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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. First step in 'Scene Size Up'.
Yeah.. definitely don't forget to document everything.
Determine the number of patients.
Determine if the scene is safe.
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.

2. Okay - you've told the patient what you're going to do.. But are you sure they're not allergic to the medication?
Verbalizing the general impression of the patient.
You should verbalize the re - assessment of the vital signs.
Switch to bag/valve mask.
Confirm that the patient has NO allergies to the medication.

3. Baseline Vital Signs! What do you do first?
Scalp - ears - eyes - and the oral/nasal areas.
Take BSI precautions!
Assess the patient's ability to use the nebulizer.
Scalp - ears - eyes - and the oral/nasal areas.

4. Remember to check the '5 Rights' of drug administration.. What are they?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Perform two minutes of high quality CPR.

5. Assessment says that you will notice that the patient is now pale and diaphoretic with a rapid - weak pulse... say that out loud.
Hold the auto - injector to the patient's thigh for 10 seconds.
Take BSI precautions!
Remember to position the patient properly.
Select the appropriate assessment (focused - or rapid assessment)

6. Count palpated pulse for a minimum of ___ seconds and multiply times 2.
Report/record ausculated blood pressure.
Count pulse for minimum of 30 seconds then multiply by 2.
Right patient - Right drug - Right dose - Right route - Right time.
You should verbalize the re - assessment of the vital signs.

7. 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
Verbalizing the general impression of the patient.
Verbalize the transportation of the patient.
Open the airway manually.
Medical command

8. Count the respiratory rate for at least ___ seconds and multiply times 2.
For at least 30 seconds!
First - observe the rise and fall of the chest/abdomen.
Confirm that the patient is sitting as upright as possible.
Take BSI precautions!

9. Should you examine the head - arm - or abdomen first?
Inspect the chest - palpate - auscultate.
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.)
Assessing the posterior includes assessing the thorax - and the lumbar.

10. Skin Signs!
Assess the following..
Contact medical command if patient condition permits.
Remember to explain the procedure to the patient.
Verbalizing the general impression of the patient.

11. 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?
Yes - direct resumption of CPR.
Take BSI precautions!
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Assess the airway and breathing.

12. When assessing the head - What do you check?
Perform two minutes of high quality CPR.
Palpate with 2 fingers (index and middle) over radial artery.
Scalp - ears - eyes - and the oral/nasal areas.
Brachial artery.

13. Palpate radial or brachial artery!
That one is basically self - explanatory. Do that after you apply the cuff!
Contact medical command if patient condition permits.
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.

14. After selecting the appropriate assessment - (focused or rapid) - you should obtain baseline ___?___
Inspect the chest - palpate - auscultate.
Administer high concentration oxygen.
Scalp - ears - eyes - and the oral/nasal areas.
You should obtain baseline vital signs of the patient.

15. How do you open the airway?
- Normal (warm) - Cool - Cold - Hot
For at least 30 seconds!
Initiate analysis of the rhythm.
Open the airway manually.

16. 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.
That one is basically self - explanatory. Do that after you apply the cuff!
Initiate analysis of the rhythm.

17. Inflate cuff rapidly to at least 20mm Hg ______ palpated blood pressure.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
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.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Assess the airway and breathing.

18. During your Epinephrine Auto - Injector Administration scenario; What is the First thing you should do?
- Rate - Rhythm (regular/irregular)
Take BSI precaution!
Confirm the expiration date.
Take BSI precautions.

19. The patient is still bleeding - so you..
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Apply pressure dressing to the wound.
Open the airway manually.
Request additional help.

20. 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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21. After you open the airway - What do you do?
Did that help? Document when you put the tourniquet on.
Take BSI precaution!
Connect the one - way valve to mask.
Assess the airway and breathing.

22. When assessing the head - What do you check?
The second action is determining the patient's responsiveness/level of consciousness
Document the procedure!
Scalp - ears - eyes - and the oral/nasal areas.
You should verbalize the re - assessment of the vital signs.

23. Monitor the patient's condition and vital signs after you administer the medication - and...
Document the procedure!
Did that help? Document when you put the tourniquet on.
The pulse returns.
Verbalizing the general impression of the patient.

24. After consulting Medical Command - are you going to perform the procedure without explaining anything to the patient?
Yes - always explain to the patient that they will feel a stick from the needle.
Direct assistant to assume ventilation and pre - oxygenate patient.
Explain the procedure to the patient.
Initiate steps to prevent heat loss from the patient.

