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. You've assessed the patient's ability to use the nebulizer - should you consult with Medical Command?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Yes. Consult with Medical Command.
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
Apply pressure dressing to the wound.


2. You need to get the patient to the hospital - NOW. What do you do?
Check the level of consciousness - and the history.
Indicate the need for immediate transportation.
Take or verbalize body substance isolation precautions.
Yes - always explain to the patient that they will feel a stick from the needle.


3. You need to get the AED. What should you do?
Assessing the posterior includes assessing the thorax - and the lumbar.
Turn over CPR to another rescuer. Turn on the AED.
For at least 30 seconds!
Perform two minutes of high quality CPR.


4. The patient is still bleeding - so you..
Apply pressure dressing to the wound.
Scalp - ears - eyes - and the oral/nasal areas.
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.
Perform two minutes of high quality CPR.


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

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6. After checking the chest - where do you move?
- Normal (warm) - Cool - Cold - Hot
Monitor the patient's condition and vital signs after administration.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin


7. Assess the following
Take BSI precautions!
- Rate - Rhythm (regular/irregular)
Take BSI precautions!
Assessing the posterior includes assessing the thorax - and the lumbar.


8. Okay - you've told the patient what you're going to do.. But are you sure they're not allergic to the medication?
Determine the number of patients.
Confirm that the patient has NO allergies to the medication.
Initiate analysis of the rhythm.
Document the procedure!


9. 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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10. Circulation assessment re - cap! When assessing the skin - what should you be looking at?
Expose the thigh area - (and say that you are doing so.)
The color - temperature - and condition.
Document the procedure!
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.


11. Skin Moisture: (touch the patient)
Initiate analysis of the rhythm.
Normal - Moist - Diaphoretic
Dispose of the auto - injector in a sharps container.
Determine the number of patients.


12. Ventilate patient!
Take or verbalize body substance isolation precautions.
Assess the patient's ability to use the nebulizer.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Assure high concentration of oxygen is delivered to the patient.


13. Blood pressure (palpatation)

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14. After selecting the appropriate assessment - (focused or rapid) - you should obtain baseline ___?___
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
You should obtain baseline vital signs of the patient.
Inspect the chest - palpate - auscultate.
Assessing the posterior includes assessing the thorax - and the lumbar.


15. After determining the level of responsiveness/consciousness during the initial assessment of the patient; you should turn your attention to the: A.) scrapes and bruises of the patient B.) chief complaint/apparent life threats
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Place auto - injector on lateral thigh - midway between the knee and thigh.
For at least 30 seconds!
You should determine the chief complaint/apparent life threats of the patient.


16. Respirations!
Brachial artery.
Direct resumption of CPR.
Assessing the posterior includes assessing the thorax - and the lumbar.
First - observe the rise and fall of the chest/abdomen.


17. Okay - now you have to assess the posterior.. this includes the ______ and the _______.
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.
The color - temperature - and condition.
Yeah.. definitely don't forget to document everything.


18. Transportation!
Select the appropriate assessment (focused - or rapid assessment)
Verbalize the transportation of the patient.
Confirm the expiration date.
Take BSI precautions!


19. 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?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Apply direct pressure to the wound.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Take BSI precautions!


20. Okay - you've obtained the baseline vital signs... Should you obtain SAMPLE history now?
You should verbalize the re - assessment of the vital signs.
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Check the level of consciousness - and the history.
Select the appropriate assessment (focused - or rapid assessment)


21. You've successfully removed the cap - and you're ready to administer the medication to the patient... but where do you administer it?
Yes - always explain to the patient that they will feel a stick from the needle.
Expose the thigh area - (and say that you are doing so.)
- 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.


22. Monitor the patient's condition and vital signs after you administer the medication - and...
Hyperextend extremity and palpate brachial artery.
Turn over CPR to another rescuer. Turn on the AED.
Document the procedure!
Take BSI precautions!


23. Skin Signs!
Apply pressure dressing to the wound.
Assess the following..
After doing so - ventilate the patient at the proper volume and rate.
Apply direct pressure to the wound.


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

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25. You've exposed the patient's leg. Where do you place the auto - injector?
Place auto - injector on lateral thigh - midway between the knee and thigh.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Yes - direct resumption of CPR.
Determine the number of patients.


