2013 Emtc Paramedic Competency
Please answer the following questions. When you have completed your test, print your certificate. Make a copy for yourself, then turn in a copy to Katy Howe's bin located on the right wall of the Shift Coordinator office. This certificate is DUE no later than 12/31/2013
- 1.You are helping provide care for a patient while the Primary Nurse is giving bedside report on a patient with an EVD. A patient with an External Ventricular Drain should:
- A.
Have the EVD placed at the correct zero reference level
- B.
Have fluctuation in the tubing
- C.
Have all stopcocks open to the drain, except during transport
- D.
All the above
- 2.When transporting a patient with an EVD, the stopcock should be:
- A.
Open to the collection chamber
- B.
Closed to the collection chamber
- 3.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
- 4.When cleaning a wound at least 250mL of Normal Saline should be used.
- A.
True
- B.
False
- 5.The patient in the trauma room had a chest tube inserted for a hemathorax. You notice the patient has become short of breath and his SPO2 is decreasing. This could mean that:
- A.
The tubing is kinked
- B.
There is a clot obstructing the chest tube
- C.
There is a dependent, fluid filled, loop in the tubing
- D.
All of the above
- 6.You are ready to assist in initiating the induced hypothermia on a post cardiac arrest patient. Which intervention(s) will get the patient to the target temperature the fastest:
- A.
Arctic Sun + Ice Packs
- B.
Chilled Saline Only
- C.
Chilled Saline + Arctic Sun
- D.
Arctic Sun Only
- 7.While assisting the RN, you understand the following interventions/assessments are indicated for stroke patients receiving alteplase?
- A.
NPO until dysphagia screen completed
- B.
Vital Signs every 15 minutes x 2 hours
- C.
Neuro Checks every 15 minutes x 2 hours
- D.
All of the above
- 8.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
- 9.
- A.
Ventricular Tachycardia
- B.
Ventricular Fibrillation
- C.
Asystole
- D.
3rd Degree Heart Block
- E.
Acute Inferior MI
- F.
1st Degree Heart Block
- G.
Failure To Capture
- H.
2nd Degree Heart Block
- I.
Acute Anterior MI
- J.
Torsades
- K.
Supraventricular Tachycardia
- L.
Paced Rhythm
- M.
Atrial Flutter
- N.
Atrial Tachycardia
- O.
Sinus Bradycardia
- P.
Atrial Fibrillation
- 10.
no image
- A.
Ventricular Tachycardia
- B.
Ventricular Fibrillation
- C.
Asystole
- D.
3rd Degree Heart Block
- E.
Acute Inferior MI
- F.
1st Degree Heart Block
- G.
Failure To Capture
- H.
2nd Degree Type 2 Heart Block
- I.
Acute Anterior MI
- J.
Torsades
- K.
Supraventricular Tachycardia
- L.
Paced Rhythm
- M.
Atrial Flutter
- N.
Atrial Tachycardia
- O.
Sinus Bradycardia
- P.
Atrial Fibrillation
- 11.
No image
- A.
Ventricular Tachycardia
- B.
Ventricular Fibrillation
- C.
Asystole
- D.
3rd Degree Heart Block
- E.
Acute Inferior MI
- F.
1st Degree Heart Block
- G.
Failure To Capture
- H.
2nd Degree Heart Block
- I.
Acute Anterior MI
- J.
Torsades
- K.
Supraventricular Tachycardia
- L.
Paced Rhythm
- M.
Atrial Flutter
- N.
Atrial Tachycardia
- O.
Sinus Bradycardia
- P.
Atrial Fibrillation
- 12.
no image
- A.
Ventricular Tachycardia
- B.
Ventricular Fibrillation
- C.
Asystole
- D.
3rd Degree Heart Block
- E.
Acute Inferior MI
- F.
1st Degree Heart Block
- G.
Failure To Capture
- H.
2nd Degree Heart Block
- I.
Acute Anterior MI
- J.
Torsades
- K.
Supraventricular Tachycardia
- L.
Paced Rhythm
- M.
Atrial Flutter
- N.
Atrial Tachycardia
- O.
Sinus Bradycardia
- P.
Atrial Fibrillation
- 13.
No image
- A.
Ventricular Tachycardia
- B.
Ventricular Fibrillation
- C.
Asystole
- D.
3rd Degree Heart Block
- E.
Acute Inferior MI
- F.
1st Degree Heart Block
- G.
Failure To Capture
- H.
2nd Degree Heart Block
- I.
Acute Anterior MI
- J.
Torsades
- K.
Supraventricular Tachycardia
- L.
Paced Rhythm
- M.