25. _______ extremity and palpate ______ artery.
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.
Hyperextend extremity and palpate brachial artery.
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)

26. Blood pressure (auscultation)

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27. Assess the following
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
First - observe the rise and fall of the chest/abdomen.
Initiate analysis of the rhythm.
Check the level of consciousness - and the history.

28. How will you determine if the patient needs glucose administration?
Assessing the posterior includes assessing the thorax - and the lumbar.
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.'
Initiate analysis of the rhythm.
Check the level of consciousness - and the history.

29. But wait.. are you sure that the patient isn't allergic to the medication?
Open the airway manually.
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
Switch to bag/valve mask.
Confirm that the patient has NO allergies to the medication.

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?

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31. Okay - now you have to assess the posterior.. this includes the ______ and the _______.
Confirm that the patient is sitting as upright as possible.
Determine the mechanism of injury.
Assessing the posterior includes assessing the thorax - and the lumbar.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.

32. First action performed after you arrive on scene..
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Perform two minutes of high quality CPR.
Take or verbalize body substance isolation precautions.
You should manage all of the patient's secondary injuries/wounds appropriately

33. You've assessed the patient's ability to use the nebulizer - should you consult with Medical Command?
Yes. Consult with Medical Command.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
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.'
Check the level of consciousness - and the history.

34. To assess circulation - (after you assess the airway/breathing of the patient) - What are the four actions needed to be taken?
First - observe the rise and fall of the chest/abdomen.
Palpate with 2 fingers (index and middle) over radial artery.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
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. Do CPR without unnecessary/prolonged interruption..
Initiate analysis of the rhythm.
Perform two minutes of high quality CPR.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Monitor the patient's condition and vital signs after administration.

36. You've successfully removed the cap - and you're ready to administer the medication to the patient... but where do you administer it?
Expose the thigh area - (and say that you are doing so.)
Connect the mask to high concentration or oxygen.
The color - temperature - and condition.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.

37. What do you do after you determine the mechanism of injury?
Dispose of the auto - injector in a sharps container.
Determine the number of patients.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Yes - you should obtain SAMPLE history after taking baseline vital signs.

38. 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.)
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Determine the mechanism of injury.
You should verbalize the re - assessment of the vital signs.

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

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40. It's time to administer the medication to the patient! How are you going to do so?
Assure high concentration of oxygen is delivered to the patient.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
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 - 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.

41. Respirations!
You should manage all of the patient's secondary injuries/wounds appropriately
Perform two minutes of high quality CPR.
First - observe the rise and fall of the chest/abdomen.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)

42. You need to shock the patient again. The rescuer is STILL delivering CPR.. What do you do?
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Right patient - Right drug - Right dose - Right route - Right time.
Check the level of consciousness - and the history.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.

43. Focused History and Physical Examination/Rapid Trauma Assessment. The first thing you should do in this situation is...
The pulse returns.
Take BSI precautions!
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Select the appropriate assessment (focused - or rapid assessment)

44. What do you direct your assistant to do?
Inspect the chest - palpate - auscultate.
Direct assistant to assume ventilation and pre - oxygenate patient.
Remember to position the patient properly.
Perform two minutes of high quality CPR.

45. Place diaphragm of stethoscope over...
Assess the following..
After doing so - ventilate the patient at the proper volume and rate.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Brachial artery.

46. Pulse! Palpate with How many fingers?
Confirm that the patient is sitting as upright as possible.
Yes - always explain to the patient that they will feel a stick from the needle.
Confirm that the patient has NO allergies to the medication.
Palpate with 2 fingers (index and middle) over radial artery.

47. How should the patient be sitting?
Confirm that the patient is sitting as upright as possible.
You should manage all of the patient's secondary injuries/wounds appropriately
Assess the airway and breathing.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)

48. You've checked the neck - now move down to the chest.
Inspect the chest - palpate - auscultate.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
That one is basically self - explanatory. Do that after you apply the cuff!
Request additional help.

49. Establish and maintain a proper mask to face seal.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Yes. Consult with Medical Command.
Did that help? Document when you put the tourniquet on.
After doing so - ventilate the patient at the proper volume and rate.

50. What do you do if the patient needs glucose administration? Do you go ahead and do it? or do you contact someone?
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.'
Contact medical command if patient condition permits.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)