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. 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?
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Explain the procedure to the patient.
Remember to position the patient properly.
Direct assistant to assume ventilation and pre - oxygenate patient.


2. _______ extremity and palpate ______ artery.
Switch to bag/valve mask.
Hyperextend extremity and palpate brachial artery.
Take BSI precaution!
First - observe the rise and fall of the chest/abdomen.


3. Pulse! Palpate with How many fingers?
Palpate with 2 fingers (index and middle) over radial artery.
Connect the one - way valve to mask.
Hyperextend extremity and palpate brachial artery.
Briefly question the bystanders about arrest events.


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

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5. When dealing with a patient who is having trouble - dealing with respiratory problems - What are the questions/key words you should remember?
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
- 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!)
Briefly question the bystanders about arrest events.


6. 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
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
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.
Take BSI precautions!
You should determine the chief complaint/apparent life threats of the patient.


7. What are the ways to assess the airway and breathing of the patient?
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Report/record ausculated blood pressure.
Place auto - injector on lateral thigh - midway between the knee and thigh.


8. 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
Assess the following..
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
After doing so - ventilate the patient at the proper volume and rate.


9. In a smooth - firm - fashion push the injector until the click is heard. How long should you hold it against the patient's thigh?

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10. Should you just lay something over the wound after BSI precaution - or should you apply direct pressure?
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
You should obtain baseline vital signs of the patient.
Select the appropriate assessment (focused - or rapid assessment)
Apply direct pressure to the wound.


11. Assess the following
Take BSI precautions!
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Determine the mechanism of injury.
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


12. Inflate the cuff rapidly to at least ??mm Hg above the point where the pulse is lost.
Apply direct pressure to the wound.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Yeah.. definitely don't forget to document everything.
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)


13. Slowly deflate the cuff - and report/record palpable systolic blood pressure when..
Hyperextend extremity and palpate brachial artery.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Scalp - ears - eyes - and the oral/nasal areas.
The pulse returns.


14. Respirations!
Inspect the chest - palpate - auscultate.
You should verbalize the re - assessment of the vital signs.
First - observe the rise and fall of the chest/abdomen.
Assessing the posterior includes assessing the thorax - and the lumbar.


15. The patient is still bleeding - so you..
Yes - direct resumption of CPR.
Apply pressure dressing to the wound.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Scalp - ears - eyes - and the oral/nasal areas.


16. Should you examine the head - arm - or abdomen first?
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.)
Hyperextend extremity and palpate brachial artery.
Switch to bag/valve mask.


17. 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?
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.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Take BSI precautions!


18. But wait.. are you sure that the patient isn't allergic to the medication?
Did that help? Document when you put the tourniquet on.
Indicate the need for immediate transportation.
Confirm that the patient has NO allergies to the medication.
Direct rescuer to stop CPR and ensures all individuals to stand clear.


19. How do you open the airway?
Confirm that the patient is sitting as upright as possible.
Explain the procedure to the patient.
Open the airway manually.
Ventilate the patient at a rate of 10-20 per minute.


20. You've checked the neck - now move down to the chest.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Initiate analysis of the rhythm.
Inspect the chest - palpate - auscultate.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)


21. Establish and maintain a proper mask to face seal.
Assessing the posterior includes assessing the thorax - and the lumbar.
Take BSI precautions!
After doing so - ventilate the patient at the proper volume and rate.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.


22. 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?
Yeah.. definitely don't forget to document everything.
You should verbalize the re - assessment of the vital signs.
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
Turn over CPR to another rescuer. Turn on the AED.


23. Then What do you switch to?
Hyperextend extremity and palpate brachial artery.
Switch to bag/valve mask.
Verbalize the transportation of the patient.
You should determine the chief complaint/apparent life threats of the patient.


24. 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.
Request additional help.
Brachial artery.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.


25. Do CPR without unnecessary/prolonged interruption..
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Initiate analysis of the rhythm.
Yes - always explain to the patient that they will feel a stick from the needle.
The color - temperature - and condition.


