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. Place diaphragm of stethoscope over...
Brachial artery.
Assess the following..
Place auto - injector on lateral thigh - midway between the knee and thigh.
Open the airway manually.


2. How should the patient be sitting?
Confirm that the patient is sitting as upright as possible.
Verbalizing the general impression of the patient.
Apply direct pressure to the wound.
For at least 30 seconds!


3. Did that help?
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Determine if the scene is safe.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Perform two minutes of high quality CPR.


4. What's the expiration date on the oral glucose?
Assure high concentration of oxygen is delivered to the patient.
Confirm the expiration date.
Right patient - Right drug - Right dose - Right route - Right time.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin


5. Establish and maintain a proper mask to face seal.
Take BSI precautions!
Right patient - Right drug - Right dose - Right route - Right time.
After doing so - ventilate the patient at the proper volume and rate.
Direct resumption of CPR.


6. Report/record pulse findings.
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
Perform two minutes of high quality CPR.
(margin +/-4)
Connect the mask to high concentration or oxygen.


7. When assessing the head - What do you check?
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.
Scalp - ears - eyes - and the oral/nasal areas.
Perform two minutes of high quality CPR.


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

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9. 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?
Assessing the posterior includes assessing the thorax - and the lumbar.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Explain the procedure to the patient.
Yes - always explain to the patient that they will feel a stick from the needle.


10. Blood pressure (palpatation)

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11. Should you just lay something over the wound after BSI precaution - or should you apply direct pressure?
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.
After doing so - ventilate the patient at the proper volume and rate.
Apply direct pressure to the wound.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)


12. Palpate radial or brachial artery!
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
That one is basically self - explanatory. Do that after you apply the cuff!
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
- Rate - Rhythm (regular/irregular)


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

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14. Administer ____ concentration oxygen.
Report/record ausculated blood pressure.
Administer high concentration oxygen.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
You should verbalize the re - assessment of the vital signs.


15. What do you do after that?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Connect the mask to high concentration or oxygen.
Place auto - injector on lateral thigh - midway between the knee and thigh.


16. After selecting the appropriate assessment - (focused or rapid) - you should obtain baseline ___?___
You should obtain baseline vital signs of the patient.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
Remember to explain the procedure to the patient.


17. '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?
Yes - direct resumption of CPR.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Take BSI precautions!
Connect the mask to high concentration or oxygen.


18. Assess the following
Expose the thigh area - (and say that you are doing so.)
- Rate - Rhythm (regular/irregular)
Switch to bag/valve mask.
Direct resumption of CPR.


19. After consulting Medical Command - are you going to perform the procedure without explaining anything to the patient?
The pulse returns.
Explain the procedure to the patient.
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
Contact medical command if patient condition permits.


20. Inflate cuff rapidly to at least 20mm Hg ______ palpated blood pressure.
Scalp - ears - eyes - and the oral/nasal areas.
Scalp - ears - eyes - and the oral/nasal areas.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Report/record ausculated blood pressure.


21. You've checked the neck - now move down to the chest.
Confirm that the patient is sitting as upright as possible.
Hyperextend extremity and palpate brachial artery.
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Inspect the chest - palpate - auscultate.


22. 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?
You should verbalize the re - assessment of the vital signs.
Administer high concentration oxygen.
The second action is determining the patient's responsiveness/level of consciousness
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.


23. Apply a tourniquet.
You should determine the chief complaint/apparent life threats of the patient.
Administer high concentration oxygen.
Expose the thigh area - (and say that you are doing so.)
Did that help? Document when you put the tourniquet on.


24. Okay - now you have to assess the posterior.. this includes the ______ and the _______.
Assessing the posterior includes assessing the thorax - and the lumbar.
Take BSI precaution!
Verbalizing the general impression of the patient.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin


25. Time for the Detailed Physical Examination! Should you examine the head - arm - or abdomen first?
For at least 30 seconds!
Administer high concentration oxygen.
Take BSI precautions!
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)


26. Inflate the cuff rapidly to at least ??mm Hg above the point where the pulse is lost.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Yeah.. definitely don't forget to document everything.
Take BSI precautions!
Take BSI precautions!


27. After you determine the number of patients - what should you do - IF NECESSARY?
Request additional help.
You should obtain baseline vital signs of the patient.
Confirm that the patient has NO allergies to the medication.
The color - temperature - and condition.


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

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29. How do you open the airway?
Open the airway manually.
Report/record ausculated blood pressure.
Direct resumption of CPR.
Take BSI precautions.


30. 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.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
The pulse returns.
Inspect the chest - palpate - auscultate.


31. _______ extremity and palpate ______ artery.
You should verbalize the re - assessment of the vital signs.
Hyperextend extremity and palpate brachial artery.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Indicate the need for immediate transportation.


32. What do you direct your assistant to do?
You should determine the chief complaint/apparent life threats of the patient.
Direct assistant to assume ventilation and pre - oxygenate patient.
Yes - always explain to the patient that they will feel a stick from the needle.
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.


33. Skin Color: (observe the patient)
You should verbalize the re - assessment of the vital signs.
Yes - always explain to the patient that they will feel a stick from the needle.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Request additional help.


34. Transportation!
Confirm that the patient is sitting as upright as possible.
Ventilate the patient at a rate of 10-20 per minute.
Verbalize the transportation of the patient.
Determine the number of patients.


35. You've assessed the patient's ability to use the nebulizer - should you consult with Medical Command?
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Take BSI precautions!
Take BSI precautions!
Yes. Consult with Medical Command.


36. Time for Cardiac Arrest Management/Automatic External Defibrillator! First thing you do
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Take BSI precautions!
Determine the mechanism of injury.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer


37. During your Epinephrine Auto - Injector Administration scenario; What is the First thing you should do?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Request additional help.
Take BSI precautions.
The color - temperature - and condition.


38. It's time to administer the medication to the patient! How are you going to do so?
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
Take BSI precautions!
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


39. 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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40. You've exposed the patient's leg. Where do you place the auto - injector?
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Place auto - injector on lateral thigh - midway between the knee and thigh.
You should verbalize the re - assessment of the vital signs.
Determine the mechanism of injury.


41. What do you do after you determine if the scene is safe?
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
Determine the mechanism of injury.
After doing so - ventilate the patient at the proper volume and rate.


42. After you open the airway - What do you do?
Connect the one - way valve to mask.
Briefly question the bystanders about arrest events.
Direct assistant to assume ventilation and pre - oxygenate patient.
Determine the mechanism of injury.


43. Skin Signs!
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Assess the following..
Apply pressure dressing to the wound.
- Normal (warm) - Cool - Cold - Hot


44. Skin Temperature: (touch the patient)
- Normal (warm) - Cool - Cold - Hot
That one is basically self - explanatory. Do that after you apply the cuff!
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
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


45. 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.
Normal - Moist - Diaphoretic
Yes - always explain to the patient that they will feel a stick from the needle.
Inspect the chest - palpate - auscultate.


46. 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.
You should manage all of the patient's secondary injuries/wounds appropriately
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
Yes - direct resumption of CPR.


47. Did THAT help?
Palpate with 2 fingers (index and middle) over radial artery.
Request additional help.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)


48. After checking the chest - where do you move?
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Request additional help.
Switch to bag/valve mask.
You should verbalize the re - assessment of the vital signs.


49. When dealing with a patient who is having trouble - dealing with respiratory problems - What are the questions/key words you should remember?
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Take BSI precautions!
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer


50. Should you examine the head - arm - or abdomen first?
Remember to position the patient properly.
Explain the procedure to the patient.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Connect the mask to high concentration or oxygen.