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'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?
Scalp - ears - eyes - and the oral/nasal areas.
The color - temperature - and condition.
Connect the one - way valve to mask.
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)


2. Skin Color: (observe the patient)
Administer high concentration oxygen.
Take BSI precautions!
Connect the one - way valve to mask.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing


3. How do you prepare the medication and nebulizer?
You should verbalize the re - assessment of the vital signs.
Expose the thigh area - (and say that you are doing so.)
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 manage all of the patient's secondary injuries/wounds appropriately


4. 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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5. Time for the Detailed Physical Examination! Should you examine the head - arm - or abdomen first?
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Scalp - ears - eyes - and the oral/nasal areas.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Briefly question the bystanders about arrest events.


6. How long should you perform high quality CPR?
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Perform two minutes of high quality CPR.
Initiate steps to prevent heat loss from the patient.
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'


7. Do CPR without unnecessary/prolonged interruption..
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Monitor the patient's condition and vital signs after administration.
Initiate analysis of the rhythm.


8. Slowly deflate the cuff - and report/record palpable systolic blood pressure when..
Perform two minutes of high quality CPR.
The pulse returns.
Initiate analysis of the rhythm.
Determine the number of patients.


9. Everything is in place - and you are ready to administer the drug to the patient. Should you warn them that they're going to feel a stick?
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.
Dispose of the auto - injector in a sharps container.
Switch to bag/valve mask.
Yes - always explain to the patient that they will feel a stick from the needle.


10. You've prepared the medication and nebulizer...now attach oxygen to the nebulizer.
Connect the mask to high concentration or oxygen.
You should verbalize the re - assessment of the vital signs.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever


11. After checking the chest - where do you move?
Confirm that the patient is sitting as upright as possible.
Confirm the expiration date.
Report/record ausculated blood pressure.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.


12. 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.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Apply the 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.


13. Okay - you've obtained the baseline vital signs... Should you obtain SAMPLE history now?
You should determine the chief complaint/apparent life threats of the patient.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Hold the auto - injector to the patient's thigh for 10 seconds.
Yes - you should obtain SAMPLE history after taking baseline vital signs.


14. Blood pressure (palpatation)

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

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16. It's time to administer the medication to the patient! How are you going to do so?
Confirm the expiration date.
Apply pressure dressing to the wound.
Take or verbalize body substance isolation 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


17. Count the respiratory rate for at least ___ seconds and multiply times 2.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Expose the thigh area - (and say that you are doing so.)
For at least 30 seconds!
Determine the number of patients.


18. Should you just lay something over the wound after BSI precaution - or should you apply direct pressure?
Perform two minutes of high quality CPR.
Determine the mechanism of injury.
Apply direct pressure to the wound.
Assess the airway and breathing.


19. To assess circulation - (after you assess the airway/breathing of the patient) - What are the four actions needed to be taken?
Confirm the expiration date.
Take BSI precautions!
After doing so - ventilate the patient at the proper volume and rate.
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.


20. Did THAT help?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Take BSI precautions.
Turn over CPR to another rescuer. Turn on the AED.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)


21. After selecting the appropriate assessment - (focused or rapid) - you should obtain baseline ___?___
You should obtain baseline vital signs of the patient.
Ventilate the patient at a rate of 10-20 per minute.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Take BSI precautions.


22. 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.
Determine if the scene is safe.
Take or verbalize body substance isolation precautions.
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.


23. What are the ways to assess the airway and breathing of the patient?
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
After doing so - ventilate the patient at the proper volume and rate.
Remember to explain the procedure to the patient.
Report/record ausculated blood pressure.


24. You need to get the AED. What should you do?
Hyperextend extremity and palpate brachial artery.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Yeah.. definitely don't forget to document everything.
Turn over CPR to another rescuer. Turn on the AED.


25. 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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26. 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.)
That one is basically self - explanatory. Do that after you apply the cuff!
You should obtain baseline vital signs of the patient.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.


