FISDAP FINAL EXAM 2023 Verified and
Graded A+
CPR process CORRECT ANS - 1. Check responsiveness
2. Call ALS and request AED
3. Begin compressions
4. Attach AED and follow instructions
5. Compress and BVM at 30:2
Normal Adult Pulse CORRECT ANS - 60-100 bpm (beats per minute)
Normal Adult Respiratory Rate CORRECT ANS - 12-20 breaths per minute (bpm)
Normal Blood Pressure CORRECT ANS - 120-90/80-60 mmHg
Shock Signs CORRECT ANS - 1. Pale, Cool, and Diaphoretic
2. Low BP
3. High HR
Respiratory Distress CORRECT ANS - 1. RR 8-12 or >20
2. Difficulty breathing
3. No altered level of consciousness
Respiratory Distress Treatment CORRECT ANS - Nonrebreather at 15L/min
***Nasal Canula at 1-6 L/min if nonrebreather bothers patient (or w/history of COPD)
Respiratory Failure CORRECT ANS - 1. RR <8 or >30
2. accessory muscle use
3. Altered level of consciousness
Respiratory Failure Treatment CORRECT ANS - BVM connected to 100% O2 at
15L/min
Order of operation CORRECT ANS - 1. BSI
2. PENMAN
3. GI
4. Primary assessment
5. Transport decision
6. Secondary assessment
7. Reassessment
8. Report
PENMAN stands for CORRECT ANS - P - personal safety
E - environmental hazards
N - number of patients
M - mechanism of injury
A - additional resources
N - need for spinal immobilization
When to BSI: Gloves and eyewear CORRECT ANS - ALWAYS
When to BSI: Facial masks CORRECT ANS - Surgical: if there is blood, droplets,
or other fluids.
HEPA: best in situations where an airborne disease is suspected.
When to BSI: Gown & face shield CORRECT ANS - Excessive bleeding, bodily
fluids, or when assisting delivery.
How to avoid legal exposure? CORRECT ANS - Act...
1. In good faith
2. According to an appropriate standard of care
3. With knowledge of "why"
Best way to deal with legal procedures? CORRECT ANS - Documentation!
Consent is... CORRECT ANS - The legal permission we need prior to treating a
patient.
, FISDAP FINAL EXAM 2023 Verified and
Graded A+
Expressed consent CORRECT ANS - Given by legal adults who are A&Ox4
Implied consent CORRECT ANS - Permission to treat children, altered, and
unconscious patients.
Involuntary consent CORRECT ANS - Applies when patients are mentally ill,
developmentally delayed, or in a behavioral crisis.
When to forcibly retrain a patient (soft restraints)? CORRECT ANS - Only done
when a patient is a danger to themselves or others.
Can a patient refuse treatment? CORRECT ANS - Yes BUT they must be A&Ox4
What to do if a patient refuses treatment? CORRECT ANS - 1. Try your best to
convince them otherwise
2. Have them sign a release
3. Have a non-partner witness sign the release
Lung sound: wheezing CORRECT ANS - 1. High pitched
2. caused by narrowing of the lower airways
3. Seen in asthma and allergic reactions
Lung sound: crackles/rales CORRECT ANS - 1. Sounds like bubbling
2. Caused by fluid in the lungs
3. Seen in CHF and pulmonary edema
4. Position patients in high fowlers
Lung sounds: ronchi CORRECT ANS - 1. High-pitched wheezing sound
2. Usually caused by dried up mucus or UPPER airway constriction/obstruction
3. Seen in patients with pneumonia, epiglottitis, or choking
Respiratory Distress S/S CORRECT ANS - 1. A&Ox4
2. Dyspnea
3. Tripoding/accessory muscle use
Respiratory Failure S/S CORRECT ANS - 1. Not A&Ox4
2. Apnea, shallow, or highly rapid breathing
3. Cyanosis
Treating: Resp. Distress CORRECT ANS - 1. Apply high flow O2 via a non-
rebreather at 15L/min
2. Use nasal canula if they're not able to use NRB at 2-4 L/min
Treating: Resp. Failure CORRECT ANS - Assist ventilation using a BVM w/100%
O2 at 15L/min
How to open an airway? CORRECT ANS - Medical: head tilt, chin lift
Trauma: Jaw thrust
How to suction CORRECT ANS - 1. Done when there is fluid-like obstruction
2. Suction only on way out
3. Done for no more than 10-15 seconds
Suction Catheters CORRECT ANS - Rigid: for thicker liquid and most fluids
Soft tip: used for the lower airway and minor obstructions
Oralpharyngeal Airway (OPA) CORRECT ANS - 1. Given to unconscious patient
w/no gang reflex
2. Insert w/tip facing roof of mouth
3. Rotate 180 when you meet resistance
Measuring an OPA CORRECT ANS - from corner of the mouth to edge of jaw
Nasopharyngeal Airway (NPA) CORRECT ANS - 1. Given to unconscious
patients w/ gang reflex
