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. Integration! First thing you do;
Turn over CPR to another rescuer. Turn on the AED.
Contact medical command if patient condition permits.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Remember to position the patient properly.


2. First step in 'Scene Size Up'.
Indicate the need for immediate transportation.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Determine if the scene is safe.


3. Blood pressure (palpatation)

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4. What's the expiration date on the oral glucose?
Perform two minutes of high quality CPR.
Apply pressure dressing to the wound.
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
Confirm the expiration date.


5. 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 position the patient properly.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Confirm the expiration date.
Remember to explain the procedure to the patient.


6. When dealing with a patient who is having trouble - dealing with respiratory problems - What are the questions/key words you should remember?
Brachial artery.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Initiate analysis of the rhythm.


7. Respirations!
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.
First - observe the rise and fall of the chest/abdomen.
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
Apply pressure dressing to the wound.


8. After taking care of the chief complaint of the patient during the initial assessment - you should...
Assess the airway and breathing.
Assure high concentration of oxygen is delivered to the patient.
Palpate with 2 fingers (index and middle) over radial artery.
Remember to position the patient properly.


9. But wait.. are you sure that the patient isn't allergic to the medication?
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Confirm that the patient has NO allergies to the medication.
You should obtain baseline vital signs of the patient.
Confirm that the patient is sitting as upright as possible.


10. Do CPR without unnecessary/prolonged interruption..
Initiate analysis of the rhythm.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
You should obtain baseline vital signs of the patient.
Place auto - injector on lateral thigh - midway between the knee and thigh.


11. Remember to check the '5 Rights' of drug administration.. What are they?
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Yes - direct resumption of CPR.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Scalp - ears - eyes - and the oral/nasal areas.


12. Skin Color: (observe the patient)
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Right patient - Right drug - Right dose - Right route - Right time.


13. 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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14. 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?
Take BSI precautions!
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
- Normal (warm) - Cool - Cold - Hot
Determine the number of patients.


15. Establish and maintain a proper mask to face seal.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
Did that help? Document when you put the tourniquet on.
After doing so - ventilate the patient at the proper volume and rate.


16. Place diaphragm of stethoscope over...
Dispose of the auto - injector in a sharps container.
You should determine the chief complaint/apparent life threats of the patient.
Brachial artery.
Assure high concentration of oxygen is delivered to the patient.


17. 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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18. First action performed after you arrive on scene..
Administer high concentration oxygen.
Take BSI precautions.
Take or verbalize body substance isolation precautions.
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.'


19. Time for the Detailed Physical Examination! Should you examine the head - arm - or abdomen first?
Switch to bag/valve mask.
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
Assure high concentration of oxygen is delivered to the patient.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)


20. Focused History and Physical Examination/Rapid Trauma Assessment. The first thing you should do in this situation is...
Apply pressure dressing to the wound.
Select the appropriate assessment (focused - or rapid assessment)
Verbalizing the general impression of the patient.
Yes - always explain to the patient that they will feel a stick from the needle.


21. Ventilate patient!
Confirm that the patient has NO allergies to the medication.
(margin +/-4)
Assure high concentration of oxygen is delivered to the patient.
Count pulse for minimum of 30 seconds then multiply by 2.


22. Attach the AED to the patient;
Connect the mask to high concentration or oxygen.
Initiate analysis of the rhythm.
Determine the mechanism of injury.
Brachial artery.


23. How do you prepare the medication and nebulizer?
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.)
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 verbalize the re - assessment of the vital signs.


24. When assessing the head - What do you check?
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Yes. Consult with Medical Command.
Scalp - ears - eyes - and the oral/nasal areas.
Normal - Moist - Diaphoretic


25. Time for Cardiac Arrest Management/Automatic External Defibrillator! First thing you do
Take BSI precautions!
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.
Hold the auto - injector to the patient's thigh for 10 seconds.
Contact medical command if patient condition permits.


26. Blood pressure (auscultation)

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27. Did THAT help?
Confirm that the patient is sitting as upright as possible.
Administer high concentration oxygen.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)


28. 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.
Apply pressure dressing to the wound.
Apply direct pressure to the wound.
Connect the one - way valve to mask.


29. Circulation assessment re - cap! When assessing the skin - what should you be looking at?
The color - temperature - and condition.
That one is basically self - explanatory. Do that after you apply the cuff!
Turn over CPR to another rescuer. Turn on the AED.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.


30. After selecting the appropriate assessment - (focused or rapid) - you should obtain baseline ___?___
You should obtain baseline vital signs of the patient.
Check the level of consciousness - and the history.
Determine the mechanism of injury.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.


31. 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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32. It's time to administer the medication to the patient! How are you going to do so?
You should determine the chief complaint/apparent life threats of the patient.
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
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Switch to bag/valve mask.


33. Palpate radial or brachial artery!
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
Apply pressure dressing to the wound.
(margin +/-4)
That one is basically self - explanatory. Do that after you apply the cuff!


34. Should you just lay something over the wound after BSI precaution - or should you apply direct pressure?
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
First - observe the rise and fall of the chest/abdomen.
Apply direct pressure to the wound.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)


35. Did that help?
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
(margin +/-4)
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)


36. You deliver the shock.. should the rescuer go back to giving the patient CPR?
You should obtain baseline vital signs of the patient.
Take or verbalize body substance isolation precautions.
Yes - direct resumption of CPR.
First - observe the rise and fall of the chest/abdomen.


37. Slowly deflate the cuff - and report/record palpable systolic blood pressure when..
Apply pressure dressing to the wound.
Right patient - Right drug - Right dose - Right route - Right time.
Inspect the chest - palpate - auscultate.
The pulse returns.


38. Report/record pulse findings.
Dispose of the auto - injector in a sharps container.
(margin +/-4)
You should obtain baseline vital signs of the patient.
Explain the procedure to the patient.


39. Count the respiratory rate for at least ___ seconds and multiply times 2.
For at least 30 seconds!
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Confirm the expiration date.
Request additional help.


40. Assessment says that you will notice that the patient is now pale and diaphoretic with a rapid - weak pulse... say that out loud.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
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
Expose the thigh area - (and say that you are doing so.)
Remember to position the patient properly.


41. After checking the chest - where do you move?
- Normal (warm) - Cool - Cold - Hot
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Request additional help.


42. You've checked the neck - now move down to the chest.
Inspect the chest - palpate - auscultate.
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.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Briefly question the bystanders about arrest events.


43. The patient may start losing body heat.. What do you do?
Initiate steps to prevent heat loss from the patient.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Take or verbalize body substance isolation precautions.


44. _______ extremity and palpate ______ artery.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Hyperextend extremity and palpate brachial artery.
Assess the airway and breathing.


45. Time for Airway Management assessment! What's the First thing you do?
Briefly question the bystanders about arrest events.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Take BSI precautions!
You should manage all of the patient's secondary injuries/wounds appropriately


46. You need to get the AED. What should you do?
Did that help? Document when you put the tourniquet on.
Turn over CPR to another rescuer. Turn on the AED.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)


47. 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.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
- Normal (warm) - Cool - Cold - Hot
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.


48. Apply a tourniquet.
You should obtain baseline vital signs of the patient.
Did that help? Document when you put the tourniquet on.
Hold the auto - injector to the patient's thigh for 10 seconds.
Connect the one - way valve to mask.


49. Inflate the cuff rapidly to at least ??mm Hg above the point where the pulse is lost.
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Verbalizing the general impression of the patient.
Scalp - ears - eyes - and the oral/nasal areas.


50. Skin Temperature: (touch the patient)
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
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 explain the procedure to the patient.
- Normal (warm) - Cool - Cold - Hot