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EMT Training

Instructions:

Answer 50 questions in 15 minutes.
If you are not ready to take this test, you can study here.
Match each statement with the correct term.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.

This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.

1. Where do you dispose of the auto - injector?
Assess the patient's ability to use the nebulizer.
Determine if the scene is safe.
Document the procedure!
Dispose of the auto - injector in a sharps container.

2. Circulation assessment re - cap! When assessing the skin - what should you be looking at?
Confirm that the patient is sitting as upright as possible.
Inspect the chest - palpate - auscultate.
The color - temperature - and condition.
(margin +/-4)

3. So - you've completed the examination. You have all of this information in front of you. Should you just load the patient up and go? OR should you verbalize the re - assessment of the patient's vital signs?
Hyperextend extremity and palpate brachial artery.
Turn over CPR to another rescuer. Turn on the AED.
Initiate steps to prevent heat loss from the patient.
You should verbalize the re - assessment of the vital signs.

4. Okay - you've obtained the baseline vital signs... Should you obtain SAMPLE history now?
1. Assess/control major bleeding (if any) 2. Assess pulse 3. Assess skin (color - temperature - and conditions) 4. Make the decision to transport patient - or not to transport the patient.
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
Count pulse for minimum of 30 seconds then multiply by 2.
Yes - you should obtain SAMPLE history after taking baseline vital signs.

5. Place diaphragm of stethoscope over...
Request additional help.
Inspect the chest - palpate - auscultate.
Brachial artery.
Initiate analysis of the rhythm.

6. The patient may start losing body heat.. What do you do?
Initiate steps to prevent heat loss from the patient.
In the assessment for class - you will receive 1 point for EACH EXTREMITY (so check them all.) that includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
Palpate with 2 fingers (index and middle) over radial artery.
Inspect the chest - palpate - auscultate.

7. Time for Airway Management assessment! What's the First thing you do?
Yes - direct resumption of CPR.
For at least 30 seconds!
Confirm that the patient has NO allergies to the medication.
Take BSI precautions!

8. Did THAT help?
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Determine if the scene is safe.
Medical command
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)

9. Then What do you switch to?
Switch to bag/valve mask.
The pulse returns.
Determine if the scene is safe.
In the assessment for class - you will receive 1 point for EACH EXTREMITY (so check them all.) that includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'

10. Okay - you've told the patient what you're going to do.. But are you sure they're not allergic to the medication?
The pulse returns.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
1. Assess/control major bleeding (if any) 2. Assess pulse 3. Assess skin (color - temperature - and conditions) 4. Make the decision to transport patient - or not to transport the patient.
Confirm that the patient has NO allergies to the medication.

11. Monitor the patient's condition and vital signs after you administer the medication - and...
Take BSI precautions!
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Assess the following..
Document the procedure!

12. There are bystanders who seen what happened.. do you question them?
Briefly question the bystanders about arrest events.
Request additional help.
Take or verbalize body substance isolation precautions.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.

13. Should you just lay something over the wound after BSI precaution - or should you apply direct pressure?
Apply direct pressure to the wound.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
You should obtain baseline vital signs of the patient.

14. When dealing with a patient who has had an allergic reaction - What are the questions/key things you need to know in order to assess the patient?
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Confirm that the patient has NO allergies to the medication.
- Rate - Rhythm (regular/irregular)
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.

15. When dealing with a patient who has a history of - or who is experiencing cardiac problems - What are the questions/key words you should remember?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
You should manage all of the patient's secondary injuries/wounds appropriately
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Assess the airway and breathing.

16. Count palpated pulse for a minimum of ___ seconds and multiply times 2.
Yes - direct resumption of CPR.
Initiate steps to prevent heat loss from the patient.
Take BSI precautions!
Count pulse for minimum of 30 seconds then multiply by 2.

17. Did that help?
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
- Rate - Rhythm (regular/irregular)
Confirm the expiration date.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)

18. What do you do after you determine the mechanism of injury?
Determine the number of patients.
For at least 30 seconds!
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
Monitor the patient's condition and vital signs after administration.

19. After selecting the appropriate assessment - (focused or rapid) - you should obtain baseline ___?___
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Indicate the need for immediate transportation.
You should manage all of the patient's secondary injuries/wounds appropriately
You should obtain baseline vital signs of the patient.

20. First action performed after you arrive on scene..
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Assess the airway and breathing.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Take or verbalize body substance isolation precautions.

21. After BSI precautions - you need to perform a blood glucose check.. How do you set up/perform the check?
Prepare the glucometer and supplies.Cleanse the site. Lance the site. Apply blood to test strip. Apply direct pressure to the site. Finally - read the results.
Connect the mask to high concentration or oxygen.
Explain the procedure to the patient.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.

22. After consulting Medical Command - are you going to perform the procedure without explaining anything to the patient?
Hold the auto - injector to the patient's thigh for 10 seconds.
Place auto - injector on lateral thigh - midway between the knee and thigh.
Did that help? Document when you put the tourniquet on.
Explain the procedure to the patient.

23. You've successfully removed the cap - and you're ready to administer the medication to the patient... but where do you administer it?
Expose the thigh area - (and say that you are doing so.)
Direct assistant to assume ventilation and pre - oxygenate patient.
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
First - observe the rise and fall of the chest/abdomen.

24. You've prepared the medication and nebulizer...now attach oxygen to the nebulizer.
Place auto - injector on lateral thigh - midway between the knee and thigh.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
You should manage all of the patient's secondary injuries/wounds appropriately
Indicate the need for immediate transportation.

