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. Alright - 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?
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Take BSI precautions!
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin


2. To assess circulation - (after you assess the airway/breathing of the patient) - What are the four actions needed to be taken?
The second action is determining the patient's responsiveness/level of consciousness
Initiate steps to prevent heat loss from the patient.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
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.


3. But wait.. are you sure that the patient isn't allergic to the medication?
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Administer high concentration oxygen.
Contact medical command if patient condition permits.
Confirm that the patient has NO allergies to the medication.


4. 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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5. After you determine the number of patients - what should you do - IF NECESSARY?
Verbalizing the general impression of the patient.
Hyperextend extremity and palpate brachial artery.
Apply direct pressure to the wound.
Request additional help.


6. Apply a tourniquet.
Brachial artery.
Did that help? Document when you put the tourniquet on.
Take BSI precautions!
Medical command


7. You've prepared the medication and nebulizer...now attach oxygen to the nebulizer.
- Normal (warm) - Cool - Cold - Hot
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Assess the following..


8. 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?
Confirm that the patient is sitting as upright as possible.
Normal - Moist - Diaphoretic
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Assessing the posterior includes assessing the thorax - and the lumbar.


9. Time for the Nebulized Medication Administration part of your skill assessment. Again - what's the First thing you do?
Take BSI 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
The pulse returns.
Yes - direct resumption of CPR.


10. Now you have to assess the posterior.. this includes the ______ and the _______.
Report/record ausculated blood pressure.
Assessing the posterior includes assessing the thorax - and the lumbar.
Confirm that the patient has NO allergies to the medication.
The pulse returns.


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

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12. Skin Temperature: (touch the patient)
Take BSI precautions!
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Right patient - Right drug - Right dose - Right route - Right time.
- Normal (warm) - Cool - Cold - Hot


13. During your Epinephrine Auto - Injector Administration scenario; What is the First thing you should do?
Take BSI precautions.
Assessing the posterior includes assessing the thorax - and the lumbar.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
- Normal (warm) - Cool - Cold - Hot


14. Baseline Vital Signs! What do you do first?
Take BSI precautions!
The pulse returns.
Take BSI precautions.
Yes. Consult with Medical Command.


15. Remember to check the '5 Rights' of drug administration.. What are they?
Hyperextend extremity and palpate brachial artery.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
- Normal (warm) - Cool - Cold - Hot
The color - temperature - and condition.


16. Integration! First thing you do;
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
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Monitor the patient's condition and vital signs after administration.
Select the appropriate assessment (focused - or rapid assessment)


17. You need to get the patient to the hospital - NOW. What do you do?
Palpate with 2 fingers (index and middle) over radial artery.
Initiate analysis of the rhythm.
Yes - always explain to the patient that they will feel a stick from the needle.
Indicate the need for immediate transportation.


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

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19. What do you do after you determine if the scene is safe?
Hold the auto - injector to the patient's thigh for 10 seconds.
Open the airway manually.
Assessing the posterior includes assessing the thorax - and the lumbar.
Determine the mechanism of injury.


20. 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?
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
(margin +/-4)
Assessing the posterior includes assessing the thorax - and the lumbar.
You should verbalize the re - assessment of the vital signs.


21. Respirations!
Determine the number of patients.
Hold the auto - injector to the patient's thigh for 10 seconds.
First - observe the rise and fall of the chest/abdomen.
The second action is determining the patient's responsiveness/level of consciousness


22. The patient is still bleeding - so you..
Apply pressure dressing to the wound.
Report/record ausculated blood pressure.
For at least 30 seconds!
Expose the thigh area - (and say that you are doing so.)


23. Ventilate patient!
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
You should verbalize the re - assessment of the vital signs.
Assure high concentration of oxygen is delivered to the patient.
For at least 30 seconds!


24. Count palpated pulse for a minimum of ___ seconds and multiply times 2.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
Expose the thigh area - (and say that you are doing so.)
Count pulse for minimum of 30 seconds then multiply by 2.


