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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. Okay - now you have to assess the posterior.. this includes the ______ and the _______.
You should verbalize the re - assessment of the vital signs.
Take BSI precautions!
Medical command
Assessing the posterior includes assessing the thorax - and the lumbar.

2. The patient is still bleeding - so you..
Monitor the patient's condition and vital signs after administration.
Apply pressure dressing to the wound.
Take BSI precautions.
For at least 30 seconds!

3. You've checked the neck - now move down to the chest.
Select the appropriate assessment (focused - or rapid assessment)
Open the airway manually.
- Rate - Rhythm (regular/irregular)
Inspect the chest - palpate - auscultate.

4. Baseline Vital Signs! What do you do first?
Inspect the chest - palpate - auscultate.
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.'
Take BSI precautions!
Verbalizing the general impression of the patient.

5. What do you do after you determine the mechanism of injury?
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
Direct resumption of CPR.
Determine the number of patients.
Take or verbalize body substance isolation precautions.

6. During your Epinephrine Auto - Injector Administration scenario; What is the First thing you should do?
The pulse returns.
Open the airway manually.
Take BSI precautions.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)

7. Skin Temperature: (touch the patient)
Scalp - ears - eyes - and the oral/nasal areas.
- Normal (warm) - Cool - Cold - Hot
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.
Did that help? Document when you put the tourniquet on.

8. Count palpated pulse for a minimum of ___ seconds and multiply times 2.
Count pulse for minimum of 30 seconds then multiply by 2.
Document the procedure!
Initiate steps to prevent heat loss from the patient.
(margin +/-4)

9. Time for Airway Management assessment! What's the First thing you do?
Direct resumption of CPR.
Report/record ausculated blood pressure.
Expose the thigh area - (and say that you are doing so.)
Take BSI precautions!

10. How do you prepare the medication and nebulizer?
Place auto - injector on lateral thigh - midway between the knee and thigh.
You should manage all of the patient's secondary injuries/wounds appropriately
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.
Yes. Consult with Medical Command.

11. Inflate cuff rapidly to at least 20mm Hg ______ palpated blood pressure.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Yes. Consult with Medical Command.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
Explain the procedure to the patient.

12. After consulting Medical Command - are you going to perform the procedure without explaining anything to the patient?
Check the level of consciousness - and the history.
Yes - you should obtain SAMPLE history after taking baseline vital signs.
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Explain the procedure to the patient.

13. Focused History and Physical Examination/Rapid Trauma Assessment. The first thing you should do in this situation is...
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
Select the appropriate assessment (focused - or rapid assessment)
Inspect the chest - palpate - auscultate.
Determine the number of patients.

14. Where do you dispose of the auto - injector?
Hold the auto - injector to the patient's thigh for 10 seconds.
Confirm the expiration date.
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.
Dispose of the auto - injector in a sharps container.

15. How do you open the airway?
Open the airway manually.
Monitor the patient's condition and vital signs after administration.
Scalp - ears - eyes - and the oral/nasal areas.
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.

16. Remember to check the '5 Rights' of drug administration.. What are they?
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Take BSI precautions!
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Assure high concentration of oxygen is delivered to the patient.

17. 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?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Yes - direct resumption of CPR.
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)

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

19. You need to get the AED. What should you do?
Hold the auto - injector to the patient's thigh for 10 seconds.
You should manage all of the patient's secondary injuries/wounds appropriately
Turn over CPR to another rescuer. Turn on the AED.
Determine if the scene is safe.

20. Skin Moisture: (touch the patient)
Normal - Moist - Diaphoretic
Assess the following..
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Confirm the expiration date.

21. _______ extremity and palpate ______ artery.
Determine the number of patients.
Yes. Consult with Medical Command.
Hyperextend extremity and palpate brachial artery.
Connect the mask to high concentration or oxygen.

22. When assessing circulation - should you control major bleeding BEFORE you assess the patient's pulse - or after?

23. 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.)
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Assessing the posterior includes assessing the thorax - and the lumbar.
Yes. Consult with Medical Command.

24. What are the ways to assess the airway and breathing of the patient?
Perform two minutes of high quality CPR.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Normal - Moist - Diaphoretic
Take BSI precautions!

25. Okay - you've told the patient what you're going to do.. But are you sure they're not allergic to the medication?
Report/record ausculated blood pressure.
You should manage all of the patient's secondary injuries/wounds appropriately
Yes - direct resumption of CPR.
Confirm that the patient has NO allergies to the medication.

