Question 1

In order to assist your ALS partner with acquiring a 12-lead ECG tracing, what must be present first and foremost?

Accepted Answer

A)  An adult male or female patient with chest pain 
B)  A patient who is not suffering from thoracic trauma 
C)  Isopropyl alcohol to help dry the skin if the patient is diaphoretic 
D)  Medical direction protocol that allows the EMT to assist the ALS provider with this skill 
A)  An adult male or female patient with chest pain 
B)  A patient who is not suffering from thoracic trauma 
C)  Isopropyl alcohol to help dry the skin if the patient is diaphoretic 
D)  Medical direction protocol that allows the EMT to assist the ALS provider with this skill D

Question 2

The EMT recognizes that the IV catheter is used to:

Accepted Answer

A)  connect the IV needle and IV solution. 
B)  control the volume of fluid the patient receives. 
C)  access the patient's vein. 
D)  pierce the IV solution bag. 
A)  connect the IV needle and IV solution. 
B)  control the volume of fluid the patient receives. 
C)  access the patient's vein. 
D)  pierce the IV solution bag. C

Question 3

What is the function of the flow regulator?

Accepted Answer

A)  Increases or decreases the flow rate of IV fluid 
B)  Attaches the IV tubing to the IV catheter 
C)  Increases or decreases the drop size of the IV fluid infusing 
D)  Connects the IV bag to the patient 
A)  Increases or decreases the flow rate of IV fluid 
B)  Attaches the IV tubing to the IV catheter 
C)  Increases or decreases the drop size of the IV fluid infusing 
D)  Connects the IV bag to the patient A

Question 4

An IV is properly established when the IV catheter is placed into the:

Accepted Answer

A)  vein. 
B)  artery. 
C)  capillary. 
D)  venule. 
A)  vein. 
B)  artery. 
C)  capillary. 
D)  venule.

Question 5

Where would you place the electrode if you were going to attach the V₄ lead to it?

Accepted Answer

A)  Right sternal border, fourth intercostal space on the right thorax 
B)  Fifth intercostal space, midclavicular line on the left thorax 
C)  Left leg, just proximal to the medial malleolus 
D)  Lateral to V₅, on the left midaxillary line of the left thorax 
A)  Right sternal border, fourth intercostal space on the right thorax 
B)  Fifth intercostal space, midclavicular line on the left thorax 
C)  Left leg, just proximal to the medial malleolus 
D)  Lateral to V₅, on the left midaxillary line of the left thorax

Question 6

In an EMS system where both paramedics and EMTs work side by side, one benefit of having the EMT help set up intravenous (IV) equipment is that it:

Accepted Answer

A)  provides additional tasks that the EMT could perform. 
B)  allows the paramedic to focus on other advanced life support tasks. 
C)  decreases the number of paramedics needed in an ALS system. 
D)  decreases the working relationship between the EMT and ALS providers. 
A)  provides additional tasks that the EMT could perform. 
B)  allows the paramedic to focus on other advanced life support tasks. 
C)  decreases the number of paramedics needed in an ALS system. 
D)  decreases the working relationship between the EMT and ALS providers.

Question 7

How many leads are applied to the patient's body to obtain a 12-lead ECG tracing?

Accepted Answer

A)  6 
B)  10 
C)  12 
D)  13 
A)  6 
B)  10 
C)  12 
D)  13

Question 8

If the ALS provider you were working with wanted to infuse as much fluid as possible in the shortest amount of time, which administration set should you use to assist?

Accepted Answer

A)  10 drop/mL set 
B)  15 drop/mL set 
C)  20 drop/mL set 
D)  60 drop/mL set 
A)  10 drop/mL set 
B)  15 drop/mL set 
C)  20 drop/mL set 
D)  60 drop/mL set

Question 9

As an EMT educated to assist the paramedic with advanced life support care, you know that an ECG provides information on:

Accepted Answer

A)  the electrical activity of the heart. 
B)  how well oxygenated blood is flowing through the body. 
C)  the degree of health of the heart and lungs. 
D)  the amount of blood being pumped by the heart. 
A)  the electrical activity of the heart. 
B)  how well oxygenated blood is flowing through the body. 
C)  the degree of health of the heart and lungs. 
D)  the amount of blood being pumped by the heart.

