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 BSI precautions - you need to perform a blood glucose check.. How do you set up/perform the check?
Determine if the scene is safe.
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.
Dispose of the auto - injector in a sharps container.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.


2. It's time to administer the medication to the patient! How are you going to do so?
Medical command
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
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever


3. First action performed after you arrive on scene..
Perform two minutes of high quality CPR.
Take BSI precautions.
Take or verbalize body substance isolation precautions.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.


4. What do you do after that?
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Assess the airway and breathing.
The second action is determining the patient's responsiveness/level of consciousness
Connect the mask to high concentration or oxygen.


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

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6. Skin Temperature: (touch the patient)
- Normal (warm) - Cool - Cold - Hot
Place auto - injector on lateral thigh - midway between the knee and thigh.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Direct rescuer to stop CPR and ensures all individuals to stand clear.


7. What do you do after you determine the mechanism of injury?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Direct rescuer to stop CPR and ensures all individuals to stand clear.
Determine the number of patients.


8. Slowly deflate the cuff - and report/record palpable systolic blood pressure when..
For at least 30 seconds!
Take or verbalize body substance isolation precautions.
The pulse returns.
You should manage all of the patient's secondary injuries/wounds appropriately


9. What do you do after you determine if the scene is safe?
Brachial artery.
Hyperextend extremity and palpate brachial artery.
Determine the mechanism of injury.
Connect the one - way valve to mask.


10. When assessing the head - What do you check?
Indicate the need for immediate transportation.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
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.


11. 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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12. After you're sure he/she isn't allergic to the medicine; check your 5 rights of drug administration.. which are.....
Right patient - Right drug - Right dose - Right route - Right time.
Assess the following..
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.
Initiate analysis of the rhythm.


13. 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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14. Inflate cuff rapidly to at least 20mm Hg ______ palpated blood pressure.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
(margin +/-4)
Switch to bag/valve mask.
Right patient - Right drug - Right dose - Right route - Right time.


15. After you determine the number of patients - what should you do - IF NECESSARY?
Verbalizing the general impression of the patient.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Request additional help.


16. After selecting the appropriate assessment - (focused or rapid) - you should obtain baseline ___?___
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
Apply 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.
You should obtain baseline vital signs of the patient.


17. Time for the Nebulized Medication Administration part of your skill assessment. Again - what's the First thing you do?
Take BSI precautions!
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Remember to explain the procedure to the patient.
Contact medical command if patient condition permits.


18. You've checked the neck - now move down to the chest.
Right patient - Right drug - Right dose - Right route - Right time.
Inspect the chest - palpate - auscultate.
Turn over CPR to another rescuer. Turn on the AED.
Confirm that the patient is sitting as upright as possible.


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

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20. 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?
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
First - observe the rise and fall of the chest/abdomen.
Confirm the expiration date.
Scalp - ears - eyes - and the oral/nasal areas.


21. Pulse! Palpate with How many fingers?
Document the procedure!
Palpate with 2 fingers (index and middle) over radial artery.
Indicate the need for immediate transportation.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)


22. 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?
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
Select the appropriate assessment (focused - or rapid assessment)
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)


23. Should you just lay something over the wound after BSI precaution - or should you apply direct pressure?
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.'
Confirm the expiration date.
(margin +/-4)
Apply direct pressure to the wound.


24. You need to shock the patient again. The rescuer is STILL delivering CPR.. What do you do?
Switch to bag/valve mask.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery


25. Blood pressure (auscultation)

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26. 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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27. The patient may start losing body heat.. What do you do?
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Assess the following..
Initiate steps to prevent heat loss from the patient.
The color - temperature - and condition.


28. Should you examine the head - arm - or abdomen first?
Ventilate the patient at a rate of 10-20 per minute.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Document the procedure!
You should determine the chief complaint/apparent life threats of the patient.


29. Then What do you switch to?
Apply pressure dressing to the wound.
Switch to bag/valve mask.
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Administer high concentration oxygen.


30. Baseline Vital Signs! What do you do first?
Confirm that the patient is sitting as upright as possible.
Hyperextend extremity and palpate brachial artery.
Briefly question the bystanders about arrest events.
Take BSI precautions!


31. Skin Color: (observe the patient)
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.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Right patient - Right drug - Right dose - Right route - Right time.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.


32. There are bystanders who seen what happened.. do you question them?
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Report/record ausculated blood pressure.
- Rate - Rhythm (regular/irregular)
Briefly question the bystanders about arrest events.


33. Now you have to assess the posterior.. this includes the ______ and the _______.
Assessing the posterior includes assessing the thorax - and the lumbar.
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.
Contact medical command if patient condition permits.
Initiate analysis of the rhythm.


34. Circulation assessment re - cap! When assessing the skin - what should you be looking at?
Did that help? Document when you put the tourniquet on.
The color - temperature - and condition.
Take BSI precautions!
Open the airway manually.


35. 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?
You should determine the chief complaint/apparent life threats of the patient.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Assessing the posterior includes assessing the thorax - and the lumbar.


36. Okay - you've obtained the baseline vital signs... Should you obtain SAMPLE history now?
Yes - you should obtain SAMPLE history after taking baseline vital signs.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
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.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.


37. When assessing the head - What do you check?
Take BSI precautions!
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
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.'
Scalp - ears - eyes - and the oral/nasal areas.


38. 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?
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
You should verbalize the re - assessment of the vital signs.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Yes. Consult with Medical Command.


39. What's the expiration date on the oral glucose?
Confirm the expiration date.
Determine if the scene is safe.
Assess the airway and breathing.
Assure high concentration of oxygen is delivered to the patient.


40. Transportation!
Yes. Consult with Medical Command.
Verbalize the transportation of the patient.
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.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer


41. Do CPR without unnecessary/prolonged interruption..
Initiate analysis of the rhythm.
Apply pressure dressing to the wound.
Normal - Moist - Diaphoretic
Take BSI precautions!


42. When dealing with a patient who has had an allergic reaction - What are the questions/key things you need to know in order to assess the patient?
Initiate analysis of the rhythm.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
You should determine the chief complaint/apparent life threats of the patient.
Inspect the chest - palpate - auscultate.


43. 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
Medical command
Palpate with 2 fingers (index and middle) over radial artery.
Verbalizing the general impression of the patient.
After doing so - ventilate the patient at the proper volume and rate.


44. You've assessed the patient's ability to use the nebulizer - should you consult with Medical Command?
Apply direct pressure to the wound.
Take BSI precautions!
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Yes. Consult with Medical Command.


45. Alright - you're about to distribute the Epinephrine to the patient. You don't just do it without telling the patient what you're doing.. do you?
Assess the airway and breathing.
Remember to explain the procedure to the patient.
Palpate with 2 fingers (index and middle) over radial artery.
Confirm that the patient is sitting as upright as possible.


46. After taking care of the chief complaint of the patient during the initial assessment - you should...
Assess the airway and breathing.
Initiate steps to prevent heat loss from the patient.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Assessing the posterior includes assessing the thorax - and the lumbar.


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

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48. What do you do if the patient needs glucose administration? Do you go ahead and do it? or do you contact someone?
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
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.'
Inspect the chest - palpate - auscultate.
Contact medical command if patient condition permits.


49. Time for Cardiac Arrest Management/Automatic External Defibrillator! First thing you do
For at least 30 seconds!
Take BSI precautions!
Ventilate the patient at a rate of 10-20 per minute.
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.


50. Okay - now you have to assess the posterior.. this includes the ______ and the _______.
Assessing the posterior includes assessing the thorax - and the lumbar.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Determine the number of patients.