WorksheetsRey Med Yall two
Total questions: 100
Worksheet time: 50mins
The nurse is caring for a young adult admitted to the ER with a severe head injury. The nurse should position the patient
with his neck in a midline position and the head of the bed elevated 30°.
side-lying with his head extended and the bed flat.
in high Fowler’s position with his head maintained in a neutral position.
in semi-Fowler’s position with his head turned to the side.
A client has fallen and sustained a leg injury. Which question should the nurse ask the client to help determine if the injury caused a fracture?
Is the pain a dull ache?
Is the pain sharp and continuous?
Does the discomfort feel like a cramp?
Does the pain feel like the muscle was stretched?
Which among the following is the PRIMARY responsibility of an EMS Nurse at the scene of an accident?
Extrication of victims
Provision of communications equipment
Personal safety
Equipment management
Which among the following best defines the concept of medical direction?
A system of hospital designations according to the hospital’s ability to treat different patients
The provision of centralized coordination to identify and categorize the resources necessary for over-all system implementation and operation
It is synonymous with “the dispatch system”
Physician involvement and participation in all phases of the EMS system to ensure quality care
You are dispatched to the scene of an unconscious patient. Upon arrival, you find an 85 year-old patient with bradycardia and slow shallow respirations. The patient has a terminal illness. The family presents you with a notarized DNR. As a pre-hospital provider, what actions would be appropriate?
No care will be provided to the patient
Lifesaving procedure may be used until the patient is seen by the physician
Comfort care that does not include lifesaving procedures may be provided
Lifesaving procedures must be initiated for a period of one (1) hour prior to honoring the DNR
A feeling of hopelessness, loss of appetite, and feeling of isolation are all signs of:
Depression
A normal reaction to trauma
Denial
Stress induced by job-related activities
Major disasters affecting the families such as the death of a child may require a more organized response by the EMT Nurse to resolve negative feelings. This process is called a/an:
Critical Incident stress debriefing
Encounter group
Catharsis
Exchange session
Which among the following best describes the term “standard of care”?
The planned configuration of community resources and personnel necessary to provide immediate medical care to patients who have suffered unexpected illness or injury
The manner in which the EMT-B must act based on knowledge, laws, policies, standards and guidelines set forth by various standard setting organizations that provides the basis of pre-hospital and medical care
A condition or quality of being competent, able, or fit to perform a particular task, a specific legal capability
The level of care that rescuers can offer to patients within a community based on the degree of their training
The following are ingredients of a negligence case EXCEPT:
Duty to act
Rescue motive
Breach of duty
Injury
If you leave one patient to respond to another without proper turnover, you may be guilty of which among the following?
Negligence
Abandonment
Malice
Breach of duty
What component of blood pressure is obtained using the palpation technique?
Pulse
Contractility
Diastolic
Systolic
What is the best way for you to determine that the rescue breath you are delivering to a patient is effective?
The stomach rises visibly
The ventilation bag is completely compressed
You can hear an air leak around the mask
The chest rises visibly
Gastric distention during rescue breathing is a common complication of:
Under ventilation
Slow ventilation
Forceful ventilation
Endotracheal ventilation
The jaw thrust without head extension is the primary airway maneuver used for:
All children
Medical patients
Patients with a suspected spinal injury
Relieving airway obstruction
You arrived at the scene of a bar fight. A 25 year old man has been stabbed in the chest and is bleeding severely. The assailant is still in the scene and holding a knife. What should you do?
Try to keep the assailant calm while you treat the patient
Take the knife away from the assailant
Retreat to a place of safety and call for help
Stay where you are, but tell the assailant to go away
During assessment of a responsive medical patient, you use the memory device SAMPLE to obtain information. What does the letter P stands for this memory aid?
