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. Skin Temperature: (touch the patient)
- Normal (warm) - Cool - Cold - Hot
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Take BSI precautions.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.


2. What do you do after you determine if the scene is safe?
Initiate analysis of the rhythm.
Determine the mechanism of injury.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Contact medical command if patient condition permits.


3. Blood pressure (auscultation)

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4. _______ extremity and palpate ______ artery.
Select the appropriate assessment (focused - or rapid assessment)
For at least 30 seconds!
Request additional help.
Hyperextend extremity and palpate brachial artery.


5. Time for Bleeding Control/Shock Management! First thing you do?
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
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
Take BSI precaution!
You should manage all of the patient's secondary injuries/wounds appropriately


6. Should you examine the head - arm - or abdomen first?
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Report/record ausculated blood pressure.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.


7. During the initial assessment of the patient - the first action that should be taken is verbalizing what? A.) the general impression of the patient B.) if the patient is conscious C.) if the patient is hysterical
Request additional help.
Verbalizing the general impression of the patient.
Confirm that the patient is sitting as upright as possible.
Take BSI precautions!


8. 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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9. Circulation assessment re - cap! When assessing the skin - what should you be looking at?
The color - temperature - and condition.
Initiate analysis of the rhythm.
For at least 30 seconds!
You should verbalize the re - assessment of the vital signs.


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

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11. 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?
The second action is determining the patient's responsiveness/level of consciousness
Remember to explain the procedure to the patient.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)


12. After checking the chest - where do you move?
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Explain the procedure to the patient.
Medical command
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.


13. Integration! First thing you do;
- Normal (warm) - Cool - Cold - Hot
Take BSI precautions.
Take BSI precautions!
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)


14. But wait.. are you sure that the patient isn't allergic to the medication?
Confirm that the patient has NO allergies to the medication.
Normal - Moist - Diaphoretic
Apply direct pressure to the wound.
After doing so - ventilate the patient at the proper volume and rate.


15. Place diaphragm of stethoscope over...
Scalp - ears - eyes - and the oral/nasal areas.
Did that help? Document when you put the tourniquet on.
Brachial artery.
Yes - you should obtain SAMPLE history after taking baseline vital signs.


16. 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?
That one is basically self - explanatory. Do that after you apply the cuff!
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Yes. Consult with Medical Command.
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery


17. You've checked the neck - now move down to the chest.
Inspect the chest - palpate - auscultate.
Confirm the expiration date.
Take BSI precautions!
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)


18. Monitor the patient's condition and vital signs after you administer the medication - and...
Ventilate the patient at a rate of 10-20 per minute.
Document the procedure!
Initiate analysis of the rhythm.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer


19. Time for the Detailed Physical Examination! Should you examine the head - arm - or abdomen first?
Take BSI precaution!
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
- Normal (warm) - Cool - Cold - Hot


20. When dealing with a patient who is having trouble - dealing with respiratory problems - What are the questions/key words you should remember?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Scalp - ears - eyes - and the oral/nasal areas.
Apply pressure dressing to the wound.
You should obtain baseline vital signs of the patient.


21. Remember to check the '5 Rights' of drug administration.. What are they?
Briefly question the bystanders about arrest events.
First - observe the rise and fall of the chest/abdomen.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
The second action is determining the patient's responsiveness/level of consciousness


22. First step in 'Scene Size Up'.
Determine if the scene is safe.
Direct resumption of CPR.
Confirm that the patient has NO allergies to the medication.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.


23. After consulting Medical Command - are you going to perform the procedure without explaining anything to the patient?
Explain the procedure to the patient.
Indicate the need for immediate transportation.
Take or verbalize body substance isolation precautions.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.


24. You deliver the shock.. should the rescuer go back to giving the patient CPR?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
The pulse returns.
Yes - direct resumption of CPR.
You should obtain baseline vital signs of the patient.


25. After taking care of the chief complaint of the patient during the initial assessment - you should...
Assess the airway and breathing.
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.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Open the airway manually.


26. 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.
Document the procedure!
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
- Normal (warm) - Cool - Cold - Hot


27. What do you direct your assistant to do?
Check the level of consciousness - and the history.
Direct assistant to assume ventilation and pre - oxygenate patient.
Apply pressure dressing to the wound.
Document the procedure!


28. Administer ____ concentration oxygen.
Yes - direct resumption of CPR.
Brachial artery.
Assess the airway and breathing.
Administer high concentration oxygen.


29. 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.
Administer high concentration oxygen.
You should verbalize the re - assessment of the vital signs.
Apply pressure dressing to the wound.


30. 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?
Request additional help.
Confirm the expiration date.
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)


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

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32. You've prepared the medication and nebulizer...now attach oxygen to the nebulizer.
Perform two minutes of high quality CPR.
Right patient - Right drug - Right dose - Right route - Right time.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Switch to bag/valve mask.


33. What's the expiration date on the oral glucose?
Determine the number of patients.
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
Confirm the expiration date.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.


34. Time for the Nebulized Medication Administration part of your skill assessment. Again - what's the First thing you do?
Remember to position the patient properly.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Take BSI precautions!
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin


35. There are bystanders who seen what happened.. do you question them?
Confirm the expiration date.
Briefly question the bystanders about arrest events.
Initiate analysis of the rhythm.
Open the airway manually.


36. Inflate the cuff rapidly to at least ??mm Hg above the point where the pulse is lost.
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.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Monitor the patient's condition and vital signs after administration.


37. It's time to administer the medication to the patient! How are you going to do so?
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
Remember to explain the procedure to the patient.
For at least 30 seconds!
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)


38. You've assessed the patient's ability to use the nebulizer - should you consult with Medical Command?
Yes. Consult with Medical Command.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Hyperextend extremity and palpate brachial artery.


39. Where do you dispose of the auto - injector?
Expose the thigh area - (and say that you are doing so.)
Briefly question the bystanders about arrest events.
Dispose of the auto - injector in a sharps container.
Monitor the patient's condition and vital signs after administration.


40. 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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41. The patient may start losing body heat.. What do you do?
Hold the auto - injector to the patient's thigh for 10 seconds.
Initiate steps to prevent heat loss from the patient.
Take BSI precautions!
Dispose of the auto - injector in a sharps container.


42. Palpate radial or brachial artery!
That one is basically self - explanatory. Do that after you apply the cuff!
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Report/record ausculated blood pressure.


43. Inflate cuff rapidly to at least 20mm Hg ______ palpated blood pressure.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Apply direct pressure to the wound.
Medical command
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.


44. Skin Signs!
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Confirm that the patient is sitting as upright as possible.
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.
Assess the following..


45. Report/record pulse findings.
Take BSI precaution!
(margin +/-4)
Assessing the posterior includes assessing the thorax - and the lumbar.
Administer high concentration oxygen.


46. Do CPR without unnecessary/prolonged interruption..
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Verbalizing the general impression of the patient.
Initiate analysis of the rhythm.
Connect the mask to high concentration or oxygen.


47. Slowly deflate the cuff - and report/record palpable systolic blood pressure when..
Confirm that the patient is sitting as upright as possible.
For at least 30 seconds!
Indicate the need for immediate transportation.
The pulse returns.


48. Time for Airway Management assessment! What's the First thing you do?
Remember to explain the procedure to the patient.
Assess the patient's ability to use the nebulizer.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Take BSI precautions!


49. Slowly deflate the cuff.. then..
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Scalp - ears - eyes - and the oral/nasal areas.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Report/record ausculated blood pressure.


50. Skin Color: (observe the patient)
Contact medical command if patient condition permits.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Inspect the chest - palpate - auscultate.
Report/record ausculated blood pressure.