25. How should the patient be sitting?
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.
Confirm that the patient is sitting as upright as possible.
Confirm the expiration date.


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

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27. When assessing the head - What do you check?
Count pulse for minimum of 30 seconds then multiply by 2.
Connect the one - way valve to mask.
Scalp - ears - eyes - and the oral/nasal areas.
Report/record ausculated blood pressure.


28. After consulting Medical Command - are you going to perform the procedure without explaining anything to the patient?
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Indicate the need for immediate transportation.
Briefly question the bystanders about arrest events.
Explain the procedure to the patient.


29. 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
You should obtain baseline vital signs of the patient.
Brachial artery.
Direct resumption of CPR.


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?
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Open the airway manually.
Take or verbalize body substance isolation precautions.
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery


31. When assessing the head - What do you check?
Verbalizing the general impression of the patient.
Scalp - ears - eyes - and the oral/nasal areas.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Explain the procedure to the patient.


32. After checking the chest - where do you move?
Count pulse for minimum of 30 seconds then multiply by 2.
Medical command
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Brachial artery.


33. Time for Airway Management assessment! What's the First thing you do?
Scalp - ears - eyes - and the oral/nasal areas.
Briefly question the bystanders about arrest events.
Confirm that the patient is sitting as upright as possible.
Take BSI precautions!


34. After taking care of the chief complaint of the patient during the initial assessment - you should...
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Apply direct pressure to the wound.
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Assess the airway and breathing.


35. 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.
- Rate - Rhythm (regular/irregular)
Take BSI precautions!
You should determine the chief complaint/apparent life threats of the patient.


36. Okay - now you have to assess the posterior.. this includes the ______ and the _______.
Take BSI precaution!
After doing so - ventilate the patient at the proper volume and rate.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Assessing the posterior includes assessing the thorax - and the lumbar.


37. Okay - you've obtained the baseline vital signs... Should you obtain SAMPLE history now?
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Determine the number of patients.
Administer high concentration oxygen.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.


38. Report/record pulse findings.
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.
Determine the number of patients.
(margin +/-4)
Take BSI precautions.


39. 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?
The color - temperature - and condition.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Count pulse for minimum of 30 seconds then multiply by 2.
Assure high concentration of oxygen is delivered to the patient.


40. There are bystanders who seen what happened.. do you question them?
Turn over CPR to another rescuer. Turn on the AED.
Contact medical command if patient condition permits.
Dispose of the auto - injector in a sharps container.
Briefly question the bystanders about arrest events.


41. 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?
Medical command
Remember to explain the procedure to the patient.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
(margin +/-4)


42. What do you do after that?
Verbalize the transportation of the patient.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
You should manage all of the patient's secondary injuries/wounds appropriately
Connect the mask to high concentration or oxygen.


43. Time for Cardiac Arrest Management/Automatic External Defibrillator! First thing you do
Take BSI precautions!
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
Assess the airway and breathing.
Administer high concentration oxygen.


44. When dealing with a patient who has had an allergic reaction - What are the questions/key things you need to know in order to assess the patient?
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Confirm the expiration date.
Take BSI precaution!
Assessing the posterior includes assessing the thorax - and the lumbar.


45. How do you prepare the medication and nebulizer?
Apply direct pressure to the wound.
Initiate analysis of the rhythm.
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 or verbalize body substance isolation precautions.


46. Assess the following
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
- Rate - Rhythm (regular/irregular)
Assess the following..
Switch to bag/valve mask.


47. You deliver the shock.. should the rescuer go back to giving the patient CPR?
Yes - direct resumption of CPR.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Assess the following..
Initiate steps to prevent heat loss from the patient.


48. Slowly deflate the cuff - and report/record palpable systolic blood pressure when..
- Normal (warm) - Cool - Cold - Hot
Monitor the patient's condition and vital signs after administration.
Administer high concentration oxygen.
The pulse returns.


49. Should you just lay something over the wound after BSI precaution - or should you apply direct pressure?
Assess the following..
Apply direct pressure to the wound.
Explain the procedure to the patient.
Document the procedure!


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

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