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. DON'T FORGET TO DOCUMENT The PROCEDURE AFTERWARD!

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2. Now you have to assess the posterior.. this includes the ______ and the _______.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Remember to explain the procedure to the patient.
Verbalize the transportation of the patient.
Assessing the posterior includes assessing the thorax - and the lumbar.


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

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4. Where do you dispose of the auto - injector?
Direct rescuer to stop CPR and ensures all individuals to stand clear.
Dispose of the auto - injector in a sharps container.
Scalp - ears - eyes - and the oral/nasal areas.
Assure high concentration of oxygen is delivered to the patient.


5. After checking the chest - where do you move?
Place auto - injector on lateral thigh - midway between the knee and thigh.
Yes - always explain to the patient that they will feel a stick from the needle.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Expose the thigh area - (and say that you are doing so.)


6. What do you do after you determine if the scene is safe?
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
For at least 30 seconds!
Determine the mechanism of injury.
Determine if the scene is safe.


7. Circulation assessment re - cap! When assessing the skin - what should you be looking at?
You should verbalize the re - assessment of the vital signs.
- Normal (warm) - Cool - Cold - Hot
The color - temperature - and condition.
Apply direct pressure to the wound.


8. Time for the Detailed Physical Examination! Should you examine the head - arm - or abdomen first?
Inspect the chest - palpate - auscultate.
Yes - always explain to the patient that they will feel a stick from the needle.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Remember to position the patient properly.


9. Did THAT help?
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Select the appropriate assessment (focused - or rapid assessment)
Inspect the chest - palpate - auscultate.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)


10. Time for the Nebulized Medication Administration part of your skill assessment. Again - what's the First thing you do?
You should verbalize the re - assessment of the vital signs.
Scalp - ears - eyes - and the oral/nasal areas.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Take BSI precautions!


11. The patient is still bleeding - so you..
Scalp - ears - eyes - and the oral/nasal areas.
Apply pressure dressing to the wound.
Inspect the chest - palpate - auscultate.
Remember to position the patient properly.


12. You're getting ready to use the AED. But the other rescuer is still performing CPR.. What do you tell him?
Take BSI precautions.
Expose the thigh area - (and say that you are doing so.)
Direct rescuer to stop CPR and ensures all individuals to stand clear.
Connect the mask to high concentration or oxygen.


13. Do CPR without unnecessary/prolonged interruption..
Determine the mechanism of injury.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
The pulse returns.
Initiate analysis of the rhythm.


14. Alright - 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.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)


15. Okay - you've obtained the baseline vital signs... Should you obtain SAMPLE history now?
Monitor the patient's condition and vital signs after administration.
You should verbalize the re - assessment of the vital signs.
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
Yes - you should obtain SAMPLE history after taking baseline vital signs.


16. 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?
Confirm that the patient has NO allergies to the medication.
For at least 30 seconds!
Yes - always explain to the patient that they will feel a stick from the needle.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)


17. Focused History and Physical Examination/Rapid Trauma Assessment. The first thing you should do in this situation is...
Did that help? Document when you put the tourniquet on.
Determine the mechanism of injury.
Initiate steps to prevent heat loss from the patient.
Select the appropriate assessment (focused - or rapid assessment)


18. It's time to administer the medication to the patient! How are you going to do so?
Perform two minutes of high quality CPR.
Indicate the need for immediate transportation.
(margin +/-4)
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


19. 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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20. After checking the chest - where do you move?
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.
After doing so - ventilate the patient at the proper volume and rate.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer


21. First step in 'Scene Size Up'.
Determine if the scene is safe.
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
Dispose of the auto - injector in a sharps container.
Monitor the patient's condition and vital signs after administration.


22. Apply a tourniquet.
Direct resumption of CPR.
Did that help? Document when you put the tourniquet on.
- Rate - Rhythm (regular/irregular)
Palpate with 2 fingers (index and middle) over radial artery.


23. Then What do you switch to?
Switch to bag/valve mask.
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.
You should manage all of the patient's secondary injuries/wounds appropriately
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.'


24. 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?
You should determine the chief complaint/apparent life threats of the patient.
You should manage all of the patient's secondary injuries/wounds appropriately
Take BSI precautions.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin


25. Slowly deflate the cuff.. then..
Assessing the posterior includes assessing the thorax - and the lumbar.
Take BSI precaution!
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Report/record ausculated blood pressure.


