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. Blood pressure (palpatation)

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2. Assess the following
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Take BSI precautions!
- Rate - Rhythm (regular/irregular)
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)


3. It's time to administer the medication to the patient! How are you going to do so?
Take BSI precautions.
Assure high concentration of oxygen is delivered to the patient.
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
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)


4. You deliver the shock.. should the rescuer go back to giving the patient CPR?
Assess the patient's ability to use the nebulizer.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Yes - direct resumption of CPR.
Assess the airway and breathing.


5. The patient is still bleeding - so you..
Switch to bag/valve mask.
Apply pressure dressing to the wound.
Remember to explain the procedure to the patient.
Take BSI precautions!


6. You've exposed the patient's leg. Where do you place the auto - injector?
Assess the airway and breathing.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Place auto - injector on lateral thigh - midway between the knee and thigh.
Take BSI precautions.


7. After taking care of the chief complaint of the patient during the initial assessment - you should...
Confirm the expiration date.
(margin +/-4)
Assess the airway and breathing.
Take BSI precautions!


8. Report/record pulse findings.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
(margin +/-4)
Select the appropriate assessment (focused - or rapid assessment)


9. How do you open the airway?
Remember to position the patient properly.
Initiate analysis of the rhythm.
Open the airway manually.
Report/record ausculated blood pressure.


10. What do you do if the patient needs glucose administration? Do you go ahead and do it? or do you contact someone?
Assess the airway and breathing.
Scalp - ears - eyes - and the oral/nasal areas.
Contact medical command if patient condition permits.
Switch to bag/valve mask.


11. Ventilate patient!
Expose the thigh area - (and say that you are doing so.)
Assure high concentration of oxygen is delivered to the patient.
Direct assistant to assume ventilation and pre - oxygenate patient.
Confirm that the patient has NO allergies to the medication.


12. 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?
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Determine the number of patients.
Turn over CPR to another rescuer. Turn on the AED.
Yes. Consult with Medical Command.


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

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14. Circulation assessment re - cap! When assessing the skin - what should you be looking at?
The color - temperature - and condition.
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
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Initiate steps to prevent heat loss from the patient.


15. When assessing the head - What do you check?
Inspect the chest - palpate - auscultate.
Assessing the posterior includes assessing the thorax - and the lumbar.
Determine if the scene is safe.
Scalp - ears - eyes - and the oral/nasal areas.


16. Skin Signs!
Monitor the patient's condition and vital signs after administration.
Assess the following..
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)


17. During your Epinephrine Auto - Injector Administration scenario; What is the First thing you should do?
That one is basically self - explanatory. Do that after you apply the cuff!
Take BSI precautions!
Explain the procedure to the patient.
Take BSI precautions.


18. Okay - you've obtained the baseline vital signs... Should you obtain SAMPLE history now?
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Dispose of the auto - injector in a sharps container.


19. Count palpated pulse for a minimum of ___ seconds and multiply times 2.
Scalp - ears - eyes - and the oral/nasal areas.
Inspect the chest - palpate - auscultate.
Count pulse for minimum of 30 seconds then multiply by 2.
Report/record ausculated blood pressure.


20. 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.
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
Initiate steps to prevent heat loss from the patient.


21. You've checked the neck - now move down to the chest.
Assure high concentration of oxygen is delivered to the patient.
Inspect the chest - palpate - auscultate.
Perform two minutes of high quality CPR.
Switch to bag/valve mask.


22. 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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23. You need to shock the patient again. The rescuer is STILL delivering CPR.. What do you do?
Assess the patient's ability to use the nebulizer.
After doing so - ventilate the patient at the proper volume and rate.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Indicate the need for immediate transportation.


24. Monitor the patient's condition and vital signs after you administer the medication - and...
Inspect the chest - palpate - auscultate.
Document the procedure!
Take BSI precautions!
Connect the one - way valve to mask.


25. First step in 'Scene Size Up'.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Apply direct pressure to the wound.
Document the procedure!
Determine if the scene is safe.


26. 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?
Request additional help.
Yes - always explain to the patient that they will feel a stick from the needle.
Take BSI precautions!
You should verbalize the re - assessment of the vital signs.


