2013 EMTc EMT And PCI Competency

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Quizzes Created: 3 | Total Attempts: 1,692
Questions: 15 | Attempts: 153

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Please answer the following questions.
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Questions and Answers
  • 1. 

    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?

    • A.

      Maintaining neutral body alignment

    • B.

      Maintaining normathermia

    • C.

      Increasing environmental stimuli

    • D.

      Elevating the head of the bed 30 degrees, unless contraindicated

    Correct Answer
    C. Increasing environmental stimuli
    Explanation
    Increasing environmental stimuli is not an appropriate intervention for a patient with an acute brain injury. This is because a brain injury can cause increased sensitivity to stimuli, and excessive environmental stimuli can overwhelm the patient and worsen their condition. Therefore, it is important to provide a calm and quiet environment to reduce stimulation and allow the brain to heal.

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  • 2. 

    When cleaning a wound at least 250mL of Normal Saline should be used.

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    When cleaning a wound, it is important to use a sufficient amount of normal saline to ensure proper cleansing and irrigation. Using at least 250mL of normal saline helps to remove debris, bacteria, and other contaminants from the wound, promoting healing and reducing the risk of infection. This volume allows for thorough cleaning and ensures that an adequate amount of saline reaches all areas of the wound. Using less than 250mL may not provide enough fluid to effectively clean the wound, potentially leading to complications. Therefore, the statement that at least 250mL of normal saline should be used when cleaning a wound is true.

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  • 3. 

    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%. It would be most appropriate to call him a:

    • A.

      Cardiac One

    • B.

      Trauma 2

    • C.

      Here Now, Vascular One

    • D.

      Medical Alert

    Correct Answer
    D. Medical Alert
    Explanation
    Based on the given information, the 76-year-old male is experiencing severe abdominal pain with a high intensity rating of 10/10. He has a history of hypertension and is currently taking medication for it. His vital signs show low blood pressure (88/68) and a slightly elevated heart rate (88 bpm). These findings, along with the patient's diaphoretic and cool skin, suggest that he may be experiencing a medical emergency, possibly related to his cardiovascular system. Therefore, it would be most appropriate to call him a "Medical Alert" to ensure prompt medical attention and evaluation.

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  • 4. 

    Please select all that apply. When I am helpin the nurse discharge a patient, I know that I am to:

    • A.

      Remove PIV's

    • B.

      Take Vital Signs, if not taken within the last 60 minutes

    • C.

      Escort them to the waiting room, if necessary

    • D.

      Answer all of the patient's questions

    • E.

      Document Vital Signs in Cerner

    • F.

      Assist in getting patient dressed

    Correct Answer(s)
    A. Remove PIV's
    B. Take Vital Signs, if not taken within the last 60 minutes
    C. Escort them to the waiting room, if necessary
    D. Answer all of the patient's questions
    E. Document Vital Signs in Cerner
    F. Assist in getting patient dressed
    Explanation
    When helping a nurse discharge a patient, there are several tasks that I am responsible for. These include removing any PIV's (peripheral intravenous) that the patient may have, taking their vital signs if they have not been taken within the last 60 minutes, escorting them to the waiting room if necessary, answering any questions the patient may have, documenting their vital signs in the Cerner system, and assisting the patient in getting dressed.

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  • 5. 

    A 19 year old female comes to front triage, Alert and Oriented, with a GSW to her upper arm & right shoulder, you know this patient should be called a:

    • A.

      Medical Alert

    • B.

      Trauma 1

    • C.

      Trauma 2

    • D.

      Trauma 3

    Correct Answer
    B. Trauma 1
    Explanation
    Based on the information provided, a 19-year-old female with a gunshot wound to her upper arm and right shoulder should be called a Trauma 1 patient. Trauma 1 designation typically refers to patients with severe injuries that require immediate and specialized care. The gunshot wound is a traumatic injury that requires urgent medical attention, making Trauma 1 the appropriate designation for this patient.

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  • 6. 

    A 22 year old female, who is 25 weeks pregnant, fell on her front porch. I know this patient should be sent directly to Labor and Delivery.

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    All Pregnant Trauma Patients will be evaluated in the ED first, then sent to Labor and Delivery for fetal monitoring.

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  • 7. 

    All abnormal Vital Signs should be reported to the Primary RN.

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    Abnormal vital signs are an indication that there may be a potential health issue or a change in the patient's condition. By reporting these abnormal vital signs to the Primary RN, they can assess the situation, provide appropriate interventions, and ensure that the patient receives the necessary care. This helps in monitoring the patient's condition closely and taking timely actions if needed, ultimately promoting patient safety and well-being.

