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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. Everything is in place - and you are ready to administer the drug to the patient. Should you warn them that they're going to feel a stick?
Open the airway manually.
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
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Yes - always explain to the patient that they will feel a stick from the needle.

2. You've successfully removed the cap - and you're ready to administer the medication to the patient... but where do you administer it?
Scalp - ears - eyes - and the oral/nasal areas.
Assessing the posterior includes assessing the thorax - and the lumbar.
Expose the thigh area - (and say that you are doing so.)
Dispose of the auto - injector in a sharps container.

3. But wait.. are you sure that the patient isn't allergic to the medication?
Confirm that the patient has NO allergies to the medication.
The color - temperature - and condition.
Take or verbalize body substance isolation precautions.
Take BSI precautions!

4. After taking BSI precautions - consult with...
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Take BSI precautions!
Assess the following..
Medical command

5. _______ extremity and palpate ______ artery.
Did that help? Document when you put the tourniquet on.
That one is basically self - explanatory. Do that after you apply the cuff!
Hyperextend extremity and palpate brachial artery.
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.'

6. Okay - now you have to assess the posterior.. this includes the ______ and the _______.
Assessing the posterior includes assessing the thorax - and the lumbar.
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.)
You should manage all of the patient's secondary injuries/wounds appropriately

7. Skin Color: (observe the patient)
Verbalizing the general impression of the patient.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Connect the one - way valve to mask.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin

8. 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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9. To assess circulation - (after you assess the airway/breathing of the patient) - What are the four actions needed to be taken?
Take BSI precautions.
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.
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 or verbalize body substance isolation precautions.

10. What do you do after you determine if the scene is safe?
Determine the mechanism of injury.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Confirm the expiration date.
Scalp - ears - eyes - and the oral/nasal areas.

11. What's the expiration date on the oral glucose?
Direct resumption of CPR.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Confirm the expiration date.
You should manage all of the patient's secondary injuries/wounds appropriately

12. Integration! First thing you do;
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
Confirm the expiration date.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Verbalizing the general impression of the patient.

13. 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.
Yes. Consult with Medical Command.
Open the airway manually.
Apply pressure dressing to the wound.

14. First step in 'Scene Size Up'.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Determine if the scene is safe.
Dispose of the auto - injector in a sharps container.

15. Time for the Nebulized Medication Administration part of your skill assessment. Again - what's the First thing you do?
Hyperextend extremity and palpate brachial artery.
Take BSI precautions!
Briefly question the bystanders about arrest events.
Perform two minutes of high quality CPR.

16. 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?
Report/record ausculated blood pressure.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Direct resumption of CPR.
That one is basically self - explanatory. Do that after you apply the cuff!

17. 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.
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.
Check the level of consciousness - and the history.
Perform two minutes of high quality CPR.

18. Inflate cuff rapidly to at least 20mm Hg ______ palpated blood pressure.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Hyperextend extremity and palpate brachial artery.
Direct rescuer to stop CPR and ensures all individuals to stand clear.

19. Transportation!
Verbalize the transportation of the patient.
Take or verbalize body substance isolation precautions.
Connect the one - way valve to mask.
Determine the mechanism of injury.

20. 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?
Medical command
Remember to explain the procedure to the patient.
Take BSI precautions!
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing

21. What do you do after you determine the mechanism of injury?
Initiate analysis of the rhythm.
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
Determine the number of patients.
The pulse returns.

22. When dealing with a patient who is having trouble - dealing with respiratory problems - What are the questions/key words you should remember?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Yes - always explain to the patient that they will feel a stick from the needle.
Determine the number of patients.
Check the level of consciousness - and the history.

23. Circulation assessment re - cap! When assessing the skin - what should you be looking at?
Inspect the chest - palpate - auscultate.
Hyperextend extremity and palpate brachial artery.
The color - temperature - and condition.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.

24. 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?
Scalp - ears - eyes - and the oral/nasal areas.
Turn over CPR to another rescuer. Turn on the AED.
You should verbalize the re - assessment of the vital signs.
Assess the following..

25. Baseline Vital Signs! What do you do first?
Take BSI precautions!
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Assess the airway and breathing.

