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. The patient is still bleeding - so you..
Apply pressure dressing to the wound.
Assess the patient's ability to use the nebulizer.
Perform two minutes of high quality CPR.
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'

2. What do you do after that?
Yes. Consult with Medical Command.
Assess the airway and breathing.
Connect the mask to high concentration or oxygen.
- Rate - Rhythm (regular/irregular)

3. Inflate the cuff rapidly to at least ??mm Hg above the point where the pulse is lost.
Perform two minutes of high quality CPR.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
You should verbalize the re - assessment of the vital signs.
Document the procedure!

4. Skin Temperature: (touch the patient)
The color - temperature - and condition.
After doing so - ventilate the patient at the proper volume and rate.
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.'
- Normal (warm) - Cool - Cold - Hot

5. After you open the airway - What do you do?
Connect the one - way valve to mask.
Determine if the scene is safe.
Assure high concentration of oxygen is delivered to the patient.
Connect the mask to high concentration or oxygen.

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

7. How long should you perform high quality CPR?
Expose the thigh area - (and say that you are doing so.)
Direct resumption of CPR.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
Perform two minutes of high quality CPR.

8. Did THAT help?
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.
Place auto - injector on lateral thigh - midway between the knee and thigh.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)

9. Administer ____ concentration oxygen.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Direct resumption of CPR.
Administer high concentration oxygen.
Initiate analysis of the rhythm.

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

11. Baseline Vital Signs! What do you do first?
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Take BSI precautions!
The pulse returns.

12. '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?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Determine the number of patients.
Confirm that the patient has NO allergies to the medication.
Direct assistant to assume ventilation and pre - oxygenate patient.

13. Where do you dispose of the auto - injector?
The color - temperature - and condition.
Dispose of the auto - injector in a sharps container.
Brachial artery.
Confirm that the patient has NO allergies to the medication.

14. Skin Moisture: (touch the patient)
Normal - Moist - Diaphoretic
Scalp - ears - eyes - and the oral/nasal areas.
Scalp - ears - eyes - and the oral/nasal areas.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer

15. Assess the following
Briefly question the bystanders about arrest events.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Normal - Moist - Diaphoretic
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)

16. Remember to check the '5 Rights' of drug administration.. What are they?
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Apply direct pressure to the wound.
Palpate with 2 fingers (index and middle) over radial artery.
Take BSI precautions.

17. Report/record pulse findings.
(margin +/-4)
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.
Yeah.. definitely don't forget to document everything.
Switch to bag/valve mask.

18. Do CPR without unnecessary/prolonged interruption..
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Assure high concentration of oxygen is delivered to the patient.
Inspect the chest - palpate - auscultate.
Initiate analysis of the rhythm.

19. Focused History and Physical Examination/Rapid Trauma Assessment. The first thing you should do in this situation is...
Yes - always explain to the patient that they will feel a stick from the needle.
Direct assistant to assume ventilation and pre - oxygenate patient.
Select the appropriate assessment (focused - or rapid assessment)
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery

20. First step in 'Scene Size Up'.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Determine if the scene is safe.
Ventilate the patient at a rate of 10-20 per minute.

21. How should the patient be sitting?
Confirm that the patient is sitting as upright as possible.
The color - temperature - and condition.
Confirm that the patient has NO allergies to the medication.
Direct rescuer to stop CPR and ensures all individuals to stand clear.

22. 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?
Verbalizing the general impression of the patient.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Request additional help.
That one is basically self - explanatory. Do that after you apply the cuff!

23. Slowly deflate the cuff.. then..
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
Monitor the patient's condition and vital signs after administration.
Take BSI precaution!
Report/record ausculated blood pressure.

24. Apply a tourniquet.
The second action is determining the patient's responsiveness/level of consciousness
Yes. Consult with Medical Command.
Did that help? Document when you put the tourniquet on.
Confirm that the patient has NO allergies to the medication.

