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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. After you take BSI precautions - are you just going to assume that the patient can use the nebulizer?

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2. You need to get the patient to the hospital - NOW. What do you do?
Indicate the need for immediate transportation.
Take BSI precautions!
Select the appropriate assessment (focused - or rapid assessment)
Contact medical command if patient condition permits.

3. Skin Moisture: (touch the patient)
The color - temperature - and condition.
Confirm that the patient has NO allergies to the medication.
Normal - Moist - Diaphoretic
For at least 30 seconds!

4. Alright - 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?
Determine the number of patients.
Assess the patient's ability to use the nebulizer.
Hyperextend extremity and palpate brachial artery.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.

5. What do you do if the patient needs glucose administration? Do you go ahead and do it? or do you contact someone?
Assess the airway and breathing.
Take BSI precaution!
Contact medical command if patient condition permits.
Inspect the chest - palpate - auscultate.

6. Palpate radial or brachial artery!
Monitor the patient's condition and vital signs after administration.
That one is basically self - explanatory. Do that after you apply the cuff!
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer

7. 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?
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
You should verbalize the re - assessment of the vital signs.
Dispose of the auto - injector in a sharps container.

8. Should you examine the head - arm - or abdomen first?
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Connect the one - way valve to mask.
Count pulse for minimum of 30 seconds then multiply by 2.

9. Integration! First thing you do;
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.'
Assure high concentration of oxygen is delivered to the patient.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
You should manage all of the patient's secondary injuries/wounds appropriately

10. Where do you dispose of the auto - injector?
Dispose of the auto - injector in a sharps container.
Place auto - injector on lateral thigh - midway between the knee and thigh.
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Remember to explain the procedure to the patient.

11. Okay - now you have to assess the posterior.. this includes the ______ and the _______.
After doing so - ventilate the patient at the proper volume and rate.
Assessing the posterior includes assessing the thorax - and the lumbar.
Inspect the chest - palpate - auscultate.
- Rate - Rhythm (regular/irregular)

12. What do you do after that?
Connect the mask to high concentration or oxygen.
Yes - always explain to the patient that they will feel a stick from the needle.
Assess the following..
The color - temperature - and condition.

13. Apply a tourniquet.
You should obtain baseline vital signs of the patient.
Did that help? Document when you put the tourniquet on.
Yes. Consult with Medical Command.
You should manage all of the patient's secondary injuries/wounds appropriately

14. Assessment says that you will notice that the patient is now pale and diaphoretic with a rapid - weak pulse... say that out loud.
Hyperextend extremity and palpate brachial artery.
Scalp - ears - eyes - and the oral/nasal areas.
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Remember to position the patient properly.

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?
Confirm that the patient is sitting as upright as possible.
Select the appropriate assessment (focused - or rapid assessment)
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery

16. Inflate cuff rapidly to at least 20mm Hg ______ palpated blood pressure.
Take BSI precautions.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Direct resumption of CPR.
Ventilate the patient at a rate of 10-20 per minute.

17. First step in 'Scene Size Up'.
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Switch to bag/valve mask.
Determine if the scene is safe.
Explain the procedure to the patient.

18. When assessing the head - What do you check?
Determine if the scene is safe.
Scalp - ears - eyes - and the oral/nasal areas.
Assess the patient's ability to use the nebulizer.
Direct assistant to assume ventilation and pre - oxygenate patient.

19. You need to shock the patient again. The rescuer is STILL delivering CPR.. What do you do?
Determine the mechanism of injury.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Verbalizing the general impression of the patient.

20. Now you have to assess the posterior.. this includes the ______ and the _______.
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.
Direct rescuer to stop CPR and ensures all individuals to stand clear.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)

21. 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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22. Place diaphragm of stethoscope over...
Take BSI precautions!
Brachial artery.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Take BSI precautions!

23. You're positive that the patient is Not allergic to the medication - and you've referred to the 5 rights of drug administration. You've got the auto - injector in your hand - What do you do first?
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Remember to explain the procedure to the patient.
You should verbalize the re - assessment of the vital signs.

24. Skin Temperature: (touch the patient)
Determine the mechanism of injury.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Report/record ausculated blood pressure.
- Normal (warm) - Cool - Cold - Hot

25. What do you do after you determine if the scene is safe?
Verbalize the transportation of the patient.
Yeah.. definitely don't forget to document everything.
Determine the mechanism of injury.
First - observe the rise and fall of the chest/abdomen.