2. Lube before inert
Graded A+
CPR process CORRECT ANS - 1. Check responsiveness
2. Call ALS and request AED
3. Begin compressions
4. Attach AED and follow instructions
5. Compress and BVM at 30:2
Normal Adult Pulse CORRECT ANS - 60-100 bpm (beats per minute)
Normal Adult Respiratory Rate CORRECT ANS - 12-20 breaths per minute (bpm)
Normal Blood Pressure CORRECT ANS - 120-90/80-60 mmHg
Shock Signs CORRECT ANS - 1. Pale, Cool, and Diaphoretic
2. Low BP
3. High HR
Respiratory Distress CORRECT ANS - 1. RR 8-12 or >20
2. Difficulty breathing
3. No altered level of consciousness
Respiratory Distress Treatment CORRECT ANS - Nonrebreather at 15L/min
***Nasal Canula at 1-6 L/min if nonrebreather bothers patient (or w/history of COPD)
Respiratory Failure CORRECT ANS - 1. RR <8 or >30
2. accessory muscle use
3. Altered level of consciousness
Respiratory Failure Treatment CORRECT ANS - BVM connected to 100% O2 at
15L/min
Order of operation CORRECT ANS - 1. BSI
2. PENMAN
3. GI
4. Primary assessment
5. Transport decision
6. Secondary assessment
7. Reassessment
8. Report
PENMAN stands for CORRECT ANS - P - personal safety
E - environmental hazards
N - number of patients
M - mechanism of injury
A - additional resources
N - need for spinal immobilization
When to BSI: Gloves and eyewear CORRECT ANS - ALWAYS
When to BSI: Facial masks CORRECT ANS - Surgical: if there is blood, droplets,
or other fluids.
HEPA: best in situations where an airborne disease is suspected.
When to BSI: Gown & face shield CORRECT ANS - Excessive bleeding, bodily
fluids, or when assisting delivery.
How to avoid legal exposure? CORRECT ANS - Act...
1. In good faith
2. According to an appropriate standard of care
3. With knowledge of "why"
Best way to deal with legal procedures? CORRECT ANS - Documentation!
Consent is... CORRECT ANS - The legal permission we need prior to treating a
patient.
, FISDAP FINAL EXAM 2023 Verified and
Graded A+
Expressed consent CORRECT ANS - Given by legal adults who are A&Ox4
Implied consent CORRECT ANS - Permission to treat children, altered, and
unconscious patients.
Involuntary consent CORRECT ANS - Applies when patients are mentally ill,
developmentally delayed, or in a behavioral crisis.
When to forcibly retrain a patient (soft restraints)? CORRECT ANS - Only done
when a patient is a danger to themselves or others.
Can a patient refuse treatment? CORRECT ANS - Yes BUT they must be A&Ox4
What to do if a patient refuses treatment? CORRECT ANS - 1. Try your best to
convince them otherwise
2. Have them sign a release
3. Have a non-partner witness sign the release
Lung sound: wheezing CORRECT ANS - 1. High pitched
2. caused by narrowing of the lower airways
3. Seen in asthma and allergic reactions
Lung sound: crackles/rales CORRECT ANS - 1. Sounds like bubbling
2. Caused by fluid in the lungs
3. Seen in CHF and pulmonary edema
4. Position patients in high fowlers
Lung sounds: ronchi CORRECT ANS - 1. High-pitched wheezing sound
2. Usually caused by dried up mucus or UPPER airway constriction/obstruction
3. Seen in patients with pneumonia, epiglottitis, or choking
Respiratory Distress S/S CORRECT ANS - 1. A&Ox4
2. Dyspnea
3. Tripoding/accessory muscle use
Respiratory Failure S/S CORRECT ANS - 1. Not A&Ox4
2. Apnea, shallow, or highly rapid breathing
3. Cyanosis
Treating: Resp. Distress CORRECT ANS - 1. Apply high flow O2 via a non-
rebreather at 15L/min
2. Use nasal canula if they're not able to use NRB at 2-4 L/min
Treating: Resp. Failure CORRECT ANS - Assist ventilation using a BVM w/100%
O2 at 15L/min
How to open an airway? CORRECT ANS - Medical: head tilt, chin lift
Trauma: Jaw thrust
How to suction CORRECT ANS - 1. Done when there is fluid-like obstruction
2. Suction only on way out
3. Done for no more than 10-15 seconds
Suction Catheters CORRECT ANS - Rigid: for thicker liquid and most fluids
Soft tip: used for the lower airway and minor obstructions
Oralpharyngeal Airway (OPA) CORRECT ANS - 1. Given to unconscious patient
w/no gang reflex
2. Insert w/tip facing roof of mouth
3. Rotate 180 when you meet resistance
Measuring an OPA CORRECT ANS - from corner of the mouth to edge of jaw
Nasopharyngeal Airway (NPA) CORRECT ANS - 1. Given to unconscious
patients w/ gang reflex
2. Lube before inert
