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. Integration! First thing you do;
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
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 patient's ability to use the nebulizer.


2. You've checked the neck - now move down to the chest.
Contact medical command if patient condition permits.
Assess the following..
Inspect the chest - palpate - auscultate.
Apply direct pressure to the wound.


3. After selecting the appropriate assessment - (focused or rapid) - you should obtain baseline ___?___
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.
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.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.


4. Circulation assessment re - cap! When assessing the skin - what should you be looking at?
Place auto - injector on lateral thigh - midway between the knee and thigh.
Did that help? Document when you put the tourniquet on.
The color - temperature - and condition.
Confirm that the patient has NO allergies to the medication.


5. You've exposed the patient's leg. Where do you place the auto - injector?
Place auto - injector on lateral thigh - midway between the knee and thigh.
Determine if the scene is safe.
Verbalize the transportation of the patient.
Take BSI precaution!


6. 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
Open the airway manually.
Verbalizing the general impression of the patient.
Report/record ausculated blood pressure.
Take BSI precautions.


7. First step in 'Scene Size Up'.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
After doing so - ventilate the patient at the proper volume and rate.
Determine if the scene is safe.
Medical command


8. Inflate the cuff rapidly to at least ??mm Hg above the point where the pulse is lost.
Verbalize the transportation of the patient.
Scalp - ears - eyes - and the oral/nasal areas.
Scalp - ears - eyes - and the oral/nasal areas.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.


9. You deliver the shock - now what?
Remember to explain the procedure to the patient.
Yes - always explain to the patient that they will feel a stick from the needle.
Direct resumption of CPR.
Place auto - injector on lateral thigh - midway between the knee and thigh.


10. Place diaphragm of stethoscope over...
Connect the one - way valve to mask.
Brachial artery.
- Normal (warm) - Cool - Cold - Hot
Take or verbalize body substance isolation precautions.


11. 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?
Administer high concentration oxygen.
Verbalizing the general impression of the patient.
Take BSI precautions!
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.


12. Establish and maintain a proper mask to face seal.
After doing so - ventilate the patient at the proper volume and rate.
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
Determine the mechanism of injury.
Report/record ausculated blood pressure.


13. Monitor the patient's condition and vital signs after you administer the medication - and...
Document the procedure!
Ventilate the patient at a rate of 10-20 per minute.
Assessing the posterior includes assessing the thorax - and the lumbar.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)


14. 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
Determine if the scene is safe.
Palpate with 2 fingers (index and middle) over radial artery.
Take BSI precautions!


15. 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?
Dispose of the auto - injector in a sharps container.
Open the airway manually.
Yes - always explain to the patient that they will feel a stick from the needle.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.


16. 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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17. 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?
Initiate analysis of the rhythm.
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
Direct resumption of CPR.


18. After consulting Medical Command - are you going to perform the procedure without explaining anything to the patient?
Expose the thigh area - (and say that you are doing so.)
Confirm that the patient has NO allergies to the medication.
Explain the procedure to the patient.
Did that help? Document when you put the tourniquet on.


19. Slowly deflate the cuff - and report/record palpable systolic blood pressure when..
Take BSI precaution!
The pulse returns.
Take BSI precautions!
Document the procedure!


20. During your Epinephrine Auto - Injector Administration scenario; What is the First thing you should do?
Take BSI precautions.
Direct assistant to assume ventilation and pre - oxygenate patient.
Request additional help.
Take BSI precautions!


21. First action performed after you arrive on scene..
Take BSI precautions!
Take or verbalize body substance isolation precautions.
Open the airway manually.
Monitor the patient's condition and vital signs after administration.


22. '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?
Direct assistant to assume ventilation and pre - oxygenate patient.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Direct resumption of CPR.


23. Time for the Detailed Physical Examination! Should you examine the head - arm - or abdomen first?
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Did that help? Document when you put the tourniquet on.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Count pulse for minimum of 30 seconds then multiply by 2.


24. Where do you dispose of the auto - injector?
Dispose of the auto - injector in a sharps container.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Briefly question the bystanders about arrest events.