25. 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.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Direct assistant to assume ventilation and pre - oxygenate patient.
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery

26. Blood pressure (auscultation)

27. What are the ways to assess the airway and breathing of the patient?
Inspect the chest - palpate - auscultate.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Explain the procedure to the patient.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer

28. 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?
Document the procedure!
You should verbalize the re - assessment of the vital signs.
Yes. Consult with Medical Command.
Direct resumption of CPR.

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

30. Okay - you've obtained the baseline vital signs... Should you obtain SAMPLE history now?
Yes - you should obtain SAMPLE history after taking baseline vital signs.
- Rate - Rhythm (regular/irregular)
You should determine the chief complaint/apparent life threats of the patient.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.

31. After checking the chest - where do you move?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Verbalize the transportation of the patient.
Assess the airway and breathing.

32. You need to get the patient to the hospital - NOW. What do you do?
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Indicate the need for immediate transportation.
Confirm that the patient has NO allergies to the medication.
- Normal (warm) - Cool - Cold - Hot

33. After consulting Medical Command - are you going to perform the procedure without explaining anything to the patient?
Assure high concentration of oxygen is delivered to the patient.
Take BSI precautions!
Explain the procedure to the patient.
Monitor the patient's condition and vital signs after administration.

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

35. What do you do if the patient needs glucose administration? Do you go ahead and do it? or do you contact someone?
Determine if the scene is safe.
Contact medical command if patient condition permits.
- Rate - Rhythm (regular/irregular)
Connect the mask to high concentration or oxygen.

36. Skin Color: (observe the patient)
Assessing the posterior includes assessing the thorax - and the lumbar.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer

37. Should you just lay something over the wound after BSI precaution - or should you apply direct pressure?
Normal - Moist - Diaphoretic
Right patient - Right drug - Right dose - Right route - Right time.
Assure high concentration of oxygen is delivered to the patient.
Apply direct pressure to the wound.

38. After you're sure he/she isn't allergic to the medicine; check your 5 rights of drug administration.. which are.....
Right patient - Right drug - Right dose - Right route - Right time.
Take BSI precaution!
Ventilate the patient at a rate of 10-20 per minute.
Hyperextend extremity and palpate brachial artery.

39. Circulation assessment re - cap! When assessing the skin - what should you be looking at?
For at least 30 seconds!
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.
The color - temperature - and condition.
You should obtain baseline vital signs of the patient.

40. 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?
You should obtain baseline vital signs of the patient.
Assess the airway and breathing.
Apply pressure dressing to the wound.
Yes - always explain to the patient that they will feel a stick from the needle.

41. When assessing the head - What do you check?
Scalp - ears - eyes - and the oral/nasal areas.
Take BSI precautions.
Expose the thigh area - (and say that you are doing so.)
Apply pressure dressing to the wound.

42. How will you determine if the patient needs glucose administration?
Check the level of consciousness - and the history.
Monitor the patient's condition and vital signs after administration.
- Normal (warm) - Cool - Cold - Hot
Scalp - ears - eyes - and the oral/nasal areas.

43. Transportation!
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
Verbalize the transportation of the patient.
Normal - Moist - Diaphoretic

44. First action performed after you arrive on scene..
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Take or verbalize body substance isolation 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.
Apply pressure dressing to the wound.

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

46. 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?
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
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Remember to position the patient properly.

47. 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 patient's ability to use the nebulizer.
You should determine the chief complaint/apparent life threats of the patient.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Brachial artery.

48. Time for the Detailed Physical Examination! Should you examine the head - arm - or abdomen first?
Ventilate the patient at a rate of 10-20 per minute.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
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.

49. Inflate cuff rapidly to at least 20mm Hg ______ palpated blood pressure.
After doing so - ventilate the patient at the proper volume and rate.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
For at least 30 seconds!
You should obtain baseline vital signs of the patient.

50. Okay - you've told the patient what you're going to do.. But are you sure they're not allergic to the medication?
Yes - always explain to the patient that they will feel a stick from the needle.
Confirm that the patient has NO allergies to the medication.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Determine if the scene is safe.