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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. Palpate radial or brachial artery!
Remember to position the patient properly.
Right patient - Right drug - Right dose - Right route - Right time.
Connect the mask to high concentration or oxygen.
That one is basically self - explanatory. Do that after you apply the cuff!

2. After taking care of the chief complaint of the patient during the initial assessment - you should...
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Take BSI precautions!
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
Assess the airway and breathing.

3. Skin Temperature: (touch the patient)
Take BSI precautions!
Assessing the posterior includes assessing the thorax - and the lumbar.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
- Normal (warm) - Cool - Cold - Hot

4. Assess the following
Monitor the patient's condition and vital signs after administration.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Yes - direct resumption of CPR.

5. 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.
Request additional help.
Take or verbalize body substance isolation precautions.

6. To assess circulation - (after you assess the airway/breathing of the patient) - What are the four actions needed to be taken?
Direct rescuer to stop CPR and ensures all individuals to stand clear.
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.
Take BSI precautions!
Contact medical command if patient condition permits.

7. Assessment says that you will notice that the patient is now pale and diaphoretic with a rapid - weak pulse... say that out loud.
Request additional help.
Take BSI precautions!
That one is basically self - explanatory. Do that after you apply the cuff!
Remember to position the patient properly.

8. When assessing the head - What do you check?
Scalp - ears - eyes - and the oral/nasal areas.
Perform two minutes of high quality CPR.
Determine the number of patients.
Brachial artery.

9. Report/record pulse findings.
Assure high concentration of oxygen is delivered to the patient.
Remember to position the patient properly.
Verbalizing the general impression of the patient.
(margin +/-4)

10. After you open the airway - What do you do?
Verbalize the transportation of the patient.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Connect the one - way valve to mask.
Remember to position the patient properly.

11. Blood pressure (palpatation)

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12. Should you examine the head - arm - or abdomen first?
Direct assistant to assume ventilation and pre - oxygenate patient.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Apply direct pressure to the wound.

13. You've assessed the patient's ability to use the nebulizer - should you consult with Medical Command?
Yes. Consult with Medical Command.
You should determine the chief complaint/apparent life threats of the patient.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
Confirm that the patient has NO allergies to the medication.

14. _______ extremity and palpate ______ artery.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
Hyperextend extremity and palpate brachial artery.
You should obtain baseline vital signs of the patient.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.

15. How do you prepare the medication and 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
Hold the auto - injector to the patient's thigh for 10 seconds.
Report/record ausculated blood pressure.
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.

16. What do you do after you determine the mechanism of injury?
Determine the number of patients.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Yes - always explain to the patient that they will feel a stick from the needle.
Connect the one - way valve to mask.

17. Time for Bleeding Control/Shock Management! First thing you do?
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.
Place auto - injector on lateral thigh - midway between the knee and thigh.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Take BSI precaution!

18. Skin Signs!
Assess the following..
Select the appropriate assessment (focused - or rapid assessment)
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Open the airway manually.

19. The patient may start losing body heat.. What do you do?
Initiate steps to prevent heat loss from the patient.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Check the level of consciousness - and the history.

20. You need to get the AED. What should you do?
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
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
Open the airway manually.
Turn over CPR to another rescuer. Turn on the AED.

21. After consulting Medical Command - are you going to perform the procedure without explaining anything to the patient?
Hold the auto - injector to the patient's thigh for 10 seconds.
Apply direct pressure to the wound.
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Explain the procedure to the patient.

22. Attach the AED to the patient;
Yes. Consult with Medical Command.
Determine the mechanism of injury.
Initiate analysis of the rhythm.
Take or verbalize body substance isolation precautions.

23. Place diaphragm of stethoscope over...
Brachial artery.
Connect the one - way valve to mask.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Dispose of the auto - injector in a sharps container.

24. How should the patient be sitting?
Confirm that the patient is sitting as upright as possible.
Initiate steps to prevent heat loss from the patient.
Determine the mechanism of injury.
Hyperextend extremity and palpate brachial artery.

25. Respirations!
Initiate analysis of the rhythm.
First - observe the rise and fall of the chest/abdomen.
Assessing the posterior includes assessing the thorax - and the lumbar.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.

