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. You need to get the AED. What should you do?
Check the level of consciousness - and the history.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Turn over CPR to another rescuer. Turn on the AED.
Initiate analysis of the rhythm.


2. You've assessed the patient's ability to use the nebulizer - should you consult with Medical Command?
Yes. Consult with Medical Command.
Apply direct pressure to the wound.
Assessing the posterior includes assessing the thorax - and the lumbar.
Determine if the scene is safe.


3. After you're sure he/she isn't allergic to the medicine; check your 5 rights of drug administration.. which are.....
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Take BSI precautions!
Right patient - Right drug - Right dose - Right route - Right time.
Apply direct pressure to the wound.


4. How should the patient be sitting?
Confirm that the patient is sitting as upright as possible.
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.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
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


5. Report/record pulse findings.
Initiate analysis of the rhythm.
(margin +/-4)
Confirm the expiration date.
Remember to position the patient properly.


6. First step in 'Scene Size Up'.
Determine if the scene is safe.
Yes - direct resumption of CPR.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.


7. Now you have to assess the posterior.. this includes the ______ and the _______.
Connect the one - way valve to mask.
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.
Direct assistant to assume ventilation and pre - oxygenate patient.


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

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9. Blood pressure (palpatation)

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10. Then What do you switch to?
Direct assistant to assume ventilation and pre - oxygenate patient.
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Switch to bag/valve mask.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)


11. Time for the Nebulized Medication Administration part of your skill assessment. Again - what's the First thing you do?
Right patient - Right drug - Right dose - Right route - Right time.
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
Take BSI precautions!
Direct assistant to assume ventilation and pre - oxygenate patient.


12. How do you open the airway?
Open the airway manually.
Briefly question the bystanders about arrest events.
Inspect the chest - palpate - auscultate.
Verbalizing the general impression of the patient.


13. 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
Determine the mechanism of injury.
Confirm that the patient is sitting as upright as possible.
Check the level of consciousness - and the history.


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

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15. You've successfully removed the cap - and you're ready to administer the medication to the patient... but where do you administer it?
Expose the thigh area - (and say that you are doing so.)
- Normal (warm) - Cool - Cold - Hot
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Direct assistant to assume ventilation and pre - oxygenate patient.


16. _______ extremity and palpate ______ artery.
Hyperextend extremity and palpate brachial artery.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Assure high concentration of oxygen is delivered to the patient.


17. Assess the following
Assessing the posterior includes assessing the thorax - and the lumbar.
- Rate - Rhythm (regular/irregular)
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.


18. You deliver the shock - now what?
Assure high concentration of oxygen is delivered to the patient.
Direct resumption of CPR.
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.'
Assess the following..


19. Palpate radial or brachial artery!
Perform two minutes of high quality CPR.
Remember to position the patient properly.
That one is basically self - explanatory. Do that after you apply the cuff!
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.


20. What do you direct your assistant to do?
Briefly question the bystanders about arrest events.
Inspect the chest - palpate - auscultate.
Direct assistant to assume ventilation and pre - oxygenate patient.
You should verbalize the re - assessment of the vital signs.


21. 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?
Dispose of the auto - injector in a sharps container.
Confirm that the patient is sitting as upright as possible.
Yes - always explain to the patient that they will feel a stick from the needle.
Indicate the need for immediate transportation.


22. Okay - now you have to assess the posterior.. this includes the ______ and the _______.
You should verbalize the re - assessment of the vital signs.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Determine the mechanism of injury.
Assessing the posterior includes assessing the thorax - and the lumbar.


23. Do CPR without unnecessary/prolonged interruption..
Check the level of consciousness - and the history.
Initiate analysis of the rhythm.
Hyperextend extremity and palpate brachial artery.
Contact medical command if patient condition permits.


24. Establish and maintain a proper mask to face seal.
Assure high concentration of oxygen is delivered to the patient.
After doing so - ventilate the patient at the proper volume and rate.
Perform two minutes of high quality CPR.
Turn over CPR to another rescuer. Turn on the AED.


25. 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?
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Direct resumption of CPR.
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Assure high concentration of oxygen is delivered to the patient.


26. After checking the chest - where do you move?
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
That one is basically self - explanatory. Do that after you apply the cuff!
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
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.


27. 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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28. What are the ways to assess the airway and breathing of the patient?
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Dispose of the auto - injector in a sharps container.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Administer high concentration oxygen.


29. Count palpated pulse for a minimum of ___ seconds and multiply times 2.
Count pulse for minimum of 30 seconds then multiply by 2.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Dispose of the auto - injector in a sharps container.
Connect the one - way valve to mask.


30. '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?
Yes - direct resumption of CPR.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Count pulse for minimum of 30 seconds then multiply by 2.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)


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?
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
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.


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

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33. Count the respiratory rate for at least ___ seconds and multiply times 2.
The second action is determining the patient's responsiveness/level of consciousness
Switch to bag/valve mask.
Check the level of consciousness - and the history.
For at least 30 seconds!


34. Time for Cardiac Arrest Management/Automatic External Defibrillator! First thing you do
Select the appropriate assessment (focused - or rapid assessment)
Take BSI precautions!
Monitor the patient's condition and vital signs after administration.
Ventilate the patient at a rate of 10-20 per minute.


35. Okay - you've told the patient what you're going to do.. But are you sure they're not allergic to the medication?
Confirm that the patient has NO allergies to the medication.
You should verbalize the re - assessment of the vital signs.
That one is basically self - explanatory. Do that after you apply the cuff!
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery


36. Skin Moisture: (touch the patient)
Normal - Moist - Diaphoretic
After doing so - ventilate the patient at the proper volume and rate.
Connect the mask to high concentration or oxygen.
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


37. 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?
Yes - direct resumption of CPR.
Direct rescuer to stop CPR and ensures all individuals to stand clear.
You should verbalize the re - assessment of the vital signs.
Take BSI precautions!


38. Baseline Vital Signs! What do you do first?
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.
Take BSI precautions!
Determine the number of patients.
Indicate the need for immediate transportation.


39. Integration! First thing you do;
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Select the appropriate assessment (focused - or rapid assessment)
Assure high concentration of oxygen is delivered to the patient.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)


40. Circulation assessment re - cap! When assessing the skin - what should you be looking at?
The color - temperature - and condition.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
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
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.


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

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42. What do you do if the patient needs glucose administration? Do you go ahead and do it? or do you contact someone?
Contact medical command if patient condition permits.
Palpate with 2 fingers (index and middle) over radial artery.
Determine the number of patients.
You should obtain baseline vital signs of the patient.


43. Skin Temperature: (touch the patient)
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Assure high concentration of oxygen is delivered to the patient.
- Normal (warm) - Cool - Cold - Hot
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


44. You've checked the neck - now move down to the chest.
Report/record ausculated blood pressure.
Monitor the patient's condition and vital signs after administration.
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.
Inspect the chest - palpate - auscultate.


45. The patient may start losing body heat.. What do you do?
Initiate steps to prevent heat loss from the patient.
The color - temperature - and condition.
Indicate the need for immediate transportation.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.


46. What do you do after you determine the mechanism of injury?
Direct resumption of CPR.
Determine the number of patients.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to 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


47. Place diaphragm of stethoscope over...
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Take BSI precautions!
Brachial artery.


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

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49. Apply a tourniquet.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Did that help? Document when you put the tourniquet on.
Verbalize the transportation of 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.


50. Time for the Detailed Physical Examination! Should you examine the head - arm - or abdomen first?
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Report/record ausculated blood pressure.