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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)
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Monitor the patient's condition and vital signs after administration.
Palpate with 2 fingers (index and middle) over radial artery.

2. Okay - you've told the patient what you're going to do.. But are you sure they're not allergic to the medication?
Confirm that the patient has NO allergies to the medication.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Take BSI precautions!
The color - temperature - and condition.

3. 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.)
Verbalize the transportation of the patient.
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.
For at least 30 seconds!

4. You've successfully removed the cap - and you're ready to administer the medication to the patient... but where do you administer it?
Expose the thigh area - (and say that you are doing so.)
Indicate the need for immediate transportation.
Take BSI precaution!
Did that help? Document when you put the tourniquet on.

5. After checking the chest - where do you move?
Direct rescuer to stop CPR and ensures all individuals to stand clear.
Contact medical command if patient condition permits.
Inspect the chest - palpate - auscultate.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.

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

7. After you determine the number of patients - what should you do - IF NECESSARY?
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
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.
Request additional help.
Right patient - Right drug - Right dose - Right route - Right time.

8. Focused History and Physical Examination/Rapid Trauma Assessment. The first thing you should do in this situation is...
Normal - Moist - Diaphoretic
First - observe the rise and fall of the chest/abdomen.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Select the appropriate assessment (focused - or rapid assessment)

9. 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?
The pulse returns.
Indicate the need for immediate transportation.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.

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

11. When assessing the head - What do you check?
Scalp - ears - eyes - and the oral/nasal areas.
Verbalizing the general impression of the patient.
Direct assistant to assume ventilation and pre - oxygenate patient.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)

12. What do you do after that?
The second action is determining the patient's responsiveness/level of consciousness
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
You should obtain baseline vital signs of the patient.
Connect the mask to high concentration or oxygen.

13. Pulse! Palpate with How many fingers?
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Palpate with 2 fingers (index and middle) over radial artery.
Yes - direct resumption of CPR.
Inspect the chest - palpate - auscultate.

14. You've checked the neck - now move down to the chest.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Take BSI precautions!
Inspect the chest - palpate - auscultate.
Hold the auto - injector to the patient's thigh for 10 seconds.

15. Transportation!
Scalp - ears - eyes - and the oral/nasal areas.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Confirm that the patient is sitting as upright as possible.
Verbalize the transportation of the patient.

16. Attach the AED to the patient;
Initiate analysis of the rhythm.
Confirm that the patient has NO allergies to the medication.
Expose the thigh area - (and say that you are doing so.)
Verbalize the transportation of the patient.

17. What do you do after you determine if the scene is safe?
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
Take BSI precaution!
Determine the mechanism of injury.
Medical command

18. 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?

19. Ventilate the patient at a rate of __-__ per minute with appropriate volumes via bag/valve mask.
Perform two minutes of high quality CPR.
Take BSI precaution!
Direct assistant to assume ventilation and pre - oxygenate patient.
Ventilate the patient at a rate of 10-20 per minute.

20. Count palpated pulse for a minimum of ___ seconds and multiply times 2.
Count pulse for minimum of 30 seconds then multiply by 2.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Determine the mechanism of injury.

21. Circulation assessment re - cap! When assessing the skin - what should you be looking at?
Contact medical command if patient condition permits.
Take BSI precautions!
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
The color - temperature - and condition.

22. What are the ways to assess the airway and breathing of the patient?
Apply pressure dressing to the wound.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Brachial artery.
Assess the airway and breathing.

23. Skin Color: (observe the patient)
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Dispose of the auto - injector in a sharps container.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
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.'

24. Integration! First thing you do;
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
You should verbalize the re - assessment of the vital signs.