Question 10

Where would you place the electrode if you were going to attach the V₁ lead to it?

Accepted Answer

A)  Right sternal border, fourth intercostal space on the right thorax 
B)  Fifth intercostal space, midclavicular line of the left thorax 
C)  Left leg, just proximal to the medial malleolus 
D)  Lateral to V₅, on the left midaxillary line 
A)  Right sternal border, fourth intercostal space on the right thorax 
B)  Fifth intercostal space, midclavicular line of the left thorax 
C)  Left leg, just proximal to the medial malleolus 
D)  Lateral to V₅, on the left midaxillary line

Question 11

A paramedic states that he is going to decrease the amount of IV fluid that the patient is currently receiving. You would anticipate him:

Accepted Answer

A)  switching to a smaller bag of IV fluid. 
B)  changing the position of the flow regulator. 
C)  changing to a 10 gtt/mL administration set. 
D)  reinserting a smaller IV catheter. 
A)  switching to a smaller bag of IV fluid. 
B)  changing the position of the flow regulator. 
C)  changing to a 10 gtt/mL administration set. 
D)  reinserting a smaller IV catheter.

Question 12

You have arrived at the bedside of a 56-year-old male complaining of chest pain and shortness of breath with a history of coronary heart disease, diabetes, and emphysema. A 12-lead EKG is to be performed. As you have completed an ALS-assist class and are permitted to help with ALS skills, which of the following can you do in caring for this patient?

Accepted Answer

A)  Apply the electrodes for a 12-lead ECG. 
B)  Start a small-gauge IV, but not hang fluids. 
C)  Interpret a 12-lead ECG tracing. 
D)  Decrease the rate of IV fluid to avoid overhydration. 
A)  Apply the electrodes for a 12-lead ECG. 
B)  Start a small-gauge IV, but not hang fluids. 
C)  Interpret a 12-lead ECG tracing. 
D)  Decrease the rate of IV fluid to avoid overhydration.

Question 13

The white lead (RA) should be placed over the:

Accepted Answer

A)  right atrium. 
B)  right chest. 
C)  right apex. 
D)  right abdomen. 
A)  right atrium. 
B)  right chest. 
C)  right apex. 
D)  right abdomen.

Question 14

While caring for a patient with congestive heart failure, a paramedic asks you to set up equipment for IV access so he can administer medications to remove the fluid that has accumulated in the patient's s lungs. What administration set and catheter size seems most appropriate?

Accepted Answer

A)  Macrodrip set with an 18-gauge catheter 
B)  Microdrip set with a 16-gauge catheter 
C)  Macrodrip set with a 16-gauge catheter 
D)  Microdrip set with a 20-gauge catheter 
A)  Macrodrip set with an 18-gauge catheter 
B)  Microdrip set with a 16-gauge catheter 
C)  Macrodrip set with a 16-gauge catheter 
D)  Microdrip set with a 20-gauge catheter

Question 15

After attaching the administration set to the intravenous fluid bag, how is the drip chamber initially filled?

Accepted Answer

A)  Open the flow control and let the drip chamber fill passively. 
B)  Close flow control, and then squeeze the bag to force fluid into the drip chamber. 
C)  Open the flow control and keep it positioned higher than the intravenous fluid bag. 
D)  Close the flow control, and then squeeze and release the drip chamber. 
A)  Open the flow control and let the drip chamber fill passively. 
B)  Close flow control, and then squeeze the bag to force fluid into the drip chamber. 
C)  Open the flow control and keep it positioned higher than the intravenous fluid bag. 
D)  Close the flow control, and then squeeze and release the drip chamber.

