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)
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
The second action is determining the patient's responsiveness/level of consciousness
Apply direct pressure to the wound.


2. Report/record pulse findings.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Yes - direct resumption of CPR.
(margin +/-4)
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)


3. It's time to administer the medication to the patient! How are you going to do so?
Explain the procedure to the patient.
Place auto - injector on lateral thigh - midway between the knee and thigh.
Initiate analysis of the rhythm.
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


4. 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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5. You're getting ready to use the AED. But the other rescuer is still performing CPR.. What do you tell him?
Determine if the scene is safe.
Assess the airway and breathing.
Direct rescuer to stop CPR and ensures all individuals to stand clear.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.


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

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7. How long should you perform high quality CPR?
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Perform two minutes of high quality CPR.
Ventilate the patient at a rate of 10-20 per minute.


8. What's the expiration date on the oral glucose?
Confirm the expiration date.
Scalp - ears - eyes - and the oral/nasal areas.
You should verbalize the re - assessment of the vital signs.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.


9. But wait.. are you sure that the patient isn't allergic to the medication?
Confirm that the patient has NO allergies to the medication.
Determine the number of patients.
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.


10. Blood pressure (palpatation)

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11. Inflate the cuff rapidly to at least ??mm Hg above the point where the pulse is lost.
Take BSI precautions!
Confirm that the patient is sitting as upright as possible.
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.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.


12. Attach the AED to the patient;
Count pulse for minimum of 30 seconds then multiply by 2.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Initiate analysis of the rhythm.
(margin +/-4)


13. 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.
Determine if the scene is safe.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Perform two minutes of high quality CPR.


14. Assess the following
Administer high concentration oxygen.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Explain the procedure to the patient.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)


15. You've assessed the patient's ability to use the nebulizer - should you consult with Medical Command?
Direct assistant to assume ventilation and pre - oxygenate patient.
Assess the airway and breathing.
Count pulse for minimum of 30 seconds then multiply by 2.
Yes. Consult with Medical Command.


16. What do you do after you determine if the scene is safe?
Confirm that the patient has NO allergies to the medication.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
The color - temperature - and condition.
Determine the mechanism of injury.


17. Do CPR without unnecessary/prolonged interruption..
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.
Initiate analysis of the rhythm.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer


18. Count palpated pulse for a minimum of ___ seconds and multiply times 2.
Palpate with 2 fingers (index and middle) over radial artery.
Count pulse for minimum of 30 seconds then multiply by 2.
Direct assistant to assume ventilation and pre - oxygenate patient.
Yes - you should obtain SAMPLE history after taking baseline vital signs.


19. 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 effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Inspect the chest - palpate - auscultate.
Contact medical command if patient condition permits.


20. You've checked the neck - now move down to the chest.
Inspect the chest - palpate - auscultate.
Brachial artery.
Scalp - ears - eyes - and the oral/nasal areas.
Perform two minutes of high quality CPR.


21. 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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22. First step in 'Scene Size Up'.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Direct rescuer to stop CPR and ensures all individuals to stand clear.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Determine if the scene is safe.


23. After taking BSI precautions - consult with...
Administer high concentration oxygen.
Medical command
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
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.


24. Did that help?
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Request additional help.
Hyperextend extremity and palpate brachial artery.
Confirm that the patient is sitting as upright as possible.


25. Now you have to assess the posterior.. this includes the ______ and the _______.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Assessing the posterior includes assessing the thorax - and the lumbar.
Did that help? Document when you put the tourniquet on.
Normal - Moist - Diaphoretic


26. Transportation!
Verbalize the transportation of the patient.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
(margin +/-4)
Document the procedure!


27. What do you do after you determine the mechanism of injury?
Determine the number of patients.
Ventilate the patient at a rate of 10-20 per minute.
Normal - Moist - Diaphoretic
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)


28. The patient may start losing body heat.. 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.
Initiate steps to prevent heat loss from the patient.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)


29. First action performed after you arrive on scene..
Take BSI precautions!
Briefly question the bystanders about arrest events.
Take or verbalize body substance isolation precautions.
Brachial artery.


30. 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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31. What do you do after that?
For at least 30 seconds!
Connect the mask to high concentration or oxygen.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Indicate the need for immediate transportation.


32. What do you direct your assistant to do?
Connect the one - way valve to mask.
Direct assistant to assume ventilation and pre - oxygenate patient.
Initiate analysis of the rhythm.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.


33. Time for Airway Management assessment! What's the First thing you do?
Confirm that the patient has NO allergies to the medication.
Take BSI precautions!
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
The pulse returns.


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
Request additional help.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
You should determine the chief complaint/apparent life threats of the patient.
Apply direct pressure to the wound.


35. Should you examine the head - arm - or abdomen first?
(margin +/-4)
Expose the thigh area - (and say that you are doing so.)
Connect the mask to high concentration or oxygen.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)


36. 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.)
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
The color - temperature - and condition.


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

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38. The patient is still bleeding - so you..
Determine if the scene is safe.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Apply pressure dressing to the wound.
That one is basically self - explanatory. Do that after you apply the cuff!


39. When assessing the head - What do you check?
Scalp - ears - eyes - and the oral/nasal areas.
Connect the one - way valve to mask.
Verbalizing the general impression of the patient.
Place auto - injector on lateral thigh - midway between the knee and thigh.


40. After you're sure he/she isn't allergic to the medicine; check your 5 rights of drug administration.. which are.....
Right patient - Right drug - Right dose - Right route - Right time.
Expose the thigh area - (and say that you are doing so.)
Hold the auto - injector to the patient's thigh for 10 seconds.
Connect the mask to high concentration or oxygen.


41. Apply a tourniquet.
Did that help? Document when you put the tourniquet on.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Assessing the posterior includes assessing the thorax - and the lumbar.
Hold the auto - injector to the patient's thigh for 10 seconds.


42. Focused History and Physical Examination/Rapid Trauma Assessment. The first thing you should do in this situation is...
Select the appropriate assessment (focused - or rapid assessment)
Medical command
Confirm the expiration date.
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.


43. How do you prepare the medication and nebulizer?
Scalp - ears - eyes - and the oral/nasal areas.
- 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.
Confirm that the patient is sitting as upright as possible.


44. Everything is in place - and you are ready to administer the drug to the patient. Should you warn them that they're going to feel a stick?
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.
Take or verbalize body substance isolation precautions.
Yes - always explain to the patient that they will feel a stick from the needle.
For at least 30 seconds!


45. What do you do if the patient needs glucose administration? Do you go ahead and do it? or do you contact someone?
Verbalize the transportation of the patient.
Confirm that the patient is sitting as upright as possible.
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Contact medical command if patient condition permits.


46. What are the ways to assess the airway and breathing of the patient?
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
You should manage all of the patient's secondary injuries/wounds appropriately
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)


47. Place diaphragm of stethoscope over...
Brachial artery.
Dispose of the auto - injector in a sharps container.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
The color - temperature - and condition.


48. 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.
Apply direct pressure to the wound.
Did that help? Document when you put the tourniquet on.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing


49. When dealing with a patient who has an altered mental status - What are the questions/key words you need to remember in order to assess them appropriately?
- Rate - Rhythm (regular/irregular)
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Apply pressure dressing to the wound.


50. During your Epinephrine Auto - Injector Administration scenario; What is the First thing you should do?
Hold the auto - injector to the patient's thigh for 10 seconds.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Take BSI precautions.
After doing so - ventilate the patient at the proper volume and rate.