Which of the following must be true when you ASSIST a pt with their medication?

The patient must be responsive.

In which of the following situations would you move the pt before providing emergency care?

Pt is sitting in their car in a mall parking lot with no pulse or breathing

When measuring blood pressure what does the second number (diastolic) represent?

Pressure in the arteries when the heart is at rest

When should you remove the frost-bitten foot from the warm water in which you have immersed it?

When the foot begins to turn red and feel warm

Which pt should be secured to an appropriate immobilization device before transport?

A 45 year old woman with a pelvic fracture from a fall of 3 meters.

What should you remember when driving to an emergency scene?

Don’t drive a private vehicle as though it were an emergency vehicle

What happens when a pt suffering from progressive heat-related illness stops sweating?

The pt body temperature begins to rise rapidly.

When should you change an IV bag?

When the bag is empty or has less than approximately 50ml remaining inside

Pt has fallen 2 stories from apartment balcony to the ground. What is your first responsibility? Scene is safe.

Minimize movement of the head and spine

In START what would you do if a pt is not breathing after you have made sure the airway is open & cleared the mouth?

Place a black colour-coded tag on the wrist

Which of the following precautions should you NOT take when proceeding through a controlled intersection?

Proceed slowly without stopping

How can you care for a frost bitten foot?

One thawed, separate the toes with dry sterile non-adherent dressings.

When should you assess and treat a pt for potential shock?

You should always suspect shock and treat accordingly

In addition to checking the Six Rights of Medication. What should you do when administering medication to a pt?

Check the medications expiry date, Check the medications colour and clarity (no particles)

What affect does a nerve agent such as Sarin have on the body?

Loss of cardiac/respiratory function due to changes of the nervous system

In the START system what should the emergency care be limited to during the triage process?

Opening the airway and controlling external hemorrhaging

What is the normal breathing rate for a child?

16 to 24 respirations per minute

You are assisting a pt whose behaviour suggests a psych condition & you are unsure of their previous history. You would?

Look beyond the obvious for any potential causes of the behaviour

What should the responder be aware of when extricating a pt from a vehicle?

Airbag has deployed & could still redeploy during extrication

What are the 4C’s + E for administering medication?

Colour, clarity, concentration, contraindications, expiry date

What is the trade name of a drug?

A copyrighted name designated by the drug company

What effect does a blister agent such as mustard gas have on the body?

Causes blisters on affected skin and mucous membranes

Which of the following is a sign of a progressing head injury?

Decreasing level of responsiveness

What are the Six Rights of Medication Administration?

Right person, medication, dosage, time, route, & documentation.

What is the most telling sign or symptom of a heart attack?

Persistent chest pain or discomfort

In which of the following cases would you suggest a patient take ASA?

BP 124/P pulse 70: no known allergies, history of unstable angina

What is the purpose of the secondary assessment?

To find injuries or conditions that are not immediately life threatening

What does CBRNE stand for?

Chemical, biological, radiological, nuclear, explosive

What are the major mechanisms used by the body to remove heat from the core?

Dilation of blood vessels near the skin and evaporation of sweat

Which of the following statements regarding crisis intervention is NOT correct?

The role of the responder is to be a therapist

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Questions 91

Answers

1
Which of the following must be true when you ASSIST a pt with their medication?
The patient must be an adult
The patient must be responsive.
The patient must be someone you know.
The patient must be able to speak
2
In which of the following situations would you move the pt before providing emergency care?
Pt has collapsed unconscious in a doorway & is blocking the doorway.
Pt is sitting in a vehicle on the shoulder of a highway c/o chest pain.
Pt is lying unconscious on a sidewalk & with a crowd of bystanders.
Pt is sitting in their car in a mall parking lot with no pulse or breathing
3
You are responding to the scene of a potential sexual assault. Which of the following guidelines should you follow?
Treat the area as a crime scene
All of the above
Have the pt interact with a responder of the same gender if possible
Remove articles of clothing only if absolutely necessary to provide care
4
Which of the following is the pulse point you would most commonly use to determine the pulse?(Fully responsive adult)
Popliteal artery
Carotid artery
Radial artery
Temporal artery
5
When measuring blood pressure what does the second number (diastolic) represent?
Pressure in the arteries when the heart is at rest
Pressure in the veins as the heart contracts
Pressure in the veins when the heart is at rest
Pressure in the arteries as the heart contracts
6
When should you remove the frost-bitten foot from the warm water in which you have immersed it?
When the foot begins to turn red and feel warm
When the toes begin to tingle and a pulse can be felt in the foot.
When feeling returns to the foot
When the foot becomes painful and begins to swell
7
When should you obtain more advanced medical care for a pt in shock?
Always
Never
Only in cases of sever bleeding that cannot be controlled
Only if there are head and spinal injuries
8
A traction splint would be appropriate for use on which fractured bone?
Scapula
Ulna
Humerus
Femur
9
Which pt should be secured to an appropriate immobilization device before transport?
A 27 year old male with small open abdominal wound from a sharp tree branch
A 72 year old male with chest pain, sitting down.
A 13 year old female with a broken wrist from a friend falling on her.
A 45 year old woman with a pelvic fracture from a fall of 3 meters.
10
Obstructive Shock occurs when something physically prevents the heart from filling or emptying effectively?
True
False
11
What is a severe mental condition characterized by a loss of touch with reality?
Borderline personality disorder
Suicidal tendency
Psychosis
Anxiety
12
What should you remember when driving to an emergency scene?
Emergency vehicles have an absolute right of way
Using warning lights & siren gives you permission to exceed the speed limit
Liability for damages in a traffic crash is limited by Good Samaritan laws
Don’t drive a private vehicle as though it were an emergency vehicle
13
What happens when a pt suffering from progressive heat-related illness stops sweating?
Blood flow to the skin decreases and pt’s skin begins to turn pale.
The pt body temperature begins to rise rapidly.
The pt begins to have painful spasms of the skeletal muscles
The pt begins to experience hallucinations
14
When should you change an IV bag?
When the IV is flowing more slowly than it should
When you are about to arrive at your transport destination
When the bag is empty or has less than approximately 50ml remaining inside
When the bag has less than 50% of solution remaining
15
Which of the following may indicate a head and/or spinal injury?
Loss of balance.
Tingling in the extremities.
All of the above
Partial or complete loss of movement of any body part.
16
What do raccoon eyes and Battle’s sign indicate?
Shock
Head injuries
A broken nose
Eye injuries
17
What must you do when deploying a piece of commercial equipment?
Follow the manufacturers guidelines.
All of the above
Use it for its intended purpose
Have proficient in using the equipment
18
Pt has fallen 2 stories from apartment balcony to the ground. What is your first responsibility? Scene is safe.
Control the bleeding from his forehead
Perform head-tilt/chin-lift
Minimize movement of the head and spine
Monitor vital signs
19
Where are intramuscular injections administered?
Into the patients nostril in mist form
Directly into a vein
Into the layer of fat between the pts muscle and skin
Directly into a large muscle
20
Condition which involves the loss of the hearts ability to pump, causing a backup of fluid & blood in the lungs/body?
Acute myocardial infarction
Congestive Heart Failure (CHF)
Acute pulmonary edema
Angina or Tori’s
21
In START what would you do if a pt is not breathing after you have made sure the airway is open & cleared the mouth?
Start rescue breathing
Place a black colour-coded tag on the wrist
Place a red colour coded tag on the wrist
Check for signs of circulation
22
Which of the following precautions should you NOT take when proceeding through a controlled intersection?
Use air horn
Come to a complete stop
Change mode of siren
Proceed slowly without stopping
23
How can you care for a frost bitten foot?
Wrap the foot snugly in moist, warm dressing.
Break any blisters that appear and cleanse the foot with soap and water.
One thawed, separate the toes with dry sterile non-adherent dressings.
Rub the foot aggressively to restore circulation
24
What must you immobilize to effectively treat a suspected fracture in the middle third of the humerus?
Humerus, elbow and radius/ulna
Shoulder, humerus and elbow
Shoulder, humerus, elbow and radius/ulna
humerus and elbow
25
Which of the following is a sign of heat exhaustion?
Dizziness and weakness
All of the above
Headache and nausea
Warm, moist skin
26
Where would you apply a splint to effectively immobilize a mid-third fracture of the Tibia/Fibula?
Foot, ankle, lower leg and femur
Ankle, lower leg and knee
Ankle and lower leg
Lower leg and knee
27
When should you assess and treat a pt for potential shock?
Only if there are head and spinal injuries
You should always suspect shock and treat accordingly
Only in cases of anaphylactic shock
Only in cases of non-sever bleeding that can be controlled.
28
In addition to checking the Six Rights of Medication. What should you do when administering medication to a pt?
Document the amount of medication remaining in the medication package.
Check the medications expiry date
None of these.
Check the medications colour and clarity (no particles)
29
What is the term for pupils that are smaller than normal?
Unresponsive
Unequal
Constricted
Pupils Unequal and reactive to light (PURL)
30
Which of the following is NOT a sign of heat exhaustion?
Headache and nausea
Hot, dry, red skin
Dizziness and weakness
Warm, moist skin
31
What affect does a nerve agent such as Sarin have on the body?
Causes blisters on affected skin and mucous membranes
Causes pulmonary edema which can lead to asphyxiation
Loss of cardiac/respiratory function due to changes of the nervous system
Causes asphyxiation by interfering with the body’s use of oxygen.
32
Which of the following should you keep in mind when lifting or moving someone or something?
Keep the weight as close to you as possible
Use your legs, not your back
All of the above
Keep you body aligned
33
In the START system what should the emergency care be limited to during the triage process?
Controlling bleeding and delivering CPR
Opening the airway and controlling external hemorrhaging
Maintaining body temperature and delivering oxygen
Clearing the airway and immobilizing the possible head and spinal injuries
34
What is the normal breathing rate for a child?
12 to 20 respirations per minute
5 to 10 respirations per minute
30 to 40 respirations per minute’
16 to 24 respirations per minute
35
Where should you position your emergency vehicle to maximize your safety at a hazardous materials scene?
No more than 100 meters (328 feet) from the scene?
Upwind from the scene
Downwind from the scene
No more than 50 meters (164 feet) from the scene
36
You are assisting a pt whose behaviour suggests a psych condition & you are unsure of their previous history. You would?
Look beyond the obvious for any potential causes of the behaviour
Assume an authoritative position to maintain order at the scene.
Search for additional health history from as many bystanders as possible
Diagnose the disorder and provide counselling.
37
What should the responder be aware of when extricating a pt from a vehicle?
Airbags can’t deploy if vehicle is turned off & the battery is disconnected
Number and locations of airbags is standardized
Airbag has deployed & could still redeploy during extrication
There is little risk to the responder in an airbag deployment zone
38
What are the 4C’s + E for administering medication?
Colour, clarity, condition, concentration, expiry date
Colour, clarity, concentration, contraindications, expiry date
Colour, clarity, crepitus, contraindications, expiry date
Colour, clarity, concentration, condescension, expiry date
39
What is the trade name of a drug?
A copyrighted name designated by the drug company
The scientific name for the drugs atomic number
The drugs generic name followed by the initials “USP” or “NF”
An abbreviated form of the chemical name of a drug
40
Which of the following lifts, carriers or drags CANNOT be done safely with one responder?
Blanket drag
Walking assist
Extremity lift
Clothes drag
41
What effect does a blister agent such as mustard gas have on the body?
Causes blisters on affected skin and mucous membranes
Causes pulmonary edema which can lead to asphyxiation
Causes asphyxiation by interfering with the body’s use of oxygen
Loss of cardiac/respiratory function due to changes to the nervous system.
42
Using the START system, how would you classify a pt who has a broken leg, is responsive and breathing normally?
Walking wounded (GREEN)
Immediate care (RED)
Delayed care (YELLOW)
Non-salvageable (BLACK)
43
Which of the following is a sign of a progressing head injury?
Severe pain or pressure in the head
Decreasing level of responsiveness
Blood or fluid in the ears
Dizziness
44
What are the Six Rights of Medication Administration?
Right person, condition, dosage, date, route & documentation
Right person, medication, dosage, time, route, & documentation.
Right person, medication, dosage, date, route & concentration
Right person, concentration, dosage, date, route & concentration.
45
Appropriate technique for single responder to move a responsive pt with painful knee injury out of a home?
Seat carry
Pack-strap carry
Clothes drag
Walking assist
46
What is the most telling sign or symptom of a heart attack?
Persistent chest pain or discomfort
Difficulty breathing
Profuse sweating
Pale skin
47
In which of the following cases would you suggest a patient take ASA?
