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?
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Medical command
Yes - always explain to the patient that they will feel a stick from the needle.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.


2. Respirations!
Verbalizing the general impression of the patient.
Initiate analysis of the rhythm.
First - observe the rise and fall of the chest/abdomen.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing


3. Circulation assessment re - cap! When assessing the skin - what should you be looking at?
Assess the airway and breathing.
The color - temperature - and condition.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Brachial artery.


4. Attach the AED to the patient;
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.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Initiate analysis of the rhythm.


5. 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.
Brachial artery.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
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


6. Integration! First thing you do;
The second action is determining the patient's responsiveness/level of consciousness
Assess the following..
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)


7. Ventilate patient!
Assure high concentration of oxygen is delivered to the patient.
Take or verbalize body substance isolation precautions.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Did that help? Document when you put the tourniquet on.


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

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

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11. Report/record pulse findings.
Place auto - injector on lateral thigh - midway between the knee and thigh.
Assessing the posterior includes assessing the thorax - and the lumbar.
Yes - direct resumption of CPR.
(margin +/-4)


12. 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?
Contact medical command if patient condition permits.
Right patient - Right drug - Right dose - Right route - Right time.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
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.'


13. 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?
Check the level of consciousness - and the history.
Connect the mask to high concentration or oxygen.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.


14. Monitor the patient's condition and vital signs after you administer the medication - and...
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Document the procedure!
Perform two minutes of high quality CPR.
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.


15. 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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16. After consulting Medical Command - are you going to perform the procedure without explaining anything to the patient?
Confirm that the patient is sitting as upright as possible.
Explain the procedure to the patient.
Connect the one - way valve to mask.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.


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 effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Indicate the need for immediate transportation.


18. To assess circulation - (after you assess the airway/breathing of the patient) - What are the four actions needed to be taken?
Verbalizing the general impression of the patient.
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.
You should determine the chief complaint/apparent life threats of the patient.


19. Do CPR without unnecessary/prolonged interruption..
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.
Take BSI precautions!
Right patient - Right drug - Right dose - Right route - Right time.


20. 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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21. '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?
Take or verbalize body substance isolation precautions.
Assess the patient's ability to use the nebulizer.
Turn over CPR to another rescuer. Turn on the AED.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer


22. Time for the Detailed Physical Examination! Should you examine the head - arm - or abdomen first?
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
Palpate with 2 fingers (index and middle) over radial artery.
Connect the mask to high concentration or oxygen.


23. When dealing with a patient who is having trouble - dealing with respiratory problems - What are the questions/key words you should remember?
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.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Scalp - ears - eyes - and the oral/nasal areas.
Assessing the posterior includes assessing the thorax - and the lumbar.


24. You've checked the neck - now move down to the chest.
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.
(margin +/-4)
Initiate analysis of the rhythm.
Inspect the chest - palpate - auscultate.


25. Establish and maintain a proper mask to face seal.
Yes. Consult with Medical Command.
The color - temperature - and condition.
After doing so - ventilate the patient at the proper volume and rate.
Briefly question the bystanders about arrest events.


26. After taking care of the chief complaint of the patient during the initial assessment - you should...
Take BSI precautions!
Assess the airway and breathing.
You should verbalize the re - assessment of the vital signs.
- Rate - Rhythm (regular/irregular)


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

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28. Transportation!
Yes - direct resumption of CPR.
Verbalize the transportation of the patient.
The color - temperature - and condition.
Assess the airway and breathing.


29. You've assessed the patient's ability to use the nebulizer - should you consult with Medical Command?
Yes. Consult with Medical Command.
Open the airway manually.
Normal - Moist - Diaphoretic
Yes - direct resumption of CPR.


30. _______ extremity and palpate ______ artery.
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.
Hyperextend extremity and palpate brachial artery.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Assessing the posterior includes assessing the thorax - and the lumbar.


31. You're getting ready to use the AED. But the other rescuer is still performing CPR.. What do you tell him?
Direct resumption of CPR.
Direct rescuer to stop CPR and ensures all individuals to stand clear.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.


32. After checking the chest - where do you move?
Remember to explain the procedure to the patient.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Take BSI precautions!
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.


33. First action performed after you arrive on scene..
Count pulse for minimum of 30 seconds then multiply by 2.
Take or verbalize body substance isolation precautions.
Open the airway manually.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)


34. During your Epinephrine Auto - Injector Administration scenario; What is the First thing you should do?
Take BSI precautions.
Select the appropriate assessment (focused - or rapid assessment)
- 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.


35. Baseline Vital Signs! What do you do first?
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Take BSI precautions!
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.
For at least 30 seconds!


36. Blood pressure (palpatation)

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37. After you're sure he/she isn't allergic to the medicine; check your 5 rights of drug administration.. which are.....
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
You should manage all of the patient's secondary injuries/wounds appropriately
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Right patient - Right drug - Right dose - Right route - Right time.


38. It's time to administer the medication to the patient! How are you going to do so?
- Normal (warm) - Cool - Cold - Hot
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
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
The second action is determining the patient's responsiveness/level of consciousness


39. You deliver the shock - now what?
Apply direct pressure to the wound.
Direct resumption of CPR.
The color - temperature - and condition.
Verbalizing the general impression of the patient.


40. You're positive that the patient is Not allergic to the medication - and you've referred to the 5 rights of drug administration. You've got the auto - injector in your hand - What do you do first?
Confirm that the patient has NO allergies to the medication.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Palpate with 2 fingers (index and middle) over radial artery.
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)


41. Should you just lay something over the wound after BSI precaution - or should you apply direct pressure?
You should verbalize the re - assessment of the vital signs.
Connect the mask to high concentration or oxygen.
Apply direct pressure to the wound.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin


42. Time for Bleeding Control/Shock Management! First thing you do?
Take BSI precaution!
Connect the mask to high concentration or oxygen.
You should manage all of the patient's secondary injuries/wounds appropriately
Assessing the posterior includes assessing the thorax - and the lumbar.


43. The patient may start losing body heat.. What do you do?
Scalp - ears - eyes - and the oral/nasal areas.
Initiate steps to prevent heat loss from the patient.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Verbalizing the general impression of the patient.


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

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45. When assessing the head - What do you check?
Switch to bag/valve mask.
Scalp - ears - eyes - and the oral/nasal areas.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Confirm that the patient is sitting as upright as possible.


46. Now you have to assess the posterior.. this includes the ______ and the _______.
Ventilate the patient at a rate of 10-20 per minute.
That one is basically self - explanatory. Do that after you apply the cuff!
Assessing the posterior includes assessing the thorax - and the lumbar.
Apply direct pressure to the wound.


47. Skin Color: (observe the patient)
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.
Confirm the expiration date.
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.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing


48. What do you do if the patient needs glucose administration? Do you go ahead and do it? or do you contact someone?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Count pulse for minimum of 30 seconds then multiply by 2.
Assess the airway and breathing.
Contact medical command if patient condition permits.


49. Time for Airway Management assessment! What's the First thing you do?
Contact medical command if patient condition permits.
Take BSI precautions!
Verbalize the transportation of the patient.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)


50. How do you open the airway?
Yes - direct resumption of CPR.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Open the airway manually.