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. Time for Airway Management assessment! What's the First thing you do?
Count pulse for minimum of 30 seconds then multiply by 2.
You should manage all of the patient's secondary injuries/wounds appropriately
Take BSI precautions!
Confirm that the patient is sitting as upright as possible.


2. You've prepared the medication and nebulizer...now attach oxygen to the nebulizer.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
For at least 30 seconds!
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Confirm that the patient is sitting as upright as possible.


3. Count the respiratory rate for at least ___ seconds and multiply times 2.
Confirm that the patient has NO allergies to the medication.
For at least 30 seconds!
Dispose of the auto - injector in a sharps container.
Confirm the expiration date.


4. 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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5. 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
Open the airway manually.
You should determine the chief complaint/apparent life threats of the patient.
Briefly question the bystanders about arrest events.
Yes - you should obtain SAMPLE history after taking baseline vital signs.


6. What's the expiration date on the oral glucose?
Medical command
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Confirm the expiration date.
Contact medical command if patient condition permits.


7. 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.)
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing


8. You need to shock the patient again. The rescuer is STILL delivering CPR.. What do you do?
Palpate with 2 fingers (index and middle) over radial artery.
Administer high concentration oxygen.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Take BSI precautions.


9. Okay - you've obtained the baseline vital signs... Should you obtain SAMPLE history now?
Yes - you should obtain SAMPLE history after taking baseline vital signs.
You should manage all of the patient's secondary injuries/wounds appropriately
Explain the procedure to the patient.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.


10. How will you determine if the patient needs glucose administration?
Check the level of consciousness - and the history.
The pulse returns.
Explain the procedure to the patient.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer


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

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12. After checking the chest - where do you move?
Contact medical command if patient condition permits.
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.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)


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

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14. 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.
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.
Direct assistant to assume ventilation and pre - oxygenate patient.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.


15. What do you do after that?
Report/record ausculated blood pressure.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Normal - Moist - Diaphoretic
Connect the mask to high concentration or oxygen.


16. Pulse! Palpate with How many fingers?
Medical command
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.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.


17. First step in 'Scene Size Up'.
Count pulse for minimum of 30 seconds then multiply by 2.
Ventilate the patient at a rate of 10-20 per minute.
Initiate analysis of the rhythm.
Determine if the scene is safe.


18. Inflate the cuff rapidly to at least ??mm Hg above the point where the pulse is lost.
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Switch to bag/valve mask.
You should verbalize the re - assessment of the 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?
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Administer high concentration oxygen.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
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.


20. 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.
Palpate with 2 fingers (index and middle) over radial artery.
Apply pressure dressing to the wound.
Turn over CPR to another rescuer. Turn on the AED.


21. After taking care of the chief complaint of the patient during the initial assessment - you should...
Select the appropriate assessment (focused - or rapid assessment)
Assess the airway and breathing.
For at least 30 seconds!
Perform two minutes of high quality CPR.


22. Circulation assessment re - cap! When assessing the skin - what should you be looking at?
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.'
That one is basically self - explanatory. Do that after you apply the cuff!
The color - temperature - and condition.
Confirm that the patient has NO allergies to the medication.


23. Monitor the patient's condition and vital signs after you administer the medication - and...
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.'
Direct assistant to assume ventilation and pre - oxygenate patient.
Document the procedure!
Assess the airway and breathing.


24. 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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25. Respirations!
First - observe the rise and fall of the chest/abdomen.
(margin +/-4)
Determine the mechanism of injury.
Direct assistant to assume ventilation and pre - oxygenate patient.


26. When assessing the head - What do you check?
The pulse returns.
Dispose of the auto - injector in a sharps container.
Confirm the expiration date.
Scalp - ears - eyes - and the oral/nasal areas.


27. Assess the following
Determine the number of patients.
Turn over CPR to another rescuer. Turn on the AED.
Yes. Consult with Medical Command.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)


28. Transportation!
Verbalize the transportation of the patient.
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.'
Place auto - injector on lateral thigh - midway between the knee and thigh.
- Normal (warm) - Cool - Cold - Hot


29. 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.
Take BSI precautions!
Assessing the posterior includes assessing the thorax - and the lumbar.
Count pulse for minimum of 30 seconds then multiply by 2.


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?
Briefly question the bystanders about arrest events.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Indicate the need for immediate transportation.


31. Time for the Detailed Physical Examination! Should you examine the head - arm - or abdomen first?
You should manage all of the patient's secondary injuries/wounds appropriately
Take BSI precautions.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Yes - direct resumption of CPR.


32. Time for Cardiac Arrest Management/Automatic External Defibrillator! First thing you do
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
Yes - always explain to the patient that they will feel a stick from the needle.
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
Take BSI precautions!


33. 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
You should verbalize the re - assessment of the vital signs.
Confirm the expiration date.
Take BSI precautions!


34. Place diaphragm of stethoscope over...
Hyperextend extremity and palpate brachial artery.
Brachial artery.
The color - temperature - and condition.
Yes - you should obtain SAMPLE history after taking baseline vital signs.


35. 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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36. How do you prepare the medication and nebulizer?
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
Check the level of consciousness - and the history.
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.
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.'


37. After you determine the number of patients - what should you do - IF NECESSARY?
Request additional help.
Turn over CPR to another rescuer. Turn on the AED.
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.
Hold the auto - injector to the patient's thigh for 10 seconds.


38. Should you examine the head - arm - or abdomen first?
Determine if the scene is safe.
For at least 30 seconds!
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.)


39. Skin Temperature: (touch the patient)
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
Take BSI precautions.
- Normal (warm) - Cool - Cold - Hot
Contact medical command if patient condition permits.


40. Time for the Nebulized Medication Administration part of your skill assessment. Again - what's the First thing you do?
Hyperextend extremity and palpate brachial artery.
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.
Take BSI precautions!
The pulse returns.


41. When assessing the head - What do you check?
Palpate with 2 fingers (index and middle) over radial 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.
Scalp - ears - eyes - and the oral/nasal areas.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)


42. You deliver the shock.. should the rescuer go back to giving the patient CPR?
Yes - direct resumption of CPR.
Scalp - ears - eyes - and the oral/nasal areas.
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.


43. How should the patient be sitting?
- Rate - Rhythm (regular/irregular)
Remember to position the patient properly.
Confirm that the patient is sitting as upright as possible.
The pulse returns.


44. Count palpated pulse for a minimum of ___ seconds and multiply times 2.
After doing so - ventilate the patient at the proper volume and rate.
Brachial artery.
Count pulse for minimum of 30 seconds then multiply by 2.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.


45. Attach the AED to the patient;
Request additional help.
Briefly question the bystanders about arrest events.
Initiate analysis of the rhythm.
- Normal (warm) - Cool - Cold - Hot


46. You've checked the neck - now move down to the chest.
Inspect the chest - palpate - auscultate.
You should verbalize the re - assessment of the vital signs.
After doing so - ventilate the patient at the proper volume and rate.
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.


47. The patient is still bleeding - so you..
Apply pressure dressing to the wound.
Connect the one - way valve to mask.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Inspect the chest - palpate - auscultate.


48. 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
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Direct resumption of CPR.
Verbalizing the general impression of the patient.
Yes. Consult with Medical Command.


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?
Scalp - ears - eyes - and the oral/nasal areas.
Request additional help.
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Open the airway manually.


50. Do CPR without unnecessary/prolonged interruption..
Confirm that the patient is sitting as upright as possible.
Initiate analysis of the rhythm.
After doing so - ventilate the patient at the proper volume and rate.
Assess the patient's ability to use the nebulizer.