Instructions:

• Answer 50 questions in 15 minutes.
• If you are not ready to take this test, you can study here.
• Match each statement with the correct term.
• Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.

This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.

1. After taking care of the chief complaint of the patient during the initial assessment - you should...
Administer high concentration oxygen.
Take or verbalize body substance isolation precautions.
Assess the airway and breathing.
Direct resumption of CPR.


2. Assessment says that you will notice that the patient is now pale and diaphoretic with a rapid - weak pulse... say that out loud.
Determine the number of patients.
Connect the mask to high concentration or oxygen.
Report/record ausculated blood pressure.
Remember to position the patient properly.


3. Baseline Vital Signs! What do you do first?
Direct rescuer to stop CPR and ensures all individuals to stand clear.
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Take BSI precautions!
Count pulse for minimum of 30 seconds then multiply by 2.


4. When dealing with a patient who has a history of - or who is experiencing cardiac problems - What are the questions/key words you should remember?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Determine the mechanism of injury.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin


5. Attach the AED to the patient;
Take BSI precautions!
Initiate analysis of the rhythm.
Initiate steps to prevent heat loss from the patient.
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery


6. You've successfully removed the cap - and you're ready to administer the medication to the patient... but where do you administer it?
Assessing the posterior includes assessing the thorax - and the lumbar.
Expose the thigh area - (and say that you are doing so.)
First - observe the rise and fall of the chest/abdomen.
Assure high concentration of oxygen is delivered to the patient.


7. Transportation!
Yes - direct resumption of CPR.
- Normal (warm) - Cool - Cold - Hot
Verbalize the transportation of the patient.
Dispose of the auto - injector in a sharps container.


8. During the initial assessment of the patient - the first action that should be taken is verbalizing what? A.) the general impression of the patient B.) if the patient is conscious C.) if the patient is hysterical
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
You should obtain baseline vital signs of the patient.
Verbalizing the general impression of the patient.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.


9. Apply a tourniquet.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Did that help? Document when you put the tourniquet on.
You should determine the chief complaint/apparent life threats of the patient.
Request additional help.


10. Integration! First thing you do;
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Explain the procedure to the patient.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)


11. How long should you perform high quality CPR?
Perform two minutes of high quality CPR.
Assessing the posterior includes assessing the thorax - and the lumbar.
Ventilate the patient at a rate of 10-20 per minute.
Assure high concentration of oxygen is delivered to the patient.


12. Skin Moisture: (touch the patient)
You should verbalize the re - assessment of the vital signs.
Right patient - Right drug - Right dose - Right route - Right time.
Normal - Moist - Diaphoretic
Indicate the need for immediate transportation.


13. Now you have to assess the posterior.. this includes the ______ and the _______.
Connect the one - way valve to mask.
Remember to position the patient properly.
Assessing the posterior includes assessing the thorax - and the lumbar.
The second action is determining the patient's responsiveness/level of consciousness


14. After you assess the thorax and the lumbar; should you manage secondary injuries/wounds?

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15. The patient may start losing body heat.. What do you do?
Assess the following..
Initiate steps to prevent heat loss from the patient.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Assess the airway and breathing.


16. You need to get the patient to the hospital - NOW. What do you do?
Right patient - Right drug - Right dose - Right route - Right time.
Verbalizing the general impression of the patient.
Confirm that the patient has NO allergies to the medication.
Indicate the need for immediate transportation.


17. After selecting the appropriate assessment - (focused or rapid) - you should obtain baseline ___?___
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
You should obtain baseline vital signs of the patient.
Hyperextend extremity and palpate brachial artery.
Yes - after completing the physical examination - you should manage all of the patient's secondary injuries/wounds appropriately. In class - you will receive 1 point for doing so.


18. How do you prepare the medication and nebulizer?
The second action is determining the patient's responsiveness/level of consciousness
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Assess the patient's ability to use the nebulizer.
Unscrew the lid of the nebulizer chamber. Add the medication as directed. Reattach the lid. Fasten the T- tube to the nebulizer chamber. Connect the mouth piece to the T- tube and flex tube to the other end.


19. What do you do after you determine the mechanism of injury?
Scalp - ears - eyes - and the oral/nasal areas.
Determine the number of patients.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
Inspect the chest - palpate - auscultate.


20. 'Signs and Symptoms (assess history of present illness).' When dealing with a patient who is having trouble - dealing with respiratory problems - What are the questions/key words you should remember?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
The color - temperature - and condition.
Take BSI precautions!
First - observe the rise and fall of the chest/abdomen.


21. What do you do after you determine if the scene is safe?
Assure high concentration of oxygen is delivered to the patient.
Determine the mechanism of injury.
Initiate analysis of the rhythm.
Medical command


22. Blood pressure (palpatation)

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23. Time for Airway Management assessment! What's the First thing you do?
Report/record ausculated blood pressure.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Inspect the chest - palpate - auscultate.
Take BSI precautions!


24. Ventilate the patient at a rate of __-__ per minute with appropriate volumes via bag/valve mask.
Expose the thigh area - (and say that you are doing so.)
Medical command
You should verbalize the re - assessment of the vital signs.
Ventilate the patient at a rate of 10-20 per minute.


