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. 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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2. Time for Cardiac Arrest Management/Automatic External Defibrillator! First thing you do
Connect the mask to high concentration or oxygen.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Dispose of the auto - injector in a sharps container.
Take BSI precautions!


3. Ventilate patient!
Assure high concentration of oxygen is delivered to the patient.
Take BSI precaution!
First - observe the rise and fall of the chest/abdomen.
- Normal (warm) - Cool - Cold - Hot


4. After taking BSI precautions - consult with...
That one is basically self - explanatory. Do that after you apply the cuff!
Medical command
Indicate the need for immediate transportation.
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.


5. Assessment says that you will notice that the patient is now pale and diaphoretic with a rapid - weak pulse... say that out loud.
Take BSI precautions!
Remember to position the patient properly.
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
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.


6. Skin Color: (observe the patient)
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
You should verbalize the re - assessment of the vital signs.
Scalp - ears - eyes - and the oral/nasal areas.
Request additional help.


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

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8. To assess circulation - (after you assess the airway/breathing of the patient) - What are the four actions needed to be taken?
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.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Scalp - ears - eyes - and the oral/nasal areas.
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.


9. Report/record pulse findings.
(margin +/-4)
You should manage all of the patient's secondary injuries/wounds appropriately
Explain the procedure to the patient.
- Normal (warm) - Cool - Cold - Hot


10. The patient is still bleeding - so you..
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Hyperextend extremity and palpate brachial artery.
Apply pressure dressing to the wound.
Administer high concentration oxygen.


11. When assessing the head - What do you check?
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Request additional help.
Take BSI precautions!
Scalp - ears - eyes - and the oral/nasal areas.


12. Assess the following
Explain the procedure to the patient.
Determine if the scene is safe.
Take BSI precautions!
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)


13. You've successfully removed the cap - and you're ready to administer the medication to the patient... but where do you administer it?
Assess the airway and breathing.
Switch to bag/valve mask.
Inspect the chest - palpate - auscultate.
Expose the thigh area - (and say that you are doing so.)


14. When dealing with a patient who is having trouble - dealing with respiratory problems - What are the questions/key words you should remember?
Take BSI precautions!
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Request additional help.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer


15. After consulting Medical Command - are you going to perform the procedure without explaining anything to the patient?
Take BSI 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
Explain the procedure to the patient.


16. How should the patient be sitting?
Right patient - Right drug - Right dose - Right route - Right time.
Take BSI precautions!
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
Confirm that the patient is sitting as upright as possible.


17. Respirations!
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Perform two minutes of high quality CPR.
Determine if the scene is safe.
First - observe the rise and fall of the chest/abdomen.


18. You've exposed the patient's leg. Where do you place the auto - injector?
You should determine the chief complaint/apparent life threats of the patient.
Place auto - injector on lateral thigh - midway between the knee and thigh.
Assure high concentration of oxygen is delivered to the patient.
Did that help? Document when you put the tourniquet on.


19. After taking care of the chief complaint of the patient during the initial assessment - you should...
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Select the appropriate assessment (focused - or rapid assessment)
Assess the airway and breathing.
Verbalize the transportation of the patient.


20. 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?
Switch to bag/valve mask.
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
You should determine the chief complaint/apparent life threats of the patient.
- Normal (warm) - Cool - Cold - Hot


21. Do CPR without unnecessary/prolonged interruption..
Select the appropriate assessment (focused - or rapid assessment)
Check the level of consciousness - and the history.
Initiate analysis of the rhythm.
Confirm that the patient has NO allergies to the medication.


22. 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?
First - observe the rise and fall of the chest/abdomen.
Explain the procedure to the patient.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.


23. What do you do after you determine if the scene is safe?
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
That one is basically self - explanatory. Do that after you apply the cuff!
Determine the mechanism of injury.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)


24. When assessing the head - What do you check?
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.
Scalp - ears - eyes - and the oral/nasal areas.
Report/record ausculated blood pressure.


