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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. Assess the following
- Rate - Rhythm (regular/irregular)
Verbalizing the general impression of the patient.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Apply direct pressure to the wound.

2. Okay - now you have to assess the posterior.. this includes the ______ and the _______.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Assessing the posterior includes assessing the thorax - and the lumbar.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)

3. You need to get the patient to the hospital - NOW. What do you do?
Indicate the need for immediate transportation.
Open the airway manually.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Yes - always explain to the patient that they will feel a stick from the needle.

4. Baseline Vital Signs! What do you do first?
Confirm that the patient has NO allergies to the medication.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Take BSI precautions!

5. How should the patient be sitting?
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
Yeah.. definitely don't forget to document everything.
Apply direct pressure to the wound.
Confirm that the patient is sitting as upright as possible.

6. You've prepared the medication and nebulizer...now attach oxygen to the nebulizer.
Did that help? Document when you put the tourniquet on.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Report/record ausculated blood pressure.
- Rate - Rhythm (regular/irregular)

7. You need to shock the patient again. The rescuer is STILL delivering CPR.. What do you do?
The color - temperature - and condition.
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.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.

8. What do you direct your assistant to do?
Direct assistant to assume ventilation and pre - oxygenate patient.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Indicate the need for immediate transportation.
After doing so - ventilate the patient at the proper volume and rate.

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

10. Palpate radial or brachial artery!
That one is basically self - explanatory. Do that after you apply the cuff!
Assure high concentration of oxygen is delivered to the patient.
Determine the number of patients.
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.

11. How do you prepare the medication and nebulizer?
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.
Place auto - injector on lateral thigh - midway between the knee and thigh.
Take BSI precaution!

12. It's time to administer the medication to the patient! How are you going to do so?
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
Assess the patient's ability to use the nebulizer.
Palpate with 2 fingers (index and middle) over radial artery.
Expose the thigh area - (and say that you are doing so.)

13. After you're sure he/she isn't allergic to the medicine; check your 5 rights of drug administration.. which are.....
Assessing the posterior includes assessing the thorax - and the lumbar.
Check the level of consciousness - and the history.
Direct assistant to assume ventilation and pre - oxygenate patient.
Right patient - Right drug - Right dose - Right route - Right time.

14. 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?
Yeah.. definitely don't forget to document everything.
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Hyperextend extremity and palpate brachial artery.
After doing so - ventilate the patient at the proper volume and rate.

15. Inflate cuff rapidly to at least 20mm Hg ______ palpated blood pressure.
Right patient - Right drug - Right dose - Right route - Right time.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Medical command

16. Administer ____ concentration oxygen.
After doing so - ventilate the patient at the proper volume and rate.
Inspect the chest - palpate - auscultate.
Perform two minutes of high quality CPR.
Administer high concentration oxygen.

17. Pulse! Palpate with How many fingers?
(margin +/-4)
Palpate with 2 fingers (index and middle) over radial artery.
Count pulse for minimum of 30 seconds then multiply by 2.
Remember to position the patient properly.

18. You've checked the neck - now move down to the chest.
Document the procedure!
Inspect the chest - palpate - auscultate.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery

19. But wait.. are you sure that the patient isn't allergic to the medication?
Count pulse for minimum of 30 seconds then multiply by 2.
Verbalize the transportation of the patient.
Take BSI precautions!
Confirm that the patient has NO allergies to the medication.

20. Count palpated pulse for a minimum of ___ seconds and multiply times 2.
Assessing the posterior includes assessing the thorax - and the lumbar.
Count pulse for minimum of 30 seconds then multiply by 2.
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
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.

21. What are the ways to assess the airway and breathing of the patient?
Palpate with 2 fingers (index and middle) over radial artery.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
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.
Inspect the chest - palpate - auscultate.

22. Then What do you switch to?
Switch to bag/valve mask.
Did that help? Document when you put the tourniquet on.
Connect the one - way valve to mask.
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.'

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

24. Time for Cardiac Arrest Management/Automatic External Defibrillator! First thing you do
Explain the procedure to the patient.
(margin +/-4)
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Take BSI precautions!