26. Pulse! Palpate with How many fingers?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Take BSI precaution!
- Rate - Rhythm (regular/irregular)
Palpate with 2 fingers (index and middle) over radial artery.

27. After taking care of the chief complaint of the patient during the initial assessment - you should...
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Assess the airway and breathing.
Assessing the posterior includes assessing the thorax - and the lumbar.
Determine the mechanism of injury.

28. First step in 'Scene Size Up'.
Determine if the scene is safe.
Confirm the expiration date.
Initiate analysis of the rhythm.
The second action is determining the patient's responsiveness/level of consciousness

29. 'Signs and Symptoms (assess history of present illness).' When dealing with a patient who is having trouble - dealing with respiratory problems - What are the questions/key words you should remember?
Confirm the expiration date.
Direct assistant to assume ventilation and pre - oxygenate patient.
Yes. Consult with Medical Command.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer

30. You deliver the shock - now what?
Determine the number of patients.
Administer high concentration oxygen.
Direct resumption of CPR.
Yes - you should obtain SAMPLE history after taking baseline vital signs.

31. Do CPR without unnecessary/prolonged interruption..
Initiate analysis of the rhythm.
Yes. Consult with Medical Command.
Check the level of consciousness - and the history.
Administer high concentration oxygen.

32. 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?
Normal - Moist - Diaphoretic
The pulse returns.
Determine the number of patients.
You should verbalize the re - assessment of the vital signs.

33. Establish and maintain a proper mask to face seal.
Direct resumption of CPR.
Expose the thigh area - (and say that you are doing so.)
After doing so - ventilate the patient at the proper volume and rate.
You should verbalize the re - assessment of the vital signs.

34. When assessing the head - What do you check?
Scalp - ears - eyes - and the oral/nasal areas.
Did that help? Document when you put the tourniquet on.
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.'
Connect the one - way valve to mask.

35. You've exposed the patient's leg. Where do you place the auto - injector?
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Confirm that the patient has NO allergies to the medication.
Place auto - injector on lateral thigh - midway between the knee and thigh.
The color - temperature - and condition.

36. 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.
Initiate steps to prevent heat loss from the patient.
Determine if the scene is safe.
Apply pressure dressing to the wound.

37. 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?
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Remember to explain the procedure to the patient.
Take BSI precautions!
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.

38. 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
Did that help? Document when you put the tourniquet on.
Scalp - ears - eyes - and the oral/nasal areas.
You should determine the chief complaint/apparent life threats of the patient.
Monitor the patient's condition and vital signs after administration.

39. What do you direct your assistant to do?
Direct assistant to assume ventilation and pre - oxygenate patient.
Inspect the chest - palpate - auscultate.
You should manage all of the patient's secondary injuries/wounds appropriately
Determine the number of patients.

40. It's time to administer the medication to the patient! How are you going to do so?
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Assess the patient's ability to use the nebulizer.
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!

41. Blood pressure (palpatation)

42. You've successfully removed the cap - and you're ready to administer the medication to the patient... but where do you administer it?
Verbalize the transportation of the patient.
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Expose the thigh area - (and say that you are doing so.)
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)

43. After you determine the number of patients - what should you do - IF NECESSARY?
Request additional help.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Brachial artery.
Ventilate the patient at a rate of 10-20 per minute.

44. Okay - you've obtained the baseline vital signs... Should you obtain SAMPLE history now?
Apply pressure dressing to the wound.
After doing so - ventilate the patient at the proper volume and rate.
Yes - you should obtain SAMPLE history after taking baseline vital signs.
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.

45. After selecting the appropriate assessment - (focused or rapid) - you should obtain baseline ___?___
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.
You should obtain baseline vital signs of the patient.
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
Monitor the patient's condition and vital signs after administration.

46. Now you have to assess the posterior.. this includes the ______ and the _______.
Verbalize the transportation of the patient.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Contact medical command if patient condition permits.
Assessing the posterior includes assessing the thorax - and the lumbar.

47. Skin Color: (observe the patient)
Assessing the posterior includes assessing the thorax - and the lumbar.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Switch to bag/valve mask.
Verbalizing the general impression of the patient.

48. Report/record pulse findings.
Initiate analysis of the rhythm.
(margin +/-4)
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.
- Rate - Rhythm (regular/irregular)

49. Blood pressure (auscultation)

50. How should the patient be sitting?
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.
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.
Confirm that the patient is sitting as upright as possible.