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. What do you do after that?
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
Palpate with 2 fingers (index and middle) over radial artery.
Connect the mask to high concentration or oxygen.


2. What do you do if the patient needs glucose administration? Do you go ahead and do it? or do you contact someone?
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Contact medical command if patient condition permits.
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.


3. 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?
Connect the one - way valve to mask.
Expose the thigh area - (and say that you are doing so.)
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Remember to explain the procedure to the patient.


4. Integration! First thing you do;
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Open the airway manually.


5. 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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6. Focused History and Physical Examination/Rapid Trauma Assessment. The first thing you should do in this situation is...
Select the appropriate assessment (focused - or rapid assessment)
Normal - Moist - Diaphoretic
Scalp - ears - eyes - and the oral/nasal areas.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)


7. 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?
Perform two minutes of high quality CPR.
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.
Assessing the posterior includes assessing the thorax - and the lumbar.


8. You deliver the shock.. should the rescuer go back to giving the patient CPR?
Switch to bag/valve mask.
Yes - direct resumption of CPR.
Confirm that the patient is sitting as upright as possible.
Assure high concentration of oxygen is delivered to the patient.


9. After you're sure he/she isn't allergic to the medicine; check your 5 rights of drug administration.. which are.....
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Right patient - Right drug - Right dose - Right route - Right time.
Document the procedure!
Yeah.. definitely don't forget to document everything.


10. First action performed after you arrive on scene..
Inspect the chest - palpate - auscultate.
Count pulse for minimum of 30 seconds then multiply by 2.
Take or verbalize body substance isolation precautions.
Assess the patient's ability to use the nebulizer.


11. Ventilate the patient at a rate of __-__ per minute with appropriate volumes via bag/valve mask.
Ventilate the patient at a rate of 10-20 per minute.
- Rate - Rhythm (regular/irregular)
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.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.


12. Baseline Vital Signs! What do you do first?
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
Take BSI precautions!
Apply pressure dressing to the wound.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.


13. You need to shock the patient again. The rescuer is STILL delivering CPR.. What do you do?
That one is basically self - explanatory. Do that after you apply the cuff!
- Normal (warm) - Cool - Cold - Hot
Assess the airway and breathing.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.


14. After selecting the appropriate assessment - (focused or rapid) - you should obtain baseline ___?___
Assessing the posterior includes assessing the thorax - and the lumbar.
Yeah.. definitely don't forget to document everything.
You should obtain baseline vital signs of the patient.
You should verbalize the re - assessment of the vital signs.


15. You're getting ready to use the AED. But the other rescuer is still performing CPR.. What do you tell him?
Monitor the patient's condition and vital signs after administration.
Direct rescuer to stop CPR and ensures all individuals to stand clear.
Assessing the posterior includes assessing the thorax - and the lumbar.
Yes - direct resumption of CPR.


16. Blood pressure (palpatation)

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17. Okay - you've told the patient what you're going to do.. But are you sure they're not allergic to the medication?
Administer high concentration oxygen.
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.
Assessing the posterior includes assessing the thorax - and the lumbar.


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

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19. Okay - now you have to assess the posterior.. this includes the ______ and the _______.
Check the level of consciousness - and the history.
Verbalizing the general impression of the patient.
Assessing the posterior includes assessing the thorax - and the lumbar.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.


20. Do CPR without unnecessary/prolonged interruption..
Take BSI precaution!
Initiate analysis of the rhythm.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Administer high concentration oxygen.


21. Inflate the cuff rapidly to at least ??mm Hg above the point where the pulse is lost.
- 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.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Inspect the chest - palpate - auscultate.


22. What do you direct your assistant to do?
Direct assistant to assume ventilation and pre - oxygenate patient.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
Expose the thigh area - (and say that you are doing so.)


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

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24. You need to get the patient to the hospital - NOW. What do you do?
Medical command
Indicate the need for immediate transportation.
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
Right patient - Right drug - Right dose - Right route - Right time.


