2019 NALS Exam

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This exam is based on the provided manual and a little bit of common sense.

Questions and Answers

1.

What steps are important when dealing with an emergency in your office? (Please select all that apply)
- A.
  
  An organized response kit
- B.
  
  Working without a plan
- C.
  
  Practice some drills at least once a year
- D.
  
  Clear calm communication
Correct Answer(s)
A. An organized response kit
C. Practice some drills at least once a year
D. Clear calm communication
2.

Which of the following is the most important consideration when dealing with an emergency?
- A.
  
  How did it happen?
- B.
  
  Are there any hazards?
- C.
  
  How many patients?
- D.
  
  What sort of help will we need to deal with this?
Correct Answer
B. Are there any hazards?
3.

Please check off the steps listed for preparing for an emergency. (Please select all that apply)
- A.
  
  Having knowledge about emergency treatments
- B.
  
  Having a plan
- C.
  
  Posting the number for 911
- D.
  
  Having appropriate equipment
Correct Answer(s)
A. Having knowledge about emergency treatments
B. Having a plan
D. Having appropriate equipment
4.

The R in "OPQRST" means> (Please select all that apply)
- A.
  
  Region
- B.
  
  Relief
- C.
  
  Relative history to the complaint
- D.
  
  Robust
Correct Answer(s)
A. Region
B. Relief
C. Relative history to the complaint
5.

It is beneficial to have a patient relate their current symptoms to a previous event and compare the two. An example might be the pain is worse than when they had kidney stones.
- A.
  
  True
- B.
  
  False
Correct Answer
A. True
6.

The "M" in SAMPLE stands for?
- A.
  
  Mental status
- B.
  
  Medications
- C.
  
  Multiple symptoms
- D.
  
  Meal time
Correct Answer
B. Medications
7.

Quality of the "Pain" is extremely important when applying differential diagnosis to a patient?
- A.
  
  True
- B.
  
  False
Correct Answer
A. True
8.

When applying "AVPU" to an unconscious patient, the "P" stands for?
- A.
  
  Presents as
- B.
  
  Provoked
- C.
  
  Pain
- D.
  
  Pulses
Correct Answer
C. Pain
9.

Which of the following should be treated as a medical emergency? (Please chose two)
- A.
  
  Asthma
- B.
  
  Stable COPD
- C.
  
  Unstable angina
- D.
  
  General malaise
Correct Answer(s)
A. Asthma
C. Unstable angina
10.

In "TIPSAEIOU" the "A" stands for?
- A.
  
  Asthma
- B.
  
  Arrhythmia
- C.
  
  Alcohol
- D.
  
  Anaphylaxis
Correct Answer
C. Alcohol
11.

In "TIPSAEIOU" the "I" stand for? (please check all that apply)
- A.
  
  Infection
- B.
  
  Incontinent
- C.
  
  Insulin (high or low)
- D.
  
  Ideo-ventricular
Correct Answer(s)
A. Infection
C. Insulin (high or low)
12.

When checking for breathing it is sufficient to watch for chest rise only as an indicator they are breathing?
- A.
  
  True
- B.
  
  False
Correct Answer
B. False
13.

Typically the presence of a "Radial" pulse is consistent with a systolic blood pressure of at least?
- A.
  
  70
- B.
  
  60
- C.
  
  100
- D.
  
  80
Correct Answer
D. 80
14.

A patient's ability to speak can help determine if they are having difficulty breathing based on how many words they can say prior to having to take a breath.
- A.
  
  True
- B.
  
  False
Correct Answer
A. True
15.

When osculating a patient's chest, you hear a "Prolonged expiratory phase", this would most like be associated with?
- A.
  
  COPD
- B.
  
  Asthma
- C.
  
  CHF
- D.
  
  A tension pneumothorax
Correct Answer
B. Asthma
16.

Attila the Hun died of a nose bleed?
- A.
  
  True
- B.
  
  False
Correct Answer
A. True
17.

Which conditions below should be treated as a "Heart attack"? (Please select all that apply)
- A.
  
  Unstable angina
- B.
  
  All unconscious patients
- C.
  
  All diaphoretic patients
- D.
  
  Patients who are short of breath
Correct Answer
A. Unstable angina
18.

Patients who present with GI symptoms may well be having a myocardial infraction?
- A.
  
  True
- B.
  
  False
Correct Answer
A. True
19.

Please select the patients who often do not have chest pain or discomfort when having a heart attack? (Please select all that apply)
- A.
  
  Insulin dependant diabetics
- B.
  
  Heavy smokers
- C.
  
  Women
- D.
  
  Hemophiliacs
Correct Answer(s)
A. Insulin dependant diabetics
C. Women
20.

You are treating a patient who has a history of "Stable angina" amongst other things. Upon questioning she\he mentions to you that they now have to take three shots of Nitro spray after a walk, as opposed to the one they used to take. Your thoughts regarding their "Angina" could be?
- A.
  
