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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. 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?)

2. Time for Cardiac Arrest Management/Automatic External Defibrillator! First thing you do
Take BSI precautions!
After doing so - ventilate the patient at the proper volume and rate.
Yes - you should obtain SAMPLE history after taking baseline vital signs.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing

3. Blood pressure (palpatation)

4. When assessing the head - What do you check?
Scalp - ears - eyes - and the oral/nasal areas.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Medical command
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.

5. Okay - now you have to assess the posterior.. this includes the ______ and the _______.
Assessing the posterior includes assessing the thorax - and the lumbar.
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Switch to bag/valve mask.

6. Skin Moisture: (touch the patient)
Normal - Moist - Diaphoretic
Direct resumption of CPR.
Take or verbalize body substance isolation precautions.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.

7. Inflate the cuff rapidly to at least ??mm Hg above the point where the pulse is lost.
Initiate analysis of the rhythm.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
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.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.

8. Circulation assessment re - cap! When assessing the skin - what should you be looking at?
Expose the thigh area - (and say that you are doing so.)
Document the procedure!
The color - temperature - and condition.
Verbalize the transportation of the patient.

9. 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?
Request additional help.
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!
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin

10. Skin Signs!
Assess the following..
You should obtain baseline vital signs of the patient.
Assessing the posterior includes assessing the thorax - and the lumbar.
Assessing the posterior includes assessing the thorax - and the lumbar.

11. Apply a tourniquet.
Request additional help.
Verbalize the transportation of the patient.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Did that help? Document when you put the tourniquet on.

12. Slowly deflate the cuff.. then..
Report/record ausculated blood pressure.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'

13. Time for Airway Management assessment! What's the First thing you do?
Document the procedure!
Assure high concentration of oxygen is delivered to the patient.
Take BSI precautions!
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.

14. Ventilate the patient at a rate of __-__ per minute with appropriate volumes via bag/valve mask.
Determine the mechanism of injury.
Ventilate the patient at a rate of 10-20 per minute.
Inspect the chest - palpate - auscultate.
Inspect the chest - palpate - auscultate.

15. Time for Bleeding Control/Shock Management! First thing you do?
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
- Rate - Rhythm (regular/irregular)
Take BSI precaution!
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 - 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.)
Verbalizing the general impression of the patient.
Indicate the need for immediate transportation.

17. 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)
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Apply pressure dressing to the wound.
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.

18. 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?
Place auto - injector on lateral thigh - midway between the knee and thigh.
You should verbalize the re - assessment of the vital signs.
Administer high concentration oxygen.
After doing so - ventilate the patient at the proper volume and rate.

19. 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

20. 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?
Inspect the chest - palpate - auscultate.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Determine if the scene is safe.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.

21. You need to get the AED. What should you do?
Yeah.. definitely don't forget to document everything.
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
Turn over CPR to another rescuer. Turn on the AED.
Explain the procedure to the patient.

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

23. There are bystanders who seen what happened.. do you question them?
Initiate steps to prevent heat loss from the patient.
Check the level of consciousness - and the history.
Briefly question the bystanders about arrest events.
Normal - Moist - Diaphoretic

24. Assess the following
Verbalize the transportation of the patient.
The color - temperature - and condition.
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
- Rate - Rhythm (regular/irregular)

25. After BSI precautions - you need to perform a blood glucose check.. How do you set up/perform the check?
Explain the procedure to the patient.
Take BSI precautions!
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.

26. 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?
Initiate analysis of the rhythm.
Indicate the need for immediate transportation.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Contact medical command if patient condition permits.

27. What are the ways to assess the airway and breathing of the patient?
Apply pressure dressing to the wound.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Select the appropriate assessment (focused - or rapid assessment)

28. But wait.. are you sure that the patient isn't allergic to the medication?
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
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.
Confirm that the patient has NO allergies to the medication.

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

30. How will you determine if the patient needs glucose administration?
Check the level of consciousness - and the history.
Assure high concentration of oxygen is delivered to the patient.
Remember to explain the procedure to the patient.
Initiate analysis of the rhythm.

31. 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?
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!)
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
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.

32. The patient is still bleeding - so you..
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Connect the mask to high concentration or oxygen.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Apply pressure dressing to the wound.

33. Then What do you switch to?
Switch to bag/valve mask.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Determine the mechanism of injury.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)

34. Do CPR without unnecessary/prolonged interruption..
Initiate analysis of the rhythm.
Explain the procedure to the patient.
Switch to bag/valve mask.
Take BSI precautions!

35. You've checked the neck - now move down to the chest.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Confirm that the patient has NO allergies to the medication.
Inspect the chest - palpate - auscultate.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.

36. First step in 'Scene Size Up'.
Determine if the scene is safe.
Yeah.. definitely don't forget to document everything.
Perform two minutes of high quality CPR.
Contact medical command if patient condition permits.

37. 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?

38. After you're sure he/she isn't allergic to the medicine; check your 5 rights of drug administration.. which are.....
You should obtain baseline vital signs of the patient.
Right patient - Right drug - Right dose - Right route - Right time.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Verbalize the transportation of the patient.

39. Place diaphragm of stethoscope over...
Open the airway manually.
Brachial artery.
Explain the procedure to the patient.
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery

40. Report/record pulse findings.
Confirm that the patient has NO allergies to the medication.
(margin +/-4)
First - observe the rise and fall of the chest/abdomen.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.

41. Palpate radial or brachial artery!
Open the airway manually.
Take BSI precautions.
That one is basically self - explanatory. Do that after you apply the cuff!
Document the procedure!

42. How do you open the airway?
Determine the mechanism of injury.
Normal - Moist - Diaphoretic
Brachial artery.
Open the airway manually.

43. Respirations!
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
The pulse returns.
First - observe the rise and fall of the chest/abdomen.
Inspect the chest - palpate - auscultate.

44. Remember to check the '5 Rights' of drug administration.. What are they?
You should verbalize the re - assessment of the vital signs.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over 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.

45. Baseline Vital Signs! What do you do first?
Take BSI precautions!
Assess the airway and breathing.
Report/record ausculated blood pressure.
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)

46. You're getting ready to use the AED. But the other rescuer is still performing CPR.. What do you tell him?
Ventilate the patient at a rate of 10-20 per minute.
Take or verbalize body substance isolation precautions.
Direct rescuer to stop CPR and ensures all individuals to stand clear.
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. You need to get the patient to the hospital - NOW. What do you do?
Indicate the need for immediate transportation.
Perform two minutes of high quality CPR.
Right patient - Right drug - Right dose - Right route - Right time.
Expose the thigh area - (and say that you are doing so.)

48. Time for the Nebulized Medication Administration part of your skill assessment. Again - what's the First thing you do?
- Rate - Rhythm (regular/irregular)
Take BSI precautions!
Count pulse for minimum of 30 seconds then multiply by 2.
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.

49. When assessing the head - What do you check?
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Scalp - ears - eyes - and the oral/nasal areas.
Count pulse for minimum of 30 seconds then multiply by 2.

50. Inflate cuff rapidly to at least 20mm Hg ______ palpated blood pressure.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Inspect the chest - palpate - auscultate.