27. Time for Airway Management assessment! What's the First thing you do?
Take BSI precautions!
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
Determine the number of patients.
Assess the patient's ability to use the nebulizer.


28. Attach the AED to the patient;
Request additional help.
Initiate analysis of the rhythm.
Assess the following..
Take BSI precautions!


29. The patient may start losing body heat.. What do you do?
Yes - direct resumption of CPR.
Confirm that the patient is sitting as upright as possible.
Request additional help.
Initiate steps to prevent heat loss from the patient.


30. Palpate radial or brachial artery!
Count pulse for minimum of 30 seconds then multiply by 2.
Explain the procedure to the patient.
That one is basically self - explanatory. Do that after you apply the cuff!
Remember to position the patient properly.


31. After you determine the number of patients - what should you do - IF NECESSARY?
Verbalizing the general impression of the patient.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Request additional help.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing


32. What do you do after you determine the mechanism of injury?
Connect the one - way valve to mask.
The second action is determining the patient's responsiveness/level of consciousness
Determine the number of patients.
Did that help? Document when you put the tourniquet on.


33. There are bystanders who seen what happened.. do you question them?
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Expose the thigh area - (and say that you are doing so.)
Right patient - Right drug - Right dose - Right route - Right time.
Briefly question the bystanders about arrest events.


34. When dealing with a patient who is having trouble - dealing with respiratory problems - What are the questions/key words you should remember?
Check the level of consciousness - and the history.
Switch to bag/valve mask.
Determine if the scene is safe.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer


35. Do CPR without unnecessary/prolonged interruption..
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
After doing so - ventilate the patient at the proper volume and rate.
Initiate analysis of the rhythm.
Palpate with 2 fingers (index and middle) over radial artery.


36. Pulse! Palpate with How many fingers?
Palpate with 2 fingers (index and middle) over radial artery.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Administer high concentration oxygen.


37. Assessment says that you will notice that the patient is now pale and diaphoretic with a rapid - weak pulse... say that out loud.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
Remember to position the patient properly.
Determine the number of patients.


38. Inflate the cuff rapidly to at least ??mm Hg above the point where the pulse is lost.
Take BSI precaution!
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Yes - you should obtain SAMPLE history after taking baseline vital signs.


39. Skin Temperature: (touch the patient)
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
- Normal (warm) - Cool - Cold - Hot
Yeah.. definitely don't forget to document everything.
Initiate analysis of the rhythm.


40. You need to get the patient to the hospital - NOW. What do you do?
Initiate steps to prevent heat loss from the patient.
Assessing the posterior includes assessing the thorax - and the lumbar.
Scalp - ears - eyes - and the oral/nasal areas.
Indicate the need for immediate transportation.


41. How should the patient be sitting?
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Assess the airway and breathing.
Confirm that the patient is sitting as upright as possible.
Perform two minutes of high quality CPR.


42. After BSI precautions - you need to perform a blood glucose check.. How do you set up/perform the check?
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
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.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever


43. What do you direct your assistant to do?
Yes - direct resumption of CPR.
Direct assistant to assume ventilation and pre - oxygenate patient.
Hyperextend extremity and palpate brachial artery.
Assess the patient's ability to use the nebulizer.


44. Should you just lay something over the wound after BSI precaution - or should you apply direct pressure?
Yeah.. definitely don't forget to document everything.
Apply direct pressure to the wound.
Turn over CPR to another rescuer. Turn on the AED.
Verbalizing the general impression of the patient.


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

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46. You've successfully removed the cap - and you're ready to administer the medication to the patient... but where do you administer it?
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Confirm the expiration date.
Expose the thigh area - (and say that you are doing so.)


47. You're getting ready to use the AED. But the other rescuer is still performing CPR.. What do you tell him?
Direct rescuer to stop CPR and ensures all individuals to stand clear.
Assess the following..
Explain the procedure to the patient.
- Rate - Rhythm (regular/irregular)


48. What do you do after you determine if the scene is safe?
Determine if the scene is safe.
Take BSI precautions!
Take BSI precautions!
Determine the mechanism of injury.


49. Establish and maintain a proper mask to face seal.
- Rate - Rhythm (regular/irregular)
After doing so - ventilate the patient at the proper volume and rate.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.


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

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