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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. You deliver the shock.. should the rescuer go back to giving the patient CPR?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Yes - direct resumption of CPR.
You should verbalize the re - assessment of the vital signs.
Administer high concentration oxygen.

2. 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?
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Switch to bag/valve mask.
Assure high concentration of oxygen is delivered to the patient.
Contact medical command if patient condition permits.

3. What do you do if the patient needs glucose administration? Do you go ahead and do it? or do you contact someone?
Normal - Moist - Diaphoretic
Hold the auto - injector to the patient's thigh for 10 seconds.
Contact medical command if patient condition permits.
You should obtain baseline vital signs of the patient.

4. 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
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.
Verbalizing the general impression of the patient.
Connect the one - way valve to mask.
- Normal (warm) - Cool - Cold - Hot

5. 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.
Initiate analysis of the rhythm.
Medical command
Administer high concentration oxygen.

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

7. 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?
Confirm that the patient has NO allergies to the medication.
Remember to position the patient properly.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Take or verbalize body substance isolation precautions.

8. Assessment says that you will notice that the patient is now pale and diaphoretic with a rapid - weak pulse... say that out loud.
Confirm that the patient is sitting as upright as possible.
Yes. Consult with Medical Command.
Hyperextend extremity and palpate brachial artery.
Remember to position the patient properly.

9. You need to shock the patient again. The rescuer is STILL delivering CPR.. What do you do?
- Normal (warm) - Cool - Cold - Hot
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
The pulse returns.
Scalp - ears - eyes - and the oral/nasal areas.

10. But wait.. are you sure that the patient isn't allergic to the medication?
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
Confirm that the patient has NO allergies to the medication.
Briefly question the bystanders about arrest events.
Perform two minutes of high quality CPR.

11. Ventilate patient!
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Assure high concentration of oxygen is delivered to the patient.
Direct resumption of CPR.
Explain the procedure to the patient.

12. Report/record pulse findings.
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
Determine the mechanism of injury.
First - observe the rise and fall of the chest/abdomen.
(margin +/-4)

13. Okay - you've obtained the baseline vital signs... Should you obtain SAMPLE history now?
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.
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Right patient - Right drug - Right dose - Right route - Right time.

14. Skin Moisture: (touch the patient)
Hyperextend extremity and palpate brachial artery.
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.
Normal - Moist - Diaphoretic
Yes - always explain to the patient that they will feel a stick from the needle.

15. You need to get the patient to the hospital - NOW. What do you do?
Indicate the need for immediate transportation.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Scalp - ears - eyes - and the oral/nasal areas.
Remember to position the patient properly.

16. How do you open the airway?
Direct resumption of CPR.
Open the airway manually.
Initiate analysis of the rhythm.
Take BSI precautions!

17. Time for Airway Management assessment! What's the First thing you do?
Initiate analysis of the rhythm.
Take BSI precautions!
Select the appropriate assessment (focused - or rapid assessment)
Yeah.. definitely don't forget to document everything.

18. Now you have to assess the posterior.. this includes the ______ and the _______.
The second action is determining the patient's responsiveness/level of consciousness
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.
Count pulse for minimum of 30 seconds then multiply by 2.

19. Skin Signs!
Determine the mechanism of injury.
Switch to bag/valve mask.
Assess the following..
Determine the number of patients.

20. Baseline Vital Signs! What do you do first?
Take BSI precautions!
You should determine the chief complaint/apparent life threats of the patient.
Connect the mask to high concentration or oxygen.
Assess the following..

21. You've checked the neck - now move down to the chest.
(margin +/-4)
Inspect the chest - palpate - auscultate.
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.
Confirm the expiration date.

22. 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.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Take BSI precautions.
Expose the thigh area - (and say that you are doing so.)

23. 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?
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Take BSI precaution!
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
You should verbalize the re - assessment of the vital signs.

24. Did that help?
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Direct rescuer to stop CPR and ensures all individuals to stand clear.
Medical command
Yeah.. definitely don't forget to document everything.

25. After checking the chest - where do you move?
Brachial artery.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Take BSI precaution!
Apply direct pressure to the wound.

