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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. 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?
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Take BSI precautions!
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.

2. What do you direct your assistant to do?
Direct assistant to assume ventilation and pre - oxygenate patient.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
That one is basically self - explanatory. Do that after you apply the cuff!

3. You've prepared the medication and nebulizer...now attach oxygen to the nebulizer.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
First - observe the rise and fall of the chest/abdomen.
Dispose of the auto - injector in a sharps container.
Assess the following..

4. How long should you perform high quality 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.
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Perform two minutes of high quality CPR.

5. Okay - you've told the patient what you're going to do.. But are you sure they're not allergic to the medication?
Direct rescuer to stop CPR and ensures all individuals to stand clear.
Assess the patient's ability to use the nebulizer.
Dispose of the auto - injector in a sharps container.
Confirm that the patient has NO allergies to the medication.

6. Report/record pulse findings.
Monitor the patient's condition and vital signs after administration.
(margin +/-4)
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.
Indicate the need for immediate transportation.

7. You deliver the shock.. should the rescuer go back to giving the patient CPR?
Yes - direct resumption of CPR.
Medical command
The pulse returns.
Take or verbalize body substance isolation precautions.

8. Time for Cardiac Arrest Management/Automatic External Defibrillator! First thing you do
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
Take BSI precautions!
Direct assistant to assume ventilation and pre - oxygenate patient.

9. Blood pressure (auscultation)

10. What are the ways to assess the airway and breathing of the patient?
Determine the mechanism of injury.
Confirm that the patient has NO allergies to the medication.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)

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

12. 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?
Verbalize the transportation of the patient.
Remember to explain the procedure to the patient.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
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.'

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

14. You deliver the shock - now what?
Determine if the scene is safe.
Take BSI precaution!
Direct resumption of CPR.
- Normal (warm) - Cool - Cold - Hot

15. 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.
Take or verbalize body substance isolation precautions.
Monitor the patient's condition and vital signs after administration.
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery

16. Then What do you switch to?
Apply pressure dressing to the wound.
Switch to bag/valve mask.
Initiate analysis of the rhythm.
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever

17. How do you open the airway?
Open the airway manually.
Inspect the chest - palpate - auscultate.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Yes - always explain to the patient that they will feel a stick from the needle.

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

19. Integration! First thing you do;
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.
The color - temperature - and condition.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Assess the airway and breathing.

20. 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.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
Contact medical command if patient condition permits.
Apply direct pressure to the wound.

21. After selecting the appropriate assessment - (focused or rapid) - you should obtain baseline ___?___
You should obtain baseline vital signs 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.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Assessing the posterior includes assessing the thorax - and the lumbar.

22. You've assessed the patient's ability to use the nebulizer - should you consult with Medical Command?
You should obtain baseline vital signs of the patient.
Yes. Consult with Medical Command.
Expose the thigh area - (and say that you are doing so.)
Perform two minutes of high quality CPR.

23. After taking BSI precautions - consult with...
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.
Confirm that the patient has NO allergies to the medication.
Medical command
Connect the mask to high concentration or oxygen.

24. Assess the following
- Rate - Rhythm (regular/irregular)
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Take or verbalize body substance isolation precautions.
Briefly question the bystanders about arrest events.

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

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

27. Skin Signs!
- Normal (warm) - Cool - Cold - Hot
You should manage all of the patient's secondary injuries/wounds appropriately
Take or verbalize body substance isolation precautions.
Assess the following..

28. Slowly deflate the cuff - and report/record palpable systolic blood pressure when..
Direct resumption of CPR.
The pulse returns.
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

29. Should you examine the head - arm - or abdomen first?
- Rate - Rhythm (regular/irregular)
Yeah.. definitely don't forget to document everything.
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.

30. 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?

31. Circulation assessment re - cap! When assessing the skin - what should you be looking at?
The pulse returns.
The color - temperature - and condition.
Take BSI precautions.
Take BSI precautions!

32. You've checked the neck - now move down to the chest.
Assess the airway and breathing.
Determine the mechanism of injury.
Inspect the chest - palpate - auscultate.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.

33. Count palpated pulse for a minimum of ___ seconds and multiply times 2.
Assess the patient's ability to use the nebulizer.
Hold the auto - injector to the patient's thigh for 10 seconds.
- Rate - Rhythm (regular/irregular)
Count pulse for minimum of 30 seconds then multiply by 2.

34. Administer ____ concentration oxygen.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Apply direct pressure to the wound.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Administer high concentration oxygen.

35. There are bystanders who seen what happened.. do you question them?
Explain the procedure to the patient.
Briefly question the bystanders about arrest events.
First - observe the rise and fall of the chest/abdomen.
Document the procedure!

36. 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?)

37. The patient is still bleeding - so you..
Turn over CPR to another rescuer. Turn on the AED.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Hyperextend extremity and palpate brachial artery.
Apply pressure dressing to the wound.

38. First action performed after you arrive on scene..
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.'
Perform two minutes of high quality CPR.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Take or verbalize body substance isolation precautions.

39. Did that help?
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.
Monitor the patient's condition and vital signs after administration.
Assessing the posterior includes assessing the thorax - and the lumbar.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)

40. Inflate cuff rapidly to at least 20mm Hg ______ palpated blood pressure.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Take or verbalize body substance isolation precautions.
Assess the patient's ability to use the nebulizer.
Check the level of consciousness - and the history.

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

42. What do you do if the patient needs glucose administration? Do you go ahead and do it? or do you contact someone?
The second action is determining the patient's responsiveness/level of consciousness
Contact medical command if patient condition permits.
Inspect the chest - palpate - auscultate.
Request additional help.

43. After checking the chest - where do you move?
Determine the number of patients.
You should verbalize the re - assessment of the vital signs.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
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.

44. 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?
Assessing the posterior includes assessing the thorax - and the lumbar.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Assess the airway and breathing.

45. 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
For at least 30 seconds!
Assure high concentration of oxygen is delivered to the patient.
Verbalizing the general impression of the patient.
Confirm that the patient is sitting as upright as possible.

46. Okay - now you have to assess the posterior.. this includes the ______ and the _______.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
You should verbalize the re - assessment of the vital signs.
Brachial artery.
Assessing the posterior includes assessing the thorax - and the lumbar.

47. Time for Airway Management assessment! What's the First thing you do?
Confirm that the patient has NO allergies to the medication.
Take BSI precautions!
Right patient - Right drug - Right dose - Right route - Right time.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.

48. Do CPR without unnecessary/prolonged interruption..
Yes. Consult with Medical Command.
Initiate analysis of the rhythm.
Take BSI precautions!
Connect the mask to high concentration or oxygen.

49. When assessing the head - What do you check?
Explain the procedure to the patient.
Scalp - ears - eyes - and the oral/nasal areas.
First - observe the rise and fall of the chest/abdomen.
The color - temperature - and condition.

50. 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?
Verbalizing the general impression of the patient.
Inspect the chest - palpate - auscultate.
You should verbalize the re - assessment of the vital signs.
You should obtain baseline vital signs of the patient.