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. DON'T FORGET TO DOCUMENT The PROCEDURE AFTERWARD!

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2. Apply a tourniquet.
Normal - Moist - Diaphoretic
Did that help? Document when you put the tourniquet on.
Verbalizing the general impression of the patient.
Expose the thigh area - (and say that you are doing so.)


3. 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?
Count pulse for minimum of 30 seconds then multiply by 2.
You should verbalize the re - assessment of the vital signs.
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Right patient - Right drug - Right dose - Right route - Right time.


4. You've prepared the medication and nebulizer...now attach oxygen to the nebulizer.
- 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.
Dispose of the auto - injector in a sharps container.
Assure high concentration of oxygen is delivered to the patient.


5. Do CPR without unnecessary/prolonged interruption..
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Initiate analysis of the rhythm.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing


6. What do you do after that?
Take BSI precautions!
The pulse returns.
Connect the mask to high concentration or oxygen.
Determine the mechanism of injury.


7. _______ extremity and palpate ______ artery.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Inspect the chest - palpate - auscultate.
Medical command
Hyperextend extremity and palpate brachial artery.


8. During your Epinephrine Auto - Injector Administration scenario; What is the First thing you should do?
Determine the mechanism of injury.
Take BSI precautions.
Place auto - injector on lateral thigh - midway between the knee and thigh.
Connect the one - way valve to mask.


9. Time for the Nebulized Medication Administration part of your skill assessment. Again - what's the First thing you do?
Take BSI precautions!
The color - temperature - and condition.
Determine the mechanism of injury.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.


10. You deliver the shock - now what?
Scalp - ears - eyes - and the oral/nasal areas.
Direct resumption of CPR.
Verbalizing the general impression of the patient.
Initiate analysis of the rhythm.


11. You've successfully removed the cap - and you're ready to administer the medication to the patient... but where do you administer it?
Initiate analysis of the rhythm.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Expose the thigh area - (and say that you are doing so.)
Right patient - Right drug - Right dose - Right route - Right time.


12. What do you do if the patient needs glucose administration? Do you go ahead and do it? or do you contact someone?
Determine if the scene is safe.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Contact medical command if patient condition permits.


13. Palpate radial or brachial artery!
Initiate steps to prevent heat loss from the patient.
Switch to bag/valve mask.
That one is basically self - explanatory. Do that after you apply the cuff!
Assessing the posterior includes assessing the thorax - and the lumbar.


14. What do you do after you determine the mechanism of injury?
- Rate - Rhythm (regular/irregular)
Determine the number of patients.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Confirm the expiration date.


15. 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.
You should verbalize the re - assessment of the vital signs.
Expose the thigh area - (and say that you are doing so.)
Take BSI precautions.


16. Circulation assessment re - cap! When assessing the skin - what should you be looking at?
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
The color - temperature - and condition.
Direct resumption of CPR.
Take BSI precautions.


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

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18. What's the expiration date on the oral glucose?
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Confirm the expiration date.
Take BSI precautions.


19. 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?
After doing so - ventilate the patient at the proper volume and rate.
Assess the patient's ability to use the nebulizer.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Direct rescuer to stop CPR and ensures all individuals to stand clear.


20. Skin Moisture: (touch the patient)
Normal - Moist - Diaphoretic
Verbalizing the general impression of the patient.
Connect the mask to high concentration or oxygen.
Select the appropriate assessment (focused - or rapid assessment)


21. You deliver the shock.. should the rescuer go back to giving the patient CPR?
Scalp - ears - eyes - and the oral/nasal areas.
Expose the thigh area - (and say that you are doing so.)
Yes - direct resumption of CPR.
Monitor the patient's condition and vital signs after administration.


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

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23. You've assessed the patient's ability to use the nebulizer - should you consult with Medical Command?
Yes. Consult with Medical Command.
Assessing the posterior includes assessing the thorax - and the lumbar.
After doing so - ventilate the patient at the proper volume and rate.
Perform two minutes of high quality CPR.


24. After consulting Medical Command - are you going to perform the procedure without explaining anything to the patient?
Explain the procedure to the patient.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Direct resumption of CPR.


