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. After you determine the number of patients - what should you do - IF NECESSARY?
Direct assistant to assume ventilation and pre - oxygenate patient.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Request additional help.
Take BSI precautions!


2. Palpate radial or brachial artery!
That one is basically self - explanatory. Do that after you apply the cuff!
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Normal - Moist - Diaphoretic
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)


3. What do you do after you determine if the scene is safe?
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.
Determine the mechanism of injury.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Briefly question the bystanders about arrest events.


4. After checking the chest - where do you move?
The color - temperature - and condition.
After doing so - ventilate the patient at the proper volume and rate.
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.


5. You've assessed the patient's ability to use the nebulizer - should you consult with Medical Command?
Direct assistant to assume ventilation and pre - oxygenate patient.
Determine if the scene is safe.
Yes. Consult with Medical Command.
- Normal (warm) - Cool - Cold - Hot


6. Assess the following
Switch to bag/valve mask.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery


7. Blood pressure (auscultation)

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8. Place diaphragm of stethoscope over...
Explain the procedure to the patient.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Brachial artery.
Remember to position the patient properly.


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

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10. There are bystanders who seen what happened.. do you question them?
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Briefly question the bystanders about arrest events.
Hyperextend extremity and palpate brachial artery.
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)


11. 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?
Normal - Moist - Diaphoretic
Brachial artery.
Remember to explain the procedure to the patient.
Dispose of the auto - injector in a sharps container.


12. After consulting Medical Command - are you going to perform the procedure without explaining anything to the patient?
The second action is determining the patient's responsiveness/level of consciousness
Explain the procedure to the patient.
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
Assess the airway and breathing.


13. After selecting the appropriate assessment - (focused or rapid) - you should obtain baseline ___?___
You should obtain baseline vital signs of the patient.
Check the level of consciousness - and the history.
Report/record ausculated blood pressure.
Connect the mask to high concentration or oxygen.


14. After BSI precautions - you need to perform a blood glucose check.. How do you set up/perform the check?
Confirm that the patient has NO allergies to the medication.
Dispose of the auto - injector in a sharps container.
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
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.


15. Time for the Nebulized Medication Administration part of your skill assessment. Again - what's the First thing you do?
Verbalize the transportation of 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 BSI precautions!
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.


16. Do CPR without unnecessary/prolonged interruption..
Initiate analysis of the rhythm.
Perform two minutes of high quality CPR.
You should obtain baseline vital signs of the patient.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)


17. 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?
Medical command
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
You should verbalize the re - assessment of the vital signs.
Initiate analysis of the rhythm.


18. You're getting ready to use the AED. But the other rescuer is still performing CPR.. What do you tell him?
Direct rescuer to stop CPR and ensures all individuals to stand clear.
Normal - Moist - Diaphoretic
Assessing the posterior includes assessing the thorax - and the lumbar.
Right patient - Right drug - Right dose - Right route - Right time.


19. After taking BSI precautions - consult with...
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
Connect the one - way valve to mask.
Medical command
Verbalizing the general impression of the patient.


20. When assessing the head - What do you check?
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!
Scalp - ears - eyes - and the oral/nasal areas.
Document the procedure!


21. Slowly deflate the cuff - and report/record palpable systolic blood pressure when..
The pulse returns.
Turn over CPR to another rescuer. Turn on the AED.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Switch to bag/valve mask.


22. 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.
Assess the following..
Confirm that the patient has NO allergies to the medication.
You should obtain baseline vital signs of the patient.


23. 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?
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
The color - temperature - and condition.
Scalp - ears - eyes - and the oral/nasal areas.


24. 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?
Determine the number of patients.
Remember to position the patient properly.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)


25. Pulse! Palpate with How many fingers?
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
Explain the procedure to the patient.
Palpate with 2 fingers (index and middle) over radial artery.
Perform two minutes of high quality CPR.


26. Administer ____ concentration oxygen.
Administer high concentration oxygen.
You should determine the chief complaint/apparent life threats of the patient.
Initiate analysis of the rhythm.
Scalp - ears - eyes - and the oral/nasal areas.


