Question 1

Which of the following intravenous catheter sizes is best when you must quickly infuse a large amount of fluid on a trauma patient?

Accepted Answer

A)  14 gauge 
B)  16 gauge 
C)  20 gauge 
D)  22 gauge 
A)  14 gauge 
B)  16 gauge 
C)  20 gauge 
D)  22 gauge

Question 2

The ECG leads labeled V₁, V₂, V₃, V₄, V₅, and V₆ are known as:

Accepted Answer

A)  precordial leads. 
B)  thoracic leads. 
C)  cardiac leads. 
D)  limb leads. 
A)  precordial leads. 
B)  thoracic leads. 
C)  cardiac leads. 
D)  limb leads.

Question 3

Where would you place the electrode if you were going to attach the V₂ lead to it?

Accepted Answer

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

Question 4

Your paramedic partner states that he needs to start an IV solution of "sugar water" on a diabetic patient. You would assist her by obtaining what solution?

Accepted Answer

A)  0.9% normal saline 
B)  Lactated ringers 
C)  Sodium chloride solution 
D)  5% dextrose in water (D5W) 
A)  0.9% normal saline 
B)  Lactated ringers 
C)  Sodium chloride solution 
D)  5% dextrose in water (D5W)

Question 5

You are preparing an IV for your paramedic partner, and have just inserted the administration tubing into the IV solution bag. Your next step is to:

Accepted Answer

A)  check the expiration date on the solution. 
B)  close the flow regulator. 
C)  attach the administration set to the IV catheter. 
D)  squeeze fluid into the drip chamber. 
A)  check the expiration date on the solution. 
B)  close the flow regulator. 
C)  attach the administration set to the IV catheter. 
D)  squeeze fluid into the drip chamber.

Question 6

You are having trouble getting the electrodes to remain adhered to your adult male patient due to excessive diaphoresis. What can you do to better ensure electrode adhesion?

Accepted Answer

A)  Shave the chest hair. 
B)  Keep wiping the skin dry and using another new electrode. 
C)  Wipe the site dry, and then apply spray antiperspirant to the skin. 
D)  Wipe the site dry, and then re-cleanse the site with two to three alcohol preps. 
A)  Shave the chest hair. 
B)  Keep wiping the skin dry and using another new electrode. 
C)  Wipe the site dry, and then apply spray antiperspirant to the skin. 
D)  Wipe the site dry, and then re-cleanse the site with two to three alcohol preps.

Question 7

When preparing an IV for administration, what part of the administration set is inserted into the bag of fluid?

Accepted Answer

A)  Administration hub 
B)  Drip chamber 
C)  Spike 
D)  Flow regulator 
A)  Administration hub 
B)  Drip chamber 
C)  Spike 
D)  Flow regulator

Question 8

When assisting an advanced life support provider with IV therapy, the best way to avoid potential clinical complications is to:

Accepted Answer

A)  only assist with setting up IV equipment if the patient is critically ill or injured. 
B)  only assist with setting up IV equipment if the patient is not critically ill or injured. 
C)  ask medical direction for approval each time prior to assisting with the equipment. 
D)  gain and maintain proficiency through knowledge and practice. 
A)  only assist with setting up IV equipment if the patient is critically ill or injured. 
B)  only assist with setting up IV equipment if the patient is not critically ill or injured. 
C)  ask medical direction for approval each time prior to assisting with the equipment. 
D)  gain and maintain proficiency through knowledge and practice.

Question 9

The EMT has retrieved all the correct equipment necessary to initiate an IV. Before assembling any equipment, what should she do first?

Accepted Answer

A)  Place the constricting band on the patient's arm. 
B)  Remove the protective cap from the IV tubing spike. 
C)  Check the expiration date on the intravenous bag. 
D)  Open the outer wrapping of the intravenous catheter. 
A)  Place the constricting band on the patient's arm. 
B)  Remove the protective cap from the IV tubing spike. 
C)  Check the expiration date on the intravenous bag. 
D)  Open the outer wrapping of the intravenous catheter.

Question 10

As an EMT allowed to assist with ALS interventions, you realize that IV therapy is beneficial for patients because it:

Accepted Answer

A)  provides arterial blood for analysis. 
B)  allows constant monitoring of the patient's oxygen level. 
C)  provides a route to administer medications. 
D)  provides IV solutions that carry oxygen to the cells. 
A)  provides arterial blood for analysis. 
B)  allows constant monitoring of the patient's oxygen level. 
C)  provides a route to administer medications. 
D)  provides IV solutions that carry oxygen to the cells.

Question 11

A paramedic is preparing to give a pain medication intravenously. You would expect him to administer the medication through what component of the IV setup?

Accepted Answer

A)  Hub connector 
B)  Flow regulator 
C)  Needleless injection port 
D)  Spike 
A)  Hub connector 
B)  Flow regulator 
C)  Needleless injection port 
D)  Spike

Question 12

When helping a paramedic apply a 3-lead ECG, what action would demand immediate and corrective intervention?

Accepted Answer

A)  Cleaning the skin with alcohol prior to adhering an electrode 
B)  Placing an electrode on the lower right chest 
C)  Attaching the electrode to the cable prior to placing it on the patient 
D)  Using antiperspirant to dry the moist and clammy skin of the patient 
A)  Cleaning the skin with alcohol prior to adhering an electrode 
B)  Placing an electrode on the lower right chest 
C)  Attaching the electrode to the cable prior to placing it on the patient 
D)  Using antiperspirant to dry the moist and clammy skin of the patient

Question 13

An IV administration set is described as 10 gtt/mL. Which of the following is true?

