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. Skin Color: (observe the patient)
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Confirm that the patient has NO allergies to the medication.
Check the level of consciousness - and the history.
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


2. What do you do if the patient needs glucose administration? Do you go ahead and do it? or do you contact someone?
Scalp - ears - eyes - and the oral/nasal areas.
Contact medical command if patient condition permits.
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.
Direct rescuer to stop CPR and ensures all individuals to stand clear.


3. 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.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Yes. Consult with Medical Command.
Assessing the posterior includes assessing the thorax - and the lumbar.


4. '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?
For at least 30 seconds!
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Brachial artery.


5. Report/record pulse findings.
Scalp - ears - eyes - and the oral/nasal areas.
You should obtain baseline vital signs of the patient.
Confirm that the patient has NO allergies to the medication.
(margin +/-4)


6. Did that help?
Take BSI precautions!
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Take BSI precautions!
Confirm that the patient is sitting as upright as possible.


7. After consulting Medical Command - are you going to perform the procedure without explaining anything to the patient?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Check the level of consciousness - and the history.
Explain the procedure to the patient.
Ventilate the patient at a rate of 10-20 per minute.


8. 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

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9. What's the expiration date on the oral glucose?
You should manage all of the patient's secondary injuries/wounds appropriately
Expose the thigh area - (and say that you are doing so.)
Did that help? Document when you put the tourniquet on.
Confirm the expiration date.


10. Okay - now you have to assess the posterior.. this includes the ______ and the _______.
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Assess the following..
Assessing the posterior includes assessing the thorax - and the lumbar.
Palpate with 2 fingers (index and middle) over radial artery.


11. After you open the airway - What do you do?
Place auto - injector on lateral thigh - midway between the knee and thigh.
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.
Connect the one - way valve to mask.
Initiate analysis of the rhythm.


12. Okay - you've obtained the baseline vital signs... Should you obtain SAMPLE history now?
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Assess the airway and breathing.
Contact medical command if patient condition permits.
Take BSI precautions.


13. Now you have to assess the posterior.. this includes the ______ and the _______.
Assessing the posterior includes assessing the thorax - and the lumbar.
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.
Monitor the patient's condition and vital signs after administration.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing


14. It's time to administer the medication to the patient! How are you going to do so?
Take BSI precaution!
- Rate - Rhythm (regular/irregular)
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
You should verbalize the re - assessment of the vital signs.


15. Skin Signs!
Switch to bag/valve mask.
Assess the following..
You should obtain baseline vital signs of the patient.
Medical command


16. After checking the chest - where do you move?
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.
- Normal (warm) - Cool - Cold - Hot
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Determine if the scene is safe.


17. When assessing the head - What do you check?
Scalp - ears - eyes - and the oral/nasal areas.
Verbalize the transportation of the patient.
The pulse returns.
Normal - Moist - Diaphoretic


18. When assessing the head - What do you check?
Scalp - ears - eyes - and the oral/nasal areas.
Count pulse for minimum of 30 seconds then multiply by 2.
Take BSI precaution!
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.


19. First action performed after you arrive on scene..
Take or verbalize body substance isolation precautions.
Turn over CPR to another rescuer. Turn on the AED.
That one is basically self - explanatory. Do that after you apply the cuff!
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer


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

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21. Apply a tourniquet.
Did that help? Document when you put the tourniquet on.
Right patient - Right drug - Right dose - Right route - Right time.
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.
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever


22. There are bystanders who seen what happened.. do you question them?
Yes - direct resumption of CPR.
Ventilate the patient at a rate of 10-20 per minute.
Briefly question the bystanders about arrest events.
Request additional help.


23. Should you just lay something over the wound after BSI precaution - or should you apply direct pressure?
Apply direct pressure to the wound.
Remember to explain the procedure to the patient.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
The pulse returns.


24. What are the ways to assess the airway and breathing of the patient?
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
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.'
Determine if the scene is safe.