25. Assess the following
Count pulse for minimum of 30 seconds then multiply by 2.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.


26. How should the patient be sitting?
Confirm that the patient is sitting as upright as possible.
Confirm that the patient has NO allergies to the medication.
Determine the number of patients.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.


27. After you open the airway - What do you do?
Connect the one - way valve to mask.
The pulse returns.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Contact medical command if patient condition permits.


28. Blood pressure (auscultation)

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29. Ventilate patient!
Yes - always explain to the patient that they will feel a stick from the needle.
Assure high concentration of oxygen is delivered to the patient.
Brachial artery.
Inspect the chest - palpate - auscultate.


30. Count the respiratory rate for at least ___ seconds and multiply times 2.
For at least 30 seconds!
Briefly question the bystanders about arrest events.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Medical command


31. Report/record pulse findings.
Yeah.. definitely don't forget to document everything.
Medical command
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.'
(margin +/-4)


32. Did THAT help?
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Medical command
Indicate the need for immediate transportation.


33. You've prepared the medication and nebulizer...now attach oxygen to the nebulizer.
Confirm that the patient is sitting as upright as possible.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Take BSI precautions!
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer


34. Pulse! Palpate with How many fingers?
Hyperextend extremity and palpate brachial artery.
Ventilate the patient at a rate of 10-20 per minute.
- Normal (warm) - Cool - Cold - Hot
Palpate with 2 fingers (index and middle) over radial artery.


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

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36. Now you have to assess the posterior.. this includes the ______ and the _______.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Assessing the posterior includes assessing the thorax - and the lumbar.
- 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.


37. What do you do after you determine the mechanism of injury?
Explain the procedure to the patient.
Apply pressure dressing to the wound.
Hyperextend extremity and palpate brachial artery.
Determine the number of patients.


38. You deliver the shock - now what?
Take BSI precautions!
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
Direct resumption of CPR.
Take BSI precautions!


39. Skin Moisture: (touch the patient)
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Normal - Moist - Diaphoretic
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Scalp - ears - eyes - and the oral/nasal areas.


40. It's time to administer the medication to the patient! How are you going to do so?
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
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 patient's ability to use the 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.'


41. What's the expiration date on the oral glucose?
Request additional help.
Confirm the expiration date.
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
Direct assistant to assume ventilation and pre - oxygenate patient.


42. Palpate radial or brachial artery!
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
The second action is determining the patient's responsiveness/level of consciousness
That one is basically self - explanatory. Do that after you apply the cuff!
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.


43. When assessing the head - What do you check?
The color - temperature - and condition.
Scalp - ears - eyes - and the oral/nasal areas.
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.'
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery


44. Where do you dispose of the auto - injector?
Indicate the need for immediate transportation.
Dispose of the auto - injector in a sharps container.
Hyperextend extremity and palpate brachial artery.
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.


45. 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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46. _______ extremity and palpate ______ artery.
Brachial artery.
Verbalizing the general impression of the patient.
Remember to position the patient properly.
Hyperextend extremity and palpate brachial artery.


47. You've assessed the patient's ability to use the nebulizer - should you consult with Medical Command?
Hold the auto - injector to the patient's thigh for 10 seconds.
Yes. Consult with Medical Command.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Verbalizing the general impression of the patient.


48. There are bystanders who seen what happened.. do you question them?
Document the procedure!
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Did that help? Document when you put the tourniquet on.
Briefly question the bystanders about arrest events.


49. How long should you perform high quality CPR?
Apply pressure dressing to the wound.
Report/record ausculated blood pressure.
Yes - always explain to the patient that they will feel a stick from the needle.
Perform two minutes of high quality CPR.


50. Circulation assessment re - cap! When assessing the skin - what should you be looking at?
Verbalize the transportation of the patient.
The color - temperature - and condition.
Assess the airway and breathing.
Apply pressure dressing to the wound.