CCO First Aid and Emergency Response 2 — Questions and Answers
Question 1: An inmate is found unresponsive and not breathing normally. After calling for help, what is the correct compression-to-ventilation ratio for adult CPR?
- 15 compressions to 2 breaths
- 30 compressions to 2 breaths (Correct answer)
- 20 compressions to 1 breath
- 10 compressions to 1 breath
Correct answer: 30 compressions to 2 breaths
Current AHA guidelines recommend 30 chest compressions followed by 2 rescue breaths for adult CPR.
Question 2: When using an AED on an inmate, you should pause CPR to deliver a shock and then:
- Wait 2 minutes before resuming CPR
- Immediately resume CPR starting with chest compressions (Correct answer)
- Check for a pulse for at least 30 seconds
- Deliver a second shock before resuming compressions
Correct answer: Immediately resume CPR starting with chest compressions
After AED shock delivery, immediately resume CPR beginning with chest compressions to maintain circulation.
Question 3: A corrections officer responds to a cell where an inmate has a severe laceration on the forearm with heavy bleeding. The first action should be to:
- Apply a tourniquet above the wound
- Apply direct pressure with a clean cloth or gloved hand (Correct answer)
- Elevate the arm above heart level before doing anything else
- Irrigate the wound with water to remove contamination
Correct answer: Apply direct pressure with a clean cloth or gloved hand
Direct pressure is the primary and immediate method to control bleeding before considering other interventions.
Question 4: Which sign is most consistent with a tension pneumothorax in an inmate who has suffered blunt chest trauma?
- Flushed skin and high blood pressure
- Tracheal deviation away from the injured side (Correct answer)
- Bilateral lung sounds with rapid breathing
- Bradycardia and low-grade fever
Correct answer: Tracheal deviation away from the injured side
Tension pneumothorax causes mediastinal shift, pushing the trachea away from the side of air accumulation.
Question 5: During a mass casualty incident in a correctional facility, the START triage system categorizes an inmate with a respiratory rate of 8 breaths per minute as:
- Minor (green)
- Delayed (yellow)
- Immediate (red) (Correct answer)
- Expectant (black)
Correct answer: Immediate (red)
In START triage, respirations below 10 or above 30 per minute classify the victim as Immediate (red tag).
Question 6: An inmate reports crushing chest pain radiating to the left arm. While awaiting EMS, which position is generally most appropriate?
- Prone with head turned to the side
- Semi-reclined at 45 degrees if the inmate is comfortable (Correct answer)
- Flat supine with legs elevated 12 inches
- Seated upright with arms raised overhead
Correct answer: Semi-reclined at 45 degrees if the inmate is comfortable
A semi-reclined (Fowler's) position reduces cardiac workload and eases breathing for suspected cardiac events.
Question 7: A corrections officer suspects an inmate has an opioid overdose. The facility has naloxone available. When should naloxone be administered?
- Only after a physician gives verbal authorization
- Only if the inmate is confirmed to have used opioids
- Whenever opioid overdose is suspected, following facility protocol (Correct answer)
- Only after CPR has failed to restore normal breathing
Correct answer: Whenever opioid overdose is suspected, following facility protocol
Naloxone should be administered promptly when opioid overdose is suspected per facility protocol, as delay risks death.
