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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. When assessing the head - What do you check?
Indicate the need for immediate transportation.
Take BSI precautions!
Scalp - ears - eyes - and the oral/nasal areas.
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.

2. Integration! First thing you do;
(margin +/-4)
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Initiate analysis of the rhythm.
Determine the mechanism of injury.

3. Apply a tourniquet.
Direct resumption of CPR.
Initiate analysis of the rhythm.
Did that help? Document when you put the tourniquet on.
You should obtain baseline vital signs of the patient.

4. How will you determine if the patient needs glucose administration?
Take BSI precautions!
Direct resumption of CPR.
Check the level of consciousness - and the history.
Determine if the scene is safe.

5. Should you examine the head - arm - or abdomen first?
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
For at least 30 seconds!
Did that help? Document when you put the tourniquet on.

6. Did THAT help?
Brachial artery.
Explain the procedure to the patient.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
You should verbalize the re - assessment of the vital signs.

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

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

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9. The patient is still bleeding - so you..
Remember to position the patient properly.
Connect the mask to high concentration or oxygen.
Direct assistant to assume ventilation and pre - oxygenate patient.
Apply pressure dressing to the wound.

10. You need to shock the patient again. The rescuer is STILL delivering CPR.. What do you do?
Hold the auto - injector to the patient's thigh for 10 seconds.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Determine if the scene is safe.

11. After selecting the appropriate assessment - (focused or rapid) - you should obtain baseline ___?___
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.
The second action is determining the patient's responsiveness/level of consciousness
Palpate with 2 fingers (index and middle) over radial artery.

12. What's the expiration date on the oral glucose?
Hold the auto - injector to the patient's thigh for 10 seconds.
Yes. Consult with Medical Command.
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
Confirm the expiration date.

13. What do you do after you determine the mechanism of injury?
Determine the number of patients.
Confirm that the patient is sitting as upright as possible.
Yeah.. definitely don't forget to document everything.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer

14. Assess the following
Take BSI precautions.
- Rate - Rhythm (regular/irregular)
Inspect the chest - palpate - auscultate.
The color - temperature - and condition.

15. You're positive that the patient is Not allergic to the medication - and you've referred to the 5 rights of drug administration. You've got the auto - injector in your hand - What do you do first?
Turn over CPR to another rescuer. Turn on the AED.
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Assess the airway and breathing.

16. 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
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
You should determine the chief complaint/apparent life threats of the patient.
- Normal (warm) - Cool - Cold - Hot
Count pulse for minimum of 30 seconds then multiply by 2.

17. Blood pressure (palpatation)

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18. 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.
Determine the number of patients.
Count pulse for minimum of 30 seconds then multiply by 2.
After doing so - ventilate the patient at the proper volume and rate.

19. What do you do after you determine if the scene is safe?
Determine the mechanism of injury.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Direct assistant to assume ventilation and pre - oxygenate patient.
Inspect the chest - palpate - auscultate.

20. Ventilate patient!
Hyperextend extremity and palpate brachial artery.
Assure high concentration of oxygen is delivered to the patient.
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.

21. After you open the airway - What do you do?
After doing so - ventilate the patient at the proper volume and rate.
Briefly question the bystanders about arrest events.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Connect the one - way valve to mask.

22. It's time to administer the medication to the patient! How are you going to do so?
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.'
Determine if the scene is safe.
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 effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)

23. Attach the AED to the patient;
Assess the airway and breathing.
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.
Initiate analysis of the rhythm.
The second action is determining the patient's responsiveness/level of consciousness

24. Okay - you've told the patient what you're going to do.. But are you sure they're not allergic to the medication?
Dispose of the auto - injector in a sharps container.
Confirm that the patient has NO allergies to the medication.
Place auto - injector on lateral thigh - midway between the knee and thigh.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin

25. How do you open the airway?
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Document the procedure!
Open the airway manually.
- Normal (warm) - Cool - Cold - Hot

26. Palpate radial or brachial artery!
Expose the thigh area - (and say that you are doing so.)
That one is basically self - explanatory. Do that after you apply the cuff!
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Inspect the chest - palpate - auscultate.