Question 16

Which one of the following is not a common lead configuration for obtaining an ECG tracing on a patient?

Accepted Answer

A)  3-lead 
B)  4-lead 
C)  8-lead 
D)  12-lead 
A)  3-lead 
B)  4-lead 
C)  8-lead 
D)  12-lead

Question 17

What is the name of the tubing that attaches to the IV bag and IV catheter, thereby allowing the fluid to flow into the body?

Accepted Answer

A)  Intracatheter tubing 
B)  Administration set 
C)  Intravenous flow tubing 
D)  Flow control tubing 
A)  Intracatheter tubing 
B)  Administration set 
C)  Intravenous flow tubing 
D)  Flow control tubing

Question 18

When a small and carefully regulated amount of fluid must be administered, what administration set is best?

Accepted Answer

A)  60 gtt/mL 
B)  20 gtt/mL 
C)  15 gtt/mL 
D)  10 gtt/mL 
A)  60 gtt/mL 
B)  20 gtt/mL 
C)  15 gtt/mL 
D)  10 gtt/mL

Question 19

A trauma patient has been struck in the abdomen by the steering column of the car he was driving. He is hypotensive, confused, and short of breath. Both you and your partner are concerned that he may have ruptured his spleen and is bleeding internally. Normal saline is being provided through the IV for transport. As such, you recognize that this solution will provide:

Accepted Answer

A)  sugar for cellular energy. 
B)  red blood cells to carry oxygen. 
C)  clotting factors to stop bleeding. 
D)  electrolytes to replenish lost plasma. 
A)  sugar for cellular energy. 
B)  red blood cells to carry oxygen. 
C)  clotting factors to stop bleeding. 
D)  electrolytes to replenish lost plasma.

Question 20

After appropriately filling the drip chamber with IV fluid, you would:

Accepted Answer

A)  flush air from the IV tubing. 
B)  remove the protective cap from the spike. 
C)  check the IV solution for particles or other impurities. 
D)  adjust the flow to the appropriate rate. 
A)  flush air from the IV tubing. 
B)  remove the protective cap from the spike. 
C)  check the IV solution for particles or other impurities. 
D)  adjust the flow to the appropriate rate.

Exam 47: ALS-Assist Skills

In order to assist your ALS partner with acquiring a 12-lead ECG tracing, what must be present first and foremost?

The EMT recognizes that the IV catheter is used to:

What is the function of the flow regulator?

An IV is properly established when the IV catheter is placed into the:

Where would you place the electrode if you were going to attach the V₄ lead to it?

In an EMS system where both paramedics and EMTs work side by side, one benefit of having the EMT help set up intravenous (IV) equipment is that it:

How many leads are applied to the patient's body to obtain a 12-lead ECG tracing?

If the ALS provider you were working with wanted to infuse as much fluid as possible in the shortest amount of time, which administration set should you use to assist?

As an EMT educated to assist the paramedic with advanced life support care, you know that an ECG provides information on:

Where would you place the electrode if you were going to attach the V₁ lead to it?

A paramedic states that he is going to decrease the amount of IV fluid that the patient is currently receiving. You would anticipate him:

The white lead (RA) should be placed over the:

While caring for a patient with congestive heart failure, a paramedic asks you to set up equipment for IV access so he can administer medications to remove the fluid that has accumulated in the patient's s lungs. What administration set and catheter size seems most appropriate?

After attaching the administration set to the intravenous fluid bag, how is the drip chamber initially filled?

Which one of the following is not a common lead configuration for obtaining an ECG tracing on a patient?

What is the name of the tubing that attaches to the IV bag and IV catheter, thereby allowing the fluid to flow into the body?

When a small and carefully regulated amount of fluid must be administered, what administration set is best?

After appropriately filling the drip chamber with IV fluid, you would:

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