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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. But wait.. are you sure that the patient isn't allergic to the medication?
Dispose of the auto - injector in a sharps container.
Confirm that the patient has NO allergies to the medication.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Connect the mask to high concentration or oxygen.

2. In a smooth - firm - fashion push the injector until the click is heard. How long should you hold it against the patient's thigh?

3. You've checked the neck - now move down to the chest.
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.
Apply pressure dressing to the wound.
Place auto - injector on lateral thigh - midway between the knee and thigh.

4. 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?
(margin +/-4)
You should verbalize the re - assessment of the vital signs.
For at least 30 seconds!
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.

5. Baseline Vital Signs! What do you do first?
Palpate with 2 fingers (index and middle) over radial artery.
Did that help? Document when you put the tourniquet on.
Take BSI precautions!
- Normal (warm) - Cool - Cold - Hot

6. Integration! First thing you do;
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
After doing so - ventilate the patient at the proper volume and rate.
The color - temperature - and condition.

7. Attach the AED to the patient;
Initiate analysis of the rhythm.
Explain the procedure to the patient.
Assess the patient's ability to use the nebulizer.
Expose the thigh area - (and say that you are doing so.)

8. Skin Signs!
You should verbalize the re - assessment of the vital signs.
After doing so - ventilate the patient at the proper volume and rate.
Assess the following..
For at least 30 seconds!

9. Focused History and Physical Examination/Rapid Trauma Assessment. The first thing you should do in this situation is...
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
Perform two minutes of high quality CPR.
Turn over CPR to another rescuer. Turn on the AED.
Select the appropriate assessment (focused - or rapid assessment)

10. How should the patient be sitting?
Palpate with 2 fingers (index and middle) over radial artery.
Yeah.. definitely don't forget to document everything.
Take BSI precaution!
Confirm that the patient is sitting as upright as possible.

11. Did THAT help?
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Inspect the chest - palpate - auscultate.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)

12. Should you examine the head - arm - or abdomen first?
After doing so - ventilate the patient at the proper volume and rate.
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.
Confirm the expiration date.

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

14. Skin Moisture: (touch the patient)
Report/record ausculated blood pressure.
Normal - Moist - Diaphoretic
Yes. Consult with Medical Command.
Perform two minutes of high quality CPR.

15. There are bystanders who seen what happened.. do you question them?
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Briefly question the bystanders about arrest events.
Initiate steps to prevent heat loss from the patient.
(margin +/-4)

16. You're getting ready to use the AED. But the other rescuer is still performing CPR.. What do you tell him?
Ventilate the patient at a rate of 10-20 per minute.
Direct rescuer to stop CPR and ensures all individuals to stand clear.
- Normal (warm) - Cool - Cold - Hot
Confirm that the patient has NO allergies to the medication.

17. Time for Cardiac Arrest Management/Automatic External Defibrillator! First thing you do
Take or verbalize body substance isolation precautions.
Take BSI precautions.
Take BSI precautions!
Yeah.. definitely don't forget to document everything.

18. Palpate radial or brachial artery!
That one is basically self - explanatory. Do that after you apply the cuff!
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Apply direct pressure to the wound.

19. After you determine the number of patients - what should you do - IF NECESSARY?
The second action is determining the patient's responsiveness/level of consciousness
Request additional help.
Direct assistant to assume ventilation and pre - oxygenate patient.
Initiate analysis of the rhythm.

20. Monitor the patient's condition and vital signs after you administer the medication - and...
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
Document the procedure!
Normal - Moist - Diaphoretic
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.

21. When assessing the head - What do you check?
Scalp - ears - eyes - and the oral/nasal areas.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
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.

22. What do you do after that?
Connect the mask to high concentration or oxygen.
Monitor the patient's condition and vital signs after administration.
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.)