26. Ventilate patient!
Confirm that the patient has NO allergies to the medication.
Normal - Moist - Diaphoretic
Assure high concentration of oxygen is delivered to the patient.
Palpate with 2 fingers (index and middle) over radial artery.

27. How do you prepare the medication and nebulizer?
Confirm that the patient has NO allergies to the medication.
Apply pressure dressing to the wound.
Connect the one - way valve to mask.
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.

28. Slowly deflate the cuff - and report/record palpable systolic blood pressure when..
(margin +/-4)
The pulse returns.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.

29. Assess the following
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Verbalizing the general impression of the patient.
The pulse returns.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)

30. After BSI precautions - you need to perform a blood glucose check.. How do you set up/perform the check?
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
Remember to position the patient properly.
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.
Direct rescuer to stop CPR and ensures all individuals to stand clear.

31. How will you determine if the patient needs glucose administration?
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Check the level of consciousness - and the history.
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.
Switch to bag/valve mask.

32. You're getting ready to use the AED. But the other rescuer is still performing CPR.. What do you tell him?
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.
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.
Direct rescuer to stop CPR and ensures all individuals to stand clear.

33. Time for Airway Management assessment! What's the First thing you do?
Take BSI precautions!
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
The color - temperature - and condition.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)

34. There are bystanders who seen what happened.. do you question them?
Assure high concentration of oxygen is delivered to the patient.
Yeah.. definitely don't forget to document everything.
Briefly question the bystanders about arrest events.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.

35. Count the respiratory rate for at least ___ seconds and multiply times 2.
Inspect the chest - palpate - auscultate.
For at least 30 seconds!
You should obtain baseline vital signs of the patient.
Apply pressure dressing to the wound.

36. What do you direct your assistant to do?
Assessing the posterior includes assessing the thorax - and the lumbar.
Direct assistant to assume ventilation and pre - oxygenate patient.
Confirm that the patient is sitting as upright as possible.
Remember to position the patient properly.

37. When assessing the head - What do you check?
Scalp - ears - eyes - and the oral/nasal areas.
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.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Assessing the posterior includes assessing the thorax - and the lumbar.

38. Respirations!
The color - temperature - and condition.
First - observe the rise and fall of the chest/abdomen.
Request additional help.
That one is basically self - explanatory. Do that after you apply the cuff!

39. 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
Apply pressure dressing to the wound.
Verbalizing the general impression of the patient.
Determine the mechanism of injury.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer

40. You need to get the AED. What should you do?
Yes - direct resumption of CPR.
Turn over CPR to another rescuer. Turn on the AED.
(margin +/-4)
Scalp - ears - eyes - and the oral/nasal areas.

41. Did THAT help?
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
The color - temperature - and condition.
Document the procedure!
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.

42. 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
You should verbalize the re - assessment of the vital signs.
You should determine the chief complaint/apparent life threats of the patient.
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.

43. Okay - you've obtained the baseline vital signs... Should you obtain SAMPLE history now?
Confirm that the patient is sitting as upright as possible.
Yes - you should obtain SAMPLE history after taking baseline vital signs.
(margin +/-4)
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)

44. Slowly deflate the cuff.. then..
Report/record ausculated blood pressure.
The pulse returns.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Ventilate the patient at a rate of 10-20 per minute.

45. After selecting the appropriate assessment - (focused or rapid) - you should obtain baseline ___?___
You should obtain baseline vital signs of the patient.
Did that help? Document when you put the tourniquet on.
Direct resumption of CPR.
Palpate with 2 fingers (index and middle) over radial artery.

46. What are the ways to assess the airway and breathing of the patient?
Report/record ausculated blood pressure.
Normal - Moist - Diaphoretic
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.

47. Place diaphragm of stethoscope over...
Report/record ausculated blood pressure.
Brachial artery.
Confirm that the patient is sitting as upright as possible.
Hold the auto - injector to the patient's thigh for 10 seconds.

48. After checking the chest - where do you move?
Confirm that the patient has NO allergies to the medication.
Count pulse for minimum of 30 seconds then multiply by 2.
You should determine the chief complaint/apparent life threats of the patient.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.

49. Skin Moisture: (touch the patient)
Take BSI precautions!
Assure high concentration of oxygen is delivered to the patient.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Normal - Moist - Diaphoretic

50. Blood pressure (palpatation)

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