Test your basic knowledge |

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. You deliver the shock.. should the rescuer go back to giving the patient CPR?
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Perform two minutes of high quality CPR.
Yes - direct resumption of CPR.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.

2. 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 - always explain to the patient that they will feel a stick from the needle.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
You should verbalize the re - assessment of the vital signs.
Remember to explain the procedure to the patient.

3. Report/record pulse findings.
Yes - always explain to the patient that they will feel a stick from the needle.
(margin +/-4)
Remember to explain the procedure to the patient.
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery

4. 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?
For at least 30 seconds!
Count pulse for minimum of 30 seconds then multiply by 2.
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Assess the following..

5. After selecting the appropriate assessment - (focused or rapid) - you should obtain baseline ___?___
Determine the mechanism of injury.
You should manage all of the patient's secondary injuries/wounds appropriately
Perform two minutes of high quality CPR.
You should obtain baseline vital signs of the patient.

6. How do you prepare the medication and nebulizer?
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.
Dispose of the auto - injector in a sharps container.
Direct rescuer to stop CPR and ensures all individuals to stand clear.
Initiate analysis of the rhythm.

7. What's the expiration date on the oral glucose?
- Normal (warm) - Cool - Cold - Hot
Confirm the expiration date.
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.

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

9. You've assessed the patient's ability to use the nebulizer - should you consult with Medical Command?
Assess the airway and breathing.
The second action is determining the patient's responsiveness/level of consciousness
The pulse returns.
Yes. Consult with Medical Command.

10. When assessing the head - What do you check?
The color - temperature - and condition.
Count pulse for minimum of 30 seconds then multiply by 2.
Scalp - ears - eyes - and the oral/nasal areas.
You should verbalize the re - assessment of the vital signs.

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

12. Time for Bleeding Control/Shock Management! First thing you do?
Assessing the posterior includes assessing the thorax - and the lumbar.
Take BSI precaution!
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
You should determine the chief complaint/apparent life threats of the patient.

13. Inflate cuff rapidly to at least 20mm Hg ______ palpated blood pressure.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Normal - Moist - Diaphoretic
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Determine the number of patients.

14. There are bystanders who seen what happened.. do you question them?
Briefly question the bystanders about arrest events.
Confirm the expiration date.
Perform two minutes of high quality CPR.
Connect the one - way valve to mask.

15. What do you do after you determine the mechanism of injury?
Verbalize the transportation of the patient.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Determine the number of patients.
Did that help? Document when you put the tourniquet on.

16. Apply a tourniquet.
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
Did that help? Document when you put the tourniquet on.
Select the appropriate assessment (focused - or rapid assessment)
Remember to position the patient properly.

17. 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?
You should verbalize the re - assessment of the vital signs.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Assess the airway and breathing.
You should obtain baseline vital signs of the patient.

18. Focused History and Physical Examination/Rapid Trauma Assessment. The first thing you should do in this situation is...
Initiate steps to prevent heat loss from the patient.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Select the appropriate assessment (focused - or rapid assessment)

19. You need to get the AED. What should you do?
You should obtain baseline vital signs of the patient.
Verbalize the transportation of the patient.
Turn over CPR to another rescuer. Turn on the AED.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.

20. After taking BSI precautions - consult with...
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Connect the one - way valve to mask.
Medical command
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.

21. Did THAT help?
Explain the procedure to the patient.
Assessing the posterior includes assessing the thorax - and the lumbar.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Open the airway manually.

22. After you're sure he/she isn't allergic to the medicine; check your 5 rights of drug administration.. which are.....
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Take BSI precaution!
The color - temperature - and condition.
Right patient - Right drug - Right dose - Right route - Right time.

23. What do you do after that?
Take BSI precautions!
Connect the mask to high concentration or oxygen.
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.'
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.

24. 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?
Determine the mechanism of injury.
Assess the airway and breathing.
- Rate - Rhythm (regular/irregular)
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.

25. 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.
You should verbalize the re - assessment of the vital signs.
Apply pressure dressing to the wound.
That one is basically self - explanatory. Do that after you apply the cuff!

