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. Inflate the cuff rapidly to at least ??mm Hg above the point where the pulse is lost.
Take BSI precautions!
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Briefly question the bystanders about arrest events.

2. Now you have to assess the posterior.. this includes the ______ and the _______.
Place auto - injector on lateral thigh - midway between the knee and thigh.
Assessing the posterior includes assessing the thorax - and the lumbar.
Inspect the chest - palpate - auscultate.
You should verbalize the re - assessment of the vital signs.

3. You've checked the neck - now move down to the chest.
Inspect the chest - palpate - auscultate.
After doing so - ventilate the patient at the proper volume and rate.
Assure high concentration of oxygen is delivered to the patient.
That one is basically self - explanatory. Do that after you apply the cuff!

4. Should you just lay something over the wound after BSI precaution - or should you apply direct pressure?
Did that help? Document when you put the tourniquet on.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Apply direct pressure to the wound.

5. Skin Temperature: (touch the patient)
You should verbalize the re - assessment of the vital signs.
Perform two minutes of high quality CPR.
- Normal (warm) - Cool - Cold - Hot
Confirm that the patient has NO allergies to the medication.

6. Blood pressure (auscultation)

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?
First - observe the rise and fall of the chest/abdomen.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Turn over CPR to another rescuer. Turn on the AED.
You should verbalize the re - assessment of the vital signs.

8. After you're sure he/she isn't allergic to the medicine; check your 5 rights of drug administration.. which are.....
Right patient - Right drug - Right dose - Right route - Right time.
Confirm that the patient is sitting as upright as possible.
Normal - Moist - Diaphoretic
That one is basically self - explanatory. Do that after you apply the cuff!

9. 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?
Briefly question the bystanders about arrest events.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.

10. After taking care of the chief complaint of the patient during the initial assessment - you should...
Assess the airway and breathing.
Apply pressure dressing to the wound.
Check the level of consciousness - and the history.
Dispose of the auto - injector in a sharps container.

11. Palpate radial or brachial artery!
You should obtain baseline vital signs of the patient.
Take BSI precautions!
That one is basically self - explanatory. Do that after you apply the cuff!
Take or verbalize body substance isolation precautions.

12. Circulation assessment re - cap! When assessing the skin - what should you be looking at?
Determine the number of patients.
The color - temperature - and condition.
For at least 30 seconds!
Yes. Consult with Medical Command.

13. 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
Assessing the posterior includes assessing the thorax - and the lumbar.
Verbalizing the general impression of the patient.
Connect the one - way valve to mask.
Take or verbalize body substance isolation precautions.

14. What's the expiration date on the oral glucose?
You should determine the chief complaint/apparent life threats of the patient.
After doing so - ventilate the patient at the proper volume and rate.
Confirm the expiration date.
Assess the following..

15. How will you determine if the patient needs glucose administration?
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Determine the mechanism of injury.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Check the level of consciousness - and the history.

16. How long should you perform high quality CPR?
Remember to position the patient properly.
(margin +/-4)
Perform two minutes of high quality CPR.
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery

17. First step in 'Scene Size Up'.
The color - temperature - and condition.
- Rate - Rhythm (regular/irregular)
Determine if the scene is safe.
Switch to bag/valve mask.

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

19. Skin Color: (observe the patient)
Take BSI precautions!
Explain the procedure to the patient.
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.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing

20. 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?
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Yes. Consult with Medical Command.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing

21. Did that help?
Direct assistant to assume ventilation and pre - oxygenate patient.
Verbalize the transportation of the patient.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing

22. How should the patient be sitting?
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Confirm that the patient is sitting as upright as possible.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
The color - temperature - and condition.

23. Do CPR without unnecessary/prolonged interruption..
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Initiate analysis of the rhythm.
Brachial artery.
Determine the number of patients.

24. What do you do after you determine if the scene is safe?
Confirm that the patient is sitting as upright as possible.
You should verbalize the re - assessment of the vital signs.
Medical command
Determine the mechanism of injury.

25. Administer ____ concentration oxygen.
That one is basically self - explanatory. Do that after you apply the cuff!
Indicate the need for immediate transportation.
Apply pressure dressing to the wound.
Administer high concentration oxygen.

26. 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
Hold the auto - injector to the patient's thigh for 10 seconds.
You should determine the chief complaint/apparent life threats of the patient.
Select the appropriate assessment (focused - or rapid assessment)
Initiate analysis of the rhythm.