25. Where do you dispose of the auto - injector?
Verbalizing the general impression of the patient.
Dispose of the auto - injector in a sharps container.
Yes - direct resumption of CPR.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)


26. Time for Bleeding Control/Shock Management! First thing you do?
Take BSI precaution!
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Assess the following..
Confirm that the patient is sitting as upright as possible.


27. What do you do after that?
Yes - after completing the physical examination - you should manage all of the patient's secondary injuries/wounds appropriately. In class - you will receive 1 point for doing so.
Connect the mask to high concentration or oxygen.
For at least 30 seconds!
Take BSI precautions!


28. First step in 'Scene Size Up'.
Yeah.. definitely don't forget to document everything.
Determine if the scene is safe.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Take BSI precautions!


29. You've assessed the patient's ability to use the nebulizer - should you consult with Medical Command?
Yes. Consult with Medical Command.
Connect the one - way valve to mask.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Apply pressure dressing to the wound.


30. _______ extremity and palpate ______ artery.
Direct rescuer to stop CPR and ensures all individuals to stand clear.
Hyperextend extremity and palpate brachial artery.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Prepare the glucometer and supplies.Cleanse the site. Lance the site. Apply blood to test strip. Apply direct pressure to the site. Finally - read the results.


31. After you take BSI precautions - are you just going to assume that the patient can use the nebulizer?

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32. When assessing circulation - should you control major bleeding BEFORE you assess the patient's pulse - or after?

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33. Time for Cardiac Arrest Management/Automatic External Defibrillator! First thing you do
Take BSI precautions!
The color - temperature - and condition.
Administer high concentration oxygen.
Determine the mechanism of injury.


34. Okay - now you have to assess the posterior.. this includes the ______ and the _______.
Verbalize the transportation of the patient.
Direct resumption of CPR.
Assessing the posterior includes assessing the thorax - and the lumbar.
Yes - after completing the physical examination - you should manage all of the patient's secondary injuries/wounds appropriately. In class - you will receive 1 point for doing so.


35. The patient is still bleeding - so you..
Assure high concentration of oxygen is delivered to the patient.
Document the procedure!
Initiate analysis of the rhythm.
Apply pressure dressing to the wound.


36. It's time to administer the medication to the patient! How are you going to do so?
Take BSI precautions!
For at least 30 seconds!
Contact medical command if patient condition permits.
Instruct the patient to hold the nebulizer in their hand. Place firmly in the mouth - with lips sealed around the mouthpiece. Tell the patient to breathe deeply and slowly. Confirm all medication tapped down from the sides of the chamber. Continue tr


37. What's the expiration date on the oral glucose?
Connect the mask to high concentration or oxygen.
Hyperextend extremity and palpate brachial artery.
Take or verbalize body substance isolation precautions.
Confirm the expiration date.


38. After you determine the number of patients - what should you do - IF NECESSARY?
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
Request additional help.


39. Okay - you've told the patient what you're going to do.. But are you sure they're not allergic to the medication?
Take BSI precautions!
Yes - after completing the physical examination - you should manage all of the patient's secondary injuries/wounds appropriately. In class - you will receive 1 point for doing so.
Confirm that the patient has NO allergies to the medication.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.


40. First action performed after you arrive on scene..
Take or verbalize body substance isolation precautions.
Document the procedure!
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Hyperextend extremity and palpate brachial artery.


41. What do you do if the patient needs glucose administration? Do you go ahead and do it? or do you contact someone?
Contact medical command if patient condition permits.
Right patient - Right drug - Right dose - Right route - Right time.
Brachial artery.
Medical command


42. After you're sure he/she isn't allergic to the medicine; check your 5 rights of drug administration.. which are.....
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
Palpate with 2 fingers (index and middle) over radial artery.
Right patient - Right drug - Right dose - Right route - Right time.
Expose the thigh area - (and say that you are doing so.)


43. DON'T FORGET TO DOCUMENT The PROCEDURE AFTERWARD!

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44. Slowly deflate the cuff.. then..
Report/record ausculated blood pressure.
Take BSI precautions.
Determine if the scene is safe.
Connect the mask to high concentration or oxygen.


45. You deliver the shock.. should the rescuer go back to giving the patient CPR?
Switch to bag/valve mask.
Direct assistant to assume ventilation and pre - oxygenate patient.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Yes - direct resumption of CPR.


46. Then What do you switch to?
Assess the following..
Switch to bag/valve mask.
Palpate with 2 fingers (index and middle) over radial artery.
Unscrew the lid of the nebulizer chamber. Add the medication as directed. Reattach the lid. Fasten the T- tube to the nebulizer chamber. Connect the mouth piece to the T- tube and flex tube to the other end.


47. After you administer the medication - do you load everything up and leave - or do you stay and monitor the patient's condition/vital signs afterward?

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48. Report/record pulse findings.
Select the appropriate assessment (focused - or rapid assessment)
Palpate with 2 fingers (index and middle) over radial artery.
(margin +/-4)
Hyperextend extremity and palpate brachial artery.


49. Everything is in place - and you are ready to administer the drug to the patient. Should you warn them that they're going to feel a stick?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Yes - always explain to the patient that they will feel a stick from the needle.
Confirm the expiration date.
Verbalizing the general impression of the patient.


50. The second action needed to be taken during the initial assessment is A.) Determining responsiveness/level of intelligence B.) Determining responsiveness/level of consciousness C.) Determining responsiveness/level of oxygen in blood stream

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