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...
Assessing the posterior includes assessing the thorax - and the lumbar.
Direct resumption of CPR.
Yeah.. definitely don't forget to document everything.
Assess the airway and breathing.


2. You've checked the neck - now move down to the chest.
Select the appropriate assessment (focused - or rapid assessment)
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Inspect the chest - palpate - auscultate.
Initiate analysis of the rhythm.


3. After checking the chest - where do you move?
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Take BSI precautions!
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
You should determine the chief complaint/apparent life threats of the patient.


4. 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.
Explain the procedure to the patient.
Take BSI precautions!
Indicate the need for immediate transportation.


5. 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?
Ventilate the patient at a rate of 10-20 per minute.
Apply pressure dressing to the wound.
You should verbalize the re - assessment of the vital signs.
Initiate analysis of the rhythm.


6. First step in 'Scene Size Up'.
Determine if the scene is safe.
You should determine the chief complaint/apparent life threats of the patient.
Request additional help.
Confirm the expiration date.


7. You need to get the patient to the hospital - NOW. What do you do?
Indicate the need for immediate transportation.
You should verbalize the re - assessment of the vital signs.
Remember to explain the procedure to the patient.
Confirm that the patient has NO allergies to the medication.


8. Transportation!
The second action is determining the patient's responsiveness/level of consciousness
Verbalize the transportation of the patient.
Assure high concentration of oxygen is delivered to the patient.
Yes - direct resumption of CPR.


9. During your Epinephrine Auto - Injector Administration scenario; What is the First thing you should do?
Hyperextend extremity and palpate brachial artery.
Remember to position the patient properly.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Take BSI precautions.


10. You deliver the shock - now what?
Count pulse for minimum of 30 seconds then multiply by 2.
Direct resumption of CPR.
Explain the procedure to the patient.
Turn over CPR to another rescuer. Turn on the AED.


11. Pulse! Palpate with How many fingers?
Assure high concentration of oxygen is delivered to the patient.
Initiate analysis of the rhythm.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Palpate with 2 fingers (index and middle) over radial artery.


12. Okay - now you have to assess the posterior.. this includes the ______ and the _______.
Normal - Moist - Diaphoretic
(margin +/-4)
Assess the patient's ability to use the nebulizer.
Assessing the posterior includes assessing the thorax - and the lumbar.


13. Where do you dispose of the auto - injector?
Yes - direct resumption of CPR.
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
Dispose of the auto - injector in a sharps container.
Assessing the posterior includes assessing the thorax - and the lumbar.


14. 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?
Apply direct pressure to the wound.
Hold the auto - injector to the patient's thigh for 10 seconds.
Assess the patient's ability to use the nebulizer.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.


15. But wait.. are you sure that the patient isn't allergic to the medication?
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Connect the one - way valve to mask.
Confirm that the patient has NO allergies to the medication.
Yeah.. definitely don't forget to document everything.


16. What do you direct your assistant to do?
You should verbalize the re - assessment of the vital signs.
Scalp - ears - eyes - and the oral/nasal areas.
Direct assistant to assume ventilation and pre - oxygenate patient.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)


17. When assessing the head - What do you check?
Initiate analysis of the rhythm.
Scalp - ears - eyes - and the oral/nasal areas.
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Open the airway manually.


18. Inflate cuff rapidly to at least 20mm Hg ______ palpated blood pressure.
Direct assistant to assume ventilation and pre - oxygenate patient.
Take BSI precautions!
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Request additional help.


19. Now you have to assess the posterior.. this includes the ______ and the _______.
Ventilate the patient at a rate of 10-20 per minute.
Assessing the posterior includes assessing the thorax - and the lumbar.
Take BSI precautions.
Did that help? Document when you put the tourniquet on.


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. Do CPR without unnecessary/prolonged interruption..
Initiate analysis of the rhythm.
Select the appropriate assessment (focused - or rapid assessment)
Explain the procedure to the patient.
Yes - direct resumption of CPR.


22. Monitor the patient's condition and vital signs after you administer the medication - and...
Document the procedure!
Hyperextend extremity and palpate brachial artery.
You should manage all of the patient's secondary injuries/wounds appropriately
Place auto - injector on lateral thigh - midway between the knee and thigh.


23. What do you do after you determine the mechanism of injury?
Determine the number of patients.
Confirm that the patient has NO allergies to the medication.
You should obtain baseline vital signs of the patient.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.


24. Time for Cardiac Arrest Management/Automatic External Defibrillator! First thing you do
Did that help? Document when you put the tourniquet on.
Indicate the need for immediate transportation.
Take BSI precautions!
You should verbalize the re - assessment of the vital signs.


25. What do you do if the patient needs glucose administration? Do you go ahead and do it? or do you contact someone?
Assessing the posterior includes assessing the thorax - and the lumbar.
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
Ventilate the patient at a rate of 10-20 per minute.
Contact medical command if patient condition permits.


26. Apply a tourniquet.
After doing so - ventilate the patient at the proper volume and rate.
Did that help? Document when you put the tourniquet on.
Place auto - injector on lateral thigh - midway between the knee and thigh.
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


27. Assessment says that you will notice that the patient is now pale and diaphoretic with a rapid - weak pulse... say that out loud.
Connect the one - way valve to mask.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Remember to position the patient properly.
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.


28. Respirations!
Initiate analysis of the rhythm.
Hyperextend extremity and palpate brachial artery.
First - observe the rise and fall of the chest/abdomen.
Take BSI precautions!


29. First action performed after you arrive on scene..
Assessing the posterior includes assessing the thorax - and the lumbar.
After doing so - ventilate the patient at the proper volume and rate.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Take or verbalize body substance isolation precautions.


30. How do you open the airway?
Right patient - Right drug - Right dose - Right route - Right time.
Open the airway manually.
Administer high concentration oxygen.
Hyperextend extremity and palpate brachial artery.


31. 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?
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Connect the mask to high concentration or oxygen.


32. Time for Bleeding Control/Shock Management! First thing you do?
Take BSI precaution!
Monitor the patient's condition and vital signs after administration.
Did that help? Document when you put the tourniquet on.
Direct rescuer to stop CPR and ensures all individuals to stand clear.


33. Blood pressure (palpatation)

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34. Time for Airway Management assessment! What's the First thing you do?
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Take BSI precautions.
Take BSI precautions!


35. What do you do after that?
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Request additional help.
Connect the mask to high concentration or oxygen.
Briefly question the bystanders about arrest events.


36. Palpate radial or brachial artery!
Perform two minutes of high quality CPR.
Assure high concentration of oxygen is delivered to the patient.
That one is basically self - explanatory. Do that after you apply the cuff!
Determine the number of patients.


37. Slowly deflate the cuff.. then..
Report/record ausculated blood pressure.
Connect the one - way valve to mask.
Ventilate the patient at a rate of 10-20 per minute.
Place auto - injector on lateral thigh - midway between the knee and thigh.


38. _______ extremity and palpate ______ artery.
Take BSI precautions!
Hyperextend extremity and palpate brachial artery.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
You should manage all of the patient's secondary injuries/wounds appropriately


39. You need to get the AED. What should you do?
Determine the mechanism of injury.
Turn over CPR to another rescuer. Turn on the AED.
Yeah.. definitely don't forget to document everything.
Document the procedure!


40. 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?
Palpate with 2 fingers (index and middle) over radial artery.
The second action is determining the patient's responsiveness/level of consciousness
Hyperextend extremity and palpate brachial artery.
Remember to explain the procedure to the patient.


41. 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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42. 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.
Report/record ausculated blood pressure.
Apply pressure dressing to the wound.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)


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

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44. After selecting the appropriate assessment - (focused or rapid) - you should obtain baseline ___?___
Dispose of the auto - injector in a sharps container.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Turn over CPR to another rescuer. Turn on the AED.
You should obtain baseline vital signs of the patient.


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

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46. Should you examine the head - arm - or abdomen first?
Verbalizing the general impression of the patient.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Apply direct pressure to the wound.
Assessing the posterior includes assessing the thorax - and the lumbar.


47. How should the patient be sitting?
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Initiate steps to prevent heat loss from the patient.
Confirm that the patient is sitting as upright as possible.


48. Baseline Vital Signs! What do you do first?
Yes - direct resumption of CPR.
Yeah.. definitely don't forget to document everything.
Take BSI precautions!
Connect the mask to high concentration or oxygen.


49. After consulting Medical Command - are you going to perform the procedure without explaining anything to the patient?
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.)
Explain the procedure to the patient.
Report/record ausculated blood pressure.


50. What are the ways to assess the airway and breathing of the patient?
Assess the airway and breathing.
Medical command
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.