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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 step in 'Scene Size Up'.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Yes - always explain to the patient that they will feel a stick from the needle.
Take or verbalize body substance isolation precautions.
Determine if the scene is safe.

2. Monitor the patient's condition and vital signs after you administer the medication - and...
Document the procedure!
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Yes - direct resumption of CPR.
Verbalize the transportation of the patient.

3. 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.
Medical command
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.

4. Do CPR without unnecessary/prolonged interruption..
Turn over CPR to another rescuer. Turn on the AED.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Initiate analysis of the rhythm.
Switch to bag/valve mask.

5. Skin Temperature: (touch the patient)
Confirm that the patient is sitting as upright as possible.
Take BSI precautions!
- Normal (warm) - Cool - Cold - Hot
You should determine the chief complaint/apparent life threats of the patient.

6. Did that help?
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
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)

7. Time for the Nebulized Medication Administration part of your skill assessment. Again - what's the First thing you do?
Take BSI precautions!
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Open the airway manually.
Briefly question the bystanders about arrest events.

8. 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?
Apply direct pressure to the wound.
Remember to explain the procedure to the patient.
Dispose of the auto - injector in a sharps container.
You should manage all of the patient's secondary injuries/wounds appropriately

9. Assess the following
- Normal (warm) - Cool - Cold - Hot
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
- Rate - Rhythm (regular/irregular)

10. Did THAT help?
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
Connect the one - way valve to mask.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
- Normal (warm) - Cool - Cold - Hot

11. You've exposed the patient's leg. Where do you place the auto - injector?
Hold the auto - injector to the patient's thigh for 10 seconds.
Switch to bag/valve mask.
Place auto - injector on lateral thigh - midway between the knee and thigh.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.

12. After taking care of the chief complaint of the patient during the initial assessment - you should...
Assess the airway and breathing.
Brachial artery.
You should manage all of the patient's secondary injuries/wounds appropriately
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever

13. What's the expiration date on the oral glucose?
Confirm that the patient has NO allergies to the medication.
Confirm the expiration date.
Ventilate the patient at a rate of 10-20 per minute.
Hold the auto - injector to the patient's thigh for 10 seconds.

14. After selecting the appropriate assessment - (focused or rapid) - you should obtain baseline ___?___
Inspect the chest - palpate - auscultate.
Scalp - ears - eyes - and the oral/nasal areas.
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.
You should obtain baseline vital signs of the patient.

15. Where do you dispose of the auto - injector?
Count pulse for minimum of 30 seconds then multiply by 2.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Indicate the need for immediate transportation.
Dispose of the auto - injector in a sharps container.

16. 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?
Direct assistant to assume ventilation and pre - oxygenate patient.
You should manage all of the patient's secondary injuries/wounds appropriately
Open the airway manually.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.

17. You've checked the neck - now move down to the chest.
- Rate - Rhythm (regular/irregular)
Inspect the chest - palpate - auscultate.
Medical command
Report/record ausculated blood pressure.

18. Ventilate patient!
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.
Monitor the patient's condition and vital signs after administration.
Assure high concentration of oxygen is delivered to the patient.
Inspect the chest - palpate - auscultate.

19. It's time to administer the medication to the patient! How are you going to do so?
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.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
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
Assess the following..

20. Time for Airway Management assessment! What's the First thing you do?
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Take BSI precautions!
Determine the mechanism of injury.
Yes - direct resumption of CPR.

21. Focused History and Physical Examination/Rapid Trauma Assessment. The first thing you should do in this situation is...
Expose the thigh area - (and say that you are doing so.)
Select the appropriate assessment (focused - or rapid assessment)
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Check the level of consciousness - and the history.

22. Establish and maintain a proper mask to face seal.
Document the procedure!
After doing so - ventilate the patient at the proper volume and rate.
Verbalizing the general impression of the patient.
Yes - always explain to the patient that they will feel a stick from the needle.

23. 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 the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Yes - always explain to the patient that they will feel a stick from the needle.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Take BSI precautions!

24. Count the respiratory rate for at least ___ seconds and multiply times 2.
Inspect the chest - palpate - auscultate.
For at least 30 seconds!
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)

25. First action performed after you arrive on scene..
Initiate analysis of the rhythm.
Direct assistant to assume ventilation and pre - oxygenate patient.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Take or verbalize body substance isolation precautions.