Pulse
Pain
Provocation of symptoms
Pertinent past medical history
A 20 year old patient was found unresponsive. One of the first steps during your focused history and physical exam should include:
Obtaining baseline vital signs
Conducting a rapid trauma assessment
Gathering a SAMPLE History
Conducting a detailed physical exam
You find a 16 year old boy, a baseball player, who is unresponsive with a deformed right leg. During the initial assessment, you find broken teeth in the mouth. You should:
Proceed with your exam and immobilize the deformed right leg
Proceed with the exam to locate other life threatening injuries
Proceed with the management of any bleeding in the leg
Stop your exam and remove the broken teeth in the mouth
One of the best ways to determine if your patient’s condition is changing is to:
Perform a rapid trauma assessment
Conduct a focused assessment
Collect a SAMPLE history
Conduct an on-going assessment
Which among the following devices is best suited for moving a patient over rough terrain?
Wheeled cot stretcher
Stair chair
Stokes basket
Long spine board
When a group of EMT-Bs is performing a log roll in a patient, the movement should be supervised by the EMT-B positioned at the patient’s:
Head
Shoulder
Hip
Lower legs
Patients with dyspnea are generally more comfortable when they are in what position?
Semi-fowler or fowler
Prone
Supine
Left or right lateral recumbent
When reaching or stretching, the EMT Nurse should reach no more than:
5-10 inches from the body
15-20 inches from the body
20-25 inches from the body
30-35 inches from the body
When caring for a deaf person, you should:
Speak loudly
Look directly at the patient when you speak
Obtain family history from a family member
Never allow a deaf person to refuse medical treatment
While comforting for all patients, it is imperative to maintain physical contact with the:
Deaf patient
Elderly patient
Blind patient
Non-English speaking patient
Which among the following is NOT an essential component of the verbal report?
Your estimated time of arrival at the scene
The patient’s age and sex
A complete and detailed past medical history of the patient
Brief pertinent past medical history of the patient
In a pre-hospital setting, a patient with confused mental status refused treatment. The refusal signature is of no value unless you:
Inform the patient of the potential consequences of the refusal
Have at least two copies of the refusal
Have a police officer as a witness to the refusal
Have rendered at least some first aid care
The management of acute asthma attack is aimed at:
Alleviating emotional distress
Administering low flow oxygen to relieve distress
Relieving bronchospasm
Encouraging the patient to cough up their secretions
Which among the patients with chest pain should NOT be given nitroglycerin?
45 year old male with a history of cardiac problems
63 year old female complaining of chest pain
39 year old female with a head injury
56 year old male with a BP of 140/90
You are transporting 67 year old male to the hospital when he suddenly goes into cardiac arrest. Your ambulance is moving at 50 mph (80.4 kph). If you need to attach the AED, which among the following should be done?
Ask the ambulance driver to continue traveling at 50 mph (80.4 kph), attach the AED pads and allow the AED to analyze the patient’s rhythm
Ask the ambulance driver to slow down to 25 mph (40.2 kph), attach the AED pads and allow the AED to analyze the patient’s rhythm
Ask the ambulance driver to stop the vehicle, attach the AEDs and allow the AED to analyze the patient’s rhythm
Attach the AEDs pads, clear the patient, and deliver 1 shock right away
A seizure patient becomes cyanotic. After convulsions have ended, what action should you take?
Wait for the patient’s color to return to normal
Place a non-rebreather mask and provide supplemental oxygen to the patient
Provide supplemental oxygen to the patient via nasal cannula
Monitor the patient’s pulse for 2 minutes
The seizure patient in a post-ictal state typically presents with:
Extreme muscle rigidity
Altered mental status
A patient airway
An alert and oriented appearance
Status epilepticus is defined as multiple seizures without return to consciousness for a period of:
5 minutes
10 minutes
15 minutes
30 minutes
Your patient is a 65 year old male with a chief complaint of headache that started suddenly. Your assessment reveals he is oriented with slurred speech, BP of 200/120 mmHg and warm, moist skin. You also noted some left sided weakness. Your patient is most likely experiencing a/an:
Stroke
Hypotensive crisis
Diabetic crisis
Overdose of anti-hypertensive drugs
In a patient with a cerebral thrombus, the artery is:
Ruptured
Blocked
Severed
Collapsed
Which among the following is a contraindication for giving oral glucose?
