Board of Legal SpecializationPractice Exam

When a patient shows signs of return of spontaneous circulation (ROSC), what is the immediate next action?

1. Stop CPR and monitor the patient

2. Continue CPR until emergency services arrive

3. Immediately administer medication

4. Connect oxygen to the patient

The correct answer is: Stop CPR and monitor the patient

The immediate next action when a patient shows signs of return of spontaneous circulation (ROSC) is to stop CPR and monitor the patient closely. ROSC indicates that the patient's heart has started beating effectively again, and administering CPR is no longer necessary. However, continuous monitoring is crucial to assess the stability of the patient's condition and to manage any potential complications that may arise following ROSC. In this situation, while it may seem intuitive to continue providing support or administering drugs, stopping CPR allows the medical team to focus on the patient's vitals and ensure proper circulation without the interference of chest compressions. Selecting the appropriate choice emphasizes the importance of recognizing the signs of ROSC and responding appropriately. Monitoring the patient after ROSC can also guide subsequent actions, such as providing supplemental oxygen if required, ensuring the airway is patent, or preparing for advanced medical interventions, which would not occur unless a stable condition is maintained post-return of circulation.