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. When dealing with a patient who is having trouble - dealing with respiratory problems - What are the questions/key words you should remember?
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.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Apply direct pressure to the wound.
Yes. Consult with Medical Command.


2. But wait.. are you sure that the patient isn't allergic to the medication?
You should obtain baseline vital signs of the patient.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Confirm that the patient has NO allergies to the medication.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.


3. Do CPR without unnecessary/prolonged interruption..
The second action is determining the patient's responsiveness/level of consciousness
Take BSI precautions.
Initiate analysis of the rhythm.
Scalp - ears - eyes - and the oral/nasal areas.


4. First step in 'Scene Size Up'.
Apply direct pressure to the wound.
Determine if the scene is safe.
You should verbalize the re - assessment of the vital signs.
Switch to bag/valve mask.


5. Respirations!
Direct rescuer to stop CPR and ensures all individuals to stand clear.
First - observe the rise and fall of the chest/abdomen.
Direct resumption of CPR.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.


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

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7. _______ extremity and palpate ______ artery.
Hyperextend extremity and palpate brachial artery.
Briefly question the bystanders about arrest events.
Take BSI precautions!
Yes - direct resumption of CPR.


8. What are the ways to assess the airway and breathing of the patient?
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.
Expose the thigh area - (and say that you are doing so.)
Direct resumption of CPR.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.


9. Did THAT help?
Remember to position the patient properly.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Ventilate the patient at a rate of 10-20 per minute.


10. You deliver the shock.. should the rescuer go back to giving the patient CPR?
Yes - direct resumption of CPR.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Take BSI precautions.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.


11. Palpate radial or brachial artery!
That one is basically self - explanatory. Do that after you apply the cuff!
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.
Perform two minutes of high quality CPR.
(margin +/-4)


12. 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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13. Okay - now you have to assess the posterior.. this includes the ______ and the _______.
Assessing the posterior includes assessing the thorax - and the lumbar.
First - observe the rise and fall of the chest/abdomen.
Request additional help.
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.'


14. Administer ____ concentration oxygen.
Place auto - injector on lateral thigh - midway between the knee and thigh.
Administer high concentration oxygen.
Take or verbalize body substance isolation precautions.
Confirm the expiration date.


15. After taking BSI precautions - consult with...
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Count pulse for minimum of 30 seconds then multiply by 2.
Remember to position the patient properly.
Medical command


16. After selecting the appropriate assessment - (focused or rapid) - you should obtain baseline ___?___
You should obtain baseline vital signs of the patient.
Right patient - Right drug - Right dose - Right route - Right time.
Assessing the posterior includes assessing the thorax - and the lumbar.
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever


17. Integration! First thing you do;
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Turn over CPR to another rescuer. Turn on the AED.


18. After you determine the number of patients - what should you do - IF NECESSARY?
Remember to explain the procedure to the patient.
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
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.
Request additional help.


19. Should you examine the head - arm - or abdomen first?
Inspect the chest - palpate - auscultate.
Check the level of consciousness - and the history.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.


20. Alright - you're about to distribute the Epinephrine to the patient. You don't just do it without telling the patient what you're doing.. do you?
(margin +/-4)
Remember to explain the procedure to the patient.
Take BSI precautions!
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.


21. 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
Assess the following..
Confirm that the patient has NO allergies to the medication.
Verbalizing the general impression of the patient.
You should manage all of the patient's secondary injuries/wounds appropriately


22. 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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23. Slowly deflate the cuff.. then..
Take BSI precautions!
The color - temperature - and condition.
Report/record ausculated blood pressure.
Count pulse for minimum of 30 seconds then multiply by 2.


24. 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 verbalize the re - assessment of the vital signs.
Take BSI precautions!
Connect the one - way valve to mask.
Yes - direct resumption of CPR.


25. Blood pressure (auscultation)

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26. 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.
Place auto - injector on lateral thigh - midway between the knee and thigh.
Apply direct pressure to the wound.
Open the airway manually.


