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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. Remember to check the '5 Rights' of drug administration.. What are they?
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Apply direct pressure to the wound.
You should verbalize the re - assessment of the vital signs.
Assure high concentration of oxygen is delivered to the patient.

2. How long should you perform high quality CPR?
Report/record ausculated blood pressure.
Perform two minutes of high quality CPR.
Brachial artery.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.

3. Transportation!
Take BSI precautions!
Turn over CPR to another rescuer. Turn on the AED.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Verbalize the transportation of the patient.

4. 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
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Direct resumption of CPR.
Yeah.. definitely don't forget to document everything.

5. Count the respiratory rate for at least ___ seconds and multiply times 2.
The second action is determining the patient's responsiveness/level of consciousness
For at least 30 seconds!
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
You should verbalize the re - assessment of the vital signs.

6. 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?
Take BSI precautions!
Briefly question the bystanders about arrest events.
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.

7. When assessing the head - What do you check?
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Scalp - ears - eyes - and the oral/nasal areas.
Contact medical command if patient condition permits.
Administer high concentration oxygen.

8. _______ extremity and palpate ______ artery.
Hyperextend extremity and palpate brachial artery.
You should determine the chief complaint/apparent life threats of the patient.
First - observe the rise and fall of the chest/abdomen.
Hold the auto - injector to the patient's thigh for 10 seconds.

9. What do you direct your assistant to do?
You should determine the chief complaint/apparent life threats of the patient.
Report/record ausculated blood pressure.
Direct assistant to assume ventilation and pre - oxygenate patient.
Take BSI precautions!

10. You've prepared the medication and nebulizer...now attach oxygen to the nebulizer.
Connect the one - way valve to mask.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
You should manage all of the patient's secondary injuries/wounds appropriately
Confirm that the patient has NO allergies to the medication.

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

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12. '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?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
That one is basically self - explanatory. Do that after you apply the cuff!
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.
Open the airway manually.

13. 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?
You should manage all of the patient's secondary injuries/wounds appropriately
Initiate analysis of the rhythm.
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Direct rescuer to stop CPR and ensures all individuals to stand clear.

14. Inflate the cuff rapidly to at least ??mm Hg above the point where the pulse is lost.
Remember to position the patient properly.
Assess the airway and breathing.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Select the appropriate assessment (focused - or rapid assessment)

15. What are the ways to assess the airway and breathing of 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
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
For at least 30 seconds!
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)

16. Time for Bleeding Control/Shock Management! First thing you do?
The second action is determining the patient's responsiveness/level of consciousness
Take BSI precaution!
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Yes - always explain to the patient that they will feel a stick from the needle.

17. Inflate cuff rapidly to at least 20mm Hg ______ palpated blood pressure.
Take or verbalize body substance isolation precautions.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
You should manage all of the patient's secondary injuries/wounds appropriately
Document the procedure!

18. After you determine the number of patients - what should you do - IF NECESSARY?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Take BSI precautions!
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Request additional help.

19. After you're sure he/she isn't allergic to the medicine; check your 5 rights of drug administration.. which are.....
Inspect the chest - palpate - auscultate.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Right patient - Right drug - Right dose - Right route - Right time.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.

20. The patient is still bleeding - so you..
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Assess the following..
Apply pressure dressing to the wound.
Perform two minutes of high quality CPR.

21. After selecting the appropriate assessment - (focused or rapid) - you should obtain baseline ___?___
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Palpate with 2 fingers (index and middle) over radial artery.
You should obtain baseline vital signs of the patient.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.

22. 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
Take or verbalize body substance isolation precautions.
Verbalizing the general impression of the patient.
Request additional help.
Document the procedure!

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

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24. After taking BSI precautions - consult with...
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
Take BSI precaution!
Medical command
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'

25. What do you do after that?
Verbalizing the general impression of the patient.
Yes - always explain to the patient that they will feel a stick from the needle.
Briefly question the bystanders about arrest events.
Connect the mask to high concentration or oxygen.

26. First step in 'Scene Size Up'.
Determine if the scene is safe.
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.
You should manage all of the patient's secondary injuries/wounds appropriately
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.

