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. Now you have to assess the posterior.. this includes the ______ and the _______.
Assessing the posterior includes assessing the thorax - and the lumbar.
Direct resumption of CPR.
Request additional help.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.


2. 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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3. But wait.. are you sure that the patient isn't allergic to the medication?
Initiate analysis of the rhythm.
Assure high concentration of oxygen is delivered to the patient.
Confirm that the patient has NO allergies to the medication.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer


4. Slowly deflate the cuff - and report/record palpable systolic blood pressure when..
Direct rescuer to stop CPR and ensures all individuals to stand clear.
The pulse returns.
Remember to explain the procedure to the patient.
Assure high concentration of oxygen is delivered to the patient.


5. You deliver the shock - now what?
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Hold the auto - injector to the patient's thigh for 10 seconds.
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 resumption of CPR.


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

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7. What are the ways to assess the airway and breathing of the patient?
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Determine the number of patients.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Assessing the posterior includes assessing the thorax - and the lumbar.


8. You've prepared the medication and nebulizer...now attach oxygen to the nebulizer.
For at least 30 seconds!
Verbalize the transportation of the patient.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Briefly question the bystanders about arrest events.


9. During your Epinephrine Auto - Injector Administration scenario; What is the First thing you should do?
Assessing the posterior includes assessing the thorax - and the lumbar.
Dispose of the auto - injector in a sharps container.
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Take BSI precautions.


10. 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?
Direct rescuer to stop CPR and ensures all individuals to stand clear.
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
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.'
You should verbalize the re - assessment of the vital signs.


11. Should you just lay something over the wound after BSI precaution - or should you apply direct pressure?
Place auto - injector on lateral thigh - midway between the knee and thigh.
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.'
Yes - always explain to the patient that they will feel a stick from the needle.
Apply direct pressure to the wound.


12. Where do you dispose of the auto - injector?
Open the airway manually.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Dispose of the auto - injector in a sharps container.
Select the appropriate assessment (focused - or rapid assessment)


13. After consulting Medical Command - are you going to perform the procedure without explaining anything to the patient?
Indicate the need for immediate transportation.
Hold the auto - injector to the patient's thigh for 10 seconds.
Inspect the chest - palpate - auscultate.
Explain the procedure to the patient.


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

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15. Skin Moisture: (touch the patient)
Assure high concentration of oxygen is delivered to the patient.
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Take BSI precaution!
Normal - Moist - Diaphoretic


16. Should you examine the head - arm - or abdomen first?
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.
Inspect the chest - palpate - auscultate.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.


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

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18. 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?
Yeah.. definitely don't forget to document everything.
Assess the following..
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Report/record ausculated blood pressure.


19. 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
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Apply 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.


20. There are bystanders who seen what happened.. do you question them?
Briefly question the bystanders about arrest events.
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
Determine if the scene is safe.
Confirm the expiration date.


21. You need to get the patient to the hospital - NOW. What do you do?
Assess the airway and breathing.
Expose the thigh area - (and say that you are doing so.)
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Indicate the need for immediate transportation.


22. 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.
Normal - Moist - Diaphoretic
Assessing the posterior includes assessing the thorax - and the lumbar.
Take or verbalize body substance isolation precautions.


23. Inflate cuff rapidly to at least 20mm Hg ______ palpated blood pressure.
Remember to position the patient properly.
The pulse returns.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Inspect the chest - palpate - auscultate.


24. '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?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Take or verbalize body substance isolation precautions.
Normal - Moist - Diaphoretic
The second action is determining the patient's responsiveness/level of consciousness


25. Okay - now you have to assess the posterior.. this includes the ______ and the _______.
Determine the mechanism of injury.
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
Assessing the posterior includes assessing the thorax - and the lumbar.
You should determine the chief complaint/apparent life threats of the patient.


26. Blood pressure (palpatation)

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27. What do you do if the patient needs glucose administration? Do you go ahead and do it? or do you contact someone?
Take BSI precautions!
Switch to bag/valve mask.
Verbalize the transportation of the patient.
Contact medical command if patient condition permits.