Atrial Flutter
- N.
Atrial Tachycardia
- O.
Sinus Bradycardia
- P.
Atrial Fibrillation
- 14.
no image
- A.
Ventricular Tachycardia
- B.
Ventricular Fibrillation
- C.
Asystole
- D.
3rd Degree Heart Block
- E.
Acute Inferior MI
- F.
1st Degree Heart Block
- G.
Failure To Capture
- H.
2nd Degree Heart Block
- I.
Acute Anterior MI
- J.
Torsades
- K.
Supraventricular Tachycardia
- L.
Paced Rhythm
- M.
Atrial Flutter
- N.
Atrial Tachycardia
- O.
Sinus Bradycardia
- P.
Atrial Fibrillation
- 15.
No image
- A.
Ventricular Tachycardia
- B.
Ventricular Fibrillation
- C.
Asystole
- D.
3rd Degree Heart Block
- E.
Acute Inferior MI
- F.
1st Degree Heart Block
- G.
Failure To Capture
- H.
2nd Degree Heart Block
- I.
Acute Anterior MI
- J.
Torsades
- K.
Supraventricular Tachycardia
- L.
Paced Rhythm
- M.
Atrial Flutter
- N.
Atrial Tachycardia
- O.
Sinus Bradycardia
- P.
Atrial Fibrillation
- 16.
No image
- A.
Ventricular Tachycardia
- B.
Ventricular Fibrillation
- C.
Asystole
- D.
3rd Degree Heart Block
- E.
Acute Inferior MI
- F.
1st Degree Heart Block
- G.
Failure To Capture
- H.
2nd Degree Heart Block
- I.
Acute Anterior MI
- J.
Torsades
- K.
Supraventricular Tachycardia
- L.
Paced Rhythm
- M.
Atrial Flutter
- N.
Atrial Tachycardia
- O.
Sinus Bradycardia
- P.
Atrial Fibrillation
- 17.
No image
- A.
Ventricular Tachycardia
- B.
Ventricular Fibrillation
- C.
Asystole
- D.
3rd Degree Heart Block
- E.
Acute Inferior MI
- F.
1st Degree Heart Block
- G.
Failure To Capture
- H.
2nd Degree Heart Block
- I.
Acute Anterior MI
- J.
Torsades
- K.
Supraventricular Tachycardia
- L.
Paced Rhythm
- M.
Atrial Flutter
- N.
Atrial Tachycardia
- O.
Sinus Bradycardia
- P.
Atrial Fibrillation
- 18.
no image
- A.
Ventricular Tachycardia
- B.
Ventricular Fibrillation
- C.
Asystole
- D.
3rd Degree Heart Block
- E.
Acute Inferior MI
- F.
1st Degree Heart Block
- G.
Failure To Capture
- H.
2nd Degree Heart Block
- I.
Acute Anterior MI
- J.
Torsades
- K.
Supraventricular Tachycardia
- L.
Paced Rhythm
- M.
Atrial Flutter
- N.
Atrial Tachycardia
- O.
Sinus Bradycardia
- P.
Atrial Fibrillation
- 19.Please select all that apply. When I am working with the Discharge Nurse, I know that I am to:
- A.
Help in the areas with patient care, if there are no pending discharges.
- B.
Call the Charge Nurse, Shift Coordinator or Manager to help if we get behind.
- C.
Remove PIV's
- D.
Take Vital Signs, if not taken within the last 60 minutes.
- E.
Escort them to the waiting room, if necessary
- F.
Answer all of the patient's questions
- G.
Document Vital Signs in Cerner
- 20.What medication is contraindicated in a Right-Sided Myocardial Infarction?
- A.
Aspirin
- B.
Plavix
- C.
Beta-Blockers
- D.
Nitroglcerin
- 21.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
- 22.I should always label patient specimens at the printer where the labels print off, verifying the name and date of birth with the computerized record and the nurse.
- A.
True
- B.
False
- 23.Please select all of the following that apply. Preparing a room for a suicidal patient includes;
- A.
Changing the sheet to a paper sheet
- B.
Changing the patient gown to a paper gown
- C.
Insuring all oxygen tanks are removed from under the cart
- D.
Removing any hazards from the room that may cause harm to the patient
- E.
Always locking the door when the patient is in there, no matter what
- 24.When a patient reports being a victim of domestic violence, after notifying the primary nurse, I know to notify the:
- A.
Forensic Nurse
- B.
Physician
- C.
Secretary
- D.
Shift Coordinator
- 25.When assisting a patient to the bathroom, who is a fall risk, I should always use a "Bathroom Buggy"
- A.
True
- B.
False
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