27. When assessing the head - What do you check?
Scalp - ears - eyes - and the oral/nasal areas.
Take or verbalize body substance isolation precautions.
Count pulse for minimum of 30 seconds then multiply by 2.
Document the procedure!

28. Okay - you've obtained the baseline vital signs... Should you obtain SAMPLE history now?
Yes - you should obtain SAMPLE history after taking baseline vital signs.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing

29. 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?
Initiate steps to prevent heat loss from the patient.
Yes - always explain to the patient that they will feel a stick from the needle.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Take BSI precautions!

30. How should the patient be sitting?
Yes - always explain to the patient that they will feel a stick from the needle.
Confirm that the patient is sitting as upright as possible.
Connect the mask to high concentration or oxygen.
Monitor the patient's condition and vital signs after administration.

31. 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?
Briefly question the bystanders about arrest events.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Place auto - injector on lateral thigh - midway between the knee and thigh.

32. You need to get the patient to the hospital - NOW. What do you do?
Verbalize the transportation of the patient.
Indicate the need for immediate transportation.
Dispose of the auto - injector in a sharps container.
Take BSI precaution!

33. 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?
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Remember to explain the procedure to the patient.
You should verbalize the re - assessment of the vital signs.
Count pulse for minimum of 30 seconds then multiply by 2.

34. 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?
You should obtain baseline vital signs of the patient.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Assessing the posterior includes assessing the thorax - and the lumbar.

35. Blood pressure (palpatation)

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36. After you open the airway - What do you do?
Take BSI precautions!
Connect the one - way valve to mask.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer

37. 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?
Turn over CPR to another rescuer. Turn on the AED.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Apply direct pressure to the wound.
Remember to explain the procedure to the patient.

38. 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?
Report/record ausculated blood pressure.
Switch to bag/valve mask.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Inspect the chest - palpate - auscultate.

39. Where do you dispose of the auto - injector?
Dispose of the auto - injector in a sharps container.
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.
Right patient - Right drug - Right dose - Right route - Right time.

40. You need to get the AED. What should you do?
Turn over CPR to another rescuer. Turn on the AED.
Normal - Moist - Diaphoretic
Assure high concentration of oxygen is delivered to the patient.
You should verbalize the re - assessment of the vital signs.

41. Report/record pulse findings.
- Normal (warm) - Cool - Cold - Hot
(margin +/-4)
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Direct assistant to assume ventilation and pre - oxygenate patient.

42. Assess the following
For at least 30 seconds!
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
- Rate - Rhythm (regular/irregular)

43. Assessment says that you will notice that the patient is now pale and diaphoretic with a rapid - weak pulse... say that out loud.
The color - temperature - and condition.
Remember to position the patient properly.
Count pulse for minimum of 30 seconds then multiply by 2.
Administer high concentration oxygen.

44. Assess the following
Take BSI precautions!
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin

45. Time for Airway Management assessment! What's the First thing you do?
Turn over CPR to another rescuer. Turn on the AED.
The color - temperature - and condition.
- Rate - Rhythm (regular/irregular)
Take BSI precautions!

46. You've checked the neck - now move down to the chest.
Inspect the chest - palpate - auscultate.
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.'
Verbalize the transportation of the patient.
Assess the airway and breathing.

47. Administer ____ concentration oxygen.
Scalp - ears - eyes - and the oral/nasal areas.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Administer high concentration oxygen.
Yeah.. definitely don't forget to document everything.

48. You've successfully removed the cap - and you're ready to administer the medication to the patient... but where do you administer it?
Confirm that the patient has NO allergies to the medication.
Direct rescuer to stop CPR and ensures all individuals to stand clear.
Expose the thigh area - (and say that you are doing so.)
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)

49. Okay - now you have to assess the posterior.. this includes the ______ and the _______.
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.
Assessing the posterior includes assessing the thorax - and the lumbar.
Connect the mask to high concentration or oxygen.
You should determine the chief complaint/apparent life threats of the patient.

50. The second action needed to be taken during the initial assessment is A.) Determining responsiveness/level of intelligence B.) Determining responsiveness/level of consciousness C.) Determining responsiveness/level of oxygen in blood stream

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