25. 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.
Assess the following..
Administer high concentration oxygen.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.


26. 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.
Monitor the patient's condition and vital signs after administration.
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.'
You should verbalize the re - assessment of the vital signs.


27. There are bystanders who seen what happened.. do you question them?
Indicate the need for immediate transportation.
Direct assistant to assume ventilation and pre - oxygenate patient.
Assess the patient's ability to use the nebulizer.
Briefly question the bystanders about arrest events.


28. Remember to check the '5 Rights' of drug administration.. What are they?
Yes - always explain to the patient that they will feel a stick from the needle.
Initiate analysis of the rhythm.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)


29. '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?
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.
That one is basically self - explanatory. Do that after you apply the cuff!
Monitor the patient's condition and vital signs after administration.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer


30. What's the expiration date on the oral glucose?
Initiate steps to prevent heat loss from the patient.
Determine if the scene is safe.
Palpate with 2 fingers (index and middle) over radial artery.
Confirm the expiration date.


31. How long should you perform high quality CPR?
Apply pressure dressing to the wound.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Direct assistant to assume ventilation and pre - oxygenate patient.
Perform two minutes of high quality CPR.


32. How will you determine if the patient needs glucose administration?
Initiate steps to prevent heat loss from the patient.
Check the level of consciousness - and the history.
Determine if the scene is safe.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.


33. Monitor the patient's condition and vital signs after you administer the medication - and...
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Did that help? Document when you put the tourniquet on.
Document the procedure!
Inspect the chest - palpate - auscultate.


34. Transportation!
Did that help? Document when you put the tourniquet on.
Inspect the chest - palpate - auscultate.
Confirm the expiration date.
Verbalize the transportation of the patient.


35. Now you have to assess the posterior.. this includes the ______ and the _______.
Verbalize the transportation of the patient.
Assessing the posterior includes assessing the thorax - and the lumbar.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.


36. First action performed after you arrive on scene..
Take or verbalize body substance isolation precautions.
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Verbalizing the general impression of the patient.
Palpate with 2 fingers (index and middle) over radial artery.


37. Apply a tourniquet.
Did that help? Document when you put the tourniquet on.
Turn over CPR to another rescuer. Turn on the AED.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.


38. Integration! First thing you do;
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Hold the auto - injector to the patient's thigh for 10 seconds.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)


39. 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?

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40. Skin Temperature: (touch the patient)
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Take BSI precautions!
- Normal (warm) - Cool - Cold - Hot
Connect the one - way valve to mask.


41. 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?
Check the level of consciousness - and the history.
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 - always explain to the patient that they will feel a stick from the needle.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.


42. But wait.. are you sure that the patient isn't allergic to the medication?
Initiate steps to prevent heat loss from the patient.
Direct rescuer to stop CPR and ensures all individuals to stand clear.
Confirm that the patient has NO allergies to the medication.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)


43. Place diaphragm of stethoscope over...
Brachial artery.
Direct resumption of CPR.
Monitor the patient's condition and vital signs after administration.
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.'


44. 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?)

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45. _______ extremity and palpate ______ artery.
Hyperextend extremity and palpate brachial artery.
Determine if the scene is safe.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Check the level of consciousness - and the history.


46. Time for the Nebulized Medication Administration part of your skill assessment. Again - what's the First thing you do?
First - observe the rise and fall of the chest/abdomen.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Brachial artery.
Take BSI precautions!


47. 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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48. After checking the chest - where do you move?
Scalp - ears - eyes - and the oral/nasal areas.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
After doing so - ventilate the patient at the proper volume and rate.
- Normal (warm) - Cool - Cold - Hot


49. After selecting the appropriate assessment - (focused or rapid) - you should obtain baseline ___?___
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Connect the mask to high concentration or oxygen.
You should obtain baseline vital signs of the patient.
Verbalizing the general impression of the patient.


50. Then What do you switch to?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Switch to bag/valve mask.
Open the airway manually.
You should manage all of the patient's secondary injuries/wounds appropriately