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

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

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28. After you take BSI precautions - are you just going to assume that the patient can use the nebulizer?

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29. Skin Signs!
Indicate the need for immediate transportation.
Assess the following..
Connect the one - way valve to mask.
Take BSI precautions!


30. 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?
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
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.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.


31. What do you direct your assistant to do?
Place auto - injector on lateral thigh - midway between the knee and thigh.
First - observe the rise and fall of the chest/abdomen.
Direct assistant to assume ventilation and pre - oxygenate patient.
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.'


32. Place diaphragm of stethoscope over...
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Take BSI precautions!
Brachial artery.
You should verbalize the re - assessment of the vital signs.


33. Inflate cuff rapidly to at least 20mm Hg ______ palpated blood pressure.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Initiate analysis of the rhythm.
Determine the number of patients.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.


34. Blood pressure (auscultation)

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35. After selecting the appropriate assessment - (focused or rapid) - you should obtain baseline ___?___
The pulse returns.
Select the appropriate assessment (focused - or rapid assessment)
Turn over CPR to another rescuer. Turn on the AED.
You should obtain baseline vital signs of the patient.


36. Time for Bleeding Control/Shock Management! First thing you do?
Explain the procedure to the patient.
Take BSI precaution!
Count pulse for minimum of 30 seconds then multiply by 2.
Take BSI precautions!


37. Report/record pulse findings.
Yes - direct resumption of CPR.
The second action is determining the patient's responsiveness/level of consciousness
Take BSI precautions!
(margin +/-4)


38. 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.
Briefly question the bystanders about arrest events.
You should manage all of the patient's secondary injuries/wounds appropriately
Take BSI precautions!


39. Assessment says that you will notice that the patient is now pale and diaphoretic with a rapid - weak pulse... say that out loud.
Count pulse for minimum of 30 seconds then multiply by 2.
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
Remember to position the patient properly.
Yes - direct resumption of CPR.


40. Time for Cardiac Arrest Management/Automatic External Defibrillator! First thing you do
Take BSI precautions!
Direct rescuer to stop CPR and ensures all individuals to stand clear.
Verbalizing the general impression of the patient.
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. How do you prepare the medication and nebulizer?
Take BSI precautions!
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Determine the mechanism of injury.
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.


42. Okay - now you have to assess the posterior.. this includes the ______ and the _______.
Assessing the posterior includes assessing the thorax - and the lumbar.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Inspect the chest - palpate - auscultate.
Hold the auto - injector to the patient's thigh for 10 seconds.


43. The patient may start losing body heat.. What do you do?
Assess the airway and breathing.
Expose the thigh area - (and say that you are doing so.)
Initiate steps to prevent heat loss from the patient.
Report/record ausculated blood pressure.


44. After you're sure he/she isn't allergic to the medicine; check your 5 rights of drug administration.. which are.....
Take BSI precaution!
Right patient - Right drug - Right dose - Right route - Right time.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin


45. 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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46. Circulation assessment re - cap! When assessing the skin - what should you be looking at?
You should manage all of the patient's secondary injuries/wounds appropriately
The color - temperature - and condition.
Perform two minutes of high quality CPR.
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever


47. Okay - you've told the patient what you're going to do.. But are you sure they're not allergic to the medication?
Take BSI precaution!
Confirm that the patient has NO allergies to the medication.
Connect the one - way valve to mask.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.


48. 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?
Did that help? Document when you put the tourniquet on.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Document the procedure!
Normal - Moist - Diaphoretic


49. When assessing the head - What do you check?
Administer high concentration oxygen.
Scalp - ears - eyes - and the oral/nasal areas.
Remember to position the patient properly.
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery


50. After you determine the number of patients - what should you do - IF NECESSARY?
Request additional help.
Palpate with 2 fingers (index and middle) over radial artery.
Connect the mask to high concentration or oxygen.
Determine the mechanism of injury.