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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. The patient may start losing body heat.. What do you do?
Take or verbalize body substance isolation precautions.
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
Initiate steps to prevent heat loss from the patient.
Perform two minutes of high quality CPR.

2. How do you open the airway?
Open the airway manually.
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.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Connect the mask to high concentration or oxygen.

3. Time for the Detailed Physical Examination! Should you examine the head - arm - or abdomen first?
Document the procedure!
Determine if the scene is safe.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Scalp - ears - eyes - and the oral/nasal areas.

4. Baseline Vital Signs! What do you do first?
Take BSI precautions!
Direct resumption of CPR.
Turn over CPR to another rescuer. Turn on the AED.
Take BSI precautions.

5. What do you do after that?
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.
Assessing the posterior includes assessing the thorax - and the lumbar.
Connect the mask to high concentration or oxygen.
Remember to position the patient properly.

6. After checking the chest - where do you move?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Assessing the posterior includes assessing the thorax - and the lumbar.
Take BSI precaution!
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.

7. 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?
Yes - direct resumption of CPR.
Remember to explain the procedure to the patient.
Normal - Moist - Diaphoretic
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.

8. Inflate cuff rapidly to at least 20mm Hg ______ palpated blood pressure.
Initiate analysis of the rhythm.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Determine the mechanism of injury.
You should obtain baseline vital signs of the patient.

9. 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.
Apply direct pressure to the wound.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
After doing so - ventilate the patient at the proper volume and rate.

10. Assess the following
- Rate - Rhythm (regular/irregular)
Perform two minutes of high quality CPR.
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
Assess the patient's ability to use the nebulizer.

11. You deliver the shock.. should the rescuer go back to giving the patient CPR?
Dispose of the auto - injector in a sharps container.
Yes - direct resumption of CPR.
Did that help? Document when you put the tourniquet on.
The color - temperature - and condition.

12. 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?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Scalp - ears - eyes - and the oral/nasal areas.
Assure high concentration of oxygen is delivered to the patient.
- Normal (warm) - Cool - Cold - Hot

13. You need to get the AED. What should you do?
Did that help? Document when you put the tourniquet on.
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
Take BSI precautions.
Turn over CPR to another rescuer. Turn on the AED.

14. Integration! First thing you do;
Expose the thigh area - (and say that you are doing so.)
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
- Rate - Rhythm (regular/irregular)

15. Now you have to assess the posterior.. this includes the ______ and the _______.
Assessing the posterior includes assessing the thorax - and the lumbar.
Place auto - injector on lateral thigh - midway between the knee and thigh.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Expose the thigh area - (and say that you are doing so.)

16. How should the patient be sitting?
Confirm that the patient is sitting as upright as possible.
Initiate analysis of the rhythm.
Place auto - injector on lateral thigh - midway between the knee and thigh.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing

17. How will you determine if the patient needs glucose administration?
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.)
Check the level of consciousness - and the history.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer

18. Administer ____ concentration oxygen.
Scalp - ears - eyes - and the oral/nasal areas.
Administer high concentration oxygen.
Remember to position the patient properly.
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.'

19. Ventilate the patient at a rate of __-__ per minute with appropriate volumes via bag/valve mask.
Expose the thigh area - (and say that you are doing so.)
Ventilate the patient at a rate of 10-20 per minute.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
Assessing the posterior includes assessing the thorax - and the lumbar.

20. Count the respiratory rate for at least ___ seconds and multiply times 2.
Apply pressure dressing to the wound.
Explain the procedure to the patient.
For at least 30 seconds!
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.

21. First step in 'Scene Size Up'.
Determine if the scene is safe.
Remember to position the patient properly.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Remember to explain the procedure to the patient.

22. Monitor the patient's condition and vital signs after you administer the medication - and...
Document the procedure!
That one is basically self - explanatory. Do that after you apply the cuff!
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.
Explain the procedure to the patient.

23. Transportation!
Medical command
You should obtain baseline vital signs of the patient.
Verbalize the transportation of the patient.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)

24. Skin Moisture: (touch the patient)
Document the procedure!
Take BSI precautions!
Normal - Moist - Diaphoretic
Direct resumption of CPR.

25. Time for the Nebulized Medication Administration part of your skill assessment. Again - what's the First thing you do?
Take BSI precautions.
That one is basically self - explanatory. Do that after you apply the cuff!
The pulse returns.
Take BSI precautions!