28. The patient is still bleeding - so you..
Apply pressure dressing to the wound.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
The second action is determining the patient's responsiveness/level of consciousness
After doing so - ventilate the patient at the proper volume and rate.


29. After checking the chest - where do you move?
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Take BSI precautions!
Yes. Consult with Medical Command.
Indicate the need for immediate transportation.


30. 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?
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Direct rescuer to stop CPR and ensures all individuals to stand clear.
Open the airway manually.
That one is basically self - explanatory. Do that after you apply the cuff!


31. Everything is in place - and you are ready to administer the drug to the patient. Should you warn them that they're going to feel a stick?
Take BSI precautions.
Yes - always explain to the patient that they will feel a stick from the needle.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Apply pressure dressing to the wound.


32. Time for the Detailed Physical Examination! Should you examine the head - arm - or abdomen first?
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Did that help? Document when you put the tourniquet on.
Verbalize the transportation of the patient.
You should obtain baseline vital signs of the patient.


33. Did THAT help?
Yes - you should obtain SAMPLE history after taking baseline vital signs.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)


34. First step in 'Scene Size Up'.
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Request additional help.
Briefly question the bystanders about arrest events.
Determine if the scene is safe.


35. Time for Cardiac Arrest Management/Automatic External Defibrillator! First thing you do
Apply pressure dressing to the wound.
Take BSI precautions!
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Monitor the patient's condition and vital signs after administration.


36. After taking BSI precautions - consult with...
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
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.
Medical command
Brachial artery.


37. Pulse! Palpate with How many fingers?
Place auto - injector on lateral thigh - midway between the knee and thigh.
For at least 30 seconds!
Contact medical command if patient condition permits.
Palpate with 2 fingers (index and middle) over radial artery.


38. Do CPR without unnecessary/prolonged interruption..
You should verbalize the re - assessment of the vital signs.
Brachial artery.
Initiate analysis of the rhythm.
Contact medical command if patient condition permits.


39. Ventilate patient!
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Request additional help.
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.
Assure high concentration of oxygen is delivered to the patient.


40. Time for Airway Management assessment! What's the First thing you do?
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Scalp - ears - eyes - and the oral/nasal areas.
You should verbalize the re - assessment of the vital signs.
Take BSI precautions!


41. What's the expiration date on the oral glucose?
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Request additional help.
Confirm the expiration date.
Scalp - ears - eyes - and the oral/nasal areas.


42. Transportation!
Take BSI precautions.
The color - temperature - and condition.
Verbalize the transportation of the patient.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.


43. When assessing the head - What do you check?
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Scalp - ears - eyes - and the oral/nasal areas.
Initiate analysis of the rhythm.


44. Time for the Nebulized Medication Administration part of your skill assessment. Again - what's the First thing you do?
That one is basically self - explanatory. Do that after you apply the cuff!
Count pulse for minimum of 30 seconds then multiply by 2.
Confirm the expiration date.
Take BSI precautions!


45. Count palpated pulse for a minimum of ___ seconds and multiply times 2.
Indicate the need for immediate transportation.
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Count pulse for minimum of 30 seconds then multiply by 2.


46. Skin Signs!
Right patient - Right drug - Right dose - Right route - Right time.
Assessing the posterior includes assessing the thorax - and the lumbar.
Take BSI precautions!
Assess the following..


47. 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?
Remember to explain the procedure to the patient.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Count pulse for minimum of 30 seconds then multiply by 2.
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.


48. Palpate radial or brachial artery!
Initiate analysis of the rhythm.
Confirm that the patient is sitting as upright as possible.
Apply pressure dressing to the wound.
That one is basically self - explanatory. Do that after you apply the cuff!


49. 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
- Normal (warm) - Cool - Cold - Hot
Verbalizing the general impression of the patient.
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Administer high concentration oxygen.


50. 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?

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