27. Circulation assessment re - cap! When assessing the skin - what should you be looking at?
That one is basically self - explanatory. Do that after you apply the cuff!
The color - temperature - and condition.
Hyperextend extremity and palpate brachial artery.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing


28. After taking BSI precautions - consult with...
Medical command
Select the appropriate assessment (focused - or rapid assessment)
Assessing the posterior includes assessing the thorax - and the lumbar.
- Normal (warm) - Cool - Cold - Hot


29. Then What do you switch to?
Turn over CPR to another rescuer. Turn on the AED.
Switch to bag/valve mask.
- Rate - Rhythm (regular/irregular)
Select the appropriate assessment (focused - or rapid assessment)


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

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31. 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
Determine if the scene is safe.
You should determine the chief complaint/apparent life threats of the patient.
Direct rescuer to stop CPR and ensures all individuals to stand clear.
Yes - always explain to the patient that they will feel a stick from the needle.


32. Inflate the cuff rapidly to at least ??mm Hg above the point where the pulse is lost.
Direct assistant to assume ventilation and pre - oxygenate patient.
Ventilate the patient at a rate of 10-20 per minute.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.


33. 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?
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Remember to explain the procedure to the patient.
Determine the number of patients.
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


34. How should the patient be sitting?
Confirm that the patient is sitting as upright as possible.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
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 blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery


35. During your Epinephrine Auto - Injector Administration scenario; What is the First thing you should do?
Take BSI precautions.
Direct assistant to assume ventilation and pre - oxygenate patient.
Initiate analysis of the rhythm.
Normal - Moist - Diaphoretic


36. You've checked the neck - now move down to the chest.
Right patient - Right drug - Right dose - Right route - Right time.
Inspect the chest - palpate - auscultate.
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Document the procedure!


37. Time for Bleeding Control/Shock Management! First thing you do?
Turn over CPR to another rescuer. Turn on the AED.
Remember to position the patient properly.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Take BSI precaution!


38. Skin Temperature: (touch the patient)
Assess the patient's ability to use the nebulizer.
Yes - direct resumption of CPR.
- Normal (warm) - Cool - Cold - Hot
Take BSI precautions!


39. What do you do after you determine the mechanism of injury?
Select the appropriate assessment (focused - or rapid assessment)
Palpate with 2 fingers (index and middle) over radial 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
Determine the number of patients.


40. Assessment says that you will notice that the patient is now pale and diaphoretic with a rapid - weak pulse... say that out loud.
Direct resumption of CPR.
Remember to position the patient properly.
Assessing the posterior includes assessing the thorax - and the lumbar.
Yes. Consult with Medical Command.


41. What do you do after you determine if the scene is safe?
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
- Normal (warm) - Cool - Cold - Hot
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.
Determine the mechanism of injury.


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

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43. What do you direct your assistant to do?
Explain the procedure to the patient.
Initiate steps to prevent heat loss from the patient.
Direct assistant to assume ventilation and pre - oxygenate patient.
Initiate analysis of the rhythm.


44. After you're sure he/she isn't allergic to the medicine; check your 5 rights of drug administration.. which are.....
Scalp - ears - eyes - and the oral/nasal areas.
Ventilate the patient at a rate of 10-20 per minute.
Right patient - Right drug - Right dose - Right route - Right time.
Scalp - ears - eyes - and the oral/nasal areas.


45. Time for Airway Management assessment! What's the First thing you do?
Take or verbalize body substance isolation precautions.
Take BSI precautions!
Hold the auto - injector to the patient's thigh for 10 seconds.
Turn over CPR to another rescuer. Turn on the AED.


46. What do you do if the patient needs glucose administration? Do you go ahead and do it? or do you contact someone?
Confirm that the patient is sitting as upright as possible.
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Connect the one - way valve to mask.
Contact medical command if patient condition permits.


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

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48. You've checked the neck - now move down to the chest.
Inspect the chest - palpate - auscultate.
Dispose of the auto - injector in a sharps container.
Take or verbalize body substance isolation precautions.
Yes - direct resumption of CPR.


49. Now you have to assess the posterior.. this includes the ______ and the _______.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Right patient - Right drug - Right dose - Right route - Right time.
Determine if the scene is safe.
Assessing the posterior includes assessing the thorax - and the lumbar.


50. 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?
Briefly question the bystanders about arrest events.
Ventilate the patient at a rate of 10-20 per minute.
You should verbalize the re - assessment of the vital signs.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.