The patient is alert and oriented
The patient is unresponsive
The patient does not have his or her own glucose
The patient has a history of diabetes controlled by diet
The function of insulin is to:
Remove glucose from the cells
Allow glucose to enter the cells
Nourish the brain cells
Allow the kidneys to pass glucose
A man tells you that he can’t awaken his wife, who you find lying on the couch. He explains that she takes pills for diabetes. You find the patient to be unresponsive to painful stimulus. Your first action should be to:
Give her oral glucose
Start chest compressions
Open and maintain the patient’s airway
Assess the sensory and motor function in her toes
You are giving oral glucose to a patient with diabetes when the patient suddenly has a seizure. What should you do for this patient?
Maintain the patient’s airway
Assess the patient’s ability to swallow
Place the patient in a prone position
Continue giving the patient oral glucose to increase the blood sugar
What are the classic signs and symptoms of hypoglycemia?
Warm, dry skin; hunger, abdominal pain; deep, rapid respirations
Warm, dry skin; irritability; bradycardia, rapid respirations
Cool, clammy skin; tachycardia; hunger; deep, rapid respirations
Cool, clammy skin; feeling of fullness; tachycardia; rapid respirations
A severe allergic reaction in which bronchial constriction, airway obstruction, and hypotension occur is referred to as:
Psychogenic shock
Respiratory shock
Cardiogenic shock
Anaphylactic shock
A patient suffering from an allergic reaction may tell you their skin feels:
Cool and dry
Tingling and itchy
Hot and dry
None of the above
In an allergic reaction, exposure to an allergen will cause the blood vessels to:
Constrict
Spasm
Close completely
Dilate
Which of the following actions does epinephrine cause when given for an allergic reaction?
Dilate blood vessels and dilates bronchi
Dilate blood vessels and constricts bronchi
Constricts blood vessels and dilates bronchi
Constricts blood vessels and constrict bronchi
Which among the following is classified as a stimulant?
Heroin
Phenobarbital
Valium
Cocaine
Drugs classified as opioids may cause:
Rapid, weak, pulse
Increased blood pressure
Slow, deep respirations
Dilated pupils
Your first priority in responding to a drug or alcohol emergency is to:
Protect your own safety
Protect your patient’s airway
Find an antidote
Disarm any hostile patient
Alcohol is classified as a/an:
Opiate
Stimulant
Narcotic
Depressant
Carbon monoxide, chlorine, and ammonia are examples of ______ poisons:
Ingested
Injected
Inhaled
Absorbed
In tagging the body which is not part of the documentation:
Sex
Body number
Collector
Location
Which of these is NOT a secondary identifying description:
Clothing
Tattoo
Birthmarks
Dentures
When performing tagging and documentation, the body has a wrist watch and noticed that the arm was swelling:
Remove the wrist watch
Do not remove the wrist watch
Keep it and hand it over to DVI
A and C
Management of the bereaved families is the responsibility of the:
DSWD
LSWD
DOH
PNP
There is no significant public health risks associated with dead bodies to cause outbreaks from natural disasters. Victims are normally killed by injury, drowning or fire not by disease.
TRUE
FALSE
MAYBE
IT DEPENDS
Dead bodies are hosts of disease agents present in endemic areas, however there should be presence of other risk factor to cause spread of infectious disease.
TRUE
FALSE
MAYBE
IT DEPENDS
The surviving population is more likely to spread disease due to poor sanitation and unhygienic practices.
TRUE
FALSE
MAYBE
IT DEPENDS
Burial of bodies in common graves or use of mass cremation shall be done in all circumstances to avoid spread of diseases.
