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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. First action performed after you arrive on scene..
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Take or verbalize body substance isolation precautions.
Normal - Moist - Diaphoretic

2. Skin Temperature: (touch the patient)
Determine the number of patients.
- Normal (warm) - Cool - Cold - Hot
Indicate the need for immediate transportation.
Perform two minutes of high quality CPR.

3. How do you prepare the medication and nebulizer?
Remember to position the patient properly.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
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.
Direct assistant to assume ventilation and pre - oxygenate patient.

4. Attach the AED to the patient;
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Administer high concentration oxygen.
Initiate analysis of the rhythm.
Contact medical command if patient condition permits.

5. How long should you perform high quality CPR?
Indicate the need for immediate transportation.
Inspect the chest - palpate - auscultate.
Assure high concentration of oxygen is delivered to the patient.
Perform two minutes of high quality CPR.

6. How do you open the airway?
Did that help? Document when you put the tourniquet on.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Open the airway manually.

7. After you open the airway - What do you do?
Remember to position the patient properly.
Confirm the expiration date.
Connect the one - way valve to mask.
Verbalize the transportation of the patient.

8. 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?
Place auto - injector on lateral thigh - midway between the knee and thigh.
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.
You should obtain baseline vital signs of the patient.
You should verbalize the re - assessment of the vital signs.

9. 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?
Scalp - ears - eyes - and the oral/nasal areas.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
(margin +/-4)
Verbalize the transportation of the patient.

10. 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
Take BSI precautions!
Take BSI precaution!
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.

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

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12. Integration! First thing you do;
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Take BSI precautions!
Apply the 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.

13. You've prepared the medication and nebulizer...now attach oxygen to the nebulizer.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Connect the one - way valve to mask.
Perform two minutes of high quality CPR.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.

14. Okay - now you have to assess the posterior.. this includes the ______ and the _______.
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.'
Connect the one - way valve to mask.
Initiate analysis of the rhythm.
Assessing the posterior includes assessing the thorax - and the lumbar.

15. Establish and maintain a proper mask to face seal.
Count pulse for minimum of 30 seconds then multiply by 2.
After doing so - ventilate the patient at the proper volume and rate.
Determine if the scene is safe.
The color - temperature - and condition.

16. During your Epinephrine Auto - Injector Administration scenario; What is the First thing you should do?
Scalp - ears - eyes - and the oral/nasal areas.
Confirm that the patient has NO allergies to the medication.
Take BSI precautions!
Take BSI precautions.

17. What do you direct your assistant to do?
Connect the one - way valve to mask.
For at least 30 seconds!
Assure high concentration of oxygen is delivered to the patient.
Direct assistant to assume ventilation and pre - oxygenate patient.

18. Then What do you switch to?
Monitor the patient's condition and vital signs after administration.
Verbalize the transportation of the patient.
Switch to bag/valve mask.
Take BSI precautions!

19. You've successfully removed the cap - and you're ready to administer the medication to the patient... but where do you administer it?
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
The color - temperature - and condition.
Expose the thigh area - (and say that you are doing so.)
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.'

20. Circulation assessment re - cap! When assessing the skin - what should you be looking at?
Dispose of the auto - injector in a sharps container.
The color - temperature - and condition.
Open the airway manually.
Scalp - ears - eyes - and the oral/nasal areas.

21. After checking the chest - where do you move?
Inspect the chest - palpate - auscultate.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Determine the number of patients.
Normal - Moist - Diaphoretic

22. After you determine the number of patients - what should you do - IF NECESSARY?
Request additional help.
Indicate the need for immediate transportation.
Confirm that the patient is sitting as upright as possible.
Remember to explain the procedure to the patient.

23. Place diaphragm of stethoscope over...
You should manage all of the patient's secondary injuries/wounds appropriately
After doing so - ventilate the patient at the proper volume and rate.
Assess the airway and breathing.
Brachial artery.

24. Focused History and Physical Examination/Rapid Trauma Assessment. The first thing you should do in this situation is...
Take BSI precautions!
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Select the appropriate assessment (focused - or rapid assessment)
Ventilate the patient at a rate of 10-20 per minute.