26. Transportation!
The pulse returns.
Assess the patient's ability to use the nebulizer.
Verbalize the transportation of the patient.
Take BSI precautions!


27. Assess the following
Assure high concentration of oxygen is delivered to the patient.
Administer high concentration oxygen.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Connect the one - way valve to mask.


28. When assessing the head - What do you check?
Scalp - ears - eyes - and the oral/nasal areas.
Yes - direct resumption of CPR.
Initiate analysis of the rhythm.
Take BSI precautions!


29. Time for Cardiac Arrest Management/Automatic External Defibrillator! First thing you do
Confirm that the patient is sitting as upright as possible.
Inspect the chest - palpate - auscultate.
Take BSI precautions!
Count pulse for minimum of 30 seconds then multiply by 2.


30. Blood pressure (auscultation)

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31. Time for Bleeding Control/Shock Management! First thing you do?
Take BSI precaution!
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Request additional help.
Expose the thigh area - (and say that you are doing so.)


32. When dealing with a patient who is having trouble - dealing with respiratory problems - What are the questions/key words you should remember?
Medical command
Direct rescuer to stop CPR and ensures all individuals to stand clear.
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.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer


33. First action performed after you arrive on scene..
- Normal (warm) - Cool - Cold - Hot
Take BSI precautions!
Scalp - ears - eyes - and the oral/nasal areas.
Take or verbalize body substance isolation precautions.


34. After you determine the number of patients - what should you do - IF NECESSARY?
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Request additional help.
You should verbalize the re - assessment of the vital signs.


35. 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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36. Respirations!
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.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
First - observe the rise and fall of the chest/abdomen.
Place auto - injector on lateral thigh - midway between the knee and thigh.


37. Okay - now you have to assess the posterior.. this includes the ______ and the _______.
Determine the number of patients.
Assessing the posterior includes assessing the thorax - and the lumbar.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Scalp - ears - eyes - and the oral/nasal areas.


38. After BSI precautions - you need to perform a blood glucose check.. How do you set up/perform the check?
- Rate - Rhythm (regular/irregular)
You should verbalize the re - assessment of the vital signs.
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.
Remember to position the patient properly.


39. You've checked the neck - now move down to the chest.
Assess the following..
Inspect the chest - palpate - auscultate.
Brachial artery.
Hold the auto - injector to the patient's thigh for 10 seconds.


40. When assessing the head - What do you check?
Determine the number of patients.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Scalp - ears - eyes - and the oral/nasal areas.
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.


41. Should you examine the head - arm - or abdomen first?
Direct assistant to assume ventilation and pre - oxygenate patient.
For at least 30 seconds!
The pulse returns.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)


42. Skin Color: (observe the patient)
Medical command
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Document the procedure!
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing


43. How do you open the airway?
You should determine the chief complaint/apparent life threats of the patient.
- Rate - Rhythm (regular/irregular)
Expose the thigh area - (and say that you are doing so.)
Open the airway manually.


44. What are the ways to assess the airway and breathing of the patient?
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
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.
Palpate with 2 fingers (index and middle) over radial artery.


45. Monitor the patient's condition and vital signs after you administer the medication - and...
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Take BSI precautions.
Direct assistant to assume ventilation and pre - oxygenate patient.
Document the procedure!


46. What do you do if the patient needs glucose administration? Do you go ahead and do it? or do you contact someone?
Initiate analysis of the rhythm.
Contact medical command if patient condition permits.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Take BSI precaution!


47. Baseline Vital Signs! What do you do first?
Yeah.. definitely don't forget to document everything.
Expose the thigh area - (and say that you are doing so.)
Take BSI precautions!
Dispose of the auto - injector in a sharps container.


48. 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.
Scalp - ears - eyes - and the oral/nasal areas.
Normal - Moist - Diaphoretic
Direct assistant to assume ventilation and pre - oxygenate patient.


49. After consulting Medical Command - are you going to perform the procedure without explaining anything to the patient?
Initiate analysis of the rhythm.
Explain the procedure to the patient.
Place auto - injector on lateral thigh - midway between the knee and thigh.
Verbalizing the general impression of the patient.


50. Ventilate patient!
Apply pressure dressing to the wound.
Assure high concentration of oxygen is delivered to the patient.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Determine the mechanism of injury.