26. You deliver the shock - now what?
Assure high concentration of oxygen is delivered to the patient.
Normal - Moist - Diaphoretic
For at least 30 seconds!
Direct resumption of CPR.

27. How should the patient be sitting?
Assessing the posterior includes assessing the thorax - and the lumbar.
Direct assistant to assume ventilation and pre - oxygenate patient.
Confirm that the patient is sitting as upright as possible.
Monitor the patient's condition and vital signs after administration.

28. Time for the Nebulized Medication Administration part of your skill assessment. Again - what's the First thing you do?
Take BSI precautions!
Apply pressure dressing to the wound.
The color - temperature - and condition.
Assessing the posterior includes assessing the thorax - and the lumbar.

29. Time for Bleeding Control/Shock Management! First thing you do?
Take BSI precaution!
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
That one is basically self - explanatory. Do that after you apply the cuff!

30. Time for Cardiac Arrest Management/Automatic External Defibrillator! First thing you do
Brachial artery.
Take BSI precautions!
Assess the patient's ability to use the nebulizer.
Place auto - injector on lateral thigh - midway between the knee and thigh.

31. After consulting Medical Command - are you going to perform the procedure without explaining anything to the patient?
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Yes - always explain to the patient that they will feel a stick from the needle.
Explain the procedure to the patient.
Document the procedure!

32. After you open the airway - What do you do?
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Connect the one - way valve to mask.
- Rate - Rhythm (regular/irregular)
Initiate analysis of the rhythm.

33. After checking the chest - where do you move?
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 move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Count pulse for minimum of 30 seconds then multiply by 2.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.

34. Respirations!
Initiate steps to prevent heat loss from the patient.
First - observe the rise and fall of the chest/abdomen.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.

35. Pulse! Palpate with How many fingers?
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
The color - temperature - and condition.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Palpate with 2 fingers (index and middle) over radial artery.

36. Apply a tourniquet.
Did that help? Document when you put the tourniquet on.
Monitor the patient's condition and vital signs after administration.
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.
Yes. Consult with Medical Command.

37. How long should you perform high quality CPR?
Confirm the expiration date.
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.
Dispose of the auto - injector in a sharps container.

38. Circulation assessment re - cap! When assessing the skin - what should you be looking at?
Confirm that the patient is sitting as upright as possible.
Assessing the posterior includes assessing the thorax - and the lumbar.
The color - temperature - and condition.
Explain the procedure to the patient.

39. What do you do after you determine if the scene is safe?
You should determine the chief complaint/apparent life threats of the patient.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
(margin +/-4)
Determine the mechanism of injury.

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

41. What's the expiration date on the oral glucose?
Confirm the expiration date.
Yes - always explain to the patient that they will feel a stick from the needle.
Expose the thigh area - (and say that you are doing so.)
Normal - Moist - Diaphoretic

42. Then What do you switch to?
Explain the procedure to the patient.
Switch to bag/valve mask.
Report/record ausculated blood pressure.
(margin +/-4)

43. After selecting the appropriate assessment - (focused or rapid) - you should obtain baseline ___?___
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Dispose of the auto - injector in a sharps container.
You should obtain baseline vital signs of the patient.
Connect the one - way valve to mask.

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

45. You've checked the neck - now move down to the chest.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Inspect the chest - palpate - auscultate.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Initiate analysis of the rhythm.

46. Integration! First thing you do;
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
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.
Determine the number of patients.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.

47. '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?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
The pulse returns.
Direct rescuer to stop CPR and ensures all individuals to stand clear.
Take BSI precautions!

48. What do you do after that?
Connect the mask to high concentration or oxygen.
You should verbalize the re - assessment of the vital signs.
Did that help? Document when you put the tourniquet on.
Direct resumption of CPR.

49. Skin Color: (observe the patient)
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Dispose of the auto - injector in a sharps container.
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.

50. _______ extremity and palpate ______ artery.
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Hyperextend extremity and palpate brachial artery.
Turn over CPR to another rescuer. Turn on the AED.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.