27. Report/record pulse findings.
Assess the patient's ability to use the nebulizer.
Determine if the scene is safe.
(margin +/-4)
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.


28. Assess the following
Assessing the posterior includes assessing the thorax - and the lumbar.
Confirm that the patient is sitting as upright as possible.
- Rate - Rhythm (regular/irregular)
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever


29. During your Epinephrine Auto - Injector Administration scenario; What is the First thing you should do?
Take BSI precautions.
Initiate steps to prevent heat loss from the patient.
Check the level of consciousness - and the history.
Confirm that the patient is sitting as upright as possible.


30. How long should you perform high quality CPR?
Place auto - injector on lateral thigh - midway between the knee and thigh.
Perform two minutes of high quality CPR.
Yes - always explain to the patient that they will feel a stick from the needle.
Hyperextend extremity and palpate brachial artery.


31. Where do you dispose of the auto - injector?
Apply pressure dressing to the wound.
Dispose of the auto - injector in a sharps container.
Confirm that the patient has NO allergies to the medication.
Normal - Moist - Diaphoretic


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

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33. How will you determine if the patient needs glucose administration?
Take or verbalize body substance isolation precautions.
Check the level of consciousness - and the history.
Explain the procedure to the patient.
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.


34. But wait.. are you sure that the patient isn't allergic to the medication?
Briefly question the bystanders about arrest events.
Confirm that the patient has NO allergies to the medication.
Count pulse for minimum of 30 seconds then multiply by 2.
Request additional help.


35. Inflate the cuff rapidly to at least ??mm Hg above the point where the pulse is lost.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Perform two minutes of high quality CPR.
(margin +/-4)
Inspect the chest - palpate - auscultate.


36. You've prepared the medication and nebulizer...now attach oxygen to the nebulizer.
Briefly question the bystanders about arrest events.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
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.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin


37. When assessing the head - What do you check?
Scalp - ears - eyes - and the oral/nasal areas.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Verbalize the transportation of the patient.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.


38. Time for Bleeding Control/Shock Management! First thing you do?
Remember to explain the procedure to the patient.
Take BSI precaution!
Turn over CPR to another rescuer. Turn on the AED.
First - observe the rise and fall of the chest/abdomen.


39. The patient is still bleeding - so you..
Hyperextend extremity and palpate brachial artery.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Apply pressure dressing to the wound.
Take BSI precautions!


40. Blood pressure (palpatation)

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41. When dealing with a patient who is having trouble - dealing with respiratory problems - What are the questions/key words you should remember?
Confirm that the patient is sitting as upright as possible.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Determine the mechanism of injury.
Inspect the chest - palpate - auscultate.


42. Attach the AED to the patient;
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Initiate analysis of the rhythm.
Inspect the chest - palpate - auscultate.
Document the procedure!


43. You need to get the patient to the hospital - NOW. What do you do?
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Indicate the need for immediate transportation.
The second action is determining the patient's responsiveness/level of consciousness
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.


44. Circulation assessment re - cap! When assessing the skin - what should you be looking at?
The color - temperature - and condition.
Check the level of consciousness - and the history.
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.


45. 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?)

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46. After you open the airway - What do you do?
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Open the airway manually.
Connect the one - way valve to mask.
Switch to bag/valve mask.


47. The patient may start losing body heat.. What do you do?
Initiate steps to prevent heat loss from the patient.
Explain the procedure to the patient.
Confirm that the patient has NO allergies to the medication.
Yes - you should obtain SAMPLE history after taking baseline vital signs.


48. Integration! First thing you do;
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Assure high concentration of oxygen is delivered to the patient.


49. Now you have to assess the posterior.. this includes the ______ and the _______.
You should determine the chief complaint/apparent life threats of the patient.
Did that help? Document when you put the tourniquet on.
Assessing the posterior includes assessing the thorax - and the lumbar.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing


50. Skin Signs!
That one is basically self - explanatory. Do that after you apply the cuff!
Take BSI precautions!
Request additional help.
Assess the following..