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  • 8. 

    When Infiltrating a wound on a distal portion of a finger. The preferred local anesthetic to be used is:

    • A.

      Lidocaine with Epinephrine

    • B.

      0.25% Bupivicaine

    • C.

      Ice

    • D.

      1.0% Lidocaine

    Correct Answer
    D. 1.0% Lidocaine
    Explanation
    The preferred local anesthetic to be used when infiltrating a wound on a distal portion of a finger is 1.0% Lidocaine. This is because Lidocaine is a commonly used local anesthetic that provides effective pain relief. It is often used for minor surgical procedures and wound infiltrations due to its fast onset and long duration of action. Additionally, Lidocaine has a low risk of systemic toxicity when used in appropriate doses, making it a safe choice for this procedure.

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  • 9. 

    When starting a PIV, I should explain the procedure to the patient and offer comfort. If I cannot successfully obtain a PIV within 3 starts, I should ask for help.

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    The explanation for the given correct answer is that when starting a PIV (peripheral intravenous) line, it is important to inform the patient about the procedure and provide them with comfort to ensure their understanding and cooperation. Additionally, if the healthcare professional is unable to successfully insert the PIV within three attempts, it is recommended to seek assistance from a colleague or supervisor. This is crucial to prevent unnecessary discomfort or complications for the patient and to ensure that the procedure is performed safely and effectively.

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  • 10. 

    When cleaning patient rooms, I know that saniwipe liquid must remain on the surfaces for a period of time. Saniwipe dry time is at least 10 minutes.

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    Saniwipe dry time is at least 2 minutes

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  • 11. 

    Good hand hygiene includes which of the following:

    • A.

      Using hand foam when only exiting a patient's room

    • B.

      Washing hands or using hand foam prior to and after entering a room

    • C.

      Using hand sanitizer only before entering a patient room

    • D.

      You only need to wash your hands at the end of your shift

    Correct Answer
    B. Washing hands or using hand foam prior to and after entering a room
    Explanation
    Good hand hygiene includes washing hands or using hand foam prior to and after entering a room. This is important because it helps to prevent the spread of germs and infections. By washing or sanitizing hands before entering a room, any potential germs on the hands can be eliminated, reducing the risk of contaminating the environment or the patient. Similarly, washing or sanitizing hands after leaving a room helps to remove any germs that may have been picked up during the interaction. This practice is crucial in healthcare settings to maintain a safe and clean environment for both patients and healthcare workers.

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  • 12. 

    When rounding, I should always:

    • A.

      Update patient on their plan of care

    • B.

      Assess their pain

    • C.

      Inform them of when their test results should be back

    • D.

      Offer them a pillow or blanket

    • E.

      Ask what they need right now

    • F.

      Manage up my team members

    • G.

      Thank them for allowing us to take care of them

    Correct Answer(s)
    A. Update patient on their plan of care
    B. Assess their pain
    C. Inform them of when their test results should be back
    D. Offer them a pillow or blanket
    E. Ask what they need right now
    F. Manage up my team members
    G. Thank them for allowing us to take care of them
  • 13. 

    When a patient is in Suicide Precaustions, I know that they must:

    • A.

      Remove all clothing and be given a paper gown to wear

    • B.

      All dangerous items must be removed from room

    • C.

      I should alert the nurse to the patient's arrival immediately

    • D.

      Patient' stretcher must have paper sheets

    Correct Answer(s)
    A. Remove all clothing and be given a paper gown to wear
    B. All dangerous items must be removed from room
    C. I should alert the nurse to the patient's arrival immediately
    D. Patient' stretcher must have paper sheets
    Explanation
    When a patient is in Suicide Precautions, it is important to remove all clothing and provide them with a paper gown to wear. This is done to ensure that the patient does not have any access to clothing that could potentially be used for self-harm. Additionally, all dangerous items must be removed from the room to eliminate any potential risks. It is crucial to alert the nurse immediately upon the patient's arrival so that they can provide the necessary support and supervision. Lastly, the patient's stretcher should have paper sheets to prevent any harm or risk of injury.

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  • 14. 

    When assisting a patient to the bathroom, who is a fall risk, I should always use a "Bathroom Buggy"

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    Using a "Bathroom Buggy" when assisting a fall risk patient to the bathroom is important because it provides additional support and stability, reducing the risk of falls. The "Bathroom Buggy" is designed to assist patients with mobility issues and allows for safe and secure transfers. By using this device, the caregiver can ensure the patient's safety and prevent accidents or injuries that may occur during the transfer process.

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