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. Monitor the patient's condition and vital signs after you administer the medication - and...
Remember to explain the procedure to the patient.
Document the procedure!
Request additional help.
Count pulse for minimum of 30 seconds then multiply by 2.


2. 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?
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
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.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Remember to explain the procedure to the patient.


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

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4. How do you open the airway?
Confirm that the patient is sitting as upright as possible.
Open the airway manually.
You should determine the chief complaint/apparent life threats of the patient.
Take BSI precautions!


5. You need to get the patient to the hospital - NOW. What do you do?
Initiate steps to prevent heat loss from the patient.
Yes - direct resumption of CPR.
Indicate the need for immediate transportation.
Confirm the expiration date.


6. The patient may start losing body heat.. What do you do?
Ventilate the patient at a rate of 10-20 per minute.
- Rate - Rhythm (regular/irregular)
Initiate steps to prevent heat loss from the patient.
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.


7. 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?
Verbalizing the general impression of the patient.
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Take BSI precautions.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)


8. Assess the following
- Rate - Rhythm (regular/irregular)
Turn over CPR to another rescuer. Turn on the AED.
Contact medical command if patient condition permits.
Confirm the expiration date.


9. Blood pressure (auscultation)

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10. Focused History and Physical Examination/Rapid Trauma Assessment. The first thing you should do in this situation is...
- Normal (warm) - Cool - Cold - Hot
Select the appropriate assessment (focused - or rapid assessment)
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
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.


11. How will you determine if the patient needs glucose administration?
Did that help? Document when you put the tourniquet on.
Check the level of consciousness - and the history.
Palpate with 2 fingers (index and middle) over radial artery.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)


12. After you determine the number of patients - what should you do - IF NECESSARY?
Initiate analysis of the rhythm.
Request additional help.
Initiate analysis of the rhythm.
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.'


13. Establish and maintain a proper mask to face seal.
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
After doing so - ventilate the patient at the proper volume and rate.
That one is basically self - explanatory. Do that after you apply the cuff!


14. Time for Cardiac Arrest Management/Automatic External Defibrillator! First thing you do
Take BSI precautions!
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Direct resumption of CPR.
- Normal (warm) - Cool - Cold - Hot


15. When assessing the head - What do you check?
Assessing the posterior includes assessing the thorax - and the lumbar.
Take BSI precautions!
Scalp - ears - eyes - and the oral/nasal areas.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.


16. 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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17. Palpate radial or brachial artery!
That one is basically self - explanatory. Do that after you apply the cuff!
Verbalize the transportation of the patient.
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.
Scalp - ears - eyes - and the oral/nasal areas.


18. Ventilate patient!
Yes. Consult with Medical Command.
Normal - Moist - Diaphoretic
Assure high concentration of oxygen is delivered to the patient.
Briefly question the bystanders about arrest events.


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?
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Take BSI precautions!


20. Okay - now you have to assess the posterior.. this includes the ______ and the _______.
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.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Confirm the expiration date.


21. Slowly deflate the cuff - and report/record palpable systolic blood pressure when..
Determine the mechanism of injury.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Assess the airway and breathing.
The pulse returns.


22. You've successfully removed the cap - and you're ready to administer the medication to the patient... but where do you administer it?
Right patient - Right drug - Right dose - Right route - Right time.
Yes - direct resumption of CPR.
Place auto - injector on lateral thigh - midway between the knee and thigh.
Expose the thigh area - (and say that you are doing so.)


23. Time for the Detailed Physical Examination! Should you examine the head - arm - or abdomen first?
Yes. Consult with Medical Command.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Take BSI precaution!
Open the airway manually.


24. When dealing with a patient who is having trouble - dealing with respiratory problems - What are the questions/key words you should remember?
Remember to position the patient properly.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Palpate with 2 fingers (index and middle) over radial artery.
Did that help? Document when you put the tourniquet on.


25. 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
Verbalizing the general impression of the patient.
Yes. Consult with Medical Command.
Initiate analysis of the rhythm.
Brachial artery.


26. During your Epinephrine Auto - Injector Administration scenario; What is the First thing you should do?
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
Assure high concentration of oxygen is delivered to the patient.
Initiate analysis of the rhythm.
Take BSI precautions.


27. First action performed after you arrive on scene..
Ventilate the patient at a rate of 10-20 per minute.
The color - temperature - and condition.
Confirm that the patient has NO allergies to the medication.
Take or verbalize body substance isolation precautions.


28. After you open the airway - What do you do?
Yes - direct resumption of CPR.
Connect the one - way valve to mask.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Medical command


29. Assessment says that you will notice that the patient is now pale and diaphoretic with a rapid - weak pulse... say that out loud.
Medical command
Take BSI precautions!
Remember to position the patient properly.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.


30. 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.
Place auto - injector on lateral thigh - midway between the knee and thigh.
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
Select the appropriate assessment (focused - or rapid assessment)


31. 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?
Indicate the need for immediate transportation.
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.'
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.


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?
Briefly question the bystanders about arrest events.
Assess the patient's ability to use the nebulizer.
You should verbalize the re - assessment of the vital signs.
Expose the thigh area - (and say that you are doing so.)


33. 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?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever


34. What's the expiration date on the oral glucose?
Monitor the patient's condition and vital signs after administration.
Confirm the expiration date.
Take BSI precautions!
Direct rescuer to stop CPR and ensures all individuals to stand clear.


35. What do you do if the patient needs glucose administration? Do you go ahead and do it? or do you contact someone?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Contact medical command if patient condition permits.
Take BSI precaution!


36. Inflate the cuff rapidly to at least ??mm Hg above the point where the pulse is lost.
Assessing the posterior includes assessing the thorax - and the lumbar.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
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.


37. Skin Temperature: (touch the patient)
- Normal (warm) - Cool - Cold - Hot
First - observe the rise and fall of the chest/abdomen.
Right patient - Right drug - Right dose - Right route - Right time.
Assessing the posterior includes assessing the thorax - and the lumbar.


38. Time for Airway Management assessment! What's the First thing you do?
Brachial artery.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Initiate analysis of the rhythm.
Take BSI precautions!


39. Everything is in place - and you are ready to administer the drug to the patient. Should you warn them that they're going to feel a stick?
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Switch to bag/valve mask.
Yes - always explain to the patient that they will feel a stick from the needle.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)


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

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41. It's time to administer the medication to the patient! How are you going to do so?
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
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 precaution!
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.


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

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43. 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.
Take BSI precaution!
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Apply pressure dressing to the wound.


44. 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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45. You've exposed the patient's leg. Where do you place the auto - injector?
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Initiate analysis of the rhythm.
Place auto - injector on lateral thigh - midway between the knee and thigh.
- Rate - Rhythm (regular/irregular)


46. You've checked the neck - now move down to the chest.
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.
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.'
Inspect the chest - palpate - auscultate.
- Rate - Rhythm (regular/irregular)


47. You've assessed the patient's ability to use the nebulizer - should you consult with Medical Command?
You should obtain baseline vital signs of the patient.
Take BSI precautions!
Yes. Consult with Medical Command.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)


48. Attach the AED to the patient;
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Initiate analysis of the rhythm.
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.'
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. When assessing the head - What do you check?
Apply pressure dressing to the wound.
- Rate - Rhythm (regular/irregular)
Scalp - ears - eyes - and the oral/nasal areas.
Take or verbalize body substance isolation precautions.


50. There are bystanders who seen what happened.. do you question them?
Briefly question the bystanders about arrest events.
Medical command
Take BSI precautions!
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.