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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. How long should you perform high quality CPR?
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Confirm that the patient has NO allergies to the medication.
Perform two minutes of high quality CPR.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.

2. Remember to check the '5 Rights' of drug administration.. What are they?
(margin +/-4)
Hyperextend extremity and palpate brachial artery.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.

3. What are the ways to assess the airway and breathing of the patient?
You should obtain baseline vital signs of the patient.
Turn over CPR to another rescuer. Turn on the AED.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Direct rescuer to stop CPR and ensures all individuals to stand clear.

4. 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.
Dispose of the auto - injector in a sharps container.
Confirm the expiration date.
Inspect the chest - palpate - auscultate.

5. _______ extremity and palpate ______ artery.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Hyperextend extremity and palpate brachial artery.
Assess the airway and breathing.
Assess the following..

6. After taking care of the chief complaint of the patient during the initial assessment - you should...
Apply direct pressure to the wound.
Assess the airway and breathing.
Palpate with 2 fingers (index and middle) over radial artery.
Direct resumption of CPR.

7. Attach the AED to the patient;
Initiate analysis of the rhythm.
Determine the number of patients.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)

8. Baseline Vital Signs! What do you do first?
The pulse returns.
Take BSI precautions!
Direct rescuer to stop CPR and ensures all individuals to stand clear.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.

9. Pulse! Palpate with How many fingers?
Contact medical command if patient condition permits.
Apply pressure dressing to the wound.
Palpate with 2 fingers (index and middle) over radial artery.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.

10. After taking BSI precautions - consult with...
Medical command
Initiate steps to prevent heat loss from the patient.
Apply pressure dressing to the wound.
Ventilate the patient at a rate of 10-20 per minute.

11. How do you prepare the medication and nebulizer?
Take or verbalize body substance isolation precautions.
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.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery

12. '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
Dispose of the auto - injector in a sharps container.
Scalp - ears - eyes - and the oral/nasal areas.
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever

13. You've prepared the medication and nebulizer...now attach oxygen to the nebulizer.
Determine the mechanism of injury.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Explain the procedure to the patient.

14. Circulation assessment re - cap! When assessing the skin - what should you be looking at?
The color - temperature - and condition.
Initiate steps to prevent heat loss from the patient.
Apply direct pressure to the wound.
Confirm the expiration date.

15. Assessment says that you will notice that the patient is now pale and diaphoretic with a rapid - weak pulse... say that out loud.
Yes - always explain to the patient that they will feel a stick from the needle.
Assess the airway and breathing.
Remember to position the patient properly.
Confirm that the patient is sitting as upright as possible.

16. Integration! First thing you do;
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Place auto - injector on lateral thigh - midway between the knee and thigh.
Normal - Moist - Diaphoretic
Medical command

17. 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?
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
Remember to explain the procedure to the patient.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.

18. When assessing the head - What do you check?
Scalp - ears - eyes - and the oral/nasal areas.
Take BSI precautions.
Expose the thigh area - (and say that you are doing so.)
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.

19. Time for Airway Management assessment! What's the First thing you do?
Monitor the patient's condition and vital signs after administration.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Determine the number of patients.
Take BSI precautions!

20. Monitor the patient's condition and vital signs after you administer the medication - and...
Document the procedure!
Perform two minutes of high quality CPR.
The second action is determining the patient's responsiveness/level of consciousness
First - observe the rise and fall of the chest/abdomen.

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

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22. Skin Temperature: (touch the patient)
Initiate analysis of the rhythm.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
- Normal (warm) - Cool - Cold - Hot

23. You've checked the neck - now move down to the chest.
Inspect the chest - palpate - auscultate.
Medical command
Brachial artery.
That one is basically self - explanatory. Do that after you apply the cuff!

24. How should the patient be sitting?
Take BSI precautions!
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Confirm that the patient is sitting as upright as possible.
Perform two minutes of high quality CPR.

25. After checking the chest - where do you move?
Assess the airway and breathing.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Place auto - injector on lateral thigh - midway between the knee and thigh.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.

26. Okay - you've obtained the baseline vital signs... Should you obtain SAMPLE history now?
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Perform two minutes of high quality CPR.
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Confirm that the patient has NO allergies to the medication.

27. During your Epinephrine Auto - Injector Administration scenario; What is the First thing you should do?
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Direct resumption of CPR.
Take BSI precautions.

28. Administer ____ concentration oxygen.
Scalp - ears - eyes - and the oral/nasal areas.
Administer high concentration oxygen.
Inspect the chest - palpate - auscultate.
Assessing the posterior includes assessing the thorax - and the lumbar.

29. Respirations!
Initiate analysis of the rhythm.
Palpate with 2 fingers (index and middle) over radial artery.
First - observe the rise and fall of the chest/abdomen.
Assess the airway and breathing.

30. 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?
Direct resumption of CPR.
Indicate the need for immediate transportation.
Brachial artery.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.

31. After checking the chest - where do you move?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Monitor the patient's condition and vital signs after administration.
Scalp - ears - eyes - and the oral/nasal areas.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.

32. First action performed after you arrive on scene..
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
Determine the mechanism of injury.
Take or verbalize body substance isolation precautions.
Monitor the patient's condition and vital signs after administration.

33. Skin Moisture: (touch the patient)
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Monitor the patient's condition and vital signs after administration.
Normal - Moist - Diaphoretic
Inspect the chest - palpate - auscultate.

34. There are bystanders who seen what happened.. do you question them?
You should determine the chief complaint/apparent life threats of the patient.
Request additional help.
Direct rescuer to stop CPR and ensures all individuals to stand clear.
Briefly question the bystanders about arrest events.

35. You've checked the neck - now move down to the chest.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Inspect the chest - palpate - auscultate.
Direct assistant to assume ventilation and pre - oxygenate patient.
You should verbalize the re - assessment of the vital signs.

36. Assess the following
Monitor the patient's condition and vital signs after administration.
Assess the airway and breathing.
- Rate - Rhythm (regular/irregular)
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)

37. Focused History and Physical Examination/Rapid Trauma Assessment. The first thing you should do in this situation is...
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
That one is basically self - explanatory. Do that after you apply the cuff!
Select the appropriate assessment (focused - or rapid assessment)
Assess the following..

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

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40. Palpate radial or brachial artery!
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
- Normal (warm) - Cool - Cold - Hot
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
That one is basically self - explanatory. Do that after you apply the cuff!

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?
Connect the one - way valve to mask.
Assess the airway and breathing.
You should verbalize the re - assessment of the vital signs.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.

42. Blood pressure (auscultation)

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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
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Verbalizing the general impression of the patient.

44. The patient is still bleeding - so you..
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Document the procedure!
Request additional help.
Apply pressure dressing to the wound.

45. You deliver the shock.. should the rescuer go back to giving the patient CPR?
Yes - direct resumption of CPR.
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.
Assessing the posterior includes assessing the thorax - and the lumbar.

46. Skin Signs!
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
Determine if the scene is safe.
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.
Assess the following..

47. Report/record pulse findings.
Dispose of the auto - injector in a sharps container.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
(margin +/-4)
Verbalizing the general impression of the patient.

48. After you open the airway - What do you do?
For at least 30 seconds!
Determine the mechanism of injury.
Connect the one - way valve to mask.
Remember to explain the procedure to the patient.

49. Did that help?
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Yes - direct resumption of CPR.
Inspect the chest - palpate - auscultate.
Take BSI precautions!

50. Count palpated pulse for a minimum of ___ seconds and multiply times 2.
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Connect the mask to high concentration or oxygen.
Count pulse for minimum of 30 seconds then multiply by 2.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.