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. There are bystanders who seen what happened.. do you question them?
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
In the assessment for class - you will receive 1 point for EACH EXTREMITY (so check them all.) that includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
Briefly question the bystanders about arrest events.
Assess the patient's ability to use the nebulizer.


2. Skin Color: (observe the patient)
- Rate - Rhythm (regular/irregular)
Determine the mechanism of injury.
Assessing the posterior includes assessing the thorax - and the lumbar.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing


3. Skin Moisture: (touch the patient)
Normal - Moist - Diaphoretic
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
You should determine the chief complaint/apparent life threats of the patient.


4. Respirations!
Determine the number of patients.
First - observe the rise and fall of the chest/abdomen.
Verbalize the transportation of the patient.
- Normal (warm) - Cool - Cold - Hot


5. Now you have to assess the posterior.. this includes the ______ and the _______.
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
Assessing the posterior includes assessing the thorax - and the lumbar.
Inspect the chest - palpate - auscultate.


6. Inflate cuff rapidly to at least 20mm Hg ______ palpated blood pressure.
Expose the thigh area - (and say that you are doing so.)
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Assess the airway and breathing.


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

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8. The patient may start losing body heat.. What do you do?
Explain the procedure to the patient.
Confirm that the patient has NO allergies to the medication.
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.
Initiate steps to prevent heat loss from the patient.


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

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10. After you determine the number of patients - what should you do - IF NECESSARY?
Request additional help.
Confirm that the patient has NO allergies to the medication.
Determine the mechanism of injury.
You should obtain baseline vital signs of the patient.


11. Apply a tourniquet.
Expose the thigh area - (and say that you are doing so.)
Did that help? Document when you put the tourniquet on.
That one is basically self - explanatory. Do that after you apply the cuff!
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery


12. Focused History and Physical Examination/Rapid Trauma Assessment. The first thing you should do in this situation is...
Hold the auto - injector to the patient's thigh for 10 seconds.
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
Select the appropriate assessment (focused - or rapid assessment)
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever


13. 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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14. When assessing the head - What do you check?
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Scalp - ears - eyes - and the oral/nasal areas.
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


15. What's the expiration date on the oral glucose?
You should verbalize the re - assessment of the vital signs.
Confirm the expiration date.
Direct resumption of CPR.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.


16. After consulting Medical Command - are you going to perform the procedure without explaining anything to the patient?
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Assess the following..
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Explain the procedure to the patient.


17. What do you do after that?
Apply direct pressure to the wound.
Connect the mask to high concentration or oxygen.
Ventilate the patient at a rate of 10-20 per minute.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.


18. Then What do you switch to?
Remember to position the patient properly.
Direct assistant to assume ventilation and pre - oxygenate patient.
Switch to bag/valve mask.
Initiate steps to prevent heat loss from the patient.


19. After selecting the appropriate assessment - (focused or rapid) - you should obtain baseline ___?___
You should obtain baseline vital signs of the patient.
Scalp - ears - eyes - and the oral/nasal areas.
Ventilate the patient at a rate of 10-20 per minute.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.


20. So - you've completed the examination. You have all of this information in front of you. Should you just load the patient up and go? OR should you verbalize the re - assessment of the patient's vital signs?
You should verbalize the re - assessment of the vital signs.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Assessing the posterior includes assessing the thorax - and the lumbar.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.


21. _______ extremity and palpate ______ artery.
Hyperextend extremity and palpate brachial artery.
Direct rescuer to stop CPR and ensures all individuals to stand clear.
Yeah.. definitely don't forget to document everything.
Count pulse for minimum of 30 seconds then multiply by 2.


22. After BSI precautions - you need to perform a blood glucose check.. How do you set up/perform the check?
Take BSI precautions!
Assure high concentration of oxygen is delivered to the patient.
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.
You should determine the chief complaint/apparent life threats of the patient.


23. After taking BSI precautions - consult with...
The second action is determining the patient's responsiveness/level of consciousness
Normal - Moist - Diaphoretic
Check the level of consciousness - and the history.
Medical command


24. So you've checked the patients head in the physical examination...do you jump around and check his/her legs - arms - or do you move down to the neck next?
(margin +/-4)
Yes. Consult with Medical Command.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Hold the auto - injector to the patient's thigh for 10 seconds.