25. 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?
You should obtain baseline vital signs of the patient.
You should verbalize the re - assessment of the vital signs.
After doing so - ventilate the patient at the proper volume and rate.
Confirm that the patient is sitting as upright as possible.


26. Slowly deflate the cuff - and report/record palpable systolic blood pressure when..
Take BSI precautions!
Determine the number of patients.
Right patient - Right drug - Right dose - Right route - Right time.
The pulse returns.


27. When dealing with a patient who is having trouble - dealing with respiratory problems - What are the questions/key words you should remember?
Assessing the posterior includes assessing the thorax - and the lumbar.
The color - temperature - and condition.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)


28. Do CPR without unnecessary/prolonged interruption..
Initiate analysis of the rhythm.
Medical command
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Direct resumption of CPR.


29. You need to get the patient to the hospital - NOW. What do you do?
Indicate the need for immediate transportation.
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
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.'
Yes - always explain to the patient that they will feel a stick from the needle.


30. Inflate the cuff rapidly to at least ??mm Hg above the point where the pulse is lost.
Explain the procedure to the patient.
The pulse returns.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Confirm that the patient is sitting as upright as possible.


31. Where do you dispose of the auto - injector?
Dispose of the auto - injector in a sharps container.
Yeah.. definitely don't forget to document everything.
Take BSI precautions.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)


32. How will you determine if the patient needs glucose administration?
Check the level of consciousness - and the history.
Initiate analysis of the rhythm.
You should verbalize the re - assessment of the vital signs.
Determine the mechanism of injury.


33. 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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34. 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
Inspect the chest - palpate - auscultate.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Connect the mask to high concentration or oxygen.
You should determine the chief complaint/apparent life threats of the patient.


35. Blood pressure (auscultation)

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36. You've exposed the patient's leg. Where do you place the auto - injector?
Apply pressure dressing to the wound.
Confirm that the patient has NO allergies to the medication.
Assess the airway and breathing.
Place auto - injector on lateral thigh - midway between the knee and thigh.


37. After selecting the appropriate assessment - (focused or rapid) - you should obtain baseline ___?___
You should obtain baseline vital signs of the patient.
That one is basically self - explanatory. Do that after you apply the cuff!
Remember to position the patient properly.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)


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

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39. Okay - you've told the patient what you're going to do.. But are you sure they're not allergic to the medication?
Verbalizing the general impression of the patient.
Did that help? Document when you put the tourniquet on.
Take BSI precautions!
Confirm that the patient has NO allergies to the medication.


40. Should you examine the head - arm - or abdomen first?
Scalp - ears - eyes - and the oral/nasal areas.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Apply direct pressure to the wound.
Remember to explain the procedure to the patient.


41. But wait.. are you sure that the patient isn't allergic to the medication?
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
Confirm that the patient has NO allergies to the medication.
Take BSI precautions.
Contact medical command if patient condition permits.


42. 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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43. Remember to check the '5 Rights' of drug administration.. What are they?
Explain the procedure to the patient.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Count pulse for minimum of 30 seconds then multiply by 2.


44. Time for Bleeding Control/Shock Management! First thing you do?
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Scalp - ears - eyes - and the oral/nasal areas.
Take BSI precaution!
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)


45. After taking BSI precautions - consult with...
Check the level of consciousness - and the history.
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
Assess the airway and breathing.
Medical command


46. Assessment says that you will notice that the patient is now pale and diaphoretic with a rapid - weak pulse... say that out loud.
Remember to position the patient properly.
Remember to explain the procedure to the patient.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
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.


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

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48. Integration! First thing you do;
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
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


49. First step in 'Scene Size Up'.
Determine if the scene is safe.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Determine the mechanism of injury.
First - observe the rise and fall of the chest/abdomen.


50. Administer ____ concentration oxygen.
Administer high concentration oxygen.
Take BSI precautions.
Verbalize the transportation of the patient.
You should obtain baseline vital signs of the patient.