26. First action performed after you arrive on scene..
Count pulse for minimum of 30 seconds then multiply by 2.
Verbalize the transportation of the patient.
Take or verbalize body substance isolation precautions.
Check the level of consciousness - and the history.

27. Time for the Detailed Physical Examination! Should you examine the head - arm - or abdomen first?
Apply pressure dressing to the wound.
Brachial artery.
Take or verbalize body substance isolation precautions.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)

28. Do CPR without unnecessary/prolonged interruption..
Switch to bag/valve mask.
You should determine the chief complaint/apparent life threats of the patient.
Administer high concentration oxygen.
Initiate analysis of the rhythm.

29. 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?)

30. 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?

31. After checking the chest - where do you move?
Direct rescuer to stop CPR and ensures all individuals to stand clear.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Initiate analysis of the rhythm.
Scalp - ears - eyes - and the oral/nasal areas.

32. You've successfully removed the cap - and you're ready to administer the medication to the patient... but where do you administer it?
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Monitor the patient's condition and vital signs after administration.
Expose the thigh area - (and say that you are doing so.)
Connect the one - way valve to mask.

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

34. How long should you perform high quality CPR?
Yeah.. definitely don't forget to document everything.
Perform two minutes of high quality CPR.
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Scalp - ears - eyes - and the oral/nasal areas.

35. You're getting ready to use the AED. But the other rescuer is still performing CPR.. What do you tell him?
Yes. Consult with Medical Command.
Direct rescuer to stop CPR and ensures all individuals to stand clear.
Scalp - ears - eyes - and the oral/nasal areas.
You should manage all of the patient's secondary injuries/wounds appropriately

36. Integration! First thing you do;
You should manage all of the patient's secondary injuries/wounds appropriately
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
Take BSI precautions.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)

37. Blood pressure (auscultation)

38. You've checked the neck - now move down to the chest.
Assure high concentration of oxygen is delivered to the patient.
Take BSI precautions!
Inspect the chest - palpate - auscultate.
Ventilate the patient at a rate of 10-20 per minute.

39. 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?
Normal - Moist - Diaphoretic
You should verbalize the re - assessment of the vital signs.
Confirm that the patient is sitting as upright as possible.
Brachial artery.

40. You need to shock the patient again. The rescuer is STILL delivering CPR.. What do you do?
Take BSI precaution!
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Switch to bag/valve mask.
Confirm that the patient is sitting as upright as possible.

41. 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.
Explain the procedure to the patient.
Dispose of the auto - injector in a sharps container.
Initiate analysis of the rhythm.

42. Respirations!
The color - temperature - and condition.
Connect the mask to high concentration or oxygen.
Confirm that the patient has NO allergies to the medication.
First - observe the rise and fall of the chest/abdomen.

43. After consulting Medical Command - are you going to perform the procedure without explaining anything to the patient?
Place auto - injector on lateral thigh - midway between the knee and thigh.
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.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)

44. Inflate the cuff rapidly to at least ??mm Hg above the point where the pulse is lost.
Ventilate the patient at a rate of 10-20 per minute.
After doing so - ventilate the patient at the proper volume and rate.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Administer high concentration oxygen.

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

46. Skin Signs!
Initiate analysis of the rhythm.
Assess the patient's ability to use the nebulizer.
Assure high concentration of oxygen is delivered to the patient.
Assess the following..

47. Skin Color: (observe the patient)
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
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Did that help? Document when you put the tourniquet on.
Perform two minutes of high quality CPR.

48. Blood pressure (palpatation)

49. You've checked the neck - now move down to the chest.
Inspect the chest - palpate - auscultate.
Verbalizing the general impression of the patient.
Connect the one - way valve to mask.
Briefly question the bystanders about arrest events.

50. 'Signs and Symptoms (assess history of present illness).' When dealing with a patient who is having trouble - dealing with respiratory problems - What are the questions/key words you should remember?
Determine the mechanism of injury.
Confirm the expiration date.
Take or verbalize body substance isolation precautions.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer