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. You've exposed the patient's leg. Where do you place the auto - injector?
Direct resumption of CPR.
Confirm that the patient is sitting as upright as possible.
Confirm that the patient has NO allergies to the medication.
Place auto - injector on lateral thigh - midway between the knee and thigh.


2. Skin Signs!
Assess the airway and breathing.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Initiate analysis of the rhythm.
Assess the following..


3. Okay - you've obtained the baseline vital signs... Should you obtain SAMPLE history now?
Remember to explain the procedure to the patient.
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Scalp - ears - eyes - and the oral/nasal areas.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing


4. After taking BSI precautions - consult with...
Take BSI precautions!
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Medical command
Initiate steps to prevent heat loss from the patient.


5. Ventilate the patient at a rate of __-__ per minute with appropriate volumes via bag/valve mask.
Ventilate the patient at a rate of 10-20 per minute.
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
Turn over CPR to another rescuer. Turn on the AED.
Direct rescuer to stop CPR and ensures all individuals to stand clear.


6. When assessing the head - What do you check?
Check the level of consciousness - and the history.
Take BSI precautions!
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Scalp - ears - eyes - and the oral/nasal areas.


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

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8. 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?
Yes - always explain to the patient that they will feel a stick from the needle.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Medical command


9. Inflate the cuff rapidly to at least ??mm Hg above the point where the pulse is lost.
Inspect the chest - palpate - auscultate.
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Inspect the chest - palpate - auscultate.


10. The patient is still bleeding - so you..
Determine if the scene is safe.
Apply pressure dressing to the wound.
Dispose of the auto - injector in a sharps container.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)


11. How long should you perform high quality CPR?
Apply pressure dressing to the wound.
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.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Perform two minutes of high quality CPR.


12. Slowly deflate the cuff - and report/record palpable systolic blood pressure when..
The pulse returns.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Turn over CPR to another rescuer. Turn on the AED.
Verbalizing the general impression of the patient.


13. '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?
Yes - you should obtain SAMPLE history after taking baseline vital signs.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Yes. Consult with Medical Command.
(margin +/-4)


14. Count palpated pulse for a minimum of ___ seconds and multiply times 2.
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.'
Administer high concentration oxygen.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Count pulse for minimum of 30 seconds then multiply by 2.


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?
Take BSI precautions!
You should verbalize the re - assessment of the vital signs.
Yeah.. definitely don't forget to document everything.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.


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

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17. Ventilate patient!
The pulse returns.
Assess the following..
Assure high concentration of oxygen is delivered to the patient.
Inspect the chest - palpate - auscultate.


18. But wait.. are you sure that the patient isn't allergic to the medication?
Right patient - Right drug - Right dose - Right route - 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.'
Confirm that the patient has NO allergies to the medication.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.


19. You need to shock the patient again. The rescuer is STILL delivering CPR.. What do you do?
Assess the airway and breathing.
Dispose of the auto - injector in a sharps container.
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.


20. During your Epinephrine Auto - Injector Administration scenario; What is the First thing you should do?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Assessing the posterior includes assessing the thorax - and the lumbar.
Take BSI precautions.
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)


21. You need to get the AED. What should you do?
Turn over CPR to another rescuer. Turn on the AED.
Normal - Moist - Diaphoretic
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Take or verbalize body substance isolation precautions.


22. It's time to administer the medication to the patient! How are you going to do so?
Remember to explain the procedure to the patient.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
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
Scalp - ears - eyes - and the oral/nasal areas.


23. Skin Temperature: (touch the patient)
Perform two minutes of high quality CPR.
- Normal (warm) - Cool - Cold - Hot
The pulse returns.
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.


24. You're getting ready to use the AED. But the other rescuer is still performing CPR.. What do you tell him?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Apply pressure dressing to the wound.
Yeah.. definitely don't forget to document everything.
Direct rescuer to stop CPR and ensures all individuals to stand clear.


25. Slowly deflate the cuff.. then..
Yes. Consult with Medical Command.
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
Report/record ausculated blood pressure.
Medical command


26. Where do you dispose of the auto - injector?
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
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.
Medical command


27. 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?
Take BSI precaution!
That one is basically self - explanatory. Do that after you apply the cuff!
The pulse returns.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.


28. After selecting the appropriate assessment - (focused or rapid) - you should obtain baseline ___?___
Remember to explain the procedure to the patient.
You should obtain baseline vital signs of the patient.
Place auto - injector on lateral thigh - midway between the knee and thigh.
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)


29. How do you open the airway?
Apply pressure dressing to the wound.
Open the airway manually.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Scalp - ears - eyes - and the oral/nasal areas.


30. 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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31. Did that help?
Explain the procedure to the patient.
Apply direct pressure to the wound.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Select the appropriate assessment (focused - or rapid assessment)


32. You've checked the neck - now move down to the chest.
Connect the mask to high concentration or oxygen.
Take BSI precautions!
Explain the procedure to the patient.
Inspect the chest - palpate - auscultate.


33. After BSI precautions - you need to perform a blood glucose check.. How do you set up/perform the check?
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.
Confirm that the patient has NO allergies to the medication.
Assure high concentration of oxygen is delivered to the patient.
First - observe the rise and fall of the chest/abdomen.


34. You've assessed the patient's ability to use the nebulizer - should you consult with Medical Command?
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Hyperextend extremity and palpate brachial artery.
Yes. Consult with Medical Command.
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.


35. 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.)
Direct resumption of CPR.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
After doing so - ventilate the patient at the proper volume and rate.


36. 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?
Briefly question the bystanders about arrest events.
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Initiate analysis of the rhythm.


37. Time for Airway Management assessment! What's the First thing you do?
Verbalizing the general impression of the patient.
Take BSI precautions!
Inspect the chest - palpate - auscultate.
Apply pressure dressing to the wound.


38. Do CPR without unnecessary/prolonged interruption..
Normal - Moist - Diaphoretic
Hyperextend extremity and palpate brachial artery.
Initiate analysis of the rhythm.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.


39. Blood pressure (palpatation)

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40. After taking care of the chief complaint of the patient during the initial assessment - you should...
Assess the airway and breathing.
Request additional help.
Initiate steps to prevent heat loss from the patient.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.


41. What do you do after you determine if the scene is safe?
Determine the mechanism of injury.
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
Right patient - Right drug - Right dose - Right route - Right time.
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)


42. Report/record pulse findings.
Confirm the expiration date.
The second action is determining the patient's responsiveness/level of consciousness
Administer high concentration oxygen.
(margin +/-4)


43. What's the expiration date on the oral glucose?
Explain the procedure to the patient.
Confirm the expiration date.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Yes. Consult with Medical Command.


44. How do you prepare the medication and nebulizer?
Select the appropriate assessment (focused - or rapid assessment)
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.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Hyperextend extremity and palpate brachial artery.


45. 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.
Normal - Moist - Diaphoretic
Document the procedure!
Determine the mechanism of injury.


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

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47. 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
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 precautions!
Verbalizing the general impression of the patient.
Request additional help.


48. Palpate radial or brachial artery!
Scalp - ears - eyes - and the oral/nasal areas.
Confirm the expiration date.
That one is basically self - explanatory. Do that after you apply the cuff!
Hold the auto - injector to the patient's thigh for 10 seconds.


49. Time for Cardiac Arrest Management/Automatic External Defibrillator! First thing you do
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.
Take BSI precautions!
Assess the following..


50. Establish and maintain a proper mask to face seal.
Initiate analysis of the rhythm.
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.
After doing so - ventilate the patient at the proper volume and rate.