26. 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?
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Determine the number of patients.
Confirm that the patient has NO allergies to the medication.
Perform two minutes of high quality CPR.

27. You've prepared the medication and nebulizer...now attach oxygen to the nebulizer.
Ventilate the patient at a rate of 10-20 per minute.
Yeah.. definitely don't forget to document everything.
Normal - Moist - Diaphoretic
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.

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

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29. Assessment says that you will notice that the patient is now pale and diaphoretic with a rapid - weak pulse... say that out loud.
Remember to position the patient properly.
Document the procedure!
Report/record ausculated blood pressure.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.

30. But wait.. are you sure that the patient isn't allergic to the medication?
Confirm that the patient has NO allergies to the medication.
Take or verbalize body substance isolation precautions.
The second action is determining the patient's responsiveness/level of consciousness
After doing so - ventilate the patient at the proper volume and rate.

31. To assess circulation - (after you assess the airway/breathing of the patient) - What are the four actions needed to be taken?
After doing so - ventilate the patient at the proper volume and rate.
Assess the following..
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
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.

32. You've checked the neck - now move down to the chest.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Assess the airway and breathing.
Inspect the chest - palpate - auscultate.
Expose the thigh area - (and say that you are doing so.)

33. After taking BSI precautions - consult with...
Medical command
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin

34. Then What do you switch to?
Initiate analysis of the rhythm.
Switch to bag/valve mask.
Assess the following..
Inspect the chest - palpate - auscultate.

35. 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?
Take BSI precautions!
The pulse returns.
Open the airway manually.
You should verbalize the re - assessment of the vital signs.

36. Slowly deflate the cuff - and report/record palpable systolic blood pressure when..
Remember to explain the procedure to the patient.
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
The pulse returns.
Hold the auto - injector to the patient's thigh for 10 seconds.

37. Place diaphragm of stethoscope over...
Direct resumption of CPR.
Brachial artery.
Medical command
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)

38. There are bystanders who seen what happened.. do you question them?
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.
Confirm that the patient has NO allergies to the medication.
The pulse returns.

39. Assess the following
Take BSI precautions.
Direct rescuer to stop CPR and ensures all individuals to stand clear.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
First - observe the rise and fall of the chest/abdomen.

40. You've assessed the patient's ability to use the nebulizer - should you consult with Medical Command?
Assure high concentration of oxygen is delivered to the patient.
For at least 30 seconds!
Yes. Consult with Medical Command.
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.

41. What's the expiration date on the oral glucose?
For at least 30 seconds!
Hold the auto - injector to the patient's thigh for 10 seconds.
Confirm the expiration date.
Direct assistant to assume ventilation and pre - oxygenate patient.

42. 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.)
Hold the auto - injector to the patient's thigh for 10 seconds.
Indicate the need for immediate transportation.
Did that help? Document when you put the tourniquet on.

43. Ventilate patient!
Briefly question the bystanders about arrest events.
Assure high concentration of oxygen is delivered to the patient.
You should obtain baseline vital signs of the patient.
Administer high concentration oxygen.

44. Remember to check the '5 Rights' of drug administration.. What are they?
Medical command
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Contact medical command if patient condition permits.
- Normal (warm) - Cool - Cold - Hot

45. What are the ways to assess the airway and breathing of the patient?
Apply direct pressure to the wound.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
Open the airway manually.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.

46. Palpate radial or brachial artery!
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
That one is basically self - explanatory. Do that after you apply the cuff!
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Confirm that the patient is sitting as upright as possible.

47. What do you do after you determine if the scene is safe?
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
Determine the mechanism of injury.
Take BSI precautions!
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin

48. Attach the AED to the patient;
Initiate analysis of the rhythm.
Take BSI precaution!
Confirm that the patient has NO allergies to the medication.
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery

49. Okay - you've obtained the baseline vital signs... Should you obtain SAMPLE history now?
Initiate steps to prevent heat loss from the patient.
Right patient - Right drug - Right dose - Right route - Right time.
Yes - you should obtain SAMPLE history after taking baseline vital signs.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin

50. Do CPR without unnecessary/prolonged interruption..
That one is basically self - explanatory. Do that after you apply the cuff!
Take BSI precautions!
Confirm that the patient has NO allergies to the medication.
Initiate analysis of the rhythm.