25. Ventilate the patient at a rate of __-__ per minute with appropriate volumes via bag/valve mask.
Verbalizing the general impression of the patient.
Ventilate the patient at a rate of 10-20 per minute.
For at least 30 seconds!
The second action is determining the patient's responsiveness/level of consciousness


26. Skin Moisture: (touch the patient)
Connect the mask to high concentration or oxygen.
Normal - Moist - Diaphoretic
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.)


27. You need to shock the patient again. The rescuer is STILL delivering CPR.. What do you do?
Yes - direct resumption of CPR.
Remember to position the patient properly.
Assess the patient's ability to use the nebulizer.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.


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

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29. Focused History and Physical Examination/Rapid Trauma Assessment. The first thing you should do in this situation is...
Did that help? Document when you put the tourniquet on.
Select the appropriate assessment (focused - or rapid assessment)
Take BSI precaution!
(margin +/-4)


30. Skin Signs!
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Assess the following..
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.


31. The patient may start losing body heat.. What do you do?
Hyperextend extremity and palpate brachial artery.
Contact medical command if patient condition permits.
Initiate steps to prevent heat loss from the patient.
Palpate with 2 fingers (index and middle) over radial artery.


32. You deliver the shock.. should the rescuer go back to giving the patient CPR?
Yes - direct resumption of CPR.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Briefly question the bystanders about arrest events.
Verbalize the transportation of the patient.


33. Assess the following
Assess the patient's ability to use the nebulizer.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Normal - Moist - Diaphoretic
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer


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

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35. The patient is still bleeding - so you..
Take or verbalize body substance isolation 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.
Apply pressure dressing to the wound.
Assessing the posterior includes assessing the thorax - and the lumbar.


36. You've prepared the medication and nebulizer...now attach oxygen to the nebulizer.
Take BSI precaution!
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.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.


37. 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?
Confirm that the patient is sitting as upright as possible.
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 - Moist - Diaphoretic
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever


38. 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.
Assure high concentration of oxygen is delivered to the patient.
Assess the airway and breathing.
Count pulse for minimum of 30 seconds then multiply by 2.


39. Attach the AED to the patient;
Initiate analysis of the rhythm.
After doing so - ventilate the patient at the proper volume and rate.
Monitor the patient's condition and vital signs after administration.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)


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

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41. After taking care of the chief complaint of the patient during the initial assessment - you should...
Assess the airway and breathing.
(margin +/-4)
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
The color - temperature - and condition.


42. Okay - now you have to assess the posterior.. this includes the ______ and the _______.
Connect the mask to high concentration or oxygen.
Assessing the posterior includes assessing the thorax - and the lumbar.
Brachial artery.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.


43. After checking the chest - where do you move?
Turn over CPR to another rescuer. Turn on the AED.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Take BSI precaution!
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.


44. You need to get the patient to the hospital - NOW. What do you do?
Indicate the need for immediate transportation.
Assessing the posterior includes assessing the thorax - and the lumbar.
Normal - Moist - Diaphoretic
- Rate - Rhythm (regular/irregular)


45. 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?

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46. _______ extremity and palpate ______ artery.
Hyperextend extremity and palpate brachial artery.
Verbalize the transportation of the patient.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Count pulse for minimum of 30 seconds then multiply by 2.


47. Inflate cuff rapidly to at least 20mm Hg ______ palpated blood pressure.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Select the appropriate assessment (focused - or rapid assessment)
Perform two minutes of high quality CPR.


48. Okay - you've told the patient what you're going to do.. But are you sure they're not allergic to the medication?
Direct resumption of CPR.
Confirm that the patient has NO allergies to the medication.
Turn over CPR to another rescuer. Turn on the AED.
Scalp - ears - eyes - and the oral/nasal areas.


49. Respirations!
Assessing the posterior includes assessing the thorax - and the lumbar.
First - observe the rise and fall of the chest/abdomen.
Apply pressure dressing to the wound.
Switch to bag/valve mask.


50. Apply a tourniquet.
Apply pressure dressing to the wound.
Did that help? Document when you put the tourniquet on.
Initiate steps to prevent heat loss from the patient.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.