BP 124/P pulse 70: no known allergies, history of unstable angina
BP 120/P pulse 50, no meds taken in the last 3 days + recent stroke
BP 84/P pulse 110, 1 spray of nitro taken in past 48 hrs pt alert to pain.
BP 130/P pulse 70, no illnesses other than angina, allergy to Aspirin.
48
What is the purpose of the secondary assessment?
To survey the scene for hazardous conditions
To determine whether the patient is hemorrhaging
To find injuries or conditions that are not immediately life threatening
To quickly identify and life threatening conditions
49
What does CBRNE stand for?
Containment, biological, reactive, nuclear, explosive
Chemical, biological, reactive, nuclear, explosive
Chemical, botanical, reactive, nuclear, explosive
Chemical, biological, radiological, nuclear, explosive
50
What are the major mechanisms used by the body to remove heat from the core?
Dilation of blood vessels near the skin and evaporation of sweat
Constriction of blood vessels near the skin and shivering
Reduction of body metabolism rate and increased breathing rate
Increased metabolism of fat and reduced metabolism of carbohydrates
51
Which of the following statements regarding crisis intervention is NOT correct?
The role of the responder is to be a therapist
As a responder you will frequently encounter people in crisis.
Many different situations can result in a psychological crisis for a person
Empathy, professionalism, creativity can help lessen the impact of a crisis
52
What conditions are necessary to maintain perfusion?
Heart functions effectively
Adequate quantity of blood
Blood vessels intact and can control flow
All of these
53
Which of the following emergency vehicle maintenance tasks should be done at the beginning of a shift?
Clean the interior and exterior of the vehicle
Refuel the vehicle if required
Complete all documentation
Perform a thorough vehicle safety check
54
In which situation should you consider possibility of a serious head and/or spinal injury?
An infant who fell from a height of one metre (three feet)
All the above.
A construction worker whose helmet was cracked when struck
A responsive patient in a MVC who was not wearing a seatbelt.
55
Which of the following is NOT a general guideline when moving a pt?
Walk carefully using short steps.
Before moving, scan the extrication pathway to identify potential hazards.
Always take the shortest, most direct route, regardless of hazards.
Walk forward (rather than backward) with the patient whenever possible.
56
In what order should a patients body be secured to a backboard for extrication?
Legs, pelvis, chest, head
Head, chest, thighs, legs
Chest, pelvis, legs, head
Pelvis, legs, chest, head
57
The first two stages of Shock are compensated shock and decompensated shock. What is the third stage?
Permanent Shock
Fatal Shock
Irreversible Shock
Progressing Shock
58
A sudden condition which kills the heart muscle tissue due to lack of O2 rich blood?
Angina
Myocardial infarction
Ventricular fibrillation
Congestive Heart Failure (CHF)
59
Septic Shock is a form of Relative Hypovolemic Shock?
True
False
60
In which of the follow situations would a fore-and-aft lift be an appropriate move to use?
The pt is unresponsive
The pt is significantly heavier than the responder
The pt is significantly taller than the responder
The pt has suspected hip injuries
61
Which of the follow MOI (mechanism of injury) indicate a head and/or spinal injury?
Any penetrating injury to the head, neck, or trunk.
Any fall from a height greater than approximately one metre (three feet)
Any motor vehicle collision
All of the above.
62
How should you immobilize a suspected fracture or dislocation of the elbow?
The elbow straight & rigid splint spanning the elbow and secured to torso.
Any strategy that maintains the position in which the elbow was found
The elbow lightly flexed & rigid splint spanning & secured to the elbow
With the forearm supported in a sling and the upper arm secured to the body
63
At a multiple casualty incident (MCI) what is the safety officer responsible for?
Supervising assessment, triage, and transportation of patients.
Setting up treatment area and supervising treatment.
Releasing and distributing resources as needed
Scene safety by identifying potential hazards and taking actions to prevent
64
How are sublingual medications administered?
They are delivered under the tongue and rapidly absorbed into the blood
They are swallowed and absorbed through the digestive system
Placed between the cheek and gum and absorbed across the mucous membranes
Injected into the layer of fat between the pts muscle and skin
65
Which of the following is NOT the general guidelines when using a stretcher?
Ensure that the appropriate securing devices are in place & are always used
Load the pt headfirst into the transportation vehicle
When going uphill or upstairs move the patient feet-first.
Consider the terrain & the pt’s on-site on before moving the stretcher.
66
Which of the following factors is NOT a consideration when thinking about moving a pt quickly and safely?
The medical training of others who can assist you
The size of the pt
The condition of the pt
The terrain of the route of travel
67
What is the term for a mental disorder in which fear and apprehension are the primary emotions?
Bargaining
Anxiety
Denial/disbelief
Anger
68
If you are caring for a child and suspect that they have been the victim of an assault, what must you do?
Report your suspicions to the police & you provincial child protection.
Remove the child from the environment of the suspected assault.
Attempt to reconcile the child version of events with that of the parent
Attempt to gather evidence by interviewing the child’s parent or guardian.
69
Which of the following steps is NOT part of emergency care for a responsive pt with a heat-related illness?
Lightly stretching and massaging any muscle cramps
Providing small amounts of water or a commercial sports drink
Having the pt take salt tablets orally.
Cooling the pt
70
When in the Triage process used?
When the incident is large enough for the media to report on
When you have a pt with multiple injuries
Any time the pts outnumber the responders
When there is more than one pt at the scene
71
In an incident command system (ICS) who accepts responsibility for managing and directing the response to an MCI?
Logistics Officer
Planning officer
Incident commander
Operations commander
72
What is the generic name of a drug?
The name followed by the initials “USP” or “NF”
A copyrighted name designated by the drug company
The scientific name for the drugs atomic or molecular composition
The chemical name of the drug in full or in abbreviated version.
73
At a multiple casualty incident (MCI) what is the triage officer responsible for?
Setting up a treatment area and supervising treatment
Scene safety by identifying hazards and taking actions to prevent them
Releasing and distributing resources as needed
Supervising assessment, triage, and transportation of pts
74
Which of the following statements about mental health crises is correct?
Additional resources are rarely required.
Mental health crisis rarely cause physical signs and symptoms.
Are those of mood, thought, or behaviour that are dangerous to the pt.
Responders need to diagnose the psychiatric condition before providing care
75
What is the purpose of the primary assessment?
To determine the number of patients.
To expose and treat all injuries
To find all life threatening injuries or conditions
To ensure there are no dangers at the scene
76
Which of the following are included in the general care for musculoskeletal injuries?
Rest and immobilize
Gentle exercise and heat
Bandaging and elevation
Rest and heat
77
What should you check while assessing a pt who has had a suspected cerebrovascular accident(CVA)?
Facial droop, arm weakness and speech abnormalities.
Anxiety level and blood pressure
Reaction time and speech patterns
Mechanism of injury & onset time of signs and symptoms
78
How are subcutaneous injections administered?
Injected into the layer of fat between the pts. muscle and skin.
Placed between the cheek and gums and absorbed across mucous membranes
They are delivered under the tongue and rapidly absorbed into the blood
They are swallowed and absorbed through the digestive system
79
Which of the following definitions best describes Shock?
A psychological or physical state resulting from trauma
A condition where body cells do not receive enough oxygen rich blood.
A condition where a pt feels faint and disoriented
External bleeding, rapid weak pulse, decreased level of responsiveness
80
Which of the following complications should you watch for while monitoring an IV?
All of these
Catheter embolism
Circulatory overload
Air embolism
81
Which of the following is the most common cause of cardiac arrest in adults?
Drug overdose/poisoning
Electrocution
Cardiovascular disease
Deworming/suffocation
82
Hemorrhagic Shock is TRUE Hypovolemic Shock?
False
True
83
When measuring blood pressure. What does the first number (systolic pressure) represent?
Pressure in the arteries when the heart is at rest
Pressure in the veins when the heart is at rest
Pressure in the arteries as the heart contracts.
Pressure in the veins as the heart contracts
84
A pt is bleeding from an open fracture on her forearm. What should be used initially to control bleeding?
A bulky dressing around the protruding bones
A tourniquet
Direct pressure
Pressure points
85
Which of the following methods will give you both a diastolic and systolic blood pressure reading?
Oscillation
All of the above
Palpating
Auscultation
86
Which of the following is a risk factor for heart disease that cannot be controlled?
Smoking
Diet high in saturated fats
Heredity
High blood pressure
87
Which of the following is NOT a probable cause of a cerebrovascular accident (CVA)?
Head injury
Blood clot in an artery supplying the brain
Bleeding from a ruptured artery in the brain
Hypotension
88
In which order should the components of the secondary assessment be completed
Head-to-toe physical examination, vital signs, interview.
Interview, vital signs, head-to-toe physical examination
Vital signs, interview, head-to-toe physical examination
Head-to-toe physical examination, interview, vital signs
89
Which of the following is NOT considered to be a soft sign of a myocardial infarction?
Gastric discomfort
Tiredness
Flu-like symptoms
Pain radiating to the jaw and arm
90
While responding to a call when is it appropriate to drive without wearing a seat belt?
You should always wear a seat belt while riding in a motor vehicle
When you are driving on private property
When you are travelling to an emergency
If you will need to exit the vehicle rapidly
91
Cardiogenic Shock is the result of a problem with the delivery of blood to the body?
True
False

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