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. Place diaphragm of stethoscope over...
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Initiate analysis of the rhythm.
Brachial artery.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)


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

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3. Okay - you've obtained the baseline vital signs... Should you obtain SAMPLE history now?
Yes - direct resumption of CPR.
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
Yes - always explain to the patient that they will feel a stick from the needle.


4. First action performed after you arrive on scene..
Take or verbalize body substance isolation precautions.
Confirm the expiration date.
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.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.


5. Pulse! Palpate with How many fingers?
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Palpate with 2 fingers (index and middle) over radial artery.
Turn over CPR to another rescuer. Turn on the AED.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.


6. Integration! First thing you do;
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
The pulse returns.
You should obtain baseline vital signs of the patient.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)


7. You need to shock the patient again. The rescuer is STILL delivering CPR.. What do you do?
That one is basically self - explanatory. Do that after you apply the cuff!
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
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
Select the appropriate assessment (focused - or rapid assessment)


8. Time for Cardiac Arrest Management/Automatic External Defibrillator! First thing you do
(margin +/-4)
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Verbalizing the general impression of the patient.
Take BSI precautions!


9. What do you do if the patient needs glucose administration? Do you go ahead and do it? or do you contact someone?
Contact medical command if patient condition permits.
You should determine the chief complaint/apparent life threats of the patient.
Normal - Moist - Diaphoretic
First - observe the rise and fall of the chest/abdomen.


10. After you're sure he/she isn't allergic to the medicine; check your 5 rights of drug administration.. which are.....
Right patient - Right drug - Right dose - Right route - Right time.
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.
Take BSI precautions!
- Rate - Rhythm (regular/irregular)


11. Blood pressure (palpatation)

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12. The patient is still bleeding - so you..
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
You should obtain baseline vital signs of the patient.
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.


13. Apply a tourniquet.
Did that help? Document when you put the tourniquet on.
Hold the auto - injector to the patient's thigh for 10 seconds.
You should obtain baseline vital signs of the patient.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer


14. Now you have to assess the posterior.. this includes the ______ and the _______.
Confirm that the patient has NO allergies to the medication.
Assessing the posterior includes assessing the thorax - and the lumbar.
Verbalize the transportation of the patient.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin


15. Inflate the cuff rapidly to at least ??mm Hg above the point where the pulse is lost.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
For at least 30 seconds!
Confirm the expiration date.


16. When dealing with a patient who is having trouble - dealing with respiratory problems - What are the questions/key words you should remember?
Yes. Consult with Medical Command.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Take BSI precaution!
Take BSI precautions!


17. Okay - you've told the patient what you're going to do.. But are you sure they're not allergic to the medication?
Initiate steps to prevent heat loss from the patient.
Confirm that the patient has NO allergies to the medication.
Assess the following..
Confirm that the patient is sitting as upright as possible.


18. 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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19. Do CPR without unnecessary/prolonged interruption..
Assure high concentration of oxygen is delivered to 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
Initiate analysis of the rhythm.
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.


20. You deliver the shock - now what?
Direct assistant to assume ventilation and pre - oxygenate patient.
Right patient - Right drug - Right dose - Right route - Right time.
Indicate the need for immediate transportation.
Direct resumption of CPR.


21. You've successfully removed the cap - and you're ready to administer the medication to the patient... but where do you administer it?
Administer high concentration oxygen.
Take BSI precautions!
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
Expose the thigh area - (and say that you are doing so.)


22. Monitor the patient's condition and vital signs after you administer the medication - and...
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Open the airway manually.
Document the procedure!


23. During your Epinephrine Auto - Injector Administration scenario; What is the First thing you should do?
Take BSI precautions.
Switch to bag/valve mask.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)


24. What do you do after you determine if the scene is safe?
Determine the mechanism of injury.
The color - temperature - and condition.
Apply pressure dressing to the wound.
Yes - you should obtain SAMPLE history after taking baseline vital signs.


