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. After selecting the appropriate assessment - (focused or rapid) - you should obtain baseline ___?___
You should obtain baseline vital signs of the patient.
Scalp - ears - eyes - and the oral/nasal areas.
Did that help? Document when you put the tourniquet on.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.


2. When dealing with a patient who has a history of - or who is experiencing cardiac problems - What are the questions/key words you should remember?
Assess the airway and breathing.
Remember to position the patient properly.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Request additional help.


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

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4. 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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5. What do you do after that?
Direct resumption of CPR.
Connect the mask to high concentration or oxygen.
Confirm that the patient is sitting as upright as possible.
The color - temperature - and condition.


6. 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.
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Check the level of consciousness - and the history.


7. 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.
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!
Yes - direct resumption of CPR.


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

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9. Did that help?
Confirm that the patient is sitting as upright as possible.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Briefly question the bystanders about arrest events.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.


10. Inflate the cuff rapidly to at least ??mm Hg above the point where the pulse is lost.
Hold the auto - injector to the patient's thigh for 10 seconds.
Select the appropriate assessment (focused - or rapid assessment)
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.


11. 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?
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.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.


12. You've checked the neck - now move down to the chest.
Inspect the chest - palpate - auscultate.
First - observe the rise and fall of the chest/abdomen.
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.
Turn over CPR to another rescuer. Turn on the AED.


13. Then What do you switch to?
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.
Direct rescuer to stop CPR and ensures all individuals to stand clear.
Take BSI precautions!
Switch to bag/valve mask.


14. Time for Airway Management assessment! What's the First thing you do?
Take BSI precautions!
That one is basically self - explanatory. Do that after you apply the cuff!
Apply direct pressure to the wound.
Yes - direct resumption of CPR.


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

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16. Integration! First thing you do;
Confirm the expiration date.
The pulse returns.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Yeah.. definitely don't forget to document everything.


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

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18. Apply a tourniquet.
You should verbalize the re - assessment of the vital signs.
Did that help? Document when you put the tourniquet on.
Take or verbalize body substance isolation precautions.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.


19. Remember to check the '5 Rights' of drug administration.. What are they?
Perform two minutes of high quality CPR.
Hold the auto - injector to the patient's thigh for 10 seconds.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.


20. Monitor the patient's condition and vital signs after you administer the medication - and...
Right patient - Right drug - Right dose - Right route - Right time.
Select the appropriate assessment (focused - or rapid assessment)
Document the procedure!
Take BSI precautions!


21. Okay - now you have to assess the posterior.. this includes the ______ and the _______.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Switch to bag/valve mask.
Assessing the posterior includes assessing the thorax - and the lumbar.
The color - temperature - and condition.


22. Slowly deflate the cuff - and report/record palpable systolic blood pressure when..
Take BSI precautions!
- Normal (warm) - Cool - Cold - Hot
Direct rescuer to stop CPR and ensures all individuals to stand clear.
The pulse returns.


23. You've assessed the patient's ability to use the nebulizer - should you consult with Medical Command?
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
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.
- Rate - Rhythm (regular/irregular)
Yes. Consult with Medical Command.


24. Time for the Detailed Physical Examination! Should you examine the head - arm - or abdomen first?
Take or verbalize body substance isolation precautions.
Expose the thigh area - (and say that you are doing so.)
Direct rescuer to stop CPR and ensures all individuals to stand clear.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)


25. Report/record pulse findings.
Inspect the chest - palpate - auscultate.
Take BSI precautions!
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.
(margin +/-4)


26. You need to get the patient to the hospital - NOW. What do you do?
Indicate the need for immediate transportation.
Remember to position the patient properly.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer


27. When assessing the head - What do you check?
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.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
(margin +/-4)
Scalp - ears - eyes - and the oral/nasal areas.


28. What's the expiration date on the oral glucose?
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
Ventilate the patient at a rate of 10-20 per minute.
Confirm the expiration date.


29. Skin Temperature: (touch 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
- Normal (warm) - Cool - Cold - Hot
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.


30. After BSI precautions - you need to perform a blood glucose check.. How do you set up/perform the check?
Normal - Moist - Diaphoretic
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.
Initiate analysis of the rhythm.
Direct assistant to assume ventilation and pre - oxygenate patient.


31. 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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32. Ventilate patient!
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Assure high concentration of oxygen is delivered to the patient.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Monitor the patient's condition and vital signs after administration.


33. Time for Cardiac Arrest Management/Automatic External Defibrillator! First thing you do
Inspect the chest - palpate - auscultate.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
You should manage all of the patient's secondary injuries/wounds appropriately
Take BSI precautions!


34. Respirations!
First - observe the rise and fall of the chest/abdomen.
You should verbalize the re - assessment of the vital signs.
Monitor the patient's condition and vital signs after administration.
You should verbalize the re - assessment of the vital signs.


35. 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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36. After checking the chest - where do you move?
Confirm that the patient is sitting as upright as possible.
Place auto - injector on lateral thigh - midway between the knee and thigh.
Report/record ausculated blood pressure.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.


37. Place diaphragm of stethoscope over...
Brachial artery.
Open the airway manually.
Assure high concentration of oxygen is delivered to the patient.
Scalp - ears - eyes - and the oral/nasal areas.


38. Blood pressure (palpatation)

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39. 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?
Apply pressure dressing to the wound.
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
You should verbalize the re - assessment of the vital signs.


40. You've checked the neck - now move down to the chest.
Normal - Moist - Diaphoretic
Inspect the chest - palpate - auscultate.
You should manage all of the patient's secondary injuries/wounds appropriately
That one is basically self - explanatory. Do that after you apply the cuff!


41. Attach the AED to the patient;
Initiate analysis of the rhythm.
Right patient - Right drug - Right dose - Right route - Right time.
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
Dispose of the auto - injector in a sharps container.


42. The patient is still bleeding - so you..
You should verbalize the re - assessment of the vital signs.
Assessing the posterior includes assessing the thorax - and the lumbar.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Apply pressure dressing to the wound.


43. Should you just lay something over the wound after BSI precaution - or should you apply direct pressure?
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.'
Apply direct pressure to the wound.
Take BSI precaution!


44. To assess circulation - (after you assess the airway/breathing of the patient) - What are the four actions needed to be taken?
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.
Determine if the scene is safe.
- Normal (warm) - Cool - Cold - Hot
Place auto - injector on lateral thigh - midway between the knee and thigh.


45. During your Epinephrine Auto - Injector Administration scenario; What is the First thing you should do?
Dispose of the auto - injector in a sharps container.
Take BSI precaution!
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Take BSI precautions.


46. After you're sure he/she isn't allergic to the medicine; check your 5 rights of drug administration.. which are.....
Document the procedure!
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.
Switch to bag/valve mask.
Right patient - Right drug - Right dose - Right route - Right time.


47. Ventilate the patient at a rate of __-__ per minute with appropriate volumes via bag/valve mask.
Ventilate the patient at a rate of 10-20 per minute.
Direct rescuer to stop CPR and ensures all individuals to stand clear.
Determine the number of patients.
Yes - always explain to the patient that they will feel a stick from the needle.


48. How long should you perform high quality CPR?
Perform two minutes of high quality CPR.
You should verbalize the re - assessment of the vital signs.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer


49. Where do you dispose of the auto - injector?
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
The pulse returns.
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
Dispose of the auto - injector in a sharps container.


50. Baseline Vital Signs! What do you do first?
Take BSI precautions!
Monitor the patient's condition and vital signs after administration.
The pulse returns.
Inspect the chest - palpate - auscultate.