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. 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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2. 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?
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.
Take BSI precautions!
First - observe the rise and fall of the chest/abdomen.
You should verbalize the re - assessment of the vital signs.


3. Focused History and Physical Examination/Rapid Trauma Assessment. The first thing you should do in this situation is...
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Select the appropriate assessment (focused - or rapid assessment)
Monitor the patient's condition and vital signs after administration.
Normal - Moist - Diaphoretic


4. You deliver the shock.. should the rescuer go back to giving the patient CPR?
Assess the airway and breathing.
Take BSI precautions!
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Yes - direct resumption of CPR.


5. Administer ____ concentration oxygen.
Administer high concentration oxygen.
After doing so - ventilate the patient at the proper volume and rate.
Hyperextend extremity and palpate brachial artery.
You should manage all of the patient's secondary injuries/wounds appropriately


6. There are bystanders who seen what happened.. do you question them?
Select the appropriate assessment (focused - or rapid assessment)
Briefly question the bystanders about arrest events.
Hyperextend extremity and palpate brachial artery.
Take BSI precautions!


7. The patient may start losing body heat.. What do you do?
Monitor the patient's condition and vital signs after administration.
Medical command
Initiate steps to prevent heat loss from the patient.
Confirm that the patient has NO allergies to the medication.


8. First step in 'Scene Size Up'.
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.
Determine if the scene is safe.
Connect the mask to high concentration or oxygen.
Request additional help.


9. Baseline Vital Signs! What do you do first?
Take BSI precautions!
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.'
Normal - Moist - Diaphoretic
Direct resumption of CPR.


10. Transportation!
(margin +/-4)
Verbalize the transportation of the patient.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
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.


11. You need to get the patient to the hospital - NOW. What do you do?
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
Indicate the need for immediate transportation.
Palpate with 2 fingers (index and middle) over radial artery.
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.


12. Slowly deflate the cuff.. then..
Open the airway manually.
Brachial artery.
Report/record ausculated blood pressure.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.


13. How do you open the airway?
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Open the airway manually.
Request additional help.


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

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15. 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?
- Rate - Rhythm (regular/irregular)
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Scalp - ears - eyes - and the oral/nasal areas.


16. You've successfully removed the cap - and you're ready to administer the medication to the patient... but where do you administer it?
Yes - direct resumption of CPR.
Expose the thigh area - (and say that you are doing so.)
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
(margin +/-4)


17. How should the patient be sitting?
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Confirm that the patient is sitting as upright as possible.
You should verbalize the re - assessment of the vital signs.


18. Skin Moisture: (touch the patient)
Direct resumption of CPR.
Normal - Moist - Diaphoretic
Take BSI precautions!
Palpate with 2 fingers (index and middle) over radial artery.


19. You're getting ready to use the AED. But the other rescuer is still performing CPR.. What do you tell him?
Direct assistant to assume ventilation and pre - oxygenate patient.
You should manage all of the patient's secondary injuries/wounds appropriately
Direct rescuer to stop CPR and ensures all individuals to stand clear.
Assessing the posterior includes assessing the thorax - and the lumbar.


20. Apply a tourniquet.
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
Scalp - ears - eyes - and the oral/nasal areas.
Did that help? Document when you put the tourniquet on.
Expose the thigh area - (and say that you are doing so.)


21. 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?
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.
You should verbalize the re - assessment of the vital signs.
Open the airway manually.


22. 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?
Assess the following..
Remember to explain the procedure to the patient.
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
Count pulse for minimum of 30 seconds then multiply by 2.


23. The patient is still bleeding - so you..
Verbalize the transportation of the patient.
Yes - always explain to the patient that they will feel a stick from the needle.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Apply pressure dressing to the wound.


24. Circulation assessment re - cap! When assessing the skin - what should you be looking at?
Assessing the posterior includes assessing the thorax - and the lumbar.
The color - temperature - and condition.
- Rate - Rhythm (regular/irregular)
Inspect the chest - palpate - auscultate.


25. Remember to check the '5 Rights' of drug administration.. What are they?
Ventilate the patient at a rate of 10-20 per minute.
First - observe the rise and fall of the chest/abdomen.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.


26. Time for Cardiac Arrest Management/Automatic External Defibrillator! First thing you do
Connect the one - way valve to mask.
Take BSI precautions!
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
Report/record ausculated blood pressure.


27. Time for Airway Management assessment! What's the First thing you do?
Confirm that the patient has NO allergies to the medication.
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 move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Take BSI precautions!


28. You deliver the shock - now what?
Scalp - ears - eyes - and the oral/nasal areas.
Take BSI precaution!
Confirm the expiration date.
Direct resumption of CPR.


29. Should you examine the head - arm - or abdomen first?
Initiate analysis of the rhythm.
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 Nitroglycerin
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)


30. 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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31. Respirations!
First - observe the rise and fall of the chest/abdomen.
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.
Apply pressure dressing to the wound.
That one is basically self - explanatory. Do that after you apply the cuff!


32. Slowly deflate the cuff - and report/record palpable systolic blood pressure when..
Verbalize the transportation of the patient.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
The pulse returns.
Assess the following..


33. 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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34. What do you direct your assistant to do?
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Direct assistant to assume ventilation and pre - oxygenate patient.
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.)


35. 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?
Yes - you should obtain SAMPLE history after taking baseline vital signs.
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.
Brachial artery.


36. Then What do you switch to?
Confirm the expiration date.
Switch to bag/valve mask.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Take BSI precautions!


37. Did THAT help?
Assessing the posterior includes assessing the thorax - and the lumbar.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
Initiate analysis of the rhythm.


38. What are the ways to assess the airway and breathing of the patient?
Assess the following..
Did that help? Document when you put the tourniquet on.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Confirm that the patient is sitting as upright as possible.


39. 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?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Take BSI precautions!
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Hyperextend extremity and palpate brachial artery.


40. After taking care of the chief complaint of the patient during the initial assessment - you should...
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Turn over CPR to another rescuer. Turn on the AED.
Assess the airway and breathing.
Apply pressure dressing to the wound.


41. 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
Verbalizing the general impression of the patient.
Hold the auto - injector to the patient's thigh for 10 seconds.
Connect the mask to high concentration or oxygen.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)


42. You've checked the neck - now move down to the chest.
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Inspect the chest - palpate - auscultate.
Place auto - injector on lateral thigh - midway between the knee and thigh.
The second action is determining the patient's responsiveness/level of consciousness


43. 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.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Assess the following..


44. How long should you perform high quality CPR?
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Perform two minutes of high quality CPR.
Direct rescuer to stop CPR and ensures all individuals to stand clear.
Take BSI precautions!


45. 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!)
The color - temperature - and condition.
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.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer


46. 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?
- Normal (warm) - Cool - Cold - Hot
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
First - observe the rise and fall of the chest/abdomen.
Scalp - ears - eyes - and the oral/nasal areas.


47. Skin Color: (observe the patient)
Switch to bag/valve mask.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
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.


48. Palpate radial or brachial artery!
Administer high concentration oxygen.
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.
That one is basically self - explanatory. Do that after you apply the cuff!


49. Okay - now you have to assess the posterior.. this includes the ______ and the _______.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Assessing the posterior includes assessing the thorax - and the lumbar.
Apply pressure dressing to the wound.
Indicate the need for immediate transportation.


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

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