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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. Attach the AED to the patient;
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Take BSI precautions!
Check the level of consciousness - and the history.
Initiate analysis of the rhythm.

2. Transportation!
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.
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
Explain the procedure to the patient.
Verbalize the transportation of the patient.

3. 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
You should determine the chief complaint/apparent life threats of the patient.
Contact medical command if patient condition permits.
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.
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

4. How should the patient be sitting?
Confirm that the patient is sitting as upright as possible.
- Normal (warm) - Cool - Cold - Hot
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Contact medical command if patient condition permits.

5. '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?
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Direct assistant to assume ventilation and pre - oxygenate patient.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer

6. 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.
Determine the mechanism of injury.
Monitor the patient's condition and vital signs after administration.
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.

7. Establish and maintain a proper mask to face seal.
After doing so - ventilate the patient at the proper volume and rate.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Direct assistant to assume ventilation and pre - oxygenate patient.

8. When assessing the head - What do you check?
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.
Scalp - ears - eyes - and the oral/nasal areas.
Determine the mechanism of injury.
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery

9. There are bystanders who seen what happened.. do you question them?
First - observe the rise and fall of the chest/abdomen.
Inspect the chest - palpate - auscultate.
Briefly question the bystanders about arrest events.
Confirm the expiration date.

10. Time for Airway Management assessment! What's the First thing you do?
Take BSI precautions!
Verbalize the transportation of the patient.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
For at least 30 seconds!

11. Apply a tourniquet.
You should verbalize the re - assessment of the vital signs.
Select the appropriate assessment (focused - or rapid assessment)
Did that help? Document when you put the tourniquet on.
Remember to position the patient properly.

12. After you determine the number of patients - what should you do - IF NECESSARY?
Indicate the need for immediate transportation.
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
Request additional help.
Ventilate the patient at a rate of 10-20 per minute.

13. Skin Signs!
Assess the following..
Assure high concentration of oxygen is delivered to the patient.
Take BSI precautions!
Initiate analysis of the rhythm.

14. What do you do after you determine the mechanism of injury?
Determine the number of patients.
Brachial artery.
Check the level of consciousness - and the history.
Yes - direct resumption of CPR.

15. Place diaphragm of stethoscope over...
Brachial artery.
Place auto - injector on lateral thigh - midway between the knee and thigh.
Connect the mask to high concentration or oxygen.
Did that help? Document when you put the tourniquet on.

16. 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.
The color - temperature - and condition.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Assess the patient's ability to use the nebulizer.

17. Do CPR without unnecessary/prolonged interruption..
Administer high concentration oxygen.
Request additional help.
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
Initiate analysis of the rhythm.

18. 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?
Medical command
- Normal (warm) - Cool - Cold - Hot
Indicate the need for immediate transportation.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin

19. 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?
Confirm that the patient has NO allergies to the medication.
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Assess the following..
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin

20. Okay - you've obtained the baseline vital signs... Should you obtain SAMPLE history now?
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Normal - Moist - Diaphoretic
Scalp - ears - eyes - and the oral/nasal areas.
Report/record ausculated blood pressure.

21. Remember to check the '5 Rights' of drug administration.. What are they?
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
Indicate the need for immediate transportation.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Yes - always explain to the patient that they will feel a stick from the needle.

22. When dealing with a patient who is having trouble - dealing with respiratory problems - What are the questions/key words you should remember?
You should manage all of the patient's secondary injuries/wounds appropriately
Check the level of consciousness - and the history.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.

23. Where do you dispose of the auto - injector?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Apply 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.)
Dispose of the auto - injector in a sharps container.

24. What do you do after you determine if the scene is safe?
- Rate - Rhythm (regular/irregular)
Ventilate the patient at a rate of 10-20 per minute.
Assess the following..
Determine the mechanism of injury.

25. You've checked the neck - now move down to the chest.
Inspect the chest - palpate - auscultate.
Assure high concentration of oxygen is delivered to the patient.
Did that help? Document when you put the tourniquet on.
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.

26. First action performed after you arrive on scene..
Take or verbalize body substance isolation precautions.
Assessing the posterior includes assessing the thorax - and the lumbar.
Contact medical command if patient condition permits.
Yes - always explain to the patient that they will feel a stick from the needle.

