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. After selecting the appropriate assessment - (focused or rapid) - you should obtain baseline ___?___
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Connect the one - way valve to mask.
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 should obtain baseline vital signs of the patient.


2. Count the respiratory rate for at least ___ seconds and multiply times 2.
You should verbalize the re - assessment of the vital signs.
For at least 30 seconds!
Direct assistant to assume ventilation and pre - oxygenate patient.
Assure high concentration of oxygen is delivered to the patient.


3. 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 or verbalize body substance isolation precautions.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.


4. How will you determine if the patient needs glucose administration?
Remember to position the patient properly.
The second action is determining the patient's responsiveness/level of consciousness
You should obtain baseline vital signs of the patient.
Check the level of consciousness - and the history.


5. In a smooth - firm - fashion push the injector until the click is heard. How long should you hold it against the patient's thigh?

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6. Time for the Nebulized Medication Administration part of your skill assessment. Again - what's the First thing you do?
Take BSI precautions!
Open the airway manually.
Assess the patient's ability to use the nebulizer.
For at least 30 seconds!


7. You've assessed the patient's ability to use the nebulizer - should you consult with Medical Command?
Yes. Consult with Medical Command.
Take or verbalize body substance isolation precautions.
Document the procedure!
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.


8. The patient is still bleeding - so you..
Connect the mask to high concentration or oxygen.
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.
Apply pressure dressing to the wound.
Assess the patient's ability to use the nebulizer.


9. You've checked the neck - now move down to the chest.
Right patient - Right drug - Right dose - Right route - Right time.
You should obtain baseline vital signs of the patient.
Verbalizing the general impression of the patient.
Inspect the chest - palpate - auscultate.


10. Remember to check the '5 Rights' of drug administration.. What are they?
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
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.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
You should determine the chief complaint/apparent life threats of the patient.


11. What do you do after you determine if the scene is safe?
Determine the mechanism of injury.
Indicate the need for immediate transportation.
Apply direct pressure to the wound.
Yes - direct resumption of CPR.


12. Did THAT help?
You should determine the chief complaint/apparent life threats of the patient.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Yes - direct resumption of CPR.
Yes - always explain to the patient that they will feel a stick from the needle.


13. 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.
Administer high concentration oxygen.
Right patient - Right drug - Right dose - Right route - Right time.
Connect the mask to high concentration or oxygen.


14. Monitor the patient's condition and vital signs after you administer the medication - and...
Document the procedure!
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Take or verbalize body substance isolation precautions.
Place auto - injector on lateral thigh - midway between the knee and thigh.


15. After you determine the number of patients - what should you do - IF NECESSARY?
Request additional help.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Medical command
Report/record ausculated blood pressure.


16. Slowly deflate the cuff.. then..
Apply direct pressure to the wound.
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.'
Report/record ausculated blood pressure.
Initiate analysis of the rhythm.


17. 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?
Switch to bag/valve mask.
You should verbalize the re - assessment of the vital signs.
The color - temperature - and condition.
Determine the mechanism of injury.


18. What's the expiration date on the oral glucose?
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Indicate the need for immediate transportation.
Confirm the expiration date.
Perform two minutes of high quality CPR.


19. You need to get the AED. What should you do?
Take BSI precautions!
Turn over CPR to another rescuer. Turn on the AED.
Yes. Consult with Medical Command.
You should verbalize the re - assessment of the vital signs.


20. Time for the Detailed Physical Examination! Should you examine the head - arm - or abdomen first?
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Open the airway manually.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)


21. You need to get the patient to the hospital - NOW. What do you do?
Contact medical command if patient condition permits.
Medical command
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.
Indicate the need for immediate transportation.


22. Apply a tourniquet.
Indicate the need for immediate transportation.
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.
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Did that help? Document when you put the tourniquet on.


23. 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?
Take BSI precautions!
Document the procedure!
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
After doing so - ventilate the patient at the proper volume and rate.


24. 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?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Confirm that the patient has NO allergies to the medication.
You should verbalize the re - assessment of the vital signs.
Open the airway manually.


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

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26. Ventilate patient!
Assure high concentration of oxygen is delivered to the patient.
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.
Ventilate the patient at a rate of 10-20 per minute.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing


27. Assess the following
Initiate analysis of the rhythm.
Select the appropriate assessment (focused - or rapid assessment)
The pulse returns.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)


28. 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
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Confirm that the patient has NO allergies to the medication.
You should verbalize the re - assessment of the vital signs.


29. Integration! First thing you do;
Indicate the need for immediate transportation.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
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.
Expose the thigh area - (and say that you are doing so.)


30. Inflate cuff rapidly to at least 20mm Hg ______ palpated blood pressure.
Select the appropriate assessment (focused - or rapid assessment)
You should determine the chief complaint/apparent life threats of the patient.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)


31. You've checked the neck - now move down to the chest.
Inspect the chest - palpate - auscultate.
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
Administer high concentration oxygen.
Turn over CPR to another rescuer. Turn on the AED.


32. When assessing the head - What do you check?
Scalp - ears - eyes - and the oral/nasal areas.
You should verbalize the re - assessment of the vital signs.
Select the appropriate assessment (focused - or rapid assessment)
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


33. You've prepared the medication and nebulizer...now attach oxygen to the nebulizer.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.


34. Administer ____ concentration oxygen.
Assess the airway and breathing.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
The pulse returns.
Administer high concentration oxygen.


35. Do CPR without unnecessary/prolonged interruption..
Initiate analysis of the rhythm.
Take BSI precautions!
Connect the one - way valve to mask.
Confirm that the patient has NO allergies to the medication.


36. What do you do after you determine the mechanism of injury?
Determine the number of patients.
The color - temperature - and condition.
That one is basically self - explanatory. Do that after you apply the cuff!
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery


37. What do you direct your assistant to do?
The color - temperature - and condition.
Open the airway manually.
Contact medical command if patient condition permits.
Direct assistant to assume ventilation and pre - oxygenate patient.


38. Where do you dispose of the auto - injector?
Did that help? Document when you put the tourniquet on.
Apply direct pressure to the wound.
Yes. Consult with Medical Command.
Dispose of the auto - injector in a sharps container.


39. You deliver the shock - now what?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Determine the mechanism of injury.
Direct resumption of CPR.
Assess the airway and breathing.


40. 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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41. 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?
You should obtain baseline vital signs of the patient.
Expose the thigh area - (and say that you are doing so.)
Switch to bag/valve mask.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.


42. Skin Moisture: (touch the patient)
Monitor the patient's condition and vital signs after administration.
Confirm the expiration date.
Normal - Moist - Diaphoretic
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.


43. How long should you perform high quality CPR?
Determine if the scene is safe.
You should determine the chief complaint/apparent life threats of the patient.
Perform two minutes of high quality CPR.
Verbalize the transportation of the patient.


44. Slowly deflate the cuff - and report/record palpable systolic blood pressure when..
Assess the airway and breathing.
Expose the thigh area - (and say that you are doing so.)
The pulse returns.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)


45. Place diaphragm of stethoscope over...
Take BSI precautions!
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Assess the following..
Brachial artery.


46. 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!
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Remember to explain the procedure to the patient.


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

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48. Okay - you've obtained the baseline vital signs... Should you obtain SAMPLE history now?
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Take BSI precautions!
Take BSI precautions!
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.


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

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50. When assessing the head - What do you check?
Did that help? Document when you put the tourniquet on.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Confirm that the patient has NO allergies to the medication.
Scalp - ears - eyes - and the oral/nasal areas.