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

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2. First action performed after you arrive on scene..
Normal - Moist - Diaphoretic
Switch to bag/valve mask.
Take or verbalize body substance isolation precautions.
Hold the auto - injector to the patient's thigh for 10 seconds.


3. Respirations!
First - observe the rise and fall of the chest/abdomen.
Verbalize the transportation of the patient.
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever


4. Ventilate the patient at a rate of __-__ per minute with appropriate volumes via bag/valve mask.
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
First - observe the rise and fall of the chest/abdomen.
Ventilate the patient at a rate of 10-20 per minute.
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.


5. Circulation assessment re - cap! When assessing the skin - what should you be looking at?
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.
Inspect the chest - palpate - auscultate.
The color - temperature - and condition.
Assure high concentration of oxygen is delivered to the patient.


6. Pulse! Palpate with How many fingers?
- Normal (warm) - Cool - Cold - Hot
For at least 30 seconds!
Inspect the chest - palpate - auscultate.
Palpate with 2 fingers (index and middle) over radial artery.


7. Okay - you've told the patient what you're going to do.. But are you sure they're not allergic to the medication?
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Confirm the expiration date.
You should obtain baseline vital signs of the patient.
Confirm that the patient has NO allergies to the medication.


8. During your Epinephrine Auto - Injector Administration scenario; What is the First thing you should do?
You should verbalize the re - assessment of the vital signs.
First - observe the rise and fall of the chest/abdomen.
Indicate the need for immediate transportation.
Take BSI precautions.


9. When assessing the head - What do you check?
Scalp - ears - eyes - and the oral/nasal areas.
Assure high concentration of oxygen is delivered to the patient.
Take BSI precaution!
Apply pressure dressing to the wound.


10. Okay - you've obtained the baseline vital signs... Should you obtain SAMPLE history now?
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Apply direct pressure to the wound.
Direct resumption of CPR.


11. After taking BSI precautions - consult with...
Medical command
Take BSI precaution!
Assess the patient's ability to use the nebulizer.
- Rate - Rhythm (regular/irregular)


12. Alrightie then. You've assessed the head - neck - chest - abdomen - and pelvis. The only things left are the patient's extremities! (What do you do while assessing/examining?)

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13. Skin Temperature: (touch the patient)
Did that help? Document when you put the tourniquet on.
Yeah.. definitely don't forget to document everything.
- Normal (warm) - Cool - Cold - Hot
Take BSI precautions!


14. When dealing with a patient who is having trouble - dealing with respiratory problems - What are the questions/key words you should remember?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Scalp - ears - eyes - and the oral/nasal areas.
You should manage all of the patient's secondary injuries/wounds appropriately
First - observe the rise and fall of the chest/abdomen.


15. After determining the level of responsiveness/consciousness during the initial assessment of the patient; you should turn your attention to the: A.) scrapes and bruises of the patient B.) chief complaint/apparent life threats
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
You should determine the chief complaint/apparent life threats of the patient.
Connect the mask to high concentration or oxygen.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing


16. Should you just lay something over the wound after BSI precaution - or should you apply direct pressure?
Apply direct pressure to the wound.
Request additional help.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery


17. After you've assessed the head - neck - chest - abdomen - and pelvis. The only things left are the patient's extremities

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18. _______ extremity and palpate ______ artery.
Assess the patient's ability to use the nebulizer.
Take BSI precautions!
Hyperextend extremity and palpate brachial artery.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.


19. How should the patient be sitting?
Palpate with 2 fingers (index and middle) over radial artery.
Dispose of the auto - injector in a sharps container.
Confirm that the patient is sitting as upright as possible.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.


20. 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
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.
You should verbalize the re - assessment of the vital signs.
Verbalizing the general impression of the patient.
Assure high concentration of oxygen is delivered to the patient.


21. 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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22. 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?
Take BSI precautions.
Indicate the need for immediate transportation.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.


23. Did THAT help?
Medical command
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Indicate the need for immediate transportation.
Initiate analysis of the rhythm.


24. To assess circulation - (after you assess the airway/breathing of the patient) - What are the four actions needed to be taken?
Brachial artery.
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.
Check the level of consciousness - and the history.
Request additional help.


25. You've checked the neck - now move down to the chest.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Confirm that the patient is sitting as upright as possible.
Normal - Moist - Diaphoretic
Inspect the chest - palpate - auscultate.


