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. Slowly deflate the cuff.. then..
Document the procedure!
Confirm the expiration date.
Report/record ausculated blood pressure.
- Rate - Rhythm (regular/irregular)


2. Focused History and Physical Examination/Rapid Trauma Assessment. The first thing you should do in this situation is...
Select the appropriate assessment (focused - or rapid assessment)
Confirm that the patient has NO allergies to the medication.
Medical command
You should obtain baseline vital signs of the patient.


3. Time for the Nebulized Medication Administration part of your skill assessment. Again - what's the First thing you do?
Inspect the chest - palpate - auscultate.
Initiate steps to prevent heat loss from the patient.
Take BSI precautions!
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)


4. After selecting the appropriate assessment - (focused or rapid) - you should obtain baseline ___?___
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Explain the procedure to the patient.
You should obtain baseline vital signs of the patient.


5. You've assessed the patient's ability to use the nebulizer - should you consult with Medical Command?
Briefly question the bystanders about arrest events.
After doing so - ventilate the patient at the proper volume and rate.
Yes. Consult with Medical Command.
Indicate the need for immediate transportation.


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

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7. 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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8. 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?
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
You should verbalize the re - assessment of the vital signs.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.


9. Pulse! Palpate with How many fingers?
Determine the number of patients.
Expose the thigh area - (and say that you are doing so.)
Palpate with 2 fingers (index and middle) over radial artery.
Indicate the need for immediate transportation.


10. Where do you dispose of the auto - injector?
Monitor the patient's condition and vital signs after administration.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Dispose of the auto - injector in a sharps container.
Direct resumption of CPR.


11. Slowly deflate the cuff - and report/record palpable systolic blood pressure when..
Request additional help.
The pulse returns.
(margin +/-4)
Indicate the need for immediate transportation.


12. 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.
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.
Take BSI precautions!
Hold the auto - injector to the patient's thigh for 10 seconds.


13. How do you open the airway?
Briefly question the bystanders about arrest events.
Determine the number of patients.
Direct resumption of CPR.
Open the airway manually.


14. How long should you perform high quality CPR?
Inspect the chest - palpate - auscultate.
Perform two minutes of high quality CPR.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
You should manage all of the patient's secondary injuries/wounds appropriately


15. Establish and maintain a proper mask to face seal.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
Monitor the patient's condition and vital signs after administration.
Normal - Moist - Diaphoretic
After doing so - ventilate the patient at the proper volume and rate.


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

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17. It's time to administer the medication to the patient! How are you going to do so?
That one is basically self - explanatory. Do that after you apply the cuff!
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.
Yes - you should obtain SAMPLE history after taking baseline vital signs.


18. 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.)
Determine the mechanism of injury.
Assess the patient's ability to use the nebulizer.
Initiate analysis of the rhythm.


19. 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?
Ventilate the patient at a rate of 10-20 per minute.
The second action is determining the patient's responsiveness/level of consciousness
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.


20. Time for Cardiac Arrest Management/Automatic External Defibrillator! First thing you do
Confirm the expiration date.
Take BSI precautions!
Administer high concentration oxygen.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.


21. Then What do you switch to?
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Brachial artery.
Switch to bag/valve mask.
Yes. Consult with Medical Command.


22. You've exposed the patient's leg. Where do you place the auto - injector?
You should manage all of the patient's secondary injuries/wounds appropriately
Remember to explain the procedure to the patient.
Place auto - injector on lateral thigh - midway between the knee and thigh.
- Rate - Rhythm (regular/irregular)


23. 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
Confirm that the patient is sitting as upright as possible.
Normal - Moist - Diaphoretic
Initiate analysis of the rhythm.


24. You need to get the patient to the hospital - NOW. What do you do?
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Yes - direct resumption of CPR.
Indicate the need for immediate transportation.
Verbalize the transportation of the patient.


25. 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?
- Rate - Rhythm (regular/irregular)
Place auto - injector on lateral thigh - midway between the knee and thigh.
Assure high concentration of oxygen is delivered to the patient.
You should verbalize the re - assessment of the vital signs.


26. After BSI precautions - you need to perform a blood glucose check.. How do you set up/perform the check?
Direct rescuer to stop CPR and ensures all individuals to stand clear.
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.
Dispose of the auto - injector in a sharps container.
Determine if the scene is safe.