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

24. What do you direct your assistant to do?
Perform two minutes of high quality CPR.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Direct assistant to assume ventilation and pre - oxygenate patient.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer

25. What do you do if the patient needs glucose administration? Do you go ahead and do it? or do you contact someone?
Take BSI precautions!
Contact medical command if patient condition permits.
Hyperextend extremity and palpate brachial artery.
Palpate with 2 fingers (index and middle) over radial artery.

26. Circulation assessment re - cap! When assessing the skin - what should you be looking at?
The second action is determining the patient's responsiveness/level of consciousness
Determine the mechanism of injury.
The color - temperature - and condition.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.

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

28. How long should you perform high quality CPR?
Assessing the posterior includes assessing the thorax - and the lumbar.
Open the airway manually.
Perform two minutes of high quality CPR.
Verbalizing the general impression of the patient.

29. After you open the airway - What do you do?
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.
Dispose of the auto - injector in a sharps container.
Assure high concentration of oxygen is delivered to the patient.

30. Assess the following
Yes - direct resumption of CPR.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Determine the number of patients.
Open the airway manually.

31. After taking BSI precautions - consult with...
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.'
Scalp - ears - eyes - and the oral/nasal areas.
Medical command

32. It's time to administer the medication to the patient! How are you going to do so?
Yes. Consult with Medical Command.
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!
You should verbalize the re - assessment of the vital signs.

33. 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?

34. 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?
Connect the mask to high concentration or oxygen.
Assessing the posterior includes assessing the thorax - and the lumbar.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Take BSI precautions!

35. 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 - 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.
You should determine the chief complaint/apparent life threats of the patient.
Confirm that the patient is sitting as upright as possible.
Verbalizing the general impression of the patient.

36. You've checked the neck - now move down to the chest.
Inspect the chest - palpate - auscultate.
Yes - direct resumption of CPR.
Dispose of the auto - injector in a sharps container.
Take BSI precautions!

37. 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.
Assessing the posterior includes assessing the thorax - and the lumbar.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Apply direct pressure to the wound.

38. Transportation!
Assess the airway and breathing.
Verbalize the transportation of the patient.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Take BSI precautions.

39. 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.)
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.
Yes - you should obtain SAMPLE history after taking baseline vital signs.
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.

40. Did that help?
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.
Turn over CPR to another rescuer. Turn on the AED.
Assess the patient's ability to use the nebulizer.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)

41. Count the respiratory rate for at least ___ seconds and multiply times 2.
Take BSI precaution!
For at least 30 seconds!
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Request additional help.

42. Establish and maintain a proper mask to face seal.
After doing so - ventilate the patient at the proper volume and rate.
- Normal (warm) - Cool - Cold - Hot
Take BSI precautions!
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.

43. Skin Temperature: (touch the patient)
Document the procedure!
- Normal (warm) - Cool - Cold - Hot
You should determine the chief complaint/apparent life threats of the patient.
Indicate the need for immediate transportation.

44. When assessing circulation - should you control major bleeding BEFORE you assess the patient's pulse - or after?

45. You've prepared the medication and nebulizer...now attach oxygen to the nebulizer.
You should determine the chief complaint/apparent life threats of the patient.
- Normal (warm) - Cool - Cold - Hot
Dispose of the auto - injector in a sharps container.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.

46. 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?
Turn over CPR to another rescuer. Turn on the AED.
You should verbalize the re - assessment of the vital signs.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.

47. Should you just lay something over the wound after BSI precaution - or should you apply direct pressure?
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Apply direct pressure to the wound.
Right patient - Right drug - Right dose - Right route - Right time.
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.

48. 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 that the patient has NO allergies to the medication.
Dispose of the auto - injector in a sharps container.
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.'
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)

49. The patient may start losing body heat.. What do you do?
Open the airway manually.
Initiate steps to prevent heat loss from the patient.
You should verbalize the re - assessment of the vital signs.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)

50. Where do you dispose of the auto - injector?
Assure high concentration of oxygen is delivered to the patient.
Initiate analysis of the rhythm.
Dispose of the auto - injector in a sharps container.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.