26. What are the ways to assess the airway and breathing of the patient?
(margin +/-4)
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Scalp - ears - eyes - and the oral/nasal areas.
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.'

27. There are bystanders who seen what happened.. do you question them?
Briefly question the bystanders about arrest events.
Confirm that the patient has NO allergies to the medication.
The second action is determining the patient's responsiveness/level of consciousness
- Normal (warm) - Cool - Cold - Hot

28. 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?
Did that help? Document when you put the tourniquet on.
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.

29. You've checked the neck - now move down to the chest.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Inspect the chest - palpate - auscultate.
Take BSI precautions!
(margin +/-4)

30. Time for Airway Management assessment! What's the First thing you do?
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Take BSI precautions!
Confirm that the patient has NO allergies to the medication.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing

31. 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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32. What do you direct your assistant to do?
Did that help? Document when you put the tourniquet on.
- Normal (warm) - Cool - Cold - Hot
Direct assistant to assume ventilation and pre - oxygenate patient.
Count pulse for minimum of 30 seconds then multiply by 2.

33. Okay - now you have to assess the posterior.. this includes the ______ and the _______.
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.
Hyperextend extremity and palpate brachial artery.
Assure high concentration of oxygen is delivered to the patient.

34. Where do you dispose of the auto - injector?
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
Dispose of the auto - injector in a sharps container.
Assess the following..
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.

35. What do you do after that?
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.)
Document the procedure!
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.

36. You've successfully removed the cap - and you're ready to administer the medication to the patient... but where do you administer it?
Remember to position the patient properly.
Expose the thigh area - (and say that you are doing so.)
Place auto - injector on lateral thigh - midway between the knee and thigh.
Yes - always explain to the patient that they will feel a stick from the needle.

37. Remember to check the '5 Rights' of drug administration.. What are they?
Inspect the chest - palpate - auscultate.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Request additional help.
Medical command

38. Ventilate patient!
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Assure high concentration of oxygen is delivered to the patient.
Scalp - ears - eyes - and the oral/nasal areas.
Verbalizing the general impression of the patient.

39. What do you do after you determine if the scene is safe?
Report/record ausculated blood pressure.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Determine the mechanism of injury.
Brachial artery.

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

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42. Now you have to assess the posterior.. this includes the ______ and the _______.
Assess the patient's ability to use the nebulizer.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Assessing the posterior includes assessing the thorax - and the lumbar.
Hyperextend extremity and palpate brachial artery.

43. You need to shock the patient again. The rescuer is STILL delivering CPR.. What do you do?
Did that help? Document when you put the tourniquet on.
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Direct resumption of CPR.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.

44. Then What do you switch to?
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.
That one is basically self - explanatory. Do that after you apply the cuff!
Confirm the expiration date.
Switch to bag/valve mask.

45. You deliver the shock - now what?
Hold the auto - injector to the patient's thigh for 10 seconds.
After doing so - ventilate the patient at the proper volume and rate.
Direct resumption of CPR.
Take BSI precautions!

46. After you're sure he/she isn't allergic to the medicine; check your 5 rights of drug administration.. which are.....
Confirm that the patient is sitting as upright as possible.
Right patient - Right drug - Right dose - Right route - Right time.
You should verbalize the re - assessment of the vital signs.
You should obtain baseline vital signs of the patient.

47. You deliver the shock.. should the rescuer go back to giving the patient CPR?
Yes - direct resumption of CPR.
Normal - Moist - Diaphoretic
The color - temperature - and condition.
Take BSI precautions.

48. You're getting ready to use the AED. But the other rescuer is still performing CPR.. What do you tell him?
Direct rescuer to stop CPR and ensures all individuals to stand clear.
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.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Hyperextend extremity and palpate brachial artery.

49. Time for the Nebulized Medication Administration part of your skill assessment. Again - what's the First thing you do?
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
You should verbalize the re - assessment of the vital signs.
Verbalizing the general impression of the patient.
Take BSI precautions!

50. 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.
Hold the auto - injector to the patient's thigh for 10 seconds.
The color - temperature - and condition.
Determine the mechanism of injury.