Accepted Answer

A)  10 mL are in each drop of IV solution. 
B)  10 drops equal 1 mL of IV solution. 
C)  10 drops of solution are to be placed in the drip chamber. 
D)  10 mL of fluid are needed to fill the administration tubing. 
A)  10 mL are in each drop of IV solution. 
B)  10 drops equal 1 mL of IV solution. 
C)  10 drops of solution are to be placed in the drip chamber. 
D)  10 mL of fluid are needed to fill the administration tubing.

Question 14

You are preparing to administer fluids. When should the air be flushed from the intravenous tubing?

Accepted Answer

A)  After attaching the tubing to the IV bag, but prior to attaching the tubing to the IV catheter 
B)  After the administration tubing is attached to the IV bag and the IV catheter 
C)  Prior to the administration of intravenous medications into the patient 
D)  Only after the IV catheter is properly placed in the vein of the patient 
A)  After attaching the tubing to the IV bag, but prior to attaching the tubing to the IV catheter 
B)  After the administration tubing is attached to the IV bag and the IV catheter 
C)  Prior to the administration of intravenous medications into the patient 
D)  Only after the IV catheter is properly placed in the vein of the patient

Question 15

Which piece of equipment is not needed when initiating an IV on a patient?

Accepted Answer

A)  Syringe 
B)  Bag of fluids 
C)  Catheter 
D)  Tubing 
A)  Syringe 
B)  Bag of fluids 
C)  Catheter 
D)  Tubing

Question 16

If the EMT fails to protect the sterility of the spike on the IV administration tubing while preparing equipment for starting an IV, what negative outcome may occur?

Accepted Answer

A)  Clogging of the catheter 
B)  Infection in the patient 
C)  Too slow IV flow rate 
D)  Occlusion of the drip chamber 
A)  Clogging of the catheter 
B)  Infection in the patient 
C)  Too slow IV flow rate 
D)  Occlusion of the drip chamber

Question 17

Where would you place the electrode if you were going to attach the V₆ lead to it?

Accepted Answer

A)  Right sternal border, fifth intercostal space 
B)  Third intercostal space, midclavicular line on the right thorax 
C)  Right leg, just distal to the medial malleolus 
D)  Lateral to V₅, on the left midaxillary line of the left thorax 
A)  Right sternal border, fifth intercostal space 
B)  Third intercostal space, midclavicular line on the right thorax 
C)  Right leg, just distal to the medial malleolus 
D)  Lateral to V₅, on the left midaxillary line of the left thorax

Question 18

The hub connector on an IV is used to:

Accepted Answer

A)  connect into the IV solution bag. 
B)  administer medications intravenously. 
C)  regulate the flow of IV fluid. 
D)  connect to the IV administration set. 
A)  connect into the IV solution bag. 
B)  administer medications intravenously. 
C)  regulate the flow of IV fluid. 
D)  connect to the IV administration set.

Question 19

What information would the EMT expect to find on the IV solution bag?

Accepted Answer

A)  Indications for use 
B)  Expiration date 
C)  Temperature to maintain fluid 
D)  Type and size of IV catheter to be used 
A)  Indications for use 
B)  Expiration date 
C)  Temperature to maintain fluid 
D)  Type and size of IV catheter to be used

Question 20

A hypotensive patient in septic shock requires are large amount of fluid to be administered as quickly as possible. What IV catheter would be best?

Accepted Answer

A)  14 gauge 
B)  16 gauge 
C)  18 gauge 
D)  20 gauge 
A)  14 gauge 
B)  16 gauge 
C)  18 gauge 
D)  20 gauge

Exam 47: ALS-Assist Skills

Which of the following intravenous catheter sizes is best when you must quickly infuse a large amount of fluid on a trauma patient?

The ECG leads labeled V₁, V₂, V₃, V₄, V₅, and V₆ are known as:

Where would you place the electrode if you were going to attach the V₂ lead to it?

Your paramedic partner states that he needs to start an IV solution of "sugar water" on a diabetic patient. You would assist her by obtaining what solution?

You are preparing an IV for your paramedic partner, and have just inserted the administration tubing into the IV solution bag. Your next step is to:

You are having trouble getting the electrodes to remain adhered to your adult male patient due to excessive diaphoresis. What can you do to better ensure electrode adhesion?

When preparing an IV for administration, what part of the administration set is inserted into the bag of fluid?

When assisting an advanced life support provider with IV therapy, the best way to avoid potential clinical complications is to:

The EMT has retrieved all the correct equipment necessary to initiate an IV. Before assembling any equipment, what should she do first?

As an EMT allowed to assist with ALS interventions, you realize that IV therapy is beneficial for patients because it:

A paramedic is preparing to give a pain medication intravenously. You would expect him to administer the medication through what component of the IV setup?

When helping a paramedic apply a 3-lead ECG, what action would demand immediate and corrective intervention?

An IV administration set is described as 10 gtt/mL. Which of the following is true?

You are preparing to administer fluids. When should the air be flushed from the intravenous tubing?

Which piece of equipment is not needed when initiating an IV on a patient?

If the EMT fails to protect the sterility of the spike on the IV administration tubing while preparing equipment for starting an IV, what negative outcome may occur?

Where would you place the electrode if you were going to attach the V₆ lead to it?

The hub connector on an IV is used to:

What information would the EMT expect to find on the IV solution bag?

A hypotensive patient in septic shock requires are large amount of fluid to be administered as quickly as possible. What IV catheter would be best?

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