TRUE
FALSE
MAYBE
IT DEPENDS
The public health approach to the management of the dead EXCEPT:
Identification of dead bodies
Evidence
Documentation
Mass burial
The management of the bereaved actions are all of these except:
Social
Biological
Psychological
Financial
Mass fatality incident in natural disaster, identification shall be primarily done by:
LGU
SRR
PNP
NBI
In human generated activities, identification shall be primarily done by:
LGU
SRR
PNP
NBI
Visual recognition of cadavers or their photographs by acquaintances of the deceased is simplest form for identification but prone to errors:
TRUE
FALSE
MAYBE
IT DEPENDS
In having temporary burials, which of these is not true:
Use individual burials for a small number of bodies and trench burial for large numbers
Burial should be 1.5m deep and at least 20m from drinking water sources
Leave 0.4m between bodies
Lay bodies in one layer only (not on top of each other)
It is a condition involving mass casualty and or major damages to property, disruption of means of livelihoods, roads and normal way of life of people in the affected areas as a result of the occurrence of natural or human-induced hazard.
Emergency
Sate of calamity
Disaster
Response
The vice chair of disaster response:
DSWD
DOST
AFP
DPWH
Accreditation, mobilization and protection of Disaster Volunteers & National Service Reserve Corp, CSO’s and the Private Sector is in both PD 1566 and RA10121:
TRUE
FALSE
MAYBE
IT DEPENDS
If the IRA is 100,000, how much will be allocated used to support disaster risk management activities such as, but not limited to, pre-disaster preparedness programs including training, purchasing life-saving rescue equipment, supplies and medicines, for post-disaster activities, and for the payment of premiums on calamity insurance:
50,000
70,000
30,000
90,000
How much shall be allocated as Quick Response Fund (QRF) or stand-by fund for relief and recovery programs:
30,000
50,000
70,000
90,000
The declaration and lifting of the state of calamity may also be issued by the _____, upon the recommendation of the LDRRMC, based on the results of the damage assessment and needs analysis.
SK Chairman Nahial with SK Ratunil
Mayor
Local Sanggunian
Barangay Captain
The charge nurse in the ICU is notified of a bus accident with multiple injuries, and clients are being brought to the ER. The hospital is implementing the disaster policy. Which intervention should the nurse implement first?
Determine which clients could be transferred out of the ICU
Call any off-duty nurses to notify them to come in to work.
Assess the staffing to determine which staff could be sent to ER
Request all visitors to leave the hospital as soon as possible.
Bring the future into the present; what can you do today to ensure success tomorrow?
Proactive
Predicting
Planning
Preventing
Take responsibility for your life and decisions, and focus on what you can control
Proactive
Predicting
Planning
Preventing
Begin with an END IN MIND mentality
Proactive
Predicting
Planning
Preventing
You take ownership of your performance and hold yourself accountable
Proactive
Predicting
Performing
Planning
Preventing
“Work on the things we can do something about.”
Proactive
Predicting
Performing
Reaacting
It is the periodic collection of information to assess progress in changing the practices and well being of target populations
Monitoring
Mitigation
Planning
Evaluation
It is designed to evaluate policies, roles and responsibilities, capabilities and procedures, of single or multiple emergency management functions or agencies
Evaluation and monitoring
Drill exercise
Table top exercise
Functional Exercise
It is full-scale exercises are seldom used to evaluate a specific emergency response program by itself, but rather as a component of a total response system.
Evaluation and monitoring
Drill exercise
Table top exercise
Functional Exercise
The Health Information Pathway
Knowledge, Information, Data, Evidence
Data, Information, Evidence, Knowledge
Information, Data, Evidence, Knowledge
Data, Evidence, Information, Knowledge
It is an end product of data management processes that involves data collection, processing, analysis and dissemination.
