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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. Circulation assessment re - cap! When assessing the skin - what should you be looking at?
Apply pressure dressing to the wound.
That one is basically self - explanatory. Do that after you apply the cuff!
Take BSI precautions!
The color - temperature - and condition.

2. Administer ____ concentration oxygen.
Administer high concentration oxygen.
Take BSI precautions.
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.

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

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4. First step in 'Scene Size Up'.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Determine if the scene is safe.
You should manage all of the patient's secondary injuries/wounds appropriately
Verbalize the transportation of the patient.

5. How do you open the airway?
Scalp - ears - eyes - and the oral/nasal areas.
After doing so - ventilate the patient at the proper volume and rate.
Open the airway manually.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.

6. Assess the following
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Determine if the scene is safe.
- Rate - Rhythm (regular/irregular)
Take BSI precautions!

7. To assess circulation - (after you assess the airway/breathing of the patient) - What are the four actions needed to be taken?
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.
Take BSI precautions!
Perform two minutes of high quality CPR.

8. 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
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Verbalize the transportation of the patient.
Verbalizing the general impression of the patient.
The color - temperature - and condition.

9. Did THAT help?
The color - temperature - and condition.
Normal - Moist - Diaphoretic
Select the appropriate assessment (focused - or rapid assessment)
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)

10. Report/record pulse findings.
(margin +/-4)
Initiate analysis of the rhythm.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Direct assistant to assume ventilation and pre - oxygenate patient.

11. Apply a tourniquet.
Apply direct pressure to the wound.
Did that help? Document when you put the tourniquet on.
Take or verbalize body substance isolation precautions.
Perform two minutes of high quality CPR.

12. Assess the following
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Initiate analysis of the rhythm.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Direct resumption of CPR.

13. There are bystanders who seen what happened.. do you question them?
Assess the following..
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Briefly question the bystanders about arrest events.

14. You've checked the neck - now move down to the chest.
Yes - always explain to the patient that they will feel a stick from the needle.
Apply pressure dressing to the wound.
Assess the airway and breathing.
Inspect the chest - palpate - auscultate.

15. How will you determine if the patient needs glucose administration?
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Determine the mechanism of injury.
Check the level of consciousness - and the history.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.

16. Should you just lay something over the wound after BSI precaution - or should you apply direct pressure?
Assure high concentration of oxygen is delivered to the patient.
Apply direct pressure to the wound.
Perform two minutes of high quality CPR.
Initiate analysis of the rhythm.

17. What's the expiration date on the oral glucose?
Confirm the expiration date.
Hyperextend extremity and palpate brachial artery.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Brachial artery.

18. During your Epinephrine Auto - Injector Administration scenario; What is the First thing you should do?
Confirm that the patient has NO allergies to the medication.
Take BSI precaution!
Take BSI precautions!
Take BSI precautions.

19. Time for the Nebulized Medication Administration part of your skill assessment. Again - what's the First thing you do?
Take BSI precautions!
Yes - always explain to the patient that they will feel a stick from the needle.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Apply direct pressure to the wound.

20. You've assessed the patient's ability to use the nebulizer - should you consult with Medical Command?
Yes. Consult with Medical Command.
Yes - direct resumption of CPR.
Initiate steps to prevent heat loss from the patient.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.

21. Respirations!
First - observe the rise and fall of the chest/abdomen.
Determine the number of patients.
Take BSI precaution!
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

22. After you determine the number of patients - what should you do - IF NECESSARY?
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Yes. Consult with Medical Command.
Request additional help.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.

23. 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?
Contact medical command if patient condition permits.
Take BSI precautions!
You should verbalize the re - assessment of the vital signs.
Hold the auto - injector to the patient's thigh for 10 seconds.

24. 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
Yes. Consult with Medical Command.
Hyperextend extremity and palpate brachial artery.
You should determine the chief complaint/apparent life threats of 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.

25. After consulting Medical Command - are you going to perform the procedure without explaining anything to the patient?
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
After doing so - ventilate the patient at the proper volume and rate.
Explain the procedure to the patient.
First - observe the rise and fall of the chest/abdomen.

26. '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 that the patient is sitting as upright as possible.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Hyperextend extremity and palpate brachial artery.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.

