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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. After taking care of the chief complaint of the patient during the initial assessment - you should...
You should verbalize the re - assessment of the vital signs.
Dispose of the auto - injector in a sharps container.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Assess the airway and breathing.

2. 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.
Scalp - ears - eyes - and the oral/nasal areas.
Count pulse for minimum of 30 seconds then multiply by 2.
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

3. Assessment says that you will notice that the patient is now pale and diaphoretic with a rapid - weak pulse... say that out loud.
Assessing the posterior includes assessing the thorax - and the lumbar.
Remember to position the patient properly.
Confirm that the patient is sitting as upright as possible.
You should determine the chief complaint/apparent life threats of the patient.

4. Assess the following
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Hold the auto - injector to the patient's thigh for 10 seconds.
(margin +/-4)
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)

5. Slowly deflate the cuff - and report/record palpable systolic blood pressure when..
The pulse returns.
That one is basically self - explanatory. Do that after you apply the cuff!
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
Yes - direct resumption of CPR.

6. During your Epinephrine Auto - Injector Administration scenario; What is the First thing you should do?
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Switch to bag/valve mask.
Take BSI precautions.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.

7. You deliver the shock.. should the rescuer go back to giving the patient CPR?
Assessing the posterior includes assessing the thorax - and the lumbar.
Direct resumption of CPR.
Yes. Consult with Medical Command.
Yes - direct resumption of CPR.

8. What do you direct your assistant to do?
Monitor the patient's condition and vital signs after administration.
Direct assistant to assume ventilation and pre - oxygenate patient.
Take BSI precautions!
Dispose of the auto - injector in a sharps container.

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

10. Skin Temperature: (touch the patient)
Place auto - injector on lateral thigh - midway between the knee and thigh.
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.)
- Normal (warm) - Cool - Cold - Hot

11. You've prepared the medication and nebulizer...now attach oxygen to the nebulizer.
Initiate analysis of the rhythm.
Connect the mask to high concentration or oxygen.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.

12. How should the patient be sitting?
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Confirm that the patient is sitting as upright as possible.

13. Time for Airway Management assessment! What's the First thing you do?
Take BSI precautions!
Medical command
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Yeah.. definitely don't forget to document everything.

14. After checking the chest - where do you move?
Briefly question the bystanders about arrest events.
Yeah.. definitely don't forget to document everything.
Select the appropriate assessment (focused - or rapid assessment)
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.

15. How do you open the airway?
The color - temperature - and condition.
Assure high concentration of oxygen is delivered to the patient.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Open the airway manually.

16. But wait.. are you sure that the patient isn't allergic to the medication?
Assessing the posterior includes assessing the thorax - and the lumbar.
Contact medical command if patient condition permits.
Take BSI precautions.
Confirm that the patient has NO allergies to the medication.

17. Blood pressure (auscultation)

18. What are the ways to assess the airway and breathing of the patient?
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
After doing so - ventilate the patient at the proper volume and rate.
Determine the mechanism of injury.
Check the level of consciousness - and the history.

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

20. Focused History and Physical Examination/Rapid Trauma Assessment. The first thing you should do in this situation is...
Direct assistant to assume ventilation and pre - oxygenate patient.
Count pulse for minimum of 30 seconds then multiply by 2.
Select the appropriate assessment (focused - or rapid assessment)
Take BSI precaution!

21. It's time to administer the medication to the patient! How are you going to do so?
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 - you should obtain SAMPLE history after taking baseline vital signs.
Confirm the expiration date.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.

22. Inflate cuff rapidly to at least 20mm Hg ______ palpated blood pressure.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Dispose of the auto - injector in a sharps container.
- Normal (warm) - Cool - Cold - Hot
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

23. After you're sure he/she isn't allergic to the medicine; check your 5 rights of drug administration.. which are.....
Assessing the posterior includes assessing the thorax - and the lumbar.
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!)
Right patient - Right drug - Right dose - Right route - Right time.

24. What do you do after you determine the mechanism of injury?
Take BSI precautions.
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
Hyperextend extremity and palpate brachial artery.
Determine the number of patients.

25. When assessing the head - What do you check?
Assessing the posterior includes assessing the thorax - and the lumbar.
Turn over CPR to another rescuer. Turn on the AED.
Expose the thigh area - (and say that you are doing so.)
Scalp - ears - eyes - and the oral/nasal areas.

26. How will you determine if the patient needs glucose administration?
You should verbalize the re - assessment of the vital signs.
Check the level of consciousness - and the history.
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
Palpate with 2 fingers (index and middle) over radial artery.

27. Ventilate patient!
Take BSI precautions!
Yes - direct resumption of CPR.
Assure high concentration of oxygen is delivered to the patient.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.

28. 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?
You should verbalize the re - assessment of the vital signs.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Select the appropriate assessment (focused - or rapid assessment)
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever

29. Now you have to assess the posterior.. this includes the ______ and the _______.
Assessing the posterior includes assessing the thorax - and the lumbar.
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!
Expose the thigh area - (and say that you are doing so.)

30. 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.
Switch to bag/valve mask.
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin

31. 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

32. 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?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
You should manage all of the patient's secondary injuries/wounds appropriately
Remember to position the patient properly.
That one is basically self - explanatory. Do that after you apply the cuff!

33. You've checked the neck - now move down to the chest.
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.
Take BSI precautions!
Inspect the chest - palpate - auscultate.

34. 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.
Apply direct pressure to the wound.
Open the airway manually.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin

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

36. Did that help?
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Expose the thigh area - (and say that you are doing so.)
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

37. Baseline Vital Signs! What do you do first?
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
You should obtain baseline vital signs of the patient.
Take BSI precautions!
Yeah.. definitely don't forget to document everything.

38. There are bystanders who seen what happened.. do you question them?
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.
Briefly question the bystanders about arrest events.
Scalp - ears - eyes - and the oral/nasal areas.

39. Time for Cardiac Arrest Management/Automatic External Defibrillator! First thing you do
Direct assistant to assume ventilation and pre - oxygenate patient.
Take BSI precautions!
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
Connect the one - way valve to mask.

40. When assessing the head - What do you check?
Scalp - ears - eyes - and the oral/nasal areas.
The color - temperature - and condition.
Determine the number of patients.
Assess the airway and breathing.

41. After taking BSI precautions - consult with...
Initiate analysis of the rhythm.
Medical command
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
Inspect the chest - palpate - auscultate.

42. Assess the following
Determine the number of patients.
- Rate - Rhythm (regular/irregular)
Initiate analysis of the rhythm.
You should obtain baseline vital signs of the patient.

43. Blood pressure (palpatation)

44. Skin Moisture: (touch the patient)
Normal - Moist - Diaphoretic
Remember to explain the procedure to the patient.
You should determine the chief complaint/apparent life threats of the patient.
Take BSI precautions!

45. First step in 'Scene Size Up'.
Take BSI precautions!
Determine if the scene is safe.
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Check the level of consciousness - and the history.

46. 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?
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
For at least 30 seconds!
You should manage all of the patient's secondary injuries/wounds appropriately
You should verbalize the re - assessment of the vital signs.

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

48. You've checked the neck - now move down to the chest.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Scalp - ears - eyes - and the oral/nasal areas.
Inspect the chest - palpate - auscultate.

49. Okay - now you have to assess the posterior.. this includes the ______ and the _______.
Initiate analysis of the rhythm.
Assessing the posterior includes assessing the thorax - and the lumbar.
Did that help? Document when you put the tourniquet on.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)

50. 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?
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
(margin +/-4)
First - observe the rise and fall of the chest/abdomen.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.