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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. 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

2. Okay - you've told the patient what you're going to do.. But are you sure they're not allergic to the medication?
Connect the mask to high concentration or oxygen.
Medical command
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Confirm that the patient has NO allergies to the medication.

3. What do you direct your assistant to do?
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
- Rate - Rhythm (regular/irregular)
Take BSI precautions!
Direct assistant to assume ventilation and pre - oxygenate patient.

4. Skin Color: (observe the patient)
Determine if the scene is safe.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Document the procedure!

5. After checking the chest - where do you move?
For at least 30 seconds!
Confirm that the patient has NO allergies to the medication.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Administer high concentration oxygen.

6. Time for Airway Management assessment! What's the First thing you do?
Assess the airway and breathing.
Take BSI precautions!
Select the appropriate assessment (focused - or rapid assessment)
Apply direct pressure to the wound.

7. Then What do you switch to?
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Place auto - injector on lateral thigh - midway between the knee and thigh.
Switch to bag/valve mask.
Turn over CPR to another rescuer. Turn on the AED.

8. 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?
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
- Rate - Rhythm (regular/irregular)
Assure high concentration of oxygen is delivered to the patient.
Remember to explain the procedure to the patient.

9. What's the expiration date on the oral glucose?
Confirm the expiration date.
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
Inspect the chest - palpate - auscultate.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.

10. You deliver the shock.. should the rescuer go back to giving the patient CPR?
Yes - direct resumption of CPR.
Turn over CPR to another rescuer. Turn on the AED.
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.'
Verbalize the transportation of the patient.

11. The patient is still bleeding - so you..
For at least 30 seconds!
Apply pressure dressing to the wound.
Take BSI precautions.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.

12. First action performed after you arrive on scene..
Take or verbalize body substance isolation precautions.
Assessing the posterior includes assessing the thorax - and the lumbar.
Direct rescuer to stop CPR and ensures all individuals to stand clear.
Yeah.. definitely don't forget to document everything.

13. What do you do if the patient needs glucose administration? Do you go ahead and do it? or do you contact someone?
You should determine the chief complaint/apparent life threats of the patient.
Turn over CPR to another rescuer. Turn on the AED.
Contact medical command if patient condition permits.
Remember to position the patient properly.

14. 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?

15. After selecting the appropriate assessment - (focused or rapid) - you should obtain baseline ___?___
Determine if the scene is safe.
Assess the following..
You should obtain baseline vital signs of the patient.
Check the level of consciousness - and the history.

16. Should you examine the head - arm - or abdomen first?
Monitor the patient's condition and vital signs after administration.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Place auto - injector on lateral thigh - midway between the knee and thigh.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)

17. Circulation assessment re - cap! When assessing the skin - what should you be looking at?
The color - temperature - and condition.
(margin +/-4)
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Monitor the patient's condition and vital signs after administration.

18. Where do you dispose of the auto - injector?
Dispose of the auto - injector in a sharps container.
Inspect the chest - palpate - auscultate.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Take or verbalize body substance isolation precautions.

19. Skin Moisture: (touch the patient)
Verbalize the transportation of the patient.
Inspect the chest - palpate - auscultate.
Normal - Moist - Diaphoretic
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

20. After you determine the number of patients - what should you do - IF NECESSARY?
Request additional help.
Take BSI precautions.
Administer high concentration oxygen.
Assessing the posterior includes assessing the thorax - and the lumbar.

21. How long should you perform high quality CPR?
Determine if the scene is safe.
Open the airway manually.
Perform two minutes of high quality CPR.
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)

22. After taking BSI precautions - consult with...
Select the appropriate assessment (focused - or rapid assessment)
Determine if the scene is safe.
Medical command
Count pulse for minimum of 30 seconds then multiply by 2.

23. After taking care of the chief complaint of the patient during the initial assessment - you should...
Brachial artery.
Assess the airway and breathing.
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
Yes. Consult with Medical Command.