25. You're getting ready to use the AED. But the other rescuer is still performing CPR.. What do you tell him?
Direct rescuer to stop CPR and ensures all individuals to stand clear.
Request additional help.
Direct assistant to assume ventilation and pre - oxygenate patient.
Inspect the chest - palpate - auscultate.


26. Skin Signs!
Count pulse for minimum of 30 seconds then multiply by 2.
Palpate with 2 fingers (index and middle) over radial artery.
You should verbalize the re - assessment of the vital signs.
Assess the following..


27. How will you determine if the patient needs glucose administration?
Take BSI precautions!
Take or verbalize body substance isolation precautions.
Verbalize the transportation of the patient.
Check the level of consciousness - and the history.


28. Where do you dispose of the auto - injector?
Dispose of the auto - injector in a sharps container.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Assess the patient's ability to use the nebulizer.
That one is basically self - explanatory. Do that after you apply the cuff!


29. Ventilate patient!
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Perform two minutes of high quality CPR.
Inspect the chest - palpate - auscultate.
Assure high concentration of oxygen is delivered to the patient.


30. To assess circulation - (after you assess the airway/breathing of the patient) - What are the four actions needed to be taken?
Explain the procedure to the patient.
1. Assess/control major bleeding (if any) 2. Assess pulse 3. Assess skin (color - temperature - and conditions) 4. Make the decision to transport patient - or not to transport the patient.
Assure high concentration of oxygen is delivered to the patient.
Assess the airway and breathing.


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

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32. You need to shock the patient again. The rescuer is STILL delivering CPR.. What do you do?
Assure high concentration of oxygen is delivered to the patient.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)


33. Monitor the patient's condition and vital signs after you administer the medication - and...
- Normal (warm) - Cool - Cold - Hot
Explain the procedure to the patient.
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
Document the procedure!


34. You're positive that the patient is Not allergic to the medication - and you've referred to the 5 rights of drug administration. You've got the auto - injector in your hand - What do you do first?
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Assessing the posterior includes assessing the thorax - and the lumbar.
The second action is determining the patient's responsiveness/level of consciousness
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer


35. You deliver the shock - now what?
Remember to position the patient properly.
Verbalize the transportation of the patient.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Direct resumption of CPR.


36. When dealing with a patient who has an altered mental status - What are the questions/key words you need to remember in order to assess them appropriately?
Yeah.. definitely don't forget to document everything.
Open the airway manually.
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Take BSI precaution!


37. Administer ____ concentration oxygen.
Administer high concentration oxygen.
Dispose of the auto - injector in a sharps container.
Request additional help.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.


38. After you've assessed the head - neck - chest - abdomen - and pelvis. The only things left are the patient's extremities

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39. Assess the following
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
Document the procedure!
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)


40. You've checked the neck - now move down to the chest.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
You should verbalize the re - assessment of the vital signs.
Inspect the chest - palpate - auscultate.


41. 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?
Yes - always explain to the patient that they will feel a stick from the needle.
Hyperextend extremity and palpate brachial artery.
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
Turn over CPR to another rescuer. Turn on the AED.


42. Alrightie then. You've assessed the head - neck - chest - abdomen - and pelvis. The only things left are the patient's extremities! (What do you do while assessing/examining?)

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43. But wait.. are you sure that the patient isn't allergic to the medication?
Remember to explain the procedure to the patient.
Confirm that the patient has NO allergies to the medication.
Yes. Consult with Medical Command.
Contact medical command if patient condition permits.


44. You need to get the patient to the hospital - NOW. What do you do?
Direct resumption of CPR.
Hold the auto - injector to the patient's thigh for 10 seconds.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Indicate the need for immediate transportation.


45. Skin Temperature: (touch the patient)
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
- Normal (warm) - Cool - Cold - Hot
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.
Place auto - injector on lateral thigh - midway between the knee and thigh.


46. Slowly deflate the cuff - and report/record palpable systolic blood pressure when..
Determine if the scene is safe.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
The pulse returns.


47. After taking care of the chief complaint of the patient during the initial assessment - you should...
Hyperextend extremity and palpate brachial artery.
Place auto - injector on lateral thigh - midway between the knee and thigh.
Assess the airway and breathing.
Direct assistant to assume ventilation and pre - oxygenate patient.


48. In a smooth - firm - fashion push the injector until the click is heard. How long should you hold it against the patient's thigh?

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

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50. You need to get the AED. What should you do?
Turn over CPR to another rescuer. Turn on the AED.
Verbalizing the general impression of the patient.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
You should verbalize the re - assessment of the vital signs.