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. Skin Signs!
Connect the mask to high concentration or oxygen.
Connect the one - way valve to mask.
The color - temperature - and condition.
Assess the following..


2. After consulting Medical Command - are you going to perform the procedure without explaining anything to the patient?
Brachial artery.
Take or verbalize body substance isolation precautions.
Explain the procedure to the patient.
Hyperextend extremity and palpate brachial artery.


3. You're getting ready to use the AED. But the other rescuer is still performing CPR.. What do you tell him?
Select the appropriate assessment (focused - or rapid assessment)
Assessing the posterior includes assessing the thorax - and the lumbar.
Open the airway manually.
Direct rescuer to stop CPR and ensures all individuals to stand clear.


4. Blood pressure (auscultation)

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5. During your Epinephrine Auto - Injector Administration scenario; What is the First thing you should do?
Determine the mechanism of injury.
You should obtain baseline vital signs of the patient.
The pulse returns.
Take BSI precautions.


6. Did THAT help?
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Remember to explain the procedure to the patient.
Dispose of the auto - injector in a sharps container.


7. First action performed after you arrive on scene..
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Apply direct pressure to the wound.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Take or verbalize body substance isolation precautions.


8. Time for Airway Management assessment! What's the First thing you do?
Brachial artery.
Take BSI precautions!
Assess the following..
Hold the auto - injector to the patient's thigh for 10 seconds.


9. After you've assessed the head - neck - chest - abdomen - and pelvis. The only things left are the patient's extremities

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10. 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.
Place auto - injector on lateral thigh - midway between the knee and thigh.
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.


11. Transportation!
Verbalize the transportation of the patient.
Place auto - injector on lateral thigh - midway between the knee and thigh.
Indicate the need for immediate transportation.
Take BSI precaution!


12. Then What do you switch to?
Initiate steps to prevent heat loss from the patient.
The color - temperature - and condition.
Open the airway manually.
Switch to bag/valve mask.


13. How do you open the airway?
The color - temperature - and condition.
Briefly question the bystanders about arrest events.
Ventilate the patient at a rate of 10-20 per minute.
Open the airway manually.


14. Assessment says that you will notice that the patient is now pale and diaphoretic with a rapid - weak pulse... say that out loud.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Remember to position the patient properly.
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'


15. Palpate radial or brachial artery!
Palpate with 2 fingers (index and middle) over radial artery.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
That one is basically self - explanatory. Do that after you apply the cuff!
You should manage all of the patient's secondary injuries/wounds appropriately


16. How long should you perform high quality CPR?
Explain the procedure to the patient.
Yeah.. definitely don't forget to document everything.
Verbalize the transportation of the patient.
Perform two minutes of high quality CPR.


17. Inflate cuff rapidly to at least 20mm Hg ______ palpated blood pressure.
Initiate steps to prevent heat loss from the patient.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Ventilate the patient at a rate of 10-20 per minute.
First - observe the rise and fall of the chest/abdomen.


18. The patient is still bleeding - so you..
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Confirm that the patient is sitting as upright as possible.
Contact medical command if patient condition permits.
Apply pressure dressing to the wound.


19. Respirations!
First - observe the rise and fall of the chest/abdomen.
Report/record ausculated blood pressure.
Initiate steps to prevent heat loss from the patient.
Check the level of consciousness - and the history.


20. Slowly deflate the cuff.. then..
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.
Report/record ausculated blood pressure.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Place auto - injector on lateral thigh - midway between the knee and thigh.


21. Time for Cardiac Arrest Management/Automatic External Defibrillator! First thing you do
Take BSI precautions!
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Yes. Consult with Medical Command.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer


22. What do you do after you determine the mechanism of injury?
Switch to bag/valve mask.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Determine the number of patients.
(margin +/-4)


23. When assessing the head - What do you check?
Scalp - ears - eyes - and the oral/nasal areas.
First - observe the rise and fall of the chest/abdomen.
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.


24. 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.
Open the airway manually.
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery


25. What do you direct your assistant to do?
Determine the number of patients.
The pulse returns.
Direct assistant to assume ventilation and pre - oxygenate patient.
Connect the one - way valve to mask.


26. 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?
Remember to explain the procedure to the patient.
Switch to bag/valve mask.
Place auto - injector on lateral thigh - midway between the knee and thigh.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.


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.'
Indicate the need for immediate transportation.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Apply direct pressure to the wound.


28. Blood pressure (palpatation)

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29. Okay - you've obtained the baseline vital signs... Should you obtain SAMPLE history now?
Confirm that the patient is sitting as upright as possible.
Briefly question the bystanders about arrest events.
Expose the thigh area - (and say that you are doing so.)
Yes - you should obtain SAMPLE history after taking baseline vital signs.


30. It's time to administer the medication to the patient! How are you going to do so?
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Turn over CPR to another rescuer. Turn on the AED.
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
Brachial artery.


31. Circulation assessment re - cap! When assessing the skin - what should you be looking at?
Administer high concentration oxygen.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Select the appropriate assessment (focused - or rapid assessment)
The color - temperature - and condition.


32. Report/record pulse findings.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Report/record ausculated blood pressure.
(margin +/-4)
First - observe the rise and fall of the chest/abdomen.


33. After selecting the appropriate assessment - (focused or rapid) - you should obtain baseline ___?___
- Normal (warm) - Cool - Cold - Hot
You should obtain baseline vital signs of the patient.
Take BSI precautions!
Monitor the patient's condition and vital signs after administration.


34. 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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35. After you open the airway - What do you do?
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Verbalize the transportation of the patient.
Connect the one - way valve to mask.


36. 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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37. Should you just lay something over the wound after BSI precaution - or should you apply direct pressure?
Switch to bag/valve mask.
Apply direct pressure to the wound.
The pulse returns.
Apply pressure dressing to the wound.


38. 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?
Count pulse for minimum of 30 seconds then multiply by 2.
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
You should verbalize the re - assessment of the vital signs.
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever


39. You deliver the shock - now what?
Perform two minutes of high quality CPR.
Direct resumption of CPR.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Contact medical command if patient condition permits.


40. 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.)
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Take BSI precautions.


41. Do CPR without unnecessary/prolonged interruption..
Initiate analysis of the rhythm.
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.
For at least 30 seconds!
Inspect the chest - palpate - auscultate.


42. 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.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Dispose of the auto - injector in a sharps container.
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.'


43. 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?
Hold the auto - injector to the patient's thigh for 10 seconds.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
The pulse returns.
Determine if the scene is safe.


44. Integration! First thing you do;
Determine the number of patients.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Take BSI precautions!
Count pulse for minimum of 30 seconds then multiply by 2.


45. 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?
Take BSI precautions!
Apply pressure dressing to the wound.
Right patient - Right drug - Right dose - Right route - Right time.
Remember to explain the procedure to the patient.


46. 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
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
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.


47. Assess the following
The second action is determining the patient's responsiveness/level of consciousness
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Take BSI precautions.


48. Slowly deflate the cuff - and report/record palpable systolic blood pressure when..
The pulse returns.
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
Normal - Moist - Diaphoretic
Confirm the expiration date.


49. 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.)
- Normal (warm) - Cool - Cold - Hot
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
First - observe the rise and fall of the chest/abdomen.


50. Assess the following
Medical command
The color - temperature - and condition.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
- Rate - Rhythm (regular/irregular)