27. Establish and maintain a proper mask to face seal.
Take BSI precautions!
Initiate analysis of the rhythm.
Confirm that the patient is sitting as upright as possible.
After doing so - ventilate the patient at the proper volume and rate.

28. 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?
Open the airway manually.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Normal - Moist - Diaphoretic
You should determine the chief complaint/apparent life threats of the patient.

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

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30. 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?
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Yes - always explain to the patient that they will feel a stick from the needle.
Remember to position the patient properly.
Assure high concentration of oxygen is delivered to the patient.

31. Slowly deflate the cuff - and report/record palpable systolic blood pressure when..
You should manage all of the patient's secondary injuries/wounds appropriately
The pulse returns.
Determine if the scene is safe.
For at least 30 seconds!

32. Respirations!
Assure high concentration of oxygen is delivered to the patient.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
First - observe the rise and fall of the chest/abdomen.
Confirm that the patient is sitting as upright as possible.

33. After you're sure he/she isn't allergic to the medicine; check your 5 rights of drug administration.. which are.....
Yes - direct resumption of CPR.
Take BSI precautions.
Verbalize the transportation of the patient.
Right patient - Right drug - Right dose - Right route - Right time.

34. When assessing the head - What do you check?
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Scalp - ears - eyes - and the oral/nasal areas.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Determine if the scene is safe.

35. Slowly deflate the cuff.. then..
Inspect the chest - palpate - auscultate.
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Report/record ausculated blood pressure.

36. Time for Bleeding Control/Shock Management! First thing you do?
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Take BSI precaution!
Take BSI precautions!

37. Report/record pulse findings.
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
Indicate the need for immediate transportation.
Contact medical command if patient condition permits.
(margin +/-4)

38. Ventilate the patient at a rate of __-__ per minute with appropriate volumes via bag/valve mask.
Turn over CPR to another rescuer. Turn on the AED.
Hyperextend extremity and palpate brachial artery.
Ventilate the patient at a rate of 10-20 per minute.
Select the appropriate assessment (focused - or rapid assessment)

39. Time for Airway Management assessment! What's the First thing you do?
Take BSI precautions!
Normal - Moist - Diaphoretic
That one is basically self - explanatory. Do that after you apply the cuff!
Direct assistant to assume ventilation and pre - oxygenate patient.

40. Remember to check the '5 Rights' of drug administration.. What are they?
Yes - you should obtain SAMPLE history after taking baseline vital signs.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Connect the one - way valve to mask.
Direct assistant to assume ventilation and pre - oxygenate patient.

41. Inflate cuff rapidly to at least 20mm Hg ______ palpated blood pressure.
Check the level of consciousness - and the history.
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
Dispose of the auto - injector in a sharps container.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.

42. Skin Signs!
Assess the following..
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Verbalizing the general impression of the patient.

43. You need to get the AED. What should you do?
Take BSI precautions!
Take BSI precautions!
Turn over CPR to another rescuer. Turn on the AED.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer

44. 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.
Take BSI precaution!
Yes - direct resumption of CPR.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing

45. Count the respiratory rate for at least ___ seconds and multiply times 2.
Verbalize the transportation of the patient.
Assure high concentration of oxygen is delivered to the patient.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
For at least 30 seconds!

46. After BSI precautions - you need to perform a blood glucose check.. How do you set up/perform the check?
Contact medical command if patient condition permits.
Take BSI precaution!
Turn over CPR to another rescuer. Turn on the AED.
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.

47. Did that help?
The color - temperature - and condition.
Yeah.. definitely don't forget to document everything.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Direct resumption of CPR.

48. After taking BSI precautions - consult with...
Yes - direct resumption of CPR.
Medical command
Select the appropriate assessment (focused - or rapid assessment)
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)

49. Circulation assessment re - cap! When assessing the skin - what should you be looking at?
Determine if the scene is safe.
Check the level of consciousness - and the history.
The color - temperature - and condition.
Take BSI precautions!

50. 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?
Report/record ausculated blood pressure.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
The pulse returns.

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