Seizures and Neurology
Orthopedics
Triage
Respiratory/Shock
Miscellaneous
100
This is a type of seizure characterized by muscle twitching, abnormal eye movement, and a blank stare
Absence Seizure
100
What must you do if a patient presents with a laceration?
Visualize the laceration and document appropriately. Control bleeding if it is not stopped already.
100
Your patient is 19 days old and has a temp of 101.2 rectally upon initial assessment. What is the proper medication and dosage to give for a febrile neonate?
Any patient under 28 days should not have tylenol ordered without consulting the physician first.
100
This bacterial respiratory disease has an incubation period of 5-21 days and causes paroxysmal coughing spells
What is pertussis
100
What tab should you start documentation on for a patient arriving by EMS?
What is the triage tab
200
This typically peaks around the ages of 5 months to 5 years old and results from a sudden change in temperature
Febrile Seizure
200
What are the 5 components of a neurovascular assessment?
Pulse, Motor, Sensation, Capillary Refill, and Temperature
200
What are the indications to administer the Asthma LPIP? Bonus: Contraindictions of the Asthma LPIP?
Age greater than 2 years, history of asthma, and asthma clinical score greater than 2
200
This lab test can be used to diagnose shock
None
200
This patient population is at risk for increased reticulocytes
What is sickle cell patients
300
What are the 3 components of Cushing's Triad?
Bradycardia, Widening Pulse Pressure, Irregular Breathing
300
What are 3 emergency supplies you should have at the bedside prior to starting a sedation?
Ambu bag, suction, and non rebreather
300
Patient presents to ED intake with reported tooth pain x 4 days. Your PFC asks you to triage this patient for possible redirect to dental clinic. Upon initial assessment you note patient to have a temperature of 101.2f and swelling and redness to L side of face, with streaking up toward L eye. Is this patient a candidate for redirect to dental clinic? Why or Why not?
No. Patient should be what ESI category?
300
This virus is the most common cause of Bronchiolitis in infants 2-12 months of age
RSV
300
The physician requests to use fluorescein on a patient. Where can you find fluorescein and what other supplies should anticipate the physician needed?
What is the medication pyxis and woods lamp
400
This is an acute peripheral neuropathy causing ascending weakness progressing over a short period of time
Guillain-Barre Syndrome
400
This is most commonly seen transverse fracture in a pediatric patient
What is a BBFF (both bone forearm fracture)
400
3 week old patient with a reported temperature of 100.6 at home. Mother reports decreased PO intake and fewer wet diapers. Patient is awake and alert. Patient is pink, warm, dry. Mucous membranes are moist and AF is flat. Current Vitals: 99.8 rectal temp, HR 146, RR 30, BP 98/56
ESI Category 2. Actual or reported fever in less than 28 day old is automatically a category 2
400
This is a late sign that a patient may be in shock
What is hypotension
400
How frequently should you be assessing documenting an IV site and fluids?
IV sites should be assessed and visualized every hour and documented in the flowsheet. Fluids also need to be documented hourly by clearing the pump every hour and documenting the volume infused (not the rate)
500
A patient may experience these symptoms: vomiting, decreased activity, nausea, headache, irritability, lethargy, or sunset eyes
Shunt Malfunction
500
You have a 16 year old patient, transported by EMS from a football game for a leg injury. Patient with large vacuum splint in place to R leg, placed by EMS. What is the proper course of action during initial assessment?
Remove vacuum splint with help of staff members or EMS, assess PMS and place patient in position of most comfort, return vacuum splint to EMS.
500
Patient is a 17 year old female with no past medical history presents to the intake desk and states she has had urinary pain and burning x 5 days, vomiting and subjective fevers x 2 days. Patient is pale, mucous membranes tacky, capillary refill 4 seconds. Patient is being pushed in wheelchair by mother at intake. Initial vital signs are as follows: HR: 136 RR: 24 BP: 89/43 T: 102.4 O2: 96%. What acuity would you assign this patient and what is the most appropriate assignment for this patient?
Category 2. Possible Urosepsis. Sepsis alert. **Sepsis Trigger Tool**
500
These are 5 components of the Asthma Clinical score
Tachypnea, Oxygen requirement, wheezing, air movement, and retractions
500
How do you document a sedation medication for a reduction?
The medication needs to be signed off in the MAR as a "corrected entry" and should be documented in the sedation narrator as a one step med. The exact amount given each time throughout the sedation needs to be entered as a one step med.
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