27. 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
You should verbalize the re - assessment of the vital signs.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Take BSI precautions!
Verbalizing the general impression of the patient.

28. What are the ways to assess the airway and breathing of the patient?
You should determine the chief complaint/apparent life threats of the patient.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Determine the number of patients.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.

29. How long should you perform high quality CPR?
Assess the patient's ability to use the nebulizer.
Expose the thigh area - (and say that you are doing so.)
Confirm that the patient is sitting as upright as possible.
Perform two minutes of high quality CPR.

30. After consulting Medical Command - are you going to perform the procedure without explaining anything to the patient?
Hyperextend extremity and palpate brachial artery.
Explain the procedure to the patient.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
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.'

31. 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?

32. Slowly deflate the cuff - and report/record palpable systolic blood pressure when..
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Direct assistant to assume ventilation and pre - oxygenate patient.
The pulse returns.
Yes - you should obtain SAMPLE history after taking baseline vital signs.

33. Okay - you've told the patient what you're going to do.. But are you sure they're not allergic to the medication?
Connect the one - way valve to mask.
Confirm that the patient has NO allergies to the medication.
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
Assess the following..

34. You need to shock the patient again. The rescuer is STILL delivering CPR.. What do you do?
Hyperextend extremity and palpate brachial artery.
The second action is determining the patient's responsiveness/level of consciousness
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Remember to explain the procedure to the patient.

35. After you open the airway - What do you do?
The color - temperature - and condition.
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.
Connect the one - way valve to mask.
The pulse returns.

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

37. What's the expiration date on the oral glucose?
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Request additional help.
Confirm the expiration date.
Place auto - injector on lateral thigh - midway between the knee and thigh.

38. How do you prepare the medication and nebulizer?
Hold the auto - injector to the patient's thigh for 10 seconds.
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.
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
Remember to explain the procedure to the patient.

39. Focused History and Physical Examination/Rapid Trauma Assessment. The first thing you should do in this situation is...
Assessing the posterior includes assessing the thorax - and the lumbar.
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
Apply direct pressure to the wound.
Select the appropriate assessment (focused - or rapid assessment)

40. What do you do after that?
Remember to explain the procedure to the patient.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Connect the mask to high concentration or oxygen.
Expose the thigh area - (and say that you are doing so.)

41. Count palpated pulse for a minimum of ___ seconds and multiply times 2.
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.
You should manage all of the patient's secondary injuries/wounds appropriately
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Count pulse for minimum of 30 seconds then multiply by 2.

42. You've successfully removed the cap - and you're ready to administer the medication to the patient... but where do you administer it?
After doing so - ventilate the patient at the proper volume and rate.
Expose the thigh area - (and say that you are doing so.)
You should verbalize the re - assessment of the vital signs.
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.

43. You've exposed the patient's leg. Where do you place the auto - injector?
Palpate with 2 fingers (index and middle) over radial artery.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
The second action is determining the patient's responsiveness/level of consciousness
Place auto - injector on lateral thigh - midway between the knee and thigh.

44. The patient is still bleeding - so you..
Contact medical command if patient condition permits.
Assess the patient's ability to use the nebulizer.
Apply pressure dressing to the wound.
Remember to explain the procedure to the patient.

45. Time for the Detailed Physical Examination! Should you examine the head - arm - or abdomen first?
Assess the airway and breathing.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Confirm that the patient is sitting as upright as possible.
Contact medical command if patient condition permits.

46. 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.
Document the procedure!
Apply pressure dressing to the wound.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)

47. What do you direct your assistant to do?
Direct assistant to assume ventilation and pre - oxygenate patient.
(margin +/-4)
Yes. Consult with Medical Command.
Count pulse for minimum of 30 seconds then multiply by 2.

48. Skin Moisture: (touch the patient)
The pulse returns.
You should determine the chief complaint/apparent life threats of the patient.
Normal - Moist - Diaphoretic
Palpate with 2 fingers (index and middle) over radial artery.

49. During your Epinephrine Auto - Injector Administration scenario; What is the First thing you should do?
Initiate analysis of the rhythm.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Take BSI precautions.

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