA Part 9 names two opioid antagonists currently available for reversal of opioid overdose in the United States. Which statement matches the manual?
- A. Atropine and epinephrine are the standard opioid antagonists
- B. Only nalmefene is approved for opioid reversal
- C. Only naloxone is an opioid antagonist; no other antagonist exists
- D. Naloxone and nalmefene are both available; published clinical data are more robust for naloxone
AHA Part 9 names naloxone and nalmefene as the two opioid antagonists available, noting that to date, the published clinical data are more robust for naloxone.
Key Terms in This Domain
- Naloxone (Narcan): Opioid-reversal medication available as nasal spray or auto-injector; can be given by lay rescuers in most jurisdictions and re-dosed every 2-3 minutes
- Stroke recognition (FAST): Face droop, Arm weakness, Speech difficulty, Time to call 911, note time of symptom onset for hospital staff
- Hypoxia: Oxygen deficiency in the body’s tissues; brain damage begins within 4-6 minutes without oxygen
- Resume CPR immediately after shock: Do not pause to recheck pulse: resume compressions immediately and continue for 2 minutes before the AED reanalyzes
- Opioid-associated emergency: Suspect opioid OD if breathing is slow or absent in someone with pinpoint pupils and a known or suspected exposure; give CPR/rescue breaths and naloxone if available
- Allergic reaction / anaphylaxis: Severe systemic allergic reaction; treat with epinephrine auto-injector (EpiPen) into the lateral thigh and call EMS
- Chain of Survival (out-of-hospital): Recognition and activation of EMS → immediate high-quality CPR → rapid defibrillation → advanced resuscitation → post-cardiac-arrest care → recovery
- Scene safety: Before approaching, check for hazards (traffic, fire, electricity, violence, water, fumes); do not become a second victim
- Activate EMS (911): Send someone to call 911 and get an AED; if alone with an unresponsive adult, call 911 first; for a child or infant, give 2 minutes of CPR before calling if alone
- Dispatcher-assisted CPR: 911 telecommunicators can recognize cardiac arrest and coach bystanders through compressions in real time
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Other CPR/AED Domains
- 1.0 Introduction and Chain of Survival
- 2.0 Assessment and Recognition
- 3.0 Adult CPR
- 4.0 Child and Infant CPR
- 5.0 AED Operation
- 6.0 Choking and Airway Obstruction
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