25. 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.
Connect the mask to high concentration or oxygen.
You should verbalize the re - assessment of the vital signs.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer

26. Time for Cardiac Arrest Management/Automatic External Defibrillator! First thing you do
Take BSI precautions!
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Normal - Moist - Diaphoretic

27. What's the expiration date on the oral glucose?
Hyperextend extremity and palpate brachial artery.
Assess the airway and breathing.
Confirm the expiration date.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing

28. 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.
Palpate with 2 fingers (index and middle) over radial artery.
- Rate - Rhythm (regular/irregular)
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)

29. After taking BSI precautions - consult with...
Expose the thigh area - (and say that you are doing so.)
Remember to explain the procedure to the patient.
Determine the number of patients.
Medical command

30. First action performed after you arrive on scene..
Right patient - Right drug - Right dose - Right route - Right time.
Confirm the expiration date.
Take BSI precautions!
Take or verbalize body substance isolation precautions.

31. The patient is still bleeding - so you..
Apply pressure dressing to the wound.
Assess the patient's ability to use the nebulizer.
Open the airway manually.
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.

32. There are bystanders who seen what happened.. do you question them?
Take BSI precautions!
Normal - Moist - Diaphoretic
- Normal (warm) - Cool - Cold - Hot
Briefly question the bystanders about arrest events.

33. '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?
Inspect the chest - palpate - auscultate.
Apply 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 Nebulizer
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'

34. You need to get the AED. What should you do?
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.
Remember to position the patient properly.
Turn over CPR to another rescuer. Turn on the AED.

35. _______ extremity and palpate ______ artery.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Hyperextend extremity and palpate brachial artery.
Yes - you should obtain SAMPLE history after taking baseline vital signs.

36. Time for Airway Management assessment! What's the First thing you do?
Direct assistant to assume ventilation and pre - oxygenate patient.
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
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.

37. How should the patient be sitting?
Confirm that the patient is sitting as upright as possible.
Take BSI precautions!
Initiate analysis of the rhythm.
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

38. After you're sure he/she isn't allergic to the medicine; check your 5 rights of drug administration.. which are.....
Take BSI precautions!
Right patient - Right drug - Right dose - Right route - Right time.
Check the level of consciousness - and the history.
Assess the following..

39. After taking care of the chief complaint of the patient during the initial assessment - you should...
Assess the airway and breathing.
Assessing the posterior includes assessing the thorax - and the lumbar.
Determine if the scene is safe.
Briefly question the bystanders about arrest events.

40. Alright - you're about to distribute the Epinephrine to the patient. You don't just do it without telling the patient what you're doing.. do you?
Request additional help.
Remember to explain the procedure to the patient.
Assess the airway and breathing.
Palpate with 2 fingers (index and middle) over radial artery.

41. How will you determine if the patient needs glucose administration?
The pulse returns.
Check the level of consciousness - and the history.
Confirm that the patient has NO allergies to the medication.
Direct resumption of CPR.

42. 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?
Take BSI precautions!
Assessing the posterior includes assessing the thorax - and the lumbar.
You should verbalize the re - assessment of the vital signs.
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever

43. You deliver the shock.. should the rescuer go back to giving the patient CPR?
Apply pressure dressing to the wound.
Yes - direct resumption of CPR.
Document the procedure!
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)

44. 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?
Open the airway manually.
Administer high concentration oxygen.
Yes - always explain to the patient that they will feel a stick from the needle.
- Normal (warm) - Cool - Cold - Hot

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

46. Okay - you've obtained the baseline vital signs... Should you obtain SAMPLE history now?
Contact medical command if patient condition permits.
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Remember to explain the procedure to the patient.
Count pulse for minimum of 30 seconds then multiply by 2.

47. Blood pressure (palpatation)

48. Ventilate patient!
Assure high concentration of oxygen is delivered to the patient.
Confirm that the patient has NO allergies to the medication.
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!

49. Baseline Vital Signs! What do you do first?
Yeah.. definitely don't forget to document everything.
Take BSI precautions!
Remember to position the patient properly.
Direct resumption of CPR.

50. After you open the airway - What do you do?
You should verbalize the re - assessment of the vital signs.
Initiate analysis of the rhythm.
Connect the one - way valve to mask.
You should manage all of the patient's secondary injuries/wounds appropriately