2013 Emtc Competency

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1. Your patient had a chest tube inserted for a hemathorax. When doing your bedside handoff, you notice the patient has become short of breath and his SPO2 is decreasing. This could mean that:
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2013 Emtc Competency - Quiz

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2. Which of the following interventions/assessments are indicated for stroke patients receiving alteplase?
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3. Your ischemic stroke patient consents to receive alteplase. The patient's weight is 84.1 kg. The calculation for dosage is 0.9 mg/ kg. (round to the nearest tenth) What is the total dose of alteplase to be given? (round to the nearest tenth)

Explanation

84.1 x 0.9= 75.7

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4. Your ischemic stroke patient consents to receive alteplase. The patient's weight is 84.1 kg. The calculation for dosage is 0.9 mg/ kg. (round to the nearest tenth) The bolus dose of Alteplase for this patient is? (Round to the nearest hundredth)

Explanation

75.7 (total dose) x 0.1= 7.57

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5. Your ischemic stroke patient consents to receive alteplase. The patient's weight is 84.1kg. The calculation for dosage is 0.9 mg/ kg. (round to the nearest tenth) The infusion (over 1 hour) dose is? (round to the nearest tenth)

Explanation

75.7 (total dose) x 0.9= 68.1

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6. I must report that my patient is suicidal to the staff physician in my area and document this in the patient record.
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7. I am told my patient admits to being a victim of domestic violence, I should contact
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8. If I have a blood specimen going to blood bank, I should ask another staff member to come to the patient's bedside. Use two patient identifiers, apply label and have both staff members sign the label
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9. It is very important to prevent shivering/microshivering in induced hypothermia patients. Which drugs prevent this from occurring?
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11. You are ready to initiate induced hypothermia on a post cardiac arrest patient. Which intervention(s) will get the patient to the target temperature the fastest:
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13. You are giving bedside report on a patient with an EVD. Part of the safe handoff inludes both nurses checking that:
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14. Management of acute brain injury is aimed at decreasing secondary brain injury. Which is not an appropriate intervention for a patient with an acute brain injury?
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15. The Alaris pump tubing holds approximately 18-20 mL's of Fluid. This means that there will be 18-20mg of alteplase in the tubing at the end of the infusion time. To complete the infusion you must hang a small bag of Normal Saline and infuse at:
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16. I know that all specimens should be labeled using two patient identifiers.  This means specimens may be labeled at the nursing station verifying the correct patient with the computer charting system and the labels printed for the indicated labs.

Explanation

ALL specimens should be labeled at the bedside using two patient identifiers

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17. When transporting a patient with an EVD, the stopcock should be:
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19. Calculate the Cerebral Perfusion Pressure (CPP) based on the following data; Heart Rate 75bpm, Blood Pressure 120/80, MAP 93, Respiratory Rate 22, ICP 13, CVP 12 

Explanation

MAP-ICP=CPP

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20. Another name for Domestic Violence is Intimate Partner Violence, or IPV.  These can both be used interchangeably.
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22. The anatomical zero reference point for the external ventricular drain is at the location of the Foramen of Monro. This is approximated by leveling the reference point on the drain to the level of the:
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23. Please select all that apply. As I discharge patients, I know that I am to:
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25. You are preparing to administer alteplase to a patient with an ischemic stroke. Which of the following actions is correct?
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26. I have watched the EMTC Stroke Education Video on eLMS in 2013. I will print my transcript and show my designated evaluator when completing the EMTC Stroke Module.
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27. When my patient is a fall risk, I know the following interventions may be implemented:
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29. You are assisting the physician with the placement of an arterial line. When zeroing the transducer, the zero reference point is halfway between the anterior and posterior chest at the 4th intercostal space, when the patient is in supine position. This is called the phlebostatic axis. This approximates the level of the:
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31. A 68 year old female presents to the ED after slipping on the ice and falling. She tells you, "I put my arm out to break my fall." She did not hit her head or have any dizziness prior to the fall. She has an obvious deformity to her right wrist. Neurovascular status is intact. She has a PMH of arthritis and diabetes. Vital Signs are within normal limits. She rates her pain as 6/10. What is her ESI acuity level?
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33. What medication is contraindicated in a Right-Sided Myocardial Infarction?

