Test your basic knowledge |

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. 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?
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Palpate with 2 fingers (index and middle) over radial artery.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.

2. Establish and maintain a proper mask to face seal.
Determine if the scene is safe.
After doing so - ventilate the patient at the proper volume and rate.
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Indicate the need for immediate transportation.

3. Integration! First thing you do;
Right patient - Right drug - Right dose - Right route - Right time.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Direct rescuer to stop CPR and ensures all individuals to stand clear.
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'

4. Report/record pulse findings.
(margin +/-4)
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Normal - Moist - Diaphoretic
Confirm that the patient has NO allergies to the medication.

5. 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.
Assess the patient's ability to use the nebulizer.
Initiate analysis of the rhythm.
Apply direct pressure to the wound.

6. 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
You should determine the chief complaint/apparent life threats of the patient.
You should verbalize the re - assessment of the vital signs.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Explain the procedure to the patient.

7. After checking the chest - where do you move?
The pulse returns.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.

8. Time for the Nebulized Medication Administration part of your skill assessment. Again - what's the First thing you do?
Direct rescuer to stop CPR and ensures all individuals to stand clear.
Remember to explain the procedure to the patient.
Take BSI precautions!
Normal - Moist - Diaphoretic

9. 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)
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Yeah.. definitely don't forget to document everything.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)

10. How do you prepare the medication and nebulizer?
Take BSI precautions!
Did that help? Document when you put the tourniquet on.
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!

11. After taking BSI precautions - consult with...
Medical command
Take or verbalize body substance isolation precautions.
Initiate analysis of the rhythm.
You should manage all of the patient's secondary injuries/wounds appropriately

12. Did THAT help?
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.

13. After consulting Medical Command - are you going to perform the procedure without explaining anything to the patient?
Explain the procedure to the patient.
Open the airway manually.
Determine the number of patients.
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.

14. After taking care of the chief complaint of the patient during the initial assessment - you should...
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Assess the airway and breathing.
Confirm that the patient is sitting as upright as possible.
Take BSI precautions!

15. Place diaphragm of stethoscope over...
Take BSI precautions!
Brachial artery.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Document the procedure!

16. After you're sure he/she isn't allergic to the medicine; check your 5 rights of drug administration.. which are.....
Connect the mask to high concentration or oxygen.
Verbalizing the general impression of the patient.
Right patient - Right drug - Right dose - Right route - Right time.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.

17. What do you do after you determine the mechanism of injury?
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.
- Normal (warm) - Cool - Cold - Hot
Select the appropriate assessment (focused - or rapid assessment)
Determine the number of patients.

18. After you open the airway - What do you do?
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Scalp - ears - eyes - and the oral/nasal areas.
Connect the one - way valve to mask.

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

20. Time for Bleeding Control/Shock Management! First thing you do?
- Normal (warm) - Cool - Cold - Hot
Scalp - ears - eyes - and the oral/nasal areas.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Take BSI precaution!

21. Count the respiratory rate for at least ___ seconds and multiply times 2.
First - observe the rise and fall of the chest/abdomen.
For at least 30 seconds!
Open the airway manually.
Remember to explain the procedure to the patient.

22. Should you just lay something over the wound after BSI precaution - or should you apply direct pressure?
Apply direct pressure to the wound.
Direct resumption of CPR.
Verbalize the transportation of the patient.
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'

23. Time for the Detailed Physical Examination! Should you examine the head - arm - or abdomen first?
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
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.'
Determine if the scene is safe.

24. 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?
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Take BSI precaution!
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.

25. What do you direct your assistant to do?
Direct assistant to assume ventilation and pre - oxygenate patient.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Yes - always explain to the patient that they will feel a stick from the needle.
Apply pressure dressing to the wound.

26. 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.
Monitor the patient's condition and vital signs after administration.
For at least 30 seconds!
Contact medical command if patient condition permits.

27. You've assessed the patient's ability to use the nebulizer - should you consult with Medical Command?
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Yes. Consult with Medical Command.
Confirm that the patient has NO allergies to the medication.

28. Where do you dispose of the auto - injector?
Dispose of the auto - injector in a sharps container.
Initiate analysis of the rhythm.
The color - temperature - and condition.
Request additional help.

29. You deliver the shock.. should the rescuer go back to giving the patient CPR?
Yes - direct resumption of CPR.
Dispose of the auto - injector in a sharps container.
Confirm that the patient has NO allergies to the medication.
Connect the mask to high concentration or oxygen.

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

31. It's time to administer the medication to the patient! How are you going to do so?
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
Take BSI precautions.
(margin +/-4)
Inspect the chest - palpate - auscultate.

32. Ventilate patient!
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
Assure high concentration of oxygen is delivered to the patient.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Turn over CPR to another rescuer. Turn on the AED.

33. Skin Signs!
Count pulse for minimum of 30 seconds then multiply by 2.
Initiate steps to prevent heat loss from the patient.
Assess the following..
The color - temperature - and condition.

34. 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?
Take BSI precautions!
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
The pulse returns.

35. Slowly deflate the cuff.. then..
Report/record ausculated blood pressure.
Confirm that the patient has NO allergies to the medication.
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!

36. Blood pressure (auscultation)

37. Assessment says that you will notice that the patient is now pale and diaphoretic with a rapid - weak pulse... say that out loud.
Initiate analysis of the rhythm.
Direct rescuer to stop CPR and ensures all individuals to stand clear.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Remember to position the patient properly.

38. Skin Color: (observe the patient)
The color - temperature - and condition.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
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.
Initiate analysis of the rhythm.

39. You're getting ready to use the AED. But the other rescuer is still performing CPR.. What do you tell him?
Initiate analysis of the rhythm.
Take BSI precautions!
You should obtain baseline vital signs of the patient.
Direct rescuer to stop CPR and ensures all individuals to stand clear.

40. Do CPR without unnecessary/prolonged interruption..
Normal - Moist - Diaphoretic
Request additional help.
Initiate analysis of the rhythm.
Initiate steps to prevent heat loss from the patient.

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

42. Count palpated pulse for a minimum of ___ seconds and multiply times 2.
Ventilate the patient at a rate of 10-20 per minute.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Count pulse for minimum of 30 seconds then multiply by 2.
Remember to explain the procedure to the patient.

43. Inflate cuff rapidly to at least 20mm Hg ______ palpated blood pressure.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
You should verbalize the re - assessment of the vital signs.

44. Assess the following
Confirm that the patient has NO allergies to the medication.
Direct resumption of CPR.
- Rate - Rhythm (regular/irregular)
Place auto - injector on lateral thigh - midway between the knee and thigh.

45. 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?

46. Assess the following
Did that help? Document when you put the tourniquet on.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Remember to explain the procedure to the patient.
Ventilate the patient at a rate of 10-20 per minute.

47. There are bystanders who seen what happened.. do you question them?
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Confirm that the patient has NO allergies to the medication.
Remember to explain the procedure to the patient.
Briefly question the bystanders about arrest events.

48. Pulse! Palpate with How many fingers?
Open the airway manually.
Scalp - ears - eyes - and the oral/nasal areas.
Palpate with 2 fingers (index and middle) over radial artery.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)

49. Should you examine the head - arm - or abdomen first?
Inspect the chest - palpate - auscultate.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
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.

50. Did that help?
Take BSI precautions!
Direct resumption of CPR.
First - observe the rise and fall of the chest/abdomen.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)