26. Assess the following
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Remember to position the patient properly.
Inspect the chest - palpate - auscultate.


27. But wait.. are you sure that the patient isn't allergic to the medication?
Connect the mask to high concentration or oxygen.
You should verbalize the re - assessment of the vital signs.
Confirm that the patient has NO allergies to the medication.
Yes - always explain to the patient that they will feel a stick from the needle.


28. What do you do after you determine if the scene is safe?
Normal - Moist - Diaphoretic
You should obtain baseline vital signs of the patient.
Determine the mechanism of injury.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)


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

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30. First step in 'Scene Size Up'.
Assessing the posterior includes assessing the thorax - and the lumbar.
Remember to position the patient properly.
Determine if the scene is safe.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer


31. You've checked the neck - now move down to the chest.
Hold the auto - injector to the patient's thigh for 10 seconds.
Inspect the chest - palpate - auscultate.
Assess the following..
Count pulse for minimum of 30 seconds then multiply by 2.


32. It's time to administer the medication to the patient! How are you going to do so?
Confirm that the patient is sitting as upright as possible.
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
Dispose of the auto - injector in a sharps container.
Connect the mask to high concentration or oxygen.


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

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34. 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?
The color - temperature - and condition.
Remember to explain the procedure to the patient.
Administer high concentration oxygen.
You should manage all of the patient's secondary injuries/wounds appropriately


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

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36. Time for Airway Management assessment! What's the First thing you do?
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Take BSI precautions!
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
Direct resumption of CPR.


37. What do you direct your assistant to do?
Scalp - ears - eyes - and the oral/nasal areas.
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Palpate with 2 fingers (index and middle) over radial artery.
Direct assistant to assume ventilation and pre - oxygenate patient.


38. Administer ____ concentration oxygen.
Inspect the chest - palpate - auscultate.
- Normal (warm) - Cool - Cold - Hot
Administer high concentration oxygen.
You should verbalize the re - assessment of the vital signs.


39. Slowly deflate the cuff - and report/record palpable systolic blood pressure when..
Normal - Moist - Diaphoretic
The pulse returns.
Perform two minutes of high quality CPR.
You should verbalize the re - assessment of the vital signs.


40. You've exposed the patient's leg. Where do you place the auto - injector?
Apply direct pressure to the wound.
Remember to position the patient properly.
Place auto - injector on lateral thigh - midway between the knee and thigh.
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.


41. 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?
Expose the thigh area - (and say that you are doing so.)
You should verbalize the re - assessment of the vital signs.
Direct rescuer to stop CPR and ensures all individuals to stand clear.
Confirm that the patient is sitting as upright as possible.


42. Inflate the cuff rapidly to at least ??mm Hg above the point where the pulse is lost.
Assure high concentration of oxygen is delivered to the patient.
Confirm that the patient has NO allergies to the medication.
Administer high concentration oxygen.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.


43. Ventilate patient!
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
Assure high concentration of oxygen is delivered to the patient.
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
You should determine the chief complaint/apparent life threats of the patient.


44. After taking care of the chief complaint of the patient during the initial assessment - you should...
Administer high concentration oxygen.
First - observe the rise and fall of the chest/abdomen.
Assess the airway and breathing.
Yes - direct resumption of CPR.


45. The patient is still bleeding - so you..
Apply pressure dressing to the wound.
(margin +/-4)
First - observe the rise and fall of the chest/abdomen.
That one is basically self - explanatory. Do that after you apply the cuff!


46. 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?
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Report/record ausculated blood pressure.
Confirm that the patient has NO allergies to the medication.
Determine the mechanism of injury.


47. Attach the AED to the patient;
Initiate analysis of the rhythm.
Select the appropriate assessment (focused - or rapid assessment)
Inspect the chest - palpate - auscultate.
Confirm the expiration date.


48. There are bystanders who seen what happened.. do you question them?
Briefly question the bystanders about arrest events.
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.
Hyperextend extremity and palpate brachial artery.
Yes - direct resumption of CPR.


49. How will you determine if the patient needs glucose administration?
Count pulse for minimum of 30 seconds then multiply by 2.
Ventilate the patient at a rate of 10-20 per minute.
Apply direct pressure to the wound.
Check the level of consciousness - and the history.


50. After you open the airway - What do you do?
Assess the airway and breathing.
Connect the one - way valve to mask.
The color - temperature - and condition.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.