25. After checking the chest - where do you move?
Request additional help.
You should verbalize the re - assessment of the vital signs.
Direct assistant to assume ventilation and pre - oxygenate patient.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.

26. Time for Airway Management assessment! What's the First thing you do?
Take BSI precautions!
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
- Rate - Rhythm (regular/irregular)
Ventilate the patient at a rate of 10-20 per minute.

27. After you open the airway - What do you do?
Inspect the chest - palpate - auscultate.
Remember to explain the procedure to the patient.
Take BSI precaution!
Connect the one - way valve to mask.

28. Time for Bleeding Control/Shock Management! First thing you do?
Did that help? Document when you put the tourniquet on.
Check the level of consciousness - and the history.
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.
Take BSI precaution!

29. Assess the following
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Document the procedure!
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Yes - you should obtain SAMPLE history after taking baseline vital signs.

30. Skin Color: (observe the patient)
Place auto - injector on lateral thigh - midway between the knee and thigh.
That one is basically self - explanatory. Do that after you apply the cuff!
Check the level of consciousness - and the history.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing

31. Skin Signs!
Assess the following..
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
That one is basically self - explanatory. Do that after you apply the cuff!
Expose the thigh area - (and say that you are doing so.)

32. Monitor the patient's condition and vital signs after you administer the medication - and...
Document the procedure!
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Direct assistant to assume ventilation and pre - oxygenate patient.
Confirm that the patient is sitting as upright as possible.

33. 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?
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Assure high concentration of oxygen is delivered to the patient.
Determine the number of patients.

34. _______ extremity and palpate ______ artery.
Take BSI precautions!
Connect the one - way valve to mask.
Hyperextend extremity and palpate brachial artery.
- Rate - Rhythm (regular/irregular)

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

36. What's the expiration date on the oral glucose?
Confirm the expiration date.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Connect the one - way valve to mask.
Initiate analysis of the rhythm.

37. After taking care of the chief complaint of the patient during the initial assessment - you should...
Assess the airway and breathing.
You should verbalize the re - assessment of the vital signs.
Dispose of the auto - injector in a sharps container.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)

38. Ventilate the patient at a rate of __-__ per minute with appropriate volumes via bag/valve mask.
Ventilate the patient at a rate of 10-20 per minute.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
Hold the auto - injector to the patient's thigh for 10 seconds.
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)

39. After BSI precautions - you need to perform a blood glucose check.. How do you set up/perform the check?
Select the appropriate assessment (focused - or rapid assessment)
Check the level of consciousness - and the history.
Monitor the patient's condition and vital signs after administration.
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.

40. Circulation assessment re - cap! When assessing the skin - what should you be looking at?
You should manage all of the patient's secondary injuries/wounds appropriately
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.
Determine the mechanism of injury.
The color - temperature - and condition.

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

42. What do you do if the patient needs glucose administration? Do you go ahead and do it? or do you contact someone?
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Perform two minutes of high quality CPR.
Palpate with 2 fingers (index and middle) over radial artery.
Contact medical command if patient condition permits.

43. You've assessed the patient's ability to use the nebulizer - should you consult with Medical Command?
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
Connect the one - way valve to mask.
Yes. Consult with Medical Command.
Confirm that the patient is sitting as upright as possible.

44. Integration! First thing you do;
Apply pressure dressing to the wound.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.

45. 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?
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.
The second action is determining the patient's responsiveness/level of consciousness
Brachial artery.
You should verbalize the re - assessment of the vital signs.

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

47. Time for the Nebulized Medication Administration part of your skill assessment. Again - what's the First thing you do?
Assure high concentration of oxygen is delivered to the patient.
You should manage all of the patient's secondary injuries/wounds appropriately
Inspect the chest - palpate - auscultate.
Take BSI precautions!

48. Focused History and Physical Examination/Rapid Trauma Assessment. The first thing you should do in this situation is...
Assessing the posterior includes assessing the thorax - and the lumbar.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
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.
Select the appropriate assessment (focused - or rapid assessment)

49. 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?)

50. 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.)
Remember to explain the procedure to the patient.
Determine the number of patients.
First - observe the rise and fall of the chest/abdomen.