BLS Optional – Expanded Skills Quiz

BLS Optional-Expanded Skills Quiz

Enter the password below displayed on the course video end screen to complete the quiz and finish the course. A CE certificate (worth 1 EMS/BRN CEU) will be available to download from the final course completion page and will be emailed to the address you enter on the Participant Information page displayed after completion of the quiz.

1 / 24

Which of the following patients is a candidate for IN naloxone administration?

A patient with suspected opioid overdose with normal mentation and normal respirations

A patient with suspected opioid overdose who is unconscious and unresponsive with a respiratory rate of 6 breaths per minute

A patient with suspected opioid overdose who feels sleepy and keeps nodding off with a respiratory rate of 14 breaths per minute

A patient with a suspected opioid overdose who is conscious and alert but states that he does not feel well

2 / 24

What are common reasons that a nasally administered drug might not be effective?

The patient is also using cocaine

The patient has a bloody nose, nasal congestion and/or mucous discharge

The patient has had previous surgery or a history of cocaine use that has destroyed the nasal mucosa

Any of the above

3 / 24

When should you administer the IN medication?

After patient fully exhales and before inhalation

When the patient fully inhales and before exhalation

When the patient is breathing in

When the patient is breathing out

4 / 24

When using a naloxone 2 mg preloaded syringe with a separate mucosal atomizer device (MAD), the entire dose should be administered in one nostril.

True

False

5 / 24

When using the 4 mg NARCAN® Nasal Spray prepackaged device, the entire dose should be administered in one nostril.

True

False

6 / 24

What is the usual onset of action (temporary blockage of opioid effects resulting in improved respiratory and neurological status) after administration of IN naloxone?

30 seconds

1 - 3 minutes

10 minutes

15 minutes

7 / 24

Indications for the use of auto-injector epinephrine include:

Slow pulse rate

Shortness of breath

Suspected anaphylaxis or asthma with severe distress

Any of the above

8 / 24

Which of the following signs are common to an allergic reaction?

Elevated blood pressure

Fever

Itching & hives

Dry nose & eyes

9 / 24

A patient presenting with only itching, tearing and minor swelling around the eyes after exposure to a potential allergen should:

Be released, since no further EMS assessment or treatment is necessary

Have their eyes flushed with normal saline

Immediately receive auto-injector epinephrine to prevent further deterioration

Be observed closely for further/worsening symptoms, be assessed by ALS personnel (if available), and be transported to the hospital

10 / 24

Which of the following foods is a common cause of severe allergic reaction?

Fruits

Soft drinks

Nuts

Ice cream

11 / 24

Epinephrine should be used cautiously in patients greater than 35 years old, or who have a history of coronary artery disease or hypertension.

True

False

12 / 24

The most significant medical condition/presentation for the administration of auto-injector epinephrine is:

Dizziness

Hives/urticaria on the extremities

Respiratory distress/wheezing/stridor

Nausea/vomiting

13 / 24

Which of the following is not a life-threatening condition of anaphylaxis?

Hives/urticaria on the extremities only

Swelling to the face/tongue/lips with difficulty breathing

Hypotension

Respiratory distress with wheezing/stridor and accessory muscle use

14 / 24

Patients suffering from a severe allergic reaction may initially present in respiratory distress, or respiratory distress may develop/worsen as the allergic reaction progresses.

True

False

15 / 24

The recommended site for auto-injector epinephrine administration is:

Either upper arm/shoulder

Lower quadrants of the abdomen

Outside of either thigh, midway between the waist and knee

Either forearm

16 / 24

Side effects of epinephrine administration include:

Increased heart rate

Decreased blood pressure

Dilation of blood vessels

Slow heart rate

17 / 24

What % of diabetic patients have Type 2 Diabetes (the pancreas secretes insulin, but the body is partially or completely unable to use it)?

25%

50%

75%

90%

18 / 24

What are the indications for finger stick blood glucose testing with a glucometer?

ALOC or unresponsive patient

Seizure, post seizure, or suspected stroke patient

Suspected diabetic emergency patient

Any of the above patients

19 / 24

What is the normal serum (blood) glucose level range?

40 - 70 mg/dl

70 - 150 mg/dl

200 - 300 mg/dl

300 - 400 mg/dl

20 / 24

Which of the following may result in glucometer device failures?

Improper calibration or lack of cleaning/maintenance

Test strip failure or codes on test strips and in the glucometer do not match

Battery failure

Any of the above

21 / 24

The finger stick should be performed off to the side of the center of the patient's finger.

True

False

22 / 24

The patient's 2nd and 5th fingers are the best for blood glucose finger sticks.

True

False

23 / 24

Following a finger stick, you should wipe away the first drop of blood and use a subsequent drop of blood for a blood glucose sample.

True

False

24 / 24

A patient with a blood glucose level equal to or less than ______ (or slightly above this number with a history/clinical picture that fits hypoglycemia) should be treated with oral glucose if they are conscious and able to swallow.

60 mg/dl

100 mg/dl

150 mg/dl

200 mg/dl

Participant Information

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BLS Optional – Expanded Skills Quiz

Participant Information