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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. 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?
Take BSI precautions!
Monitor the patient's condition and vital signs after administration.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
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.

2. After you open the airway - What do you do?
Connect the one - way valve to mask.
Remember to explain the procedure to the patient.
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)

3. 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?
Remember to explain the procedure to the patient.
Open the airway manually.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Take BSI precaution!

4. Did that help?
Yes - always explain to the patient that they will feel a stick from the needle.
Contact medical command if patient condition permits.
For at least 30 seconds!
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)

5. 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?
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
You should verbalize the re - assessment of the vital signs.
Assessing the posterior includes assessing the thorax - and the lumbar.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.

6. What do you do after you determine if the scene is safe?
(margin +/-4)
Apply pressure dressing to the wound.
Take BSI precaution!
Determine the mechanism of injury.

7. After BSI precautions - you need to perform a blood glucose check.. How do you set up/perform the check?
You should obtain baseline vital signs of the patient.
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.
Hyperextend extremity and palpate brachial artery.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer

8. When assessing the head - What do you check?
Scalp - ears - eyes - and the oral/nasal areas.
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Yes. Consult with Medical Command.
Document the procedure!

9. 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

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

11. Slowly deflate the cuff.. then..
Report/record ausculated blood pressure.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
(margin +/-4)
The color - temperature - and condition.

12. 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)
The second action is determining the patient's responsiveness/level of consciousness
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Apply pressure dressing to the wound.

13. You've successfully removed the cap - and you're ready to administer the medication to the patient... but where do you administer it?
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
Direct resumption of CPR.
Expose the thigh area - (and say that you are doing so.)

14. What do you do if the patient needs glucose administration? Do you go ahead and do it? or do you contact someone?
Confirm the expiration date.
Contact medical command if patient condition permits.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Hold the auto - injector to the patient's thigh for 10 seconds.

15. You've checked the neck - now move down to the chest.
Assess the following..
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Inspect the chest - palpate - auscultate.
Open the airway manually.

16. How long should you perform high quality CPR?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Perform two minutes of high quality CPR.
Yes - always explain to the patient that they will feel a stick from the needle.
Assessing the posterior includes assessing the thorax - and the lumbar.

17. Did THAT help?
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.
Request additional help.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Confirm the expiration date.

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

19. Count palpated pulse for a minimum of ___ seconds and multiply times 2.
Count pulse for minimum of 30 seconds then multiply by 2.
Right patient - Right drug - Right dose - Right route - Right time.
Apply pressure dressing to the wound.
Scalp - ears - eyes - and the oral/nasal areas.

20. 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
Ventilate the patient at a rate of 10-20 per minute.
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
You should determine the chief complaint/apparent life threats of the patient.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.

21. Where do you dispose of the auto - injector?
Remember to explain the procedure to the patient.
Take BSI precautions.
Dispose of the auto - injector in a sharps container.
You should obtain baseline vital signs of the patient.

22. Count the respiratory rate for at least ___ seconds and multiply times 2.
Inspect the chest - palpate - auscultate.
Count pulse for minimum of 30 seconds then multiply by 2.
For at least 30 seconds!
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)

23. How do you prepare the medication and nebulizer?
Inspect the chest - palpate - auscultate.
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.'
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.
You should obtain baseline vital signs of the patient.

24. You've assessed the patient's ability to use the nebulizer - should you consult with Medical Command?
Assessing the posterior includes assessing the thorax - and the lumbar.
Yes. Consult with Medical Command.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer

25. Skin Temperature: (touch the patient)
Explain the procedure to the patient.
- Normal (warm) - Cool - Cold - Hot
Assess the patient's ability to use the nebulizer.
The color - temperature - and condition.

26. You've exposed the patient's leg. Where do you place the auto - injector?
Place auto - injector on lateral thigh - midway between the knee and thigh.
Scalp - ears - eyes - and the oral/nasal areas.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Request additional help.

27. After you're sure he/she isn't allergic to the medicine; check your 5 rights of drug administration.. which are.....
Confirm the expiration date.
Determine if the scene is safe.
Assessing the posterior includes assessing the thorax - and the lumbar.
Right patient - Right drug - Right dose - Right route - Right time.

28. You need to get the AED. What should you do?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Turn over CPR to another rescuer. Turn on the AED.
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.

29. Time for the Detailed Physical Examination! Should you examine the head - arm - or abdomen first?
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.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Hyperextend extremity and palpate brachial artery.

30. '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?
Initiate analysis of the rhythm.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
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
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'

31. 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.
(margin +/-4)
Verbalize the transportation of the patient.
Medical command

32. Skin Moisture: (touch the patient)
Determine if the scene is safe.
Take or verbalize body substance isolation precautions.
Yeah.. definitely don't forget to document everything.
Normal - Moist - Diaphoretic

33. What's the expiration date on the oral glucose?
Confirm the expiration date.
- Rate - Rhythm (regular/irregular)
Confirm that the patient has NO allergies to the medication.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)

34. You deliver the shock - now what?
Normal - Moist - Diaphoretic
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
Ventilate the patient at a rate of 10-20 per minute.
Direct resumption of CPR.

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

36. Administer ____ concentration oxygen.
The pulse returns.
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Determine the mechanism of injury.
Administer high concentration oxygen.

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

38. Report/record pulse findings.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
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.'
(margin +/-4)
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.

39. Assessment says that you will notice that the patient is now pale and diaphoretic with a rapid - weak pulse... say that out loud.
Apply pressure dressing to the wound.
Document the procedure!
Confirm that the patient has NO allergies to the medication.
Remember to position the patient properly.

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

41. But wait.. are you sure that the patient isn't allergic to the medication?
Assess the airway and breathing.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
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 has NO allergies to the medication.

42. 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?

43. Monitor the patient's condition and vital signs after you administer the medication - and...
Document the procedure!
Take BSI precautions.
Take BSI precaution!
Remember to position the patient properly.

44. Assess the following
Assess the following..
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Apply the 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

45. Okay - you've told the patient what you're going to do.. But are you sure they're not allergic to the medication?
Monitor the patient's condition and vital signs after administration.
Explain the procedure to the patient.
Assess the airway and breathing.
Confirm that the patient has NO allergies to the medication.

46. 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?
Initiate analysis of the rhythm.
Take BSI precautions!
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever

47. Respirations!
Direct assistant to assume ventilation and pre - oxygenate patient.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
First - observe the rise and fall of the chest/abdomen.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.

48. 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?
Apply direct pressure to the wound.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Assessing the posterior includes assessing the thorax - and the lumbar.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin

49. 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?
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Initiate analysis of the rhythm.
Take BSI precaution!

50. How will you determine if the patient needs glucose administration?
Direct assistant to assume ventilation and pre - oxygenate patient.
Check the level of consciousness - and the history.
Brachial artery.
(margin +/-4)