25. You deliver the shock - now what?
Confirm that the patient has NO allergies to the medication.
Assess the following..
Remember to explain the procedure to the patient.
Direct resumption of CPR.

26. It's time to administer the medication to the patient! How are you going to do so?
Scalp - ears - eyes - and the oral/nasal areas.
Direct assistant to assume ventilation and pre - oxygenate patient.
Instruct the patient to hold the nebulizer in their hand. Place firmly in the mouth - with lips sealed around the mouthpiece. Tell the patient to breathe deeply and slowly. Confirm all medication tapped down from the sides of the chamber. Continue tr
Assessing the posterior includes assessing the thorax - and the lumbar.

27. Transportation!
The pulse returns.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Verbalize the transportation of the patient.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.

28. Report/record pulse findings.
(margin +/-4)
Prepare the glucometer and supplies.Cleanse the site. Lance the site. Apply blood to test strip. Apply direct pressure to the site. Finally - read the results.
In the assessment for class - you will receive 1 point for EACH EXTREMITY (so check them all.) that includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer

29. Administer ____ concentration oxygen.
Yes - direct resumption of CPR.
Administer high concentration oxygen.
Apply pressure dressing to the wound.
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)

30. DON'T FORGET TO DOCUMENT The PROCEDURE AFTERWARD!

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31. Ventilate the patient at a rate of __-__ per minute with appropriate volumes via bag/valve mask.
Scalp - ears - eyes - and the oral/nasal areas.
Initiate analysis of the rhythm.
Ventilate the patient at a rate of 10-20 per minute.
In the assessment for class - you will receive 1 point for EACH EXTREMITY (so check them all.) that includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'

32. What are the ways to assess the airway and breathing of the patient?
Verbalizing the general impression of the patient.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
After doing so - ventilate the patient at the proper volume and rate.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer

33. Slowly deflate the cuff - and report/record palpable systolic blood pressure when..
Unscrew the lid of the nebulizer chamber. Add the medication as directed. Reattach the lid. Fasten the T- tube to the nebulizer chamber. Connect the mouth piece to the T- tube and flex tube to the other end.
Yes - direct resumption of CPR.
The pulse returns.
Brachial artery.

34. After you administer the medication - do you load everything up and leave - or do you stay and monitor the patient's condition/vital signs afterward?

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35. Attach the AED to the patient;
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
Initiate analysis of the rhythm.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Connect the one - way valve to mask.

36. Time for the Nebulized Medication Administration part of your skill assessment. Again - what's the First thing you do?
Take BSI precautions!
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
You should manage all of the patient's secondary injuries/wounds appropriately
Remember to explain the procedure to the patient.

37. What's the expiration date on the oral glucose?
The color - temperature - and condition.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Take BSI precautions.
Confirm the expiration date.

38. In a smooth - firm - fashion push the injector until the click is heard. How long should you hold it against the patient's thigh?

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39. The patient is still bleeding - so you..
Apply pressure dressing to the wound.
Perform two minutes of high quality CPR.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
1. Assess/control major bleeding (if any) 2. Assess pulse 3. Assess skin (color - temperature - and conditions) 4. Make the decision to transport patient - or not to transport the patient.

40. During the initial assessment of the patient - the first action that should be taken is verbalizing what? A.) the general impression of the patient B.) if the patient is conscious C.) if the patient is hysterical
Verbalizing the general impression of the patient.
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
After doing so - ventilate the patient at the proper volume and rate.
Hold the auto - injector to the patient's thigh for 10 seconds.

41. What do you do if the patient needs glucose administration? Do you go ahead and do it? or do you contact someone?
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Take BSI precautions!
Contact medical command if patient condition permits.
Confirm that the patient is sitting as upright as possible.

42. Respirations!
Hold the auto - injector to the patient's thigh for 10 seconds.
Verbalize the transportation of the patient.
First - observe the rise and fall of the chest/abdomen.
Direct assistant to assume ventilation and pre - oxygenate patient.

43. Alright - you're about to distribute the Epinephrine to the patient. You don't just do it without telling the patient what you're doing.. do you?
First - observe the rise and fall of the chest/abdomen.
Expose the thigh area - (and say that you are doing so.)
Yes - direct resumption of CPR.
Remember to explain the procedure to the patient.

44. How do you prepare the medication and nebulizer?
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Assess the following..
Unscrew the lid of the nebulizer chamber. Add the medication as directed. Reattach the lid. Fasten the T- tube to the nebulizer chamber. Connect the mouth piece to the T- tube and flex tube to the other end.
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery

45. Skin Color: (observe the patient)
(margin +/-4)
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Take BSI precautions!
Open the airway manually.

46. After you determine the number of patients - what should you do - IF NECESSARY?
Take BSI precautions!
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Ventilate the patient at a rate of 10-20 per minute.
Request additional help.

47. So - you've completed the examination. You have all of this information in front of you. Should you just load the patient up and go? OR should you verbalize the re - assessment of the patient's vital signs?
Determine the mechanism of injury.
Request additional help.
You should verbalize the re - assessment of the vital signs.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.

48. So you've checked the patients head in the physical examination...do you jump around and check his/her legs - arms - or do you move down to the neck next?
Scalp - ears - eyes - and the oral/nasal areas.
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
Turn over CPR to another rescuer. Turn on the AED.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.

49. You need to shock the patient again. The rescuer is STILL delivering CPR.. What do you do?
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
Assess the following..
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Yes - direct resumption of CPR.

50. Now you have to assess the posterior.. this includes the ______ and the _______.
For at least 30 seconds!
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
Assessing the posterior includes assessing the thorax - and the lumbar.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.

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