25. Skin Signs!
Assessing the posterior includes assessing the thorax - and the lumbar.
Explain the procedure to the patient.
Assess the following..
Confirm that the patient is sitting as upright as possible.


26. What do you do after you determine if the scene is safe?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Determine the mechanism of injury.
Dispose of the auto - injector in a sharps container.


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

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28. After taking BSI precautions - consult with...
Check the level of consciousness - and the history.
Medical command
Switch to bag/valve mask.
Take BSI precautions!


29. 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?
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Apply direct pressure to the wound.
Hyperextend extremity and palpate brachial artery.
Assessing the posterior includes assessing the thorax - and the lumbar.


30. 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?
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
You should verbalize the re - assessment of the vital signs.
Request additional help.
First - observe the rise and fall of the chest/abdomen.


31. 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 should verbalize the re - assessment of the vital signs.
Confirm that the patient has NO allergies to the medication.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Normal - Moist - Diaphoretic


32. What do you direct your assistant to do?
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
Indicate the need for immediate transportation.
Direct assistant to assume ventilation and pre - oxygenate patient.


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

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34. Slowly deflate the cuff.. then..
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Report/record ausculated blood pressure.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)


35. Should you just lay something over the wound after BSI precaution - or should you apply direct pressure?
Determine the number of patients.
Apply direct pressure to the wound.
Confirm that the patient has NO allergies to the medication.
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery


36. After selecting the appropriate assessment - (focused or rapid) - you should obtain baseline ___?___
You should verbalize the re - assessment of the vital signs.
Did that help? Document when you put the tourniquet on.
Monitor the patient's condition and vital signs after administration.
You should obtain baseline vital signs of the patient.


37. Where do you dispose of the auto - injector?
Dispose of the auto - injector in a sharps container.
- Rate - Rhythm (regular/irregular)
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Take BSI precautions!


38. How long should you perform high quality CPR?
Perform two minutes of high quality CPR.
Right patient - Right drug - Right dose - Right route - Right time.
Confirm that the patient has NO allergies to the medication.
Place auto - injector on lateral thigh - midway between the knee and thigh.


39. Now you have to assess the posterior.. this includes the ______ and the _______.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Scalp - ears - eyes - and the oral/nasal areas.
Report/record ausculated blood pressure.
Assessing the posterior includes assessing the thorax - and the lumbar.


40. When dealing with a patient who is having trouble - dealing with respiratory problems - What are the questions/key words you should remember?
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
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Check the level of consciousness - and the history.


41. Slowly deflate the cuff - and report/record palpable systolic blood pressure when..
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
The pulse returns.
You should determine the chief complaint/apparent life threats of the patient.
Yeah.. definitely don't forget to document everything.


42. You've checked the neck - now move down to the chest.
Inspect the chest - palpate - auscultate.
Determine if the scene is safe.
Remember to position the patient properly.
You should verbalize the re - assessment of the vital signs.


43. Place diaphragm of stethoscope over...
Confirm that the patient has NO allergies to the medication.
Brachial artery.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin


44. When assessing the head - What do you check?
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Yeah.. definitely don't forget to document everything.
Determine the mechanism of injury.
Scalp - ears - eyes - and the oral/nasal areas.


45. You need to get the patient to the hospital - NOW. What do you do?
Medical command
Assessing the posterior includes assessing the thorax - and the lumbar.
Document the procedure!
Indicate the need for immediate transportation.


46. It's time to administer the medication to the patient! How are you going to do so?
Direct assistant to assume ventilation and pre - oxygenate 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
You should determine the chief complaint/apparent life threats of the patient.
Take BSI precaution!


47. Assessment says that you will notice that the patient is now pale and diaphoretic with a rapid - weak pulse... say that out loud.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Remember to position the patient properly.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Report/record ausculated blood pressure.


48. 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
Assess the following..
Place auto - injector on lateral thigh - midway between the knee and thigh.
You should verbalize the re - assessment of the vital signs.
You should determine the chief complaint/apparent life threats of the patient.


49. Monitor the patient's condition and vital signs after you administer the medication - and...
Document the procedure!
Remember to position the patient properly.
Take BSI precautions!
Assess the patient's ability to use the nebulizer.


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

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