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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. Skin Temperature: (touch the patient)
Initiate analysis of the rhythm.
Take or verbalize body substance isolation precautions.
- Normal (warm) - Cool - Cold - Hot
Inspect the chest - palpate - auscultate.

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

3. It's time to administer the medication to the patient! How are you going to do so?
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
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!)
Document the procedure!

4. Remember to check the '5 Rights' of drug administration.. What are they?
Take BSI precautions!
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
You should manage all of the patient's secondary injuries/wounds appropriately
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.

5. The patient is still bleeding - so you..
Scalp - ears - eyes - and the oral/nasal areas.
Apply pressure dressing to the wound.
Brachial artery.
Indicate the need for immediate transportation.

6. Inflate the cuff rapidly to at least ??mm Hg above the point where the pulse is lost.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Take BSI precaution!
That one is basically self - explanatory. Do that after you apply the cuff!
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing

7. Ventilate the patient at a rate of __-__ per minute with appropriate volumes via bag/valve mask.
Scalp - ears - eyes - and the oral/nasal areas.
Ventilate the patient at a rate of 10-20 per minute.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
That one is basically self - explanatory. Do that after you apply the cuff!

8. Then What do you switch to?
Confirm that the patient is sitting as upright as possible.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Switch to bag/valve mask.

9. Assess the following
Connect the one - way valve to mask.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
The second action is determining the patient's responsiveness/level of consciousness
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)

10. 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?
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
Brachial artery.
Palpate with 2 fingers (index and middle) over radial artery.
You should verbalize the re - assessment of the vital signs.

11. You deliver the shock.. should the rescuer go back to giving the patient CPR?
Verbalizing the general impression of the patient.
Palpate with 2 fingers (index and middle) over radial artery.
Yes - direct resumption of CPR.
That one is basically self - explanatory. Do that after you apply the cuff!

12. After taking BSI precautions - consult with...
Medical command
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.)
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.

13. During your Epinephrine Auto - Injector Administration scenario; What is the First thing you should do?
Determine if the scene is safe.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Apply pressure dressing to the wound.
Take BSI precautions.

14. 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.
Briefly question the bystanders about arrest events.
Yeah.. definitely don't forget to document everything.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.

15. Skin Moisture: (touch the patient)
Initiate steps to prevent heat loss from the patient.
Direct resumption of CPR.
Normal - Moist - Diaphoretic
Turn over CPR to another rescuer. Turn on the AED.

16. What do you direct your assistant to do?
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.'
Direct assistant to assume ventilation and pre - oxygenate patient.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
Apply direct pressure to the wound.

17. What do you do after you determine the mechanism of injury?
Assure high concentration of oxygen is delivered to the patient.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Determine the number of patients.
Determine if the scene is safe.

18. Assessment says that you will notice that the patient is now pale and diaphoretic with a rapid - weak pulse... say that out loud.
Confirm that the patient is sitting as upright as possible.
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.
Remember to position the patient properly.
(margin +/-4)

19. 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?
Remember to explain the procedure to the patient.
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.
That one is basically self - explanatory. Do that after you apply the cuff!

20. Should you just lay something over the wound after BSI precaution - or should you apply direct pressure?
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.)
- Rate - Rhythm (regular/irregular)
Apply direct pressure to the wound.

21. 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?
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.
Yes - always explain to the patient that they will feel a stick from the needle.
Assess the airway and breathing.
Yes - you should obtain SAMPLE history after taking baseline vital signs.

22. After checking the chest - where do you move?
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
The color - temperature - and condition.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.

23. 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?
Normal - Moist - Diaphoretic
Initiate analysis of the rhythm.
Determine the mechanism of injury.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin

24. Transportation!
Remember to explain the procedure to the patient.
Indicate the need for immediate transportation.
Verbalize the transportation of the patient.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.

25. 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.
Palpate with 2 fingers (index and middle) over radial artery.
Direct assistant to assume ventilation and pre - oxygenate patient.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.

26. _______ extremity and palpate ______ artery.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
You should verbalize the re - assessment of the vital signs.
Hyperextend extremity and palpate brachial artery.
Take BSI precautions.

27. 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.)
Direct assistant to assume ventilation and pre - oxygenate patient.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Take BSI precautions!

28. Circulation assessment re - cap! When assessing the skin - what should you be looking at?
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Expose the thigh area - (and say that you are doing so.)
The color - temperature - and condition.
Normal - Moist - Diaphoretic

29. 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?
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Determine the mechanism of injury.
Take or verbalize body substance isolation precautions.
Request additional help.

30. Okay - now you have to assess the posterior.. this includes the ______ and the _______.
That one is basically self - explanatory. Do that after you apply the cuff!
Request additional help.
Determine the number of patients.
Assessing the posterior includes assessing the thorax - and the lumbar.

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

32. Monitor the patient's condition and vital signs after you administer the medication - and...
Document the procedure!
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Initiate analysis of the rhythm.
You should determine the chief complaint/apparent life threats of the patient.

33. First action performed after you arrive on scene..
For at least 30 seconds!
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Assessing the posterior includes assessing the thorax - and the lumbar.
Take or verbalize body substance isolation precautions.

34. You need to get the patient to the hospital - NOW. What do you do?
Request additional help.
Document the procedure!
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.

35. When assessing the head - What do you check?
The second action is determining the patient's responsiveness/level of consciousness
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Medical command
Scalp - ears - eyes - and the oral/nasal areas.

36. There are bystanders who seen what happened.. do you question them?
Briefly question the bystanders about arrest events.
Request additional help.
Initiate steps to prevent heat loss from the patient.
Determine the mechanism of injury.

37. After you determine the number of patients - what should you do - IF NECESSARY?
Palpate with 2 fingers (index and middle) over radial artery.
Take BSI precautions!
Hold the auto - injector to the patient's thigh for 10 seconds.
Request additional help.

38. Count the respiratory rate for at least ___ seconds and multiply times 2.
Expose the thigh area - (and say that you are doing so.)
Document the procedure!
Confirm that the patient is sitting as upright as possible.
For at least 30 seconds!

39. How should the patient be sitting?
Perform two minutes of high quality CPR.
Confirm that the patient is sitting as upright as possible.
Take BSI precautions!
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)

40. Skin Signs!
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
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.
Assess the following..
Confirm the expiration date.

41. Time for the Detailed Physical Examination! Should you examine the head - arm - or abdomen first?
Administer high concentration oxygen.
That one is basically self - explanatory. Do that after you apply the cuff!
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Assure high concentration of oxygen is delivered to the patient.

42. First step in 'Scene Size Up'.
Determine if the scene is safe.
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.
Ventilate the patient at a rate of 10-20 per minute.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.

43. How will you determine if the patient needs glucose administration?
Assure high concentration of oxygen is delivered to the patient.
Brachial artery.
Check the level of consciousness - and the history.
Remember to explain the procedure to the patient.

44. 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
Indicate the need for immediate transportation.
Assure high concentration of oxygen is delivered to the patient.
You should determine the chief complaint/apparent life threats of the patient.
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.

45. Did that help?
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Direct resumption of CPR.
Ventilate the patient at a rate of 10-20 per minute.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.

46. Alright - 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?
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
You should determine the chief complaint/apparent life threats of the patient.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Did that help? Document when you put the tourniquet on.

47. Blood pressure (palpatation)

48. After BSI precautions - you need to perform a blood glucose check.. How do you set up/perform the check?
Check the level of consciousness - and the history.
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.
Administer high concentration oxygen.
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever

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

50. How do you prepare the medication and nebulizer?
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
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
Yes - direct resumption of CPR.
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.