25. To assess circulation - (after you assess the airway/breathing of the patient) - What are the four actions needed to be taken?
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
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.
Take BSI precautions.


26. There are bystanders who seen what happened.. do you question them?
Hold the auto - injector to the patient's thigh for 10 seconds.
Briefly question the bystanders about arrest events.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
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.


27. Slowly deflate the cuff.. then..
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Report/record ausculated blood pressure.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Indicate the need for immediate transportation.


28. Focused History and Physical Examination/Rapid Trauma Assessment. The first thing you should do in this situation is...
Select the appropriate assessment (focused - or rapid assessment)
Scalp - ears - eyes - and the oral/nasal areas.
Direct assistant to assume ventilation and pre - oxygenate patient.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.


29. But wait.. are you sure that the patient isn't allergic to the medication?
Confirm that the patient has NO allergies to the medication.
Verbalize the transportation of the patient.
Brachial artery.
Determine the mechanism of injury.


30. You need to get the AED. What should you do?
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Assessing the posterior includes assessing the thorax - and the lumbar.
Turn over CPR to another rescuer. Turn on the AED.
Take BSI precautions!


31. Establish and maintain a proper mask to face seal.
Direct assistant to assume ventilation and pre - oxygenate patient.
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.'
Document the procedure!
After doing so - ventilate the patient at the proper volume and rate.


32. Time for Bleeding Control/Shock Management! First thing you do?
Take BSI precaution!
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Confirm the expiration date.
Check the level of consciousness - and the history.


33. The patient may start losing body heat.. What do you do?
Initiate steps to prevent heat loss from the patient.
You should verbalize the re - assessment of the vital signs.
Confirm that the patient has NO allergies to the medication.
Confirm the expiration date.


34. After BSI precautions - you need to perform a blood glucose check.. How do you set up/perform the check?
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
Expose the thigh area - (and say that you are doing so.)
Take BSI precautions!
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.


35. Transportation!
Verbalize the transportation of the patient.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
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.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.


36. Time for the Nebulized Medication Administration part of your skill assessment. Again - what's the First thing you do?
Did that help? Document when you put the tourniquet on.
Palpate with 2 fingers (index and middle) over radial artery.
Take BSI 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.


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

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38. 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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39. Blood pressure (auscultation)

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40. Skin Color: (observe the patient)
Request additional help.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Take BSI precaution!
You should obtain baseline vital signs of the patient.


41. 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.
Connect the one - way valve to mask.
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.


42. Circulation assessment re - cap! When assessing the skin - what should you be looking at?
The color - temperature - and condition.
You should verbalize the re - assessment of the vital signs.
Check the level of consciousness - and the history.
Determine if the scene is safe.


43. 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?
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Determine the mechanism of injury.
Assess the airway and breathing.
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


44. When assessing the head - What do you check?
Contact medical command if patient condition permits.
Scalp - ears - eyes - and the oral/nasal areas.
Count pulse for minimum of 30 seconds then multiply by 2.
Yes - you should obtain SAMPLE history after taking baseline vital signs.


45. You need to get the patient to the hospital - NOW. What do you do?
Indicate the need for immediate transportation.
Direct resumption of CPR.
Inspect the chest - palpate - auscultate.
Yes - always explain to the patient that they will feel a stick from the needle.


46. 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.)
Document the procedure!
Turn over CPR to another rescuer. Turn on the AED.
You should verbalize the re - assessment of the vital signs.


47. 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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48. 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
Yeah.. definitely don't forget to document everything.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Yes - you should obtain SAMPLE history after taking baseline vital signs.


49. After taking BSI precautions - consult with...
You should manage all of the patient's secondary injuries/wounds appropriately
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Monitor the patient's condition and vital signs after administration.
Medical command


50. Skin Moisture: (touch the patient)
Connect the one - way valve to mask.
Expose the thigh area - (and say that you are doing so.)
Take BSI precautions.
Normal - Moist - Diaphoretic