27. After you open the airway - What do you do?
Confirm the expiration date.
Connect the one - way valve to mask.
Palpate with 2 fingers (index and middle) over radial artery.
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery


28. You need to shock the patient again. The rescuer is STILL delivering CPR.. What do you do?
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
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.
Connect the one - way valve to mask.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.


29. To assess circulation - (after you assess the airway/breathing of the patient) - What are the four actions needed to be taken?
Place auto - injector on lateral thigh - midway between the knee and thigh.
- Rate - Rhythm (regular/irregular)
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.
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery


30. 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.
Take or verbalize body substance isolation precautions.
Brachial artery.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.


31. Inflate the cuff rapidly to at least ??mm Hg above the point where the pulse is lost.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
The color - temperature - and condition.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Assess the airway and breathing.


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

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33. You've assessed the patient's ability to use the nebulizer - should you consult with Medical Command?
Monitor the patient's condition and vital signs after administration.
Brachial artery.
Verbalize the transportation of the patient.
Yes. Consult with Medical Command.


34. You've prepared the medication and nebulizer...now attach oxygen to the nebulizer.
Perform two minutes of high quality CPR.
That one is basically self - explanatory. Do that after you apply the cuff!
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.


35. Remember to check the '5 Rights' of drug administration.. What are they?
Monitor the patient's condition and vital signs after administration.
The color - temperature - and condition.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Take BSI precautions!


36. Ventilate patient!
Assure high concentration of oxygen is delivered to the patient.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Confirm the expiration date.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.


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

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38. Skin Signs!
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Assess the following..
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Medical command


39. Monitor the patient's condition and vital signs after you administer the medication - and...
Normal - Moist - Diaphoretic
Expose the thigh area - (and say that you are doing so.)
Apply pressure dressing to the wound.
Document the procedure!


40. What do you direct your assistant to do?
Assess the following..
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.
Direct assistant to assume ventilation and pre - oxygenate patient.


41. Should you just lay something over the wound after BSI precaution - or should you apply direct pressure?
Direct assistant to assume ventilation and pre - oxygenate patient.
Assess the patient's ability to use the nebulizer.
Count pulse for minimum of 30 seconds then multiply by 2.
Apply direct pressure to the wound.


42. Skin Color: (observe the patient)
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Select the appropriate assessment (focused - or rapid assessment)
Right patient - Right drug - Right dose - Right route - Right time.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing


43. The patient is still bleeding - so you..
Inspect the chest - palpate - auscultate.
Normal - Moist - Diaphoretic
Remember to explain the procedure to the patient.
Apply pressure dressing to the wound.


44. Count palpated pulse for a minimum of ___ seconds and multiply times 2.
Hold the auto - injector to the patient's thigh for 10 seconds.
Administer high concentration oxygen.
You should manage all of the patient's secondary injuries/wounds appropriately
Count pulse for minimum of 30 seconds then multiply by 2.


45. After you're sure he/she isn't allergic to the medicine; check your 5 rights of drug administration.. which are.....
Confirm that the patient has NO allergies to the medication.
Right patient - Right drug - Right dose - Right route - Right time.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Take BSI precautions!


46. '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?
Indicate the need for immediate transportation.
Assessing the posterior includes assessing the thorax - and the lumbar.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
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.


47. 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?
Contact medical command if patient condition permits.
- Normal (warm) - Cool - Cold - Hot
Hold the auto - injector to the patient's thigh for 10 seconds.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.


48. You need to get the AED. What should you do?
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Turn over CPR to another rescuer. Turn on the AED.
Take BSI precautions!
Open the airway manually.


49. Assess the following
- Rate - Rhythm (regular/irregular)
Take BSI precautions!
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Place auto - injector on lateral thigh - midway between the knee and thigh.


50. Time for Airway Management assessment! What's the First thing you do?
Take BSI precautions!
Place auto - injector on lateral thigh - midway between the knee and thigh.
Report/record ausculated blood pressure.
Assessing the posterior includes assessing the thorax - and the lumbar.