27. 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?
- Normal (warm) - Cool - Cold - Hot
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
You should determine the chief complaint/apparent life threats of the patient.
Yeah.. definitely don't forget to document everything.


28. After taking care of the chief complaint of the patient during the initial assessment - you should...
Initiate analysis of the rhythm.
Assess the airway and breathing.
Request additional help.
Confirm that the patient has NO allergies to the medication.


29. Monitor the patient's condition and vital signs after you administer the medication - and...
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
Inspect the chest - palpate - auscultate.
Document the procedure!
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever


30. 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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31. _______ extremity and palpate ______ artery.
Monitor the patient's condition and vital signs after administration.
That one is basically self - explanatory. Do that after you apply the cuff!
Hyperextend extremity and palpate brachial artery.
Select the appropriate assessment (focused - or rapid assessment)


32. After consulting Medical Command - are you going to perform the procedure without explaining anything 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.
Perform two minutes of high quality CPR.
Yes. Consult with Medical Command.
Explain the procedure to the patient.


33. Inflate the cuff rapidly to at least ??mm Hg above the point where the pulse is lost.
Dispose of the auto - injector in a sharps container.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Request additional help.
Assess the patient's ability to use the nebulizer.


34. What do you do after you determine if the scene is safe?
Assure high concentration of oxygen is delivered to the patient.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Brachial artery.
Determine the mechanism of injury.


35. Count palpated pulse for a minimum of ___ seconds and multiply times 2.
You should manage all of the patient's secondary injuries/wounds appropriately
You should verbalize the re - assessment of the vital signs.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Count pulse for minimum of 30 seconds then multiply by 2.


36. Circulation assessment re - cap! When assessing the skin - what should you be looking at?
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.
Direct assistant to assume ventilation and pre - oxygenate patient.
Open the airway manually.
The color - temperature - and condition.


37. Report/record pulse findings.
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
After doing so - ventilate the patient at the proper volume and rate.
Normal - Moist - Diaphoretic
(margin +/-4)


38. There are bystanders who seen what happened.. do you question them?
Assessing the posterior includes assessing the thorax - and the lumbar.
Briefly question the bystanders about arrest events.
Assess the airway and breathing.
Initiate steps to prevent heat loss from the patient.


39. Remember to check the '5 Rights' of drug administration.. What are they?
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
Turn over CPR to another rescuer. Turn on the AED.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Determine the mechanism of injury.


40. Respirations!
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Apply pressure dressing to the wound.
First - observe the rise and fall of the chest/abdomen.
Administer high concentration oxygen.


41. Transportation!
Assess the patient's ability to use the nebulizer.
Verbalize the transportation of the patient.
Administer high concentration oxygen.
Take BSI precautions.


42. After taking BSI precautions - consult with...
Hold the auto - injector to the patient's thigh for 10 seconds.
Assessing the posterior includes assessing the thorax - and the lumbar.
Medical command
Document the procedure!


43. Blood pressure (palpatation)

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44. During your Epinephrine Auto - Injector Administration scenario; What is the First thing you should do?
Medical command
Take BSI precautions.
Hyperextend extremity and palpate brachial artery.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.


45. 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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46. You've prepared the medication and nebulizer...now attach oxygen to the nebulizer.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Did that help? Document when you put the tourniquet on.
Expose the thigh area - (and say that you are doing so.)
Yes - you should obtain SAMPLE history after taking baseline vital signs.


47. Okay - now you have to assess the posterior.. this includes the ______ and the _______.
Assessing the posterior includes assessing the thorax - and the lumbar.
Report/record ausculated blood pressure.
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
First - observe the rise and fall of the chest/abdomen.


48. After you're sure he/she isn't allergic to the medicine; check your 5 rights of drug administration.. which are.....
Yes - always explain to the patient that they will feel a stick from the needle.
The color - temperature - and condition.
Indicate the need for immediate transportation.
Right patient - Right drug - Right dose - Right route - Right time.


49. Apply a tourniquet.
Did that help? Document when you put the tourniquet on.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Brachial artery.
Dispose of the auto - injector in a sharps container.


50. Assess the following
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Open the airway manually.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.