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 you determine the number of patients - what should you do - IF NECESSARY?
Monitor the patient's condition and vital signs after administration.
Request additional help.
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.
Direct resumption of CPR.


2. Integration! First thing you do;
Ventilate the patient at a rate of 10-20 per minute.
Switch to bag/valve mask.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Take BSI precaution!


3. Blood pressure (palpatation)

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4. To assess circulation - (after you assess the airway/breathing of the patient) - What are the four actions needed to be taken?
Contact medical command if patient condition permits.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
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.
Assess the airway and breathing.


5. You've assessed the patient's ability to use the nebulizer - should you consult with Medical Command?
Assess the patient's ability to use the nebulizer.
Yes. Consult with Medical Command.
Connect the one - way valve to mask.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing


6. 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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7. 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?
Remember to explain the procedure to the patient.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
Report/record ausculated blood pressure.


8. Monitor the patient's condition and vital signs after you administer the medication - and...
Indicate the need for immediate transportation.
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.
You should verbalize the re - assessment of the vital signs.
Document the procedure!


9. Count the respiratory rate for at least ___ seconds and multiply times 2.
Inspect the chest - palpate - auscultate.
For at least 30 seconds!
Yes - you should obtain SAMPLE history after taking baseline vital signs.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.


10. Administer ____ concentration oxygen.
Assess the following..
After doing so - ventilate the patient at the proper volume and rate.
Administer high concentration oxygen.
Determine if the scene is safe.


11. When assessing the head - What do you check?
Take BSI precautions!
Select the appropriate assessment (focused - or rapid assessment)
Scalp - ears - eyes - and the oral/nasal areas.
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery


12. You need to shock the patient again. The rescuer is STILL delivering CPR.. What do you do?
Take BSI precaution!
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Select the appropriate assessment (focused - or rapid assessment)


13. Focused History and Physical Examination/Rapid Trauma Assessment. The first thing you should do in this situation is...
The second action is determining the patient's responsiveness/level of consciousness
Select the appropriate assessment (focused - or rapid assessment)
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.
Confirm that the patient is sitting as upright as possible.


14. Ventilate the patient at a rate of __-__ per minute with appropriate volumes via bag/valve mask.
Yes - you should obtain SAMPLE history after taking baseline vital signs.
The second action is determining the patient's responsiveness/level of consciousness
You should verbalize the re - assessment of the vital signs.
Ventilate the patient at a rate of 10-20 per minute.


15. Inflate the cuff rapidly to at least ??mm Hg above the point where the pulse is lost.
Determine the mechanism of injury.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Expose the thigh area - (and say that you are doing so.)
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.


16. How do you open the airway?
Turn over CPR to another rescuer. Turn on the AED.
Take BSI precautions.
Open the airway manually.
Initiate steps to prevent heat loss from the patient.


17. 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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18. Skin Color: (observe the patient)
Request additional help.
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
After doing so - ventilate the patient at the proper volume and rate.


19. 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?
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Medical command
Contact medical command if patient condition permits.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.


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

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21. You've successfully removed the cap - and you're ready to administer the medication to the patient... but where do you administer it?
Expose the thigh area - (and say that you are doing so.)
- Normal (warm) - Cool - Cold - Hot
Determine if the scene is safe.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer


22. Did THAT help?
Connect the mask to high concentration or oxygen.
Report/record ausculated blood pressure.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)


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

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24. First action performed after you arrive on scene..
Take or verbalize body substance isolation precautions.
Initiate steps to prevent heat loss from the patient.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
The second action is determining the patient's responsiveness/level of consciousness


25. How long should you perform high quality CPR?
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Medical command
Perform two minutes of high quality CPR.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer


26. After selecting the appropriate assessment - (focused or rapid) - you should obtain baseline ___?___
Initiate steps to prevent heat loss from the patient.
You should verbalize the re - assessment of the vital signs.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
You should obtain baseline vital signs of the patient.


27. Okay - you've told the patient what you're going to do.. But are you sure they're not allergic to the medication?
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 that the patient has NO allergies to the medication.
Yes - always explain to the patient that they will feel a stick from the needle.
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.


28. _______ extremity and palpate ______ artery.
Expose the thigh area - (and say that you are doing so.)
Hyperextend extremity and palpate brachial artery.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.


29. After you open the airway - What do you do?
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Connect the one - way valve to mask.


30. Attach the AED to the patient;
Initiate analysis of the rhythm.
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 Nebulizer
Determine the mechanism of injury.


31. Apply a tourniquet.
Place auto - injector on lateral thigh - midway between the knee and thigh.
Assessing the posterior includes assessing the thorax - and the lumbar.
Did that help? Document when you put the tourniquet on.
You should verbalize the re - assessment of the vital signs.


32. Slowly deflate the cuff - and report/record palpable systolic blood pressure when..
Hyperextend extremity and palpate brachial artery.
Report/record ausculated blood pressure.
The pulse returns.
Take BSI precautions!


33. Assess the following
- Rate - Rhythm (regular/irregular)
Take BSI precautions!
Monitor the patient's condition and vital signs after administration.
Verbalizing the general impression of the patient.


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

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35. 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?
- Rate - Rhythm (regular/irregular)
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
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.


36. Baseline Vital Signs! What do you do first?
The second action is determining the patient's responsiveness/level of consciousness
Take BSI precautions!
Yes - direct resumption of CPR.
You should verbalize the re - assessment of the vital signs.


37. How do you prepare the medication and nebulizer?
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.
Apply pressure dressing to the wound.
Brachial artery.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)


38. 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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39. You deliver the shock - now what?
First - observe the rise and fall of the chest/abdomen.
Direct resumption of CPR.
Turn over CPR to another rescuer. Turn on the AED.
Yes - always explain to the patient that they will feel a stick from the needle.


40. First step in 'Scene Size Up'.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
You should determine the chief complaint/apparent life threats of the patient.
Determine if the scene is safe.
Contact medical command if patient condition permits.


41. 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?
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.
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.


42. Count palpated pulse for a minimum of ___ seconds and multiply times 2.
Count pulse for minimum of 30 seconds then multiply by 2.
Assure high concentration of oxygen is delivered to the patient.
Confirm that the patient has NO allergies to the medication.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.


43. What do you do if the patient needs glucose administration? Do you go ahead and do it? or do you contact someone?
Perform two minutes of high quality CPR.
Contact medical command if patient condition permits.
Expose the thigh area - (and say that you are doing so.)
Direct resumption of CPR.


44. Ventilate patient!
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.
Assure high concentration of oxygen is delivered to the patient.
You should verbalize the re - assessment of the vital signs.


45. It's time to administer the medication to the patient! How are you going to do so?
Medical command
Confirm the expiration date.
Hyperextend extremity and palpate brachial artery.
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


46. There are bystanders who seen what happened.. do you question them?
Document the procedure!
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Open the airway manually.
Briefly question the bystanders about arrest events.


47. Skin Moisture: (touch the patient)
Normal - Moist - Diaphoretic
You should manage all of the patient's secondary injuries/wounds appropriately
Contact medical command if patient condition permits.
Confirm that the patient has NO allergies to the medication.


48. After taking BSI precautions - consult with...
Take BSI precautions!
Select the appropriate assessment (focused - or rapid assessment)
Palpate with 2 fingers (index and middle) over radial artery.
Medical command


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

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50. Respirations!
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.
Switch to bag/valve mask.
Brachial artery.
First - observe the rise and fall of the chest/abdomen.