26. Administer ____ concentration oxygen.
Request additional help.
Initiate steps to prevent heat loss from the patient.
The pulse returns.
Administer high concentration oxygen.

27. Establish and maintain a proper mask to face seal.
After doing so - ventilate the patient at the proper volume and rate.
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.
Indicate the need for immediate transportation.
Initiate steps to prevent heat loss from the patient.

28. Assess the following
Confirm that the patient has NO allergies to the medication.
Turn over CPR to another rescuer. Turn on the AED.
Select the appropriate assessment (focused - or rapid assessment)
- Rate - Rhythm (regular/irregular)

29. Time for the Nebulized Medication Administration part of your skill assessment. Again - what's the First thing you do?
Assess the following..
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
Take BSI precautions!
Turn over CPR to another rescuer. Turn on the AED.

30. After taking care of the chief complaint of the patient during the initial assessment - you should...
Assess the airway and breathing.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Inspect the chest - palpate - auscultate.
Assessing the posterior includes assessing the thorax - and the lumbar.

31. You've successfully removed the cap - and you're ready to administer the medication to the patient... but where do you administer it?
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
(margin +/-4)
Expose the thigh area - (and say that you are doing so.)
Contact medical command if patient condition permits.

32. But wait.. are you sure that the patient isn't allergic to the medication?
Right patient - Right drug - Right dose - Right route - Right time.
Contact medical command if patient condition permits.
Confirm that the patient has NO allergies to the medication.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin

33. Okay - you've obtained the baseline vital signs... Should you obtain SAMPLE history now?
Assure high concentration of oxygen is delivered to the patient.
Take BSI precautions!
Yes - you should obtain SAMPLE history after taking baseline vital signs.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.

34. During your Epinephrine Auto - Injector Administration scenario; What is the First thing you should do?
Connect the mask to high concentration or oxygen.
Take BSI precautions.
Contact medical command if patient condition permits.
Dispose of the auto - injector in a sharps container.

35. After BSI precautions - you need to perform a blood glucose check.. How do you set up/perform the check?
Explain the procedure to the patient.
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.
Initiate analysis of the rhythm.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.

36. Inflate the cuff rapidly to at least ??mm Hg above the point where the pulse is lost.
Connect the one - way valve to mask.
Direct resumption of CPR.
Take BSI precautions!
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.

37. Transportation!
Indicate the need for immediate transportation.
Verbalize the transportation of the patient.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
First - observe the rise and fall of the chest/abdomen.

38. What do you direct your assistant to do?
Switch to bag/valve mask.
Did that help? Document when you put the tourniquet on.
Direct assistant to assume ventilation and pre - oxygenate patient.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)

39. You've assessed the patient's ability to use the nebulizer - should you consult with Medical Command?
Administer high concentration oxygen.
Take BSI precautions!
Yes. Consult with Medical Command.
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever

40. Attach the AED to the patient;
Determine if the scene is safe.
Initiate analysis of the rhythm.
Initiate steps to prevent heat loss from the patient.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.

41. To assess circulation - (after you assess the airway/breathing of the patient) - What are the four actions needed to be taken?
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Report/record ausculated blood pressure.
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.
Yes. Consult with Medical Command.

42. Slowly deflate the cuff - and report/record palpable systolic blood pressure when..
Confirm that the patient has NO allergies to the medication.
The pulse returns.
Remember to position the patient properly.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.

43. You're getting ready to use the AED. But the other rescuer is still performing CPR.. What do you tell him?
Dispose of the auto - injector in a sharps container.
Take BSI precautions!
Direct rescuer to stop CPR and ensures all individuals to stand clear.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)

44. How do you prepare the medication and nebulizer?
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.
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
Assure high concentration of oxygen is delivered to the patient.

45. Baseline Vital Signs! What do you do first?
Yes - after completing the physical examination - you should manage all of the patient's secondary injuries/wounds appropriately. In class - you will receive 1 point for doing so.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
Take BSI precautions!

46. After you assess the thorax and the lumbar; should you manage secondary injuries/wounds?

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47. 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?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Remember to explain the procedure to the patient.
Count pulse for minimum of 30 seconds then multiply by 2.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.

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

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49. Assess the following
Direct rescuer to stop CPR and ensures all individuals to stand clear.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Document the procedure!
First - observe the rise and fall of the chest/abdomen.

50. Okay - you've told the patient what you're going to do.. But are you sure they're not allergic to the medication?
Confirm that the patient has NO allergies to the medication.
After doing so - ventilate the patient at the proper volume and rate.
Remember to explain the procedure to the patient.
Open the airway manually.