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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. You've successfully removed the cap - and you're ready to administer the medication to the patient... but where do you administer it?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Apply direct pressure to the wound.
Expose the thigh area - (and say that you are doing so.)
Initiate analysis of the rhythm.

2. How should the patient be sitting?
Yes. Consult with Medical Command.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
Confirm that the patient is sitting as upright as possible.
Direct rescuer to stop CPR and ensures all individuals to stand clear.

3. You need to get the patient to the hospital - NOW. What do you do?
You should manage all of the patient's secondary injuries/wounds appropriately
Count pulse for minimum of 30 seconds then multiply by 2.
Indicate the need for immediate transportation.
Dispose of the auto - injector in a sharps container.

4. 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.)
Determine the mechanism of injury.
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.
Take BSI precautions!

5. You deliver the shock - now what?
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
Direct resumption of CPR.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Palpate with 2 fingers (index and middle) over radial artery.

6. Slowly deflate the cuff - and report/record palpable systolic blood pressure when..
The pulse returns.
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.
Switch to bag/valve mask.
Yes - always explain to the patient that they will feel a stick from the needle.

7. Assessment says that you will notice that the patient is now pale and diaphoretic with a rapid - weak pulse... say that out loud.
Hyperextend extremity and palpate brachial artery.
Remember to position the patient properly.
Did that help? Document when you put the tourniquet on.
Apply pressure dressing to the wound.

8. How will you determine if the patient needs glucose administration?
Check the level of consciousness - and the history.
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
Take BSI precautions!
First - observe the rise and fall of the chest/abdomen.

9. You've exposed the patient's leg. Where do you place the auto - injector?
You should determine the chief complaint/apparent life threats of the patient.
Place auto - injector on lateral thigh - midway between the knee and thigh.
Assess the airway and breathing.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.

10. When assessing the head - What do you check?
Yes. Consult with Medical Command.
Check the level of consciousness - and the history.
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Scalp - ears - eyes - and the oral/nasal areas.

11. 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?

12. Pulse! Palpate with How many fingers?
Palpate with 2 fingers (index and middle) over radial artery.
Take BSI precautions!
Hold the auto - injector to the patient's thigh for 10 seconds.
Document the procedure!

13. Monitor the patient's condition and vital signs after you administer the medication - and...
Document the procedure!
Take BSI precautions.
- Normal (warm) - Cool - Cold - Hot
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.

14. You deliver the shock.. should the rescuer go back to giving the patient CPR?
Yes - direct resumption of CPR.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.

15. Time for Airway Management assessment! What's the First thing you do?
Assure high concentration of oxygen is delivered to the patient.
Take BSI precautions!
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.'
Assess the patient's ability to use the nebulizer.

16. Did that help?
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Assessing the posterior includes assessing the thorax - and the lumbar.
Assess the patient's ability to use the nebulizer.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)

17. Skin Moisture: (touch the patient)
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 the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
Normal - Moist - Diaphoretic
Request additional help.

18. Time for the Detailed Physical Examination! Should you examine the head - arm - or abdomen first?
Connect the one - way valve to mask.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Direct assistant to assume ventilation and pre - oxygenate patient.
Remember to explain the procedure to the patient.

19. Administer ____ concentration oxygen.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
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.
Ventilate the patient at a rate of 10-20 per minute.

20. What do you do after you determine the mechanism of injury?
Briefly question the bystanders about arrest events.
Count pulse for minimum of 30 seconds then multiply by 2.
The second action is determining the patient's responsiveness/level of consciousness
Determine the number of patients.

21. The patient is still bleeding - so you..
Inspect the chest - palpate - auscultate.
Apply pressure dressing to the wound.
Verbalize the transportation of the patient.
Monitor the patient's condition and vital signs after administration.

22. Establish and maintain a proper mask to face seal.
After doing so - ventilate the patient at the proper volume and rate.
Determine the number of patients.
Take BSI precautions!
Briefly question the bystanders about arrest events.

23. After BSI precautions - you need to perform a blood glucose check.. How do you set up/perform the check?
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.
Briefly question the bystanders about arrest events.
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.
Open the airway manually.

24. What's the expiration date on the oral glucose?
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
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.'
Confirm the expiration date.
Direct rescuer to stop CPR and ensures all individuals to stand clear.

25. 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
- Rate - Rhythm (regular/irregular)
Confirm the expiration date.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer

26. What are the ways to assess the airway and breathing of the patient?
Confirm that the patient has NO allergies to the medication.
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.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Take BSI precaution!

27. Attach the AED to the patient;
For at least 30 seconds!
Take BSI precautions!
Turn over CPR to another rescuer. Turn on the AED.
Initiate analysis of the rhythm.

28. It's time to administer the medication to the patient! How are you going to do so?
Yes - always explain to the patient that they will feel a stick from the needle.
Apply direct pressure to the wound.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
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

29. You've checked the neck - now move down to the chest.
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
Report/record ausculated blood pressure.
Inspect the chest - palpate - auscultate.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing

30. How long should you perform high quality CPR?
Ventilate the patient at a rate of 10-20 per minute.
Perform two minutes of high quality CPR.
Report/record ausculated blood pressure.
(margin +/-4)

31. Skin Color: (observe the patient)
Assess the patient's ability to use the nebulizer.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Remember to position the patient properly.
Yes - direct resumption of CPR.

32. After you're sure he/she isn't allergic to the medicine; check your 5 rights of drug administration.. which are.....
Assess the airway and breathing.
Right patient - Right drug - Right dose - Right route - Right time.
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.
Scalp - ears - eyes - and the oral/nasal areas.

33. Where do you dispose of the auto - injector?
Hyperextend extremity and palpate brachial artery.
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.
- Rate - Rhythm (regular/irregular)
Dispose of the auto - injector in a sharps container.

34. Okay - you've obtained the baseline vital signs... Should you obtain SAMPLE history now?
The color - temperature - and condition.
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
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.
Yes - you should obtain SAMPLE history after taking baseline vital signs.

35. You've checked the neck - now move down to the chest.
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.
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.'
Inspect the chest - palpate - auscultate.

36. After taking BSI precautions - consult with...
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Verbalizing the general impression of the patient.
Medical command
Right patient - Right drug - Right dose - Right route - Right time.

37. 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
- Rate - Rhythm (regular/irregular)
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
Verbalizing the general impression of the patient.
Request additional help.

38. You need to shock the patient again. The rescuer is STILL delivering CPR.. What do you do?
Yeah.. definitely don't forget to document everything.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer

39. 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.
Medical command
Direct assistant to assume ventilation and pre - oxygenate patient.
- Normal (warm) - Cool - Cold - Hot

40. 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?
Inspect the chest - palpate - auscultate.
Check the level of consciousness - and the history.
Monitor the patient's condition and vital signs after administration.
Yes - always explain to the patient that they will feel a stick from the needle.

41. 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?
The second action is determining the patient's responsiveness/level of consciousness
Remember to explain the procedure to the patient.
Determine if the scene is safe.
Dispose of the auto - injector in a sharps container.

42. When assessing the head - What do you check?
You should obtain baseline vital signs of the patient.
Scalp - ears - eyes - and the oral/nasal areas.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
First - observe the rise and fall of the chest/abdomen.

43. Report/record pulse findings.
Administer high concentration oxygen.
(margin +/-4)
Report/record ausculated blood pressure.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.

44. Integration! First thing you do;
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Right patient - Right drug - Right dose - Right route - Right time.
Briefly question the bystanders about arrest events.

45. Respirations!
Take BSI precautions!
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Determine the mechanism of injury.
First - observe the rise and fall of the chest/abdomen.

46. Apply a tourniquet.
Verbalize the transportation of the patient.
Did that help? Document when you put the tourniquet on.
Take BSI precautions!
Expose the thigh area - (and say that you are doing so.)

47. 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
You should determine the chief complaint/apparent life threats of the patient.
Confirm that the patient is sitting as upright as possible.
For at least 30 seconds!
Yes - always explain to the patient that they will feel a stick from the needle.

48. After you open the airway - What do you do?
Connect the one - way valve to mask.
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
Direct assistant to assume ventilation and pre - oxygenate patient.
Ventilate the patient at a rate of 10-20 per minute.

49. After you determine the number of patients - what should you do - IF NECESSARY?
Request additional help.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
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.'
Ventilate the patient at a rate of 10-20 per minute.

50. You need to get the AED. What should you do?
Verbalize the transportation of the patient.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
You should determine the chief complaint/apparent life threats of the patient.
Turn over CPR to another rescuer. Turn on the AED.