27. You've exposed the patient's leg. Where do you place the auto - injector?
Open the airway manually.
Monitor the patient's condition and vital signs after administration.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Place auto - injector on lateral thigh - midway between the knee and thigh.

28. After selecting the appropriate assessment - (focused or rapid) - you should obtain baseline ___?___
Apply 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 Nebulizer
You should obtain baseline vital signs of the patient.
Confirm that the patient is sitting as upright as possible.

29. 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?
Document the procedure!
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Right patient - Right drug - Right dose - Right route - Right time.

30. Where do you dispose of the auto - injector?
Dispose of the auto - injector in a sharps container.
Take BSI precautions!
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
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.'

31. The patient may start losing body heat.. What do you do?
The color - temperature - and condition.
Initiate steps to prevent heat loss from the patient.
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
First - observe the rise and fall of the chest/abdomen.

32. Assessment says that you will notice that the patient is now pale and diaphoretic with a rapid - weak pulse... say that out loud.
Turn over CPR to another rescuer. Turn on the AED.
Remember to position the patient properly.
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Connect the mask to high concentration or oxygen.

33. 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.
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!
After doing so - ventilate the patient at the proper volume and rate.

34. After taking care of the chief complaint of the patient during the initial assessment - you should...
Assess the airway and breathing.
Report/record ausculated blood pressure.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)

35. You need to get the patient to the hospital - NOW. What do you do?
The second action is determining the patient's responsiveness/level of consciousness
Document the procedure!
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Indicate the need for immediate transportation.

36. Inflate cuff rapidly to at least 20mm Hg ______ palpated blood pressure.
Monitor the patient's condition and vital signs after administration.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Scalp - ears - eyes - and the oral/nasal areas.
Assessing the posterior includes assessing the thorax - and the lumbar.

37. Okay - now you have to assess the posterior.. this includes the ______ and the _______.
Hold the auto - injector to the patient's thigh for 10 seconds.
Inspect the chest - palpate - auscultate.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Assessing the posterior includes assessing the thorax - and the lumbar.

38. Place diaphragm of stethoscope over...
Brachial artery.
Remember to position the patient properly.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Medical command

39. Now you have to assess the posterior.. this includes the ______ and the _______.
Open the airway manually.
Assessing the posterior includes assessing the thorax - and the lumbar.
That one is basically self - explanatory. Do that after you apply the cuff!
Confirm that the patient is sitting as upright as possible.

40. Did that help?
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Right patient - Right drug - Right dose - Right route - Right time.
Take BSI precautions!
You should verbalize the re - assessment of the vital signs.

41. You deliver the shock.. should the rescuer go back to giving the patient CPR?
Ventilate the patient at a rate of 10-20 per minute.
Inspect the chest - palpate - auscultate.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Yes - direct resumption of CPR.

42. You've prepared the medication and nebulizer...now attach oxygen to the nebulizer.
The pulse returns.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Verbalizing the general impression of the patient.

43. _______ extremity and palpate ______ artery.
Hyperextend extremity and palpate brachial artery.
Request additional help.
Apply direct pressure to the wound.
Yes. Consult with Medical Command.

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

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45. When assessing the head - What do you check?
Scalp - ears - eyes - and the oral/nasal areas.
Briefly question the bystanders about arrest events.
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.
Open the airway manually.

46. The patient is still bleeding - so you..
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
The pulse returns.
Apply pressure dressing to the wound.
Monitor the patient's condition and vital signs after administration.

47. Monitor the patient's condition and vital signs after you administer the medication - and...
Initiate steps to prevent heat loss from the patient.
The second action is determining the patient's responsiveness/level of consciousness
Document the procedure!
Turn over CPR to another rescuer. Turn on the AED.

48. Then What do you switch to?
Medical command
Switch to bag/valve mask.
The pulse returns.
Briefly question the bystanders about arrest events.

49. Okay - you've obtained the baseline vital signs... Should you obtain SAMPLE history now?
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Dispose of the auto - injector in a sharps container.
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Place auto - injector on lateral thigh - midway between the knee and thigh.

50. What do you do after that?
Connect the mask to high concentration or oxygen.
Assessing the posterior includes assessing the thorax - and the lumbar.
Assessing the posterior includes assessing the thorax - and the lumbar.
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

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