27. You need to shock the patient again. The rescuer is STILL delivering CPR.. What do you do?
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Assessing the posterior includes assessing the thorax - and the lumbar.
Determine if the scene is safe.
Take or verbalize body substance isolation precautions.

28. Skin Signs!
That one is basically self - explanatory. Do that after you apply the cuff!
- Rate - Rhythm (regular/irregular)
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Assess the following..

29. When dealing with a patient who has an altered mental status - What are the questions/key words you need to remember in order to assess them appropriately?
For at least 30 seconds!
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Scalp - ears - eyes - and the oral/nasal areas.
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'

30. You need to get the patient to the hospital - NOW. What do you do?
Direct assistant to assume ventilation and pre - oxygenate patient.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Indicate the need for immediate transportation.
(margin +/-4)

31. You've assessed the patient's ability to use the nebulizer - should you consult with Medical Command?
You should verbalize the re - assessment of the vital signs.
Open the airway manually.
Take BSI precautions!
Yes. Consult with Medical Command.

32. Time for the Nebulized Medication Administration part of your skill assessment. Again - what's the First thing you do?
Scalp - ears - eyes - and the oral/nasal areas.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
You should verbalize the re - assessment of the vital signs.
Take BSI precautions!

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

34. Slowly deflate the cuff.. then..
Take BSI precautions!
Assess the patient's ability to use the nebulizer.
Report/record ausculated blood pressure.
Yes - you should obtain SAMPLE history after taking baseline vital signs.

35. 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?

36. Baseline Vital Signs! What do you do first?
Yeah.. definitely don't forget to document everything.
Remember to position the patient properly.
- Rate - Rhythm (regular/irregular)
Take BSI precautions!

37. Remember to check the '5 Rights' of drug administration.. What are they?
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
The pulse returns.
For at least 30 seconds!
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.

38. The second action needed to be taken during the initial assessment is A.) Determining responsiveness/level of intelligence B.) Determining responsiveness/level of consciousness C.) Determining responsiveness/level of oxygen in blood stream

39. Inflate cuff rapidly to at least 20mm Hg ______ palpated blood pressure.
Inspect the chest - palpate - auscultate.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
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.'
Scalp - ears - eyes - and the oral/nasal areas.

40. But wait.. are you sure that the patient isn't allergic to the medication?
Direct resumption of CPR.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Confirm that the patient has NO allergies to the medication.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.

41. Focused History and Physical Examination/Rapid Trauma Assessment. The first thing you should do in this situation is...
Yes. Consult with Medical Command.
Assess the airway and breathing.
Select the appropriate assessment (focused - or rapid assessment)
Explain the procedure to the patient.

42. Report/record pulse findings.
Assure high concentration of oxygen is delivered to the patient.
(margin +/-4)
Take BSI precautions!
Palpate with 2 fingers (index and middle) over radial artery.

43. After you open the airway - What do you do?
Assessing the posterior includes assessing the thorax - and the lumbar.
Connect the one - way valve to mask.
Did that help? Document when you put the tourniquet on.
- Rate - Rhythm (regular/irregular)

44. After selecting the appropriate assessment - (focused or rapid) - you should obtain baseline ___?___
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Check the level of consciousness - and the history.
Apply direct pressure to the wound.
You should obtain baseline vital signs of the patient.

45. 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?
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Place auto - injector on lateral thigh - midway between the knee and thigh.
Count pulse for minimum of 30 seconds then multiply by 2.

46. You need to get the AED. What should you do?
Scalp - ears - eyes - and the oral/nasal areas.
Turn over CPR to another rescuer. Turn on the AED.
Yes - direct resumption of CPR.
Scalp - ears - eyes - and the oral/nasal areas.

47. You've checked the neck - now move down to the chest.
Inspect the chest - palpate - auscultate.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
You should verbalize the re - assessment of the vital signs.
Take BSI precautions!

48. How do you prepare the medication and nebulizer?
The second action is determining the patient's responsiveness/level of consciousness
Document the procedure!
Hyperextend extremity and palpate brachial artery.
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.

49. After you determine the number of patients - what should you do - IF NECESSARY?
Scalp - ears - eyes - and the oral/nasal areas.
You should obtain baseline vital signs of the patient.
Request additional help.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing

50. Ventilate the patient at a rate of __-__ per minute with appropriate volumes via bag/valve mask.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Direct assistant to assume ventilation and pre - oxygenate patient.
You should manage all of the patient's secondary injuries/wounds appropriately
Ventilate the patient at a rate of 10-20 per minute.