Explanation

Because the injured right ventricle needs adequate filling pressure, and because nitroglycerin vasodilatation can decrease the filling pressure, giving these patients nitroglycerin can cause profound hypotension.

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34. A 31-year-old male presents to triage after sustaining a finger laceration. He tells you, "I cut my finger trying to slice a bagel". He has a 2 cm cut to his left first finger. Bleeding is controlled. Neurovascular status is intact. Vital signs are within normal limits. His last tetanus was 10 years ago. His ESI level is:
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35. When my patient screens positive for suicide, I must make them an ESI Acuity Level I.

Explanation

The patient would be an ESI Acuity level 2

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38. "I called the pediatrician and she told me to bring my baby in because of his fever", reports the mother of a two-week-old. Vital signs are: Temp 101 degrees Farenheit, HR 154, RR 42, SPO2 98%. The mother reports an uncomplicated delivery. The ESI level is:
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39. I know a specimen going to blood bank must be:
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40. A 76-year-old male is brought to the ED because of severe abdominal pain. He tells you, "it feels like someone is ripping me apart." The pain began 45 minutes ago and he rates the intensity as 10/10. He has a PMH of hypertension, for which he takes a duretic and a beta blocker. his skin is cool and diaphoretic. Vital Signs are: B/P 88/68, HR 88, RR 24, SPO2 94%. His ESI level is:
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41. The mother of a 2-year-old tells you, "I think he has another ear infection. He is pulling at his right ear." The child has a temp of 100.2 degrees Farenheit. Other vital signs are within normal limits for the child's age. He has a history of frequent ear infections. He is alert and grabbing at your stethoscope. Mother denies other symptoms. He is eating and drinking normally. His ESI level is:
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42. I know that if my patient falls and is injured I must do the following:

Explanation

ALWAYS complete a Fall Huddle Form, and please don't call Mary Ross!

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43. Please Match the AIDET letter with each corresponding action or dialogue.
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Your patient had a chest tube inserted for a hemathorax. When doing...
Which of the following interventions/assessments are indicated for...
Your ischemic stroke patient consents to receive alteplase. The...
Your ischemic stroke patient consents to receive alteplase. The...
Your ischemic stroke patient consents to receive alteplase. The...
I must report that my patient is suicidal to the staff physician in my...
I am told my patient admits to being a victim of domestic violence, I...
If I have a blood specimen going to blood bank, I should ask another...
It is very important to prevent shivering/microshivering in induced...
No image
You are ready to initiate induced hypothermia on a post cardiac arrest...
No image
You are giving bedside report on a patient with an EVD. Part of the...
Management of acute brain injury is aimed at decreasing secondary...
The Alaris pump tubing holds approximately 18-20 mL's of Fluid....
I know that all specimens should be labeled using two patient...
When transporting a patient with an EVD, the stopcock should be:
No image
Calculate the Cerebral Perfusion Pressure (CPP) based on the following...
Another name for Domestic Violence is Intimate Partner Violence, or...
No image
The anatomical zero reference point for the external ventricular drain...
Please select all that apply. ...
No image
You are preparing to administer alteplase to a patient with an...
I have watched the EMTC Stroke Education Video on eLMS in 2013. I will...
When my patient is a fall risk, I know the following interventions may...
No image
You are assisting the physician with the placement of an arterial...
No image
A 68 year old female presents to the ED after slipping on the ice and...
No image
What medication is contraindicated in a Right-Sided Myocardial...
A 31-year-old male presents to triage after sustaining a finger...
When my patient screens positive for suicide, I must make them an ESI...
No image
No image
"I called the pediatrician and she told me to bring my baby in...
I know a specimen going to blood bank must be:
A 76-year-old male is brought to the ED because of severe abdominal...
The mother of a 2-year-old tells you, "I think he has another ear...
I know that if my patient falls and is injured I must do the...
Please Match the AIDET letter with each corresponding action or...
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