  It is quite normal for a patient to have to increase their doses of Nitro spray.
- B.
  
  They should walk shorter distances.
- C.
  
  It sounds like it could becoming unstable.
- D.
  
  None of the above.
Correct Answer
C. It sounds like it could becoming unstable.
21.

Automated External Defibrillators (AEDs) make a significant difference in patient outcome in the pre-hospital setting?
- A.
  
  True
- B.
  
  False
Correct Answer
A. True
22.

Oxygen should be given to all patients presenting with chest pain or chest discomfort?
- A.
  
  True
- B.
  
  False
Correct Answer
B. False
23.

Patients, who present with very rapid pulses (very difficult to count) will often require drug therapy as a first line treatment?
- A.
  
  True
- B.
  
  False
Correct Answer
B. False
24.

When using "FAST" as an assessment tool for strokes, the "S" stands for?
- A.
  
  Seeing double
- B.
  
  Smile
- C.
  
  Sensation in extremities
- D.
  
  Speech
Correct Answer
D. Speech
25.

Oxygen should be given if the patient's PSAO2 is less than 94% on room air?
- A.
  
  True
- B.
  
  False
Correct Answer
A. True
26.

What is the maximum number of CPR compressions a patient should get in a minute?
- A.
  
  There is no maximum
- B.
  
  120
- C.
  
  100
- D.
  
  That depends on their age
Correct Answer
B. 120
27.

You can get in trouble for using an AED if you are not trained to do so?
- A.
  
  True
- B.
  
  False
Correct Answer
B. False
28.

Please select the two most important things to deal with when dealing with a "Cardiac arrest" patient?
- A.
  
  Chest compressions
- B.
  
  Use of an AED
- C.
  
  Airway management
- D.
  
  Changing out the folks doing compressions every four minutes.
Correct Answer(s)
A. Chest compressions
B. Use of an AED
29.

When a patient gets pulses back during CPR there is a danger they could arrest again and as such their pulse should be monitored continually until EMS takes over patient care?
- A.
  
  True
- B.
  
  False
Correct Answer
A. True
30.

All team members should be in the loop when it comes to office emergencies?
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

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Current Version
Feb 13, 2019

Quiz Edited by
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Feb 13, 2019

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2019 Nals Exam

What steps are important when dealing with an emergency in your office? (Please select all that apply)

Which of the following is the most important consideration when dealing with an emergency?

Please check off the steps listed for preparing for an emergency. (Please select all that apply)

The R in "OPQRST" means> (Please select all that apply)

It is beneficial to have a patient relate their current symptoms to a previous event and compare the two. An example might be the pain is worse than when they had kidney stones.

The "M" in SAMPLE stands for?

Quality of the "Pain" is extremely important when applying differential diagnosis to a patient?

When applying "AVPU" to an unconscious patient, the "P" stands for?

Which of the following should be treated as a medical emergency? (Please chose two)

In "TIPSAEIOU" the "A" stands for?

In "TIPSAEIOU" the "I" stand for? (please check all that apply)

When checking for breathing it is sufficient to watch for chest rise only as an indicator they are breathing?

Typically the presence of a "Radial" pulse is consistent with a systolic blood pressure of at least?

A patient's ability to speak can help determine if they are having difficulty breathing based on how many words they can say prior to having to take a breath.

When osculating a patient's chest, you hear a "Prolonged expiratory phase", this would most like be associated with?

Attila the Hun died of a nose bleed?

Which conditions below should be treated as a "Heart attack"? (Please select all that apply)

Patients who present with GI symptoms may well be having a myocardial infraction?

Please select the patients who often do not have chest pain or discomfort when having a heart attack? (Please select all that apply)

You are treating a patient who has a history of "Stable angina" amongst other things. Upon questioning she\he mentions to you that they now have to take three shots of Nitro spray after a walk, as opposed to the one they used to take. Your thoughts regarding their "Angina" could be?

Automated External Defibrillators (AEDs) make a significant difference in patient outcome in the pre-hospital setting?

Oxygen should be given to all patients presenting with chest pain or chest discomfort?

Patients, who present with very rapid pulses (very difficult to count) will often require drug therapy as a first line treatment?

When using "FAST" as an assessment tool for strokes, the "S" stands for?

Oxygen should be given if the patient's PSAO2 is less than 94% on room air?

What is the maximum number of CPR compressions a patient should get in a minute?

You can get in trouble for using an AED if you are not trained to do so?

Please select the two most important things to deal with when dealing with a "Cardiac arrest" patient?

When a patient gets pulses back during CPR there is a danger they could arrest again and as such their pulse should be monitored continually until EMS takes over patient care?

All team members should be in the loop when it comes to office emergencies?