26. You've prepared the medication and nebulizer...now attach oxygen to the nebulizer.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Report/record ausculated blood pressure.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Explain the procedure to the patient.


27. 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?
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Confirm the expiration date.
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)


28. What do you direct your assistant to do?
Medical command
Assess the following..
Connect the one - way valve to mask.
Direct assistant to assume ventilation and pre - oxygenate patient.


29. When dealing with a patient who is having trouble - dealing with respiratory problems - What are the questions/key words you should remember?
Normal - Moist - Diaphoretic
Take BSI precautions!
Select the appropriate assessment (focused - or rapid assessment)
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer


30. Slowly deflate the cuff - and report/record palpable systolic blood pressure when..
Inspect the chest - palpate - auscultate.
The pulse returns.
Perform two minutes of high quality CPR.
Inspect the chest - palpate - auscultate.


31. Apply a tourniquet.
Did that help? Document when you put the tourniquet on.
Monitor the patient's condition and vital signs after administration.
Dispose of the auto - injector in a sharps container.
Hold the auto - injector to the patient's thigh for 10 seconds.


32. 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?
Medical command
Assess the patient's ability to use the nebulizer.
Turn over CPR to another rescuer. Turn on the AED.
You should verbalize the re - assessment of the vital signs.


33. Ventilate the patient at a rate of __-__ per minute with appropriate volumes via bag/valve mask.
Ventilate the patient at a rate of 10-20 per minute.
The second action is determining the patient's responsiveness/level of consciousness
Take BSI precautions.
Direct assistant to assume ventilation and pre - oxygenate patient.


34. Remember to check the '5 Rights' of drug administration.. What are they?
You should obtain baseline vital signs of the patient.
Initiate steps to prevent heat loss from the patient.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Direct rescuer to stop CPR and ensures all individuals to stand clear.


35. There are bystanders who seen what happened.. do you question them?
Take or verbalize body substance isolation precautions.
Right patient - Right drug - Right dose - Right route - Right time.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Briefly question the bystanders about arrest events.


36. After BSI precautions - you need to perform a blood glucose check.. How do you set up/perform the check?
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.
Assess the following..
Inspect the chest - palpate - auscultate.
Did that help? Document when you put the tourniquet on.


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

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38. Slowly deflate the cuff.. then..
Initiate steps to prevent heat loss from the patient.
Take BSI precautions!
- Normal (warm) - Cool - Cold - Hot
Report/record ausculated blood pressure.


39. Report/record pulse findings.
You should manage all of the patient's secondary injuries/wounds appropriately
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
(margin +/-4)
Document the procedure!


40. You need to shock the patient again. The rescuer is STILL delivering CPR.. What do you do?
Document the procedure!
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.
Check the level of consciousness - and the history.


41. Do CPR without unnecessary/prolonged interruption..
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Initiate analysis of the rhythm.
Determine if the scene is safe.
- Normal (warm) - Cool - Cold - Hot


42. Administer ____ concentration oxygen.
Initiate steps to prevent heat loss from the patient.
Take BSI precautions!
Administer high concentration oxygen.
Yes. Consult with Medical Command.


43. 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 Nitroglycerin
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)


44. Then What do you switch to?
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Explain the procedure to the patient.
Determine the mechanism of injury.
Switch to bag/valve mask.


45. How long should you perform high quality CPR?
Hold the auto - injector to the patient's thigh for 10 seconds.
Perform two minutes of high quality CPR.
Take BSI precautions.
Assess the airway and breathing.


46. Integration! First thing you do;
Switch to bag/valve mask.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Direct resumption of CPR.


47. After you open the airway - What do you do?
Assessing the posterior includes assessing the thorax - and the lumbar.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Connect the one - way valve to mask.
Take BSI precautions!


48. Inflate the cuff rapidly to at least ??mm Hg above the point where the pulse is lost.
Connect the mask to high concentration or oxygen.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Assess the patient's ability to use the nebulizer.
Take BSI precautions!


49. Did that help?
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Yes - always explain to the patient that they will feel a stick from the needle.
Briefly question the bystanders about arrest events.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)


50. Time for the Detailed Physical Examination! Should you examine the head - arm - or abdomen first?
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.)
Initiate steps to prevent heat loss from the patient.
Remember to position the patient properly.