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

25. Skin Signs!
Direct assistant to assume ventilation and pre - oxygenate patient.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Assess the following..
Scalp - ears - eyes - and the oral/nasal areas.

26. But wait.. are you sure that the patient isn't allergic to the medication?
You should obtain baseline vital signs of the patient.
Confirm that the patient has NO allergies to the medication.
(margin +/-4)
Expose the thigh area - (and say that you are doing so.)

27. Did that help?
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.'
Explain the procedure to the patient.
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)

28. To assess circulation - (after you assess the airway/breathing of the patient) - What are the four actions needed to be taken?
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.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Determine the mechanism of injury.
First - observe the rise and fall of the chest/abdomen.

29. 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.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
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.
That one is basically self - explanatory. Do that after you apply the cuff!

30. How do you open the airway?
Open the airway manually.
You should verbalize the re - assessment of the vital signs.
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.

31. You've exposed the patient's leg. Where do you place the auto - injector?
Medical command
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Place auto - injector on lateral thigh - midway between the knee and thigh.

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

33. After you open the airway - What do you do?
Verbalizing the general impression of the patient.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Connect the one - way valve to mask.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.

34. You need to get the patient to the hospital - NOW. What do you do?
Indicate the need for immediate transportation.
Direct assistant to assume ventilation and pre - oxygenate patient.
Determine if the scene is safe.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.

35. Time for the Detailed Physical Examination! Should you examine the head - arm - or abdomen first?
Inspect the chest - palpate - auscultate.
The second action is determining the patient's responsiveness/level of consciousness
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Request additional help.

36. 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!)
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.
Switch to bag/valve mask.

37. Integration! First thing you do;
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
- Rate - Rhythm (regular/irregular)
Scalp - ears - eyes - and the oral/nasal areas.

38. 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?
Assess the following..
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Yes - always explain to the patient that they will feel a stick from the needle.
The color - temperature - and condition.

39. 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
Dispose of the auto - injector in a sharps container.
Confirm the expiration date.
You should determine the chief complaint/apparent life threats of the patient.
Confirm that the patient has NO allergies to the medication.

40. 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?
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Take BSI precaution!
Assessing the posterior includes assessing the thorax - and the lumbar.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin

41. 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?
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.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
You should verbalize the re - assessment of the vital signs.
After doing so - ventilate the patient at the proper volume and rate.

42. You need to get the AED. What should you do?
Turn over CPR to another rescuer. Turn on the AED.
Medical command
Indicate the need for immediate transportation.
Take or verbalize body substance isolation precautions.

43. 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.
Ventilate the patient at a rate of 10-20 per minute.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Palpate with 2 fingers (index and middle) over radial artery.

44. After BSI precautions - you need to perform a blood glucose check.. How do you set up/perform the check?
Take BSI precautions!
Initiate steps to prevent heat loss from the patient.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
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.

45. After checking the chest - where do you move?
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
That one is basically self - explanatory. Do that after you apply the cuff!
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.

46. After you're sure he/she isn't allergic to the medicine; check your 5 rights of drug administration.. which are.....
Right patient - Right drug - Right dose - Right route - Right time.
Contact medical command if patient condition permits.
(margin +/-4)
Yes. Consult with Medical Command.

47. Monitor the patient's condition and vital signs after you administer the medication - and...
Administer high concentration oxygen.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Document the procedure!
Brachial artery.

48. You've assessed the patient's ability to use the nebulizer - should you consult with Medical Command?
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Yes. Consult with Medical Command.
Turn over CPR to another rescuer. Turn on the AED.
Apply direct pressure to the wound.

49. How will you determine if the patient needs glucose administration?
Perform two minutes of high quality CPR.
Assess the following..
Check the level of consciousness - and the history.
Dispose of the auto - injector in a sharps container.

50. Slowly deflate the cuff - and report/record palpable systolic blood pressure when..
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
The pulse returns.
Confirm that the patient has NO allergies to the medication.
Direct rescuer to stop CPR and ensures all individuals to stand clear.