Knowledge
Information
Evidence
Data
When information becomes integrated with information and evaluated in terms of the issues confronting the health system, it becomes a:
Data
Evidence
Knowledge
Chismis
When it is synthesized, formatted in a form that changes their understanding of health issues and needs, it becomes:
Data
Evidence
Knowledge
Chismis
Facts extracted from a set of data (interpreted data); meaningful and useful, it becomes:
Data
Evidence
Knowledge
Information
It is the identifying the information needs data collection, processing information, decision making, dissemination and sharing of information, and monitoring
Interpretation
Evidence based
Information management
Operations management
It is needed to enhance the capacity of a community to manage its risks through risk awareness, prevention, preparedness, response and recovery.
Information
Evidence
Knowledge
Chismis
It is needed by disaster workers, managers and authorities to enable optimal actions and decisions
Information
Evidence
Knowledge
Chismis
It is a continuous process that produces data and information.
Information Cycle
Disaster Continuum
Health Reports
Quality Data
Its objectives are to establish priorities, follow trends, identify vulnerable groups, high risk situations and reassess priorities
Information Cycle
Disaster Continuum
Health Reports
Surveillance Data
Ensure routine mechanisms to provide data to program managers in comprehensible format of the analysis and presentation
Information Cycle
Disaster Continuum
Health Reports
Surveillance Data
As you assess a conscious patient for a spinal injury, you should examine the lower extremities for
Strength
Priapism
Distension
Distraction
The primary concern for patients with facial trauma should be
Damage to the teeth
Facial disfigurement
Airway patency
Permanent loss of vision
An injury to the eye should be treated by
Applying direct pressure and bandaging the injured eye
Avoiding direct pressure and bandaging the injured eye
Applying direct pressure and bandaging both eyes
Avoiding direct pressure and applying eye patches both eyes
The most important step when treating for chemical burns of the eye is to
Immediately flush the injured eye with sterile water or saline
Transport the patient quickly to a medical facility
Flush the injured eye with copious amounts of tap water
Neutralize the chemical agent
Your patient has an impaled object through the cheek into the mouth. The patient is experiencing dyspnea due to bleeding from the impaled object. Your treatment should include
Suctioning the airway and stabilizing the object in place
Suctioning the airway and applying a bandage inside the mouth, leaving object in place
Removing the object, suctioning the airway, then bandage the wound inside the mouth and on the cheek
Remove the object, lean the patient forward to drain blood, then bandage the wound on the cheek
Venous hemorrhage can usually be suspected if the color is
bright red and the flow steady
bright red and the flow is intermittent and spurting
dark red and the flow steady
dark red and the flow is intermittent and spurting
During the initial assessment, you find a severe arterial bleeding from an extremity. What is the first method to control the bleed?
Direct pressure
Tourniquet
Pressure points
Elevation of the limb
A 39-year-old patient crashed their car into a tree. He is conscious and complaining severe pain in the right anterior chest and difficulty of breathing. After ensuring an adequate airway, you should next
Give supplemental oxygen
Observe and record their vital signs
Control any obvious external bleeding
Cover any penetrating wounds into the chest cavity
You are evaluating a 32 year old male who sustained a stab wound in the abdomen. You note fat and intestines protruding through the open wound. In managing the patient, you should
replace the organs through the open wound and apply a bandage
cover the organs with sterile dry gauze and apply a dressing
not apply any dressing onto the exposed organs
apply a moist gauze then apply a dressing
The urgency of transport for female patients with injuries to the genitalia will depend on the following EXCEPT
The presence of associated injuries
The severity of the pain
The presence of shock
The amount of hemorrhage
You are evaluating a 56-year-old male with bleeding from the nose. You should
place the patient in a supine position then apply direct pressure, pinching the fleshy part of the nostrils for 15 minutes.
apply ice over the patient's forehead then pinch the fleshy part of the nostrils for 15 minutes.
make the patient sit and lean forward then pinch the fleshy part of the nostrils for 15 minutes.
make the patient sit and lean his head backward then pinch the fleshy part of the nostrils for 15 minutes.