26. How should the patient be sitting?
Document the procedure!
The color - temperature - and condition.
Confirm that the patient is sitting as upright as possible.
Brachial artery.

27. Respirations!
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.
Place auto - injector on lateral thigh - midway between the knee and thigh.
First - observe the rise and fall of the chest/abdomen.
Initiate analysis of the rhythm.

28. What do you direct your assistant to do?
Yes - you should obtain SAMPLE history after taking baseline vital signs.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Document the procedure!
Direct assistant to assume ventilation and pre - oxygenate patient.

29. What do you do after that?
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Initiate analysis of the rhythm.
Connect the mask to high concentration or oxygen.
That one is basically self - explanatory. Do that after you apply the cuff!

30. _______ extremity and palpate ______ artery.
Medical command
Verbalize the transportation of the patient.
After doing so - ventilate the patient at the proper volume and rate.
Hyperextend extremity and palpate brachial artery.

31. Okay - now you have to assess the posterior.. this includes the ______ and the _______.
Initiate steps to prevent heat loss from the patient.
Assure high concentration of oxygen is delivered to the patient.
Assessing the posterior includes assessing the thorax - and the lumbar.
Yes. Consult with Medical Command.

32. How long should you perform high quality CPR?
First - observe the rise and fall of the chest/abdomen.
Confirm that the patient is sitting as upright as possible.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Perform two minutes of high quality CPR.

33. Circulation assessment re - cap! When assessing the skin - what should you be looking at?
The color - temperature - and condition.
Explain the procedure to the patient.
Briefly question the bystanders about arrest events.
Connect the mask to high concentration or oxygen.

34. What do you do after you determine if the scene is safe?
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
Select the appropriate assessment (focused - or rapid assessment)
Determine the mechanism of injury.

35. But wait.. are you sure that the patient isn't allergic to the medication?
Count pulse for minimum of 30 seconds then multiply by 2.
Take or verbalize body substance isolation precautions.
Confirm that the patient has NO allergies to the medication.
Document the procedure!

36. There are bystanders who seen what happened.. do you question them?
Document the procedure!
Determine the mechanism of injury.
Assess the patient's ability to use the nebulizer.
Briefly question the bystanders about arrest events.

37. After checking the chest - where do you move?
Right patient - Right drug - Right dose - Right route - Right time.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
- 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.

38. Okay - you've told the patient what you're going to do.. But are you sure they're not allergic to the medication?
Verbalizing the general impression of 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
Confirm that the patient has NO allergies to the medication.
Count pulse for minimum of 30 seconds then multiply by 2.

39. When assessing the head - What do you check?
Turn over CPR to another rescuer. Turn on the AED.
You should verbalize the re - assessment of the vital signs.
Scalp - ears - eyes - and the oral/nasal areas.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)

40. Attach the AED to the patient;
Initiate analysis of the rhythm.
You should obtain baseline vital signs of the patient.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
You should manage all of the patient's secondary injuries/wounds appropriately

41. After taking BSI precautions - consult with...
Briefly question the bystanders about arrest events.
You should obtain baseline vital signs of the patient.
Select the appropriate assessment (focused - or rapid assessment)
Medical command

42. 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?
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Confirm the expiration date.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Assess the airway and breathing.

43. Skin Signs!
Document the procedure!
Perform two minutes of high quality CPR.
Assess the following..
Administer high concentration oxygen.

44. Skin Moisture: (touch the patient)
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Determine if the scene is safe.
Normal - Moist - Diaphoretic
Request additional help.

45. 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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46. Blood pressure (palpatation)

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

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48. Inflate cuff rapidly to at least 20mm Hg ______ palpated blood pressure.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Take BSI precautions!

49. Assess the following
Assess the following..
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
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
- Rate - Rhythm (regular/irregular)

50. To assess circulation - (after you assess the airway/breathing of the patient) - What are the four actions needed to be taken?
Assessing the posterior includes assessing the thorax - and the lumbar.
Assure high concentration of oxygen is delivered to 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.
Document the procedure!