25. You deliver the shock - now what?
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Direct resumption of CPR.
Yes - direct resumption of CPR.
The second action is determining the patient's responsiveness/level of consciousness

26. What's the expiration date on the oral glucose?
Verbalizing the general impression of the patient.
Yes. Consult with Medical Command.
Yes - always explain to the patient that they will feel a stick from the needle.
Confirm the expiration date.

27. What do you do after you determine if the scene is safe?
Determine the mechanism of injury.
Palpate with 2 fingers (index and middle) over radial artery.
- Normal (warm) - Cool - Cold - Hot
Confirm that the patient has NO allergies to the medication.

28. Blood pressure (palpatation)

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29. Assess the following
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
The color - temperature - and condition.
- Rate - Rhythm (regular/irregular)
(margin +/-4)

30. Palpate radial or brachial artery!
Turn over CPR to another rescuer. Turn on the AED.
Normal - Moist - Diaphoretic
- Rate - Rhythm (regular/irregular)
That one is basically self - explanatory. Do that after you apply the cuff!

31. To assess circulation - (after you assess the airway/breathing of the patient) - What are the four actions needed to be taken?
Initiate analysis of the rhythm.
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.
Take BSI precautions!

32. You've checked the neck - now move down to the chest.
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
Ventilate the patient at a rate of 10-20 per minute.
Inspect the chest - palpate - auscultate.
Take BSI precautions!

33. First step in 'Scene Size Up'.
The color - temperature - and condition.
Determine if the scene is safe.
- Normal (warm) - Cool - Cold - Hot
You should verbalize the re - assessment of the vital signs.

34. Should you examine the head - arm - or abdomen first?
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Briefly question the bystanders about arrest events.
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

35. When dealing with a patient who is having trouble - dealing with respiratory problems - What are the questions/key words you should remember?
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
- 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.
Confirm the expiration date.

36. Skin Signs!
Take BSI precautions.
Assess the following..
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Inspect the chest - palpate - auscultate.

37. Inflate cuff rapidly to at least 20mm Hg ______ palpated blood pressure.
Open the airway manually.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Assure high concentration of oxygen is delivered to the patient.

38. What are the ways to assess the airway and breathing of the patient?
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
You should manage all of the patient's secondary injuries/wounds appropriately
Administer high concentration oxygen.
Yes - direct resumption of CPR.

39. Time for Cardiac Arrest Management/Automatic External Defibrillator! First thing you do
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Take BSI precautions!
The color - temperature - and condition.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.

40. Ventilate the patient at a rate of __-__ per minute with appropriate volumes via bag/valve mask.
Take BSI precautions!
Assess the following..
Ventilate the patient at a rate of 10-20 per minute.
Apply pressure dressing to the wound.

41. When assessing the head - What do you check?
Did that help? Document when you put the tourniquet on.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Scalp - ears - eyes - and the oral/nasal areas.
The color - temperature - and condition.

42. What do you do after you determine the mechanism of injury?
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Confirm that the patient has NO allergies to the medication.
Confirm the expiration date.
Determine the number of patients.

43. Time for Bleeding Control/Shock Management! First thing you do?
Assessing the posterior includes assessing the thorax - and the lumbar.
You should verbalize the re - assessment of the vital signs.
Indicate the need for immediate transportation.
Take BSI precaution!

44. 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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45. After checking the chest - where do you move?
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Connect the mask to high concentration or oxygen.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
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.

46. Time for Airway Management assessment! What's the First thing you do?
Take BSI precautions!
First - observe the rise and fall of the chest/abdomen.
The color - temperature - and condition.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.

47. Where do you dispose of the auto - injector?
Determine the mechanism of injury.
- Normal (warm) - Cool - Cold - Hot
Briefly question the bystanders about arrest events.
Dispose of the auto - injector in a sharps container.

48. Remember to check the '5 Rights' of drug administration.. What are they?
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Contact medical command if patient condition permits.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.

49. When assessing the head - What do you check?
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Scalp - ears - eyes - and the oral/nasal areas.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
You should determine the chief complaint/apparent life threats of the patient.

50. The patient is still bleeding - so you..
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.
Initiate analysis of the rhythm.
Apply pressure dressing to the wound.
Scalp - ears - eyes - and the oral/nasal areas.