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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. The patient is still bleeding - so you..
Apply pressure dressing to the wound.
Confirm the expiration date.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Hyperextend extremity and palpate brachial artery.

2. Time for the Nebulized Medication Administration part of your skill assessment. Again - what's the First thing you do?
Assessing the posterior includes assessing the thorax - and the lumbar.
Expose the thigh area - (and say that you are doing so.)
Take BSI precautions!
Yes. Consult with Medical Command.

3. Monitor the patient's condition and vital signs after you administer the medication - and...
Yes - direct resumption of CPR.
Turn over CPR to another rescuer. Turn on the AED.
Document the procedure!
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.

4. What do you do if the patient needs glucose administration? Do you go ahead and do it? or do you contact someone?
Contact medical command if patient condition permits.
Place auto - injector on lateral thigh - midway between the knee and thigh.
Apply pressure dressing to the wound.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer

5. Remember to check the '5 Rights' of drug administration.. What are they?
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
- Normal (warm) - Cool - Cold - Hot
Select the appropriate assessment (focused - or rapid assessment)
Take BSI precautions.

6. When assessing circulation - should you control major bleeding BEFORE you assess the patient's pulse - or after?

7. First action performed after you arrive on scene..
Take or verbalize body substance isolation precautions.
Yes. Consult with Medical Command.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Hyperextend extremity and palpate brachial artery.

8. To assess circulation - (after you assess the airway/breathing of the patient) - What are the four actions needed to be taken?
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.
Monitor the patient's condition and vital signs after administration.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)

9. Focused History and Physical Examination/Rapid Trauma Assessment. The first thing you should do in this situation is...
Apply pressure dressing to the wound.
Verbalize the transportation of the patient.
You should verbalize the re - assessment of the vital signs.
Select the appropriate assessment (focused - or rapid assessment)

10. Establish and maintain a proper mask to face seal.
Determine if the scene is safe.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
After doing so - ventilate the patient at the proper volume and rate.

11. After taking BSI precautions - consult with...
Scalp - ears - eyes - and the oral/nasal areas.
Palpate with 2 fingers (index and middle) over radial artery.
Medical command
Confirm that the patient has NO allergies to the medication.

12. When assessing the head - What do you check?
Remember to explain the procedure to the patient.
Explain the procedure to the patient.
The color - temperature - and condition.
Scalp - ears - eyes - and the oral/nasal areas.

13. 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?
After doing so - ventilate the patient at the proper volume and rate.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Request additional help.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.

14. _______ extremity and palpate ______ artery.
- Rate - Rhythm (regular/irregular)
Hyperextend extremity and palpate brachial artery.
You should manage all of the patient's secondary injuries/wounds appropriately
Ventilate the patient at a rate of 10-20 per minute.

15. Okay - now you have to assess the posterior.. this includes the ______ and the _______.
Assessing the posterior includes assessing the thorax - and the lumbar.
Medical command
Yes - always explain to the patient that they will feel a stick from the needle.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer

16. But wait.. are you sure that the patient isn't allergic to the medication?
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Confirm that the patient has NO allergies to the medication.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Hold the auto - injector to the patient's thigh for 10 seconds.

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?
You should verbalize the re - assessment of the vital signs.
Confirm that the patient is sitting as upright as possible.
Connect the one - way valve to mask.
You should verbalize the re - assessment of the vital signs.

18. 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
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Scalp - ears - eyes - and the oral/nasal areas.
You should manage all of the patient's secondary injuries/wounds appropriately
Verbalizing the general impression of the patient.

19. Attach the AED to the patient;
Initiate analysis of the rhythm.
Assessing the posterior includes assessing the thorax - and the lumbar.
- Normal (warm) - Cool - Cold - Hot
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.

20. You've assessed the patient's ability to use the nebulizer - should you consult with Medical Command?
Yes. Consult with Medical Command.
You should verbalize the re - assessment of the vital signs.
Ventilate the patient at a rate of 10-20 per minute.
Assess the airway and breathing.

21. How long should you perform high quality CPR?
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Expose the thigh area - (and say that you are doing so.)
Perform two minutes of high quality CPR.
Remember to position the patient properly.

22. After you're sure he/she isn't allergic to the medicine; check your 5 rights of drug administration.. which are.....
Scalp - ears - eyes - and the oral/nasal areas.
Right patient - Right drug - Right dose - Right route - Right time.
Hyperextend extremity and palpate brachial artery.
Connect the one - way valve to mask.

23. Slowly deflate the cuff - and report/record palpable systolic blood pressure when..
The second action is determining the patient's responsiveness/level of consciousness
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
The pulse returns.
You should determine the chief complaint/apparent life threats of the patient.

24. Transportation!
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Verbalize the transportation of the patient.
Assess the airway and breathing.
(margin +/-4)

25. 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 or verbalize body substance isolation precautions.
You should obtain baseline vital signs of 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.

26. DON'T FORGET TO DOCUMENT The PROCEDURE AFTERWARD!

27. Skin Signs!
Assessing the posterior includes assessing the thorax - and the lumbar.
After doing so - ventilate the patient at the proper volume and rate.
Request additional help.
Assess the following..

28. Palpate radial or brachial artery!
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Scalp - ears - eyes - and the oral/nasal areas.
Expose the thigh area - (and say that you are doing so.)
That one is basically self - explanatory. Do that after you apply the cuff!

29. Skin Moisture: (touch the patient)
- Normal (warm) - Cool - Cold - Hot
Inspect the chest - palpate - auscultate.
Check the level of consciousness - and the history.
Normal - Moist - Diaphoretic

30. What do you direct your assistant to do?
Hold the auto - injector to the patient's thigh for 10 seconds.
The second action is determining the patient's responsiveness/level of consciousness
Inspect the chest - palpate - auscultate.
Direct assistant to assume ventilation and pre - oxygenate patient.

31. You've checked the neck - now move down to the chest.
Contact medical command if patient condition permits.
Remember to explain the procedure to the patient.
Take or verbalize body substance isolation precautions.
Inspect the chest - palpate - auscultate.

32. Apply a tourniquet.
You should determine the chief complaint/apparent life threats of the patient.
Did that help? Document when you put the tourniquet on.
The pulse returns.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.

33. Baseline Vital Signs! What do you do first?
Ventilate the patient at a rate of 10-20 per minute.
Remember to explain the procedure to the patient.
Expose the thigh area - (and say that you are doing so.)
Take BSI precautions!

34. After you determine the number of patients - what should you do - IF NECESSARY?
- Normal (warm) - Cool - Cold - Hot
Confirm that the patient has NO allergies to the medication.
Request additional help.
Select the appropriate assessment (focused - or rapid assessment)

35. 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?

36. Skin Temperature: (touch the patient)
You should manage all of the patient's secondary injuries/wounds appropriately
- Normal (warm) - Cool - Cold - Hot
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Assessing the posterior includes assessing the thorax - and the lumbar.

37. You need to get the AED. What should you do?
Remember to position the patient properly.
Explain the procedure to the patient.
Turn over CPR to another rescuer. Turn on the AED.
The pulse returns.

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

39. 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.)
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Switch to bag/valve mask.
Initiate analysis of the rhythm.

40. Time for Bleeding Control/Shock Management! First thing you do?
Scalp - ears - eyes - and the oral/nasal areas.
Yes. Consult with Medical Command.
Take BSI precaution!
Direct rescuer to stop CPR and ensures all individuals to stand clear.

41. Time for Cardiac Arrest Management/Automatic External Defibrillator! First thing you do
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Direct resumption of CPR.
Take BSI precautions!
Confirm that the patient is sitting as upright as possible.

42. Report/record pulse findings.
- Rate - Rhythm (regular/irregular)
(margin +/-4)
Palpate with 2 fingers (index and middle) over radial artery.
For at least 30 seconds!

43. Slowly deflate the cuff.. then..
Take BSI precautions!
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Report/record ausculated blood pressure.
Request additional help.

44. Assess the following
Yes. Consult with Medical Command.
- Rate - Rhythm (regular/irregular)
Yes - always explain to the patient that they will feel a stick from the needle.
Yes - you should obtain SAMPLE history after taking baseline vital signs.

45. Respirations!
Select the appropriate assessment (focused - or rapid assessment)
Indicate the need for immediate transportation.
First - observe the rise and fall of the chest/abdomen.
Inspect the chest - palpate - auscultate.

46. You deliver the shock.. should the rescuer go back to giving the patient CPR?
Count pulse for minimum of 30 seconds then multiply by 2.
Inspect the chest - palpate - auscultate.
Yes - direct resumption of CPR.
Brachial artery.

47. How do you prepare the medication and nebulizer?
Assess the following..
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
You should obtain baseline vital signs of the patient.
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.

48. Blood pressure (palpatation)

49. After selecting the appropriate assessment - (focused or rapid) - you should obtain baseline ___?___
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
You should obtain baseline vital signs of the patient.
Medical command

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