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. Count palpated pulse for a minimum of ___ seconds and multiply times 2.
Count pulse for minimum of 30 seconds then multiply by 2.
Palpate with 2 fingers (index and middle) over radial artery.
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.'
Direct resumption of CPR.


2. When dealing with a patient who has an altered mental status - What are the questions/key words you need to remember in order to assess them appropriately?
Remember to explain the procedure to the patient.
Medical command
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
The second action is determining the patient's responsiveness/level of consciousness


3. After taking BSI precautions - consult with...
Request additional help.
Monitor the patient's condition and vital signs after administration.
Medical command
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin


4. 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?
Indicate the need for immediate transportation.
Confirm that the patient has NO allergies to the medication.
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Remember to explain the procedure to the patient.


5. Time for the Detailed Physical Examination! Should you examine the head - arm - or abdomen first?
Apply pressure dressing to the wound.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Report/record ausculated blood pressure.


6. Baseline Vital Signs! What do you do first?
Take BSI precautions!
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Explain the procedure to the patient.


7. 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?
Inspect the chest - palpate - auscultate.
Take BSI precaution!
Initiate steps to prevent heat loss from the patient.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.


8. Apply a tourniquet.
Did that help? Document when you put the tourniquet on.
- Normal (warm) - Cool - Cold - Hot
Dispose of the auto - injector in a sharps container.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.


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

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10. 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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11. 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?
- Normal (warm) - Cool - Cold - Hot
You should determine the chief complaint/apparent life threats of the patient.
You should verbalize the re - assessment of the vital signs.
Confirm that the patient is sitting as upright as possible.


12. Okay - you've told the patient what you're going to do.. But are you sure they're not allergic to the medication?
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Confirm that the patient has NO allergies to the medication.
You should obtain baseline vital signs of the patient.
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery


13. Blood pressure (palpatation)

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14. To assess circulation - (after you assess the airway/breathing of the patient) - What are the four actions needed to be taken?
Palpate with 2 fingers (index and middle) over radial artery.
Expose the thigh area - (and say that you are doing so.)
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
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.


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

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16. Assessment says that you will notice that the patient is now pale and diaphoretic with a rapid - weak pulse... say that out loud.
Yeah.. definitely don't forget to document everything.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Remember to position the patient properly.
Explain the procedure to the patient.


17. You've checked the neck - now move down to the chest.
Remember to position the patient properly.
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.
Verbalize the transportation of the patient.
Inspect the chest - palpate - auscultate.


18. You've exposed the patient's leg. Where do you place the auto - injector?
Place auto - injector on lateral thigh - midway between the knee and thigh.
Assess the following..
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Yeah.. definitely don't forget to document everything.


19. Transportation!
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Contact medical command if patient condition permits.
Verbalize the transportation of the patient.


20. You've checked the neck - now move down to the chest.
After doing so - ventilate the patient at the proper volume and rate.
Remember to position the patient properly.
You should verbalize the re - assessment of the vital signs.
Inspect the chest - palpate - auscultate.


21. What's the expiration date on the oral glucose?
- Normal (warm) - Cool - Cold - Hot
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.
Check the level of consciousness - and the history.
Confirm the expiration date.


22. But wait.. are you sure that the patient isn't allergic to the medication?
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Normal - Moist - Diaphoretic
Confirm that the patient has NO allergies to the medication.
Scalp - ears - eyes - and the oral/nasal areas.


23. There are bystanders who seen what happened.. do you question them?
Select the appropriate assessment (focused - or rapid assessment)
Briefly question the bystanders about arrest events.
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.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.


24. 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 (warm) - Cool - Cold - Hot
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
You should manage all of the patient's secondary injuries/wounds appropriately


25. The patient is still bleeding - so you..
Apply pressure dressing to the wound.
Expose the thigh area - (and say that you are doing so.)
Assess the following..
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)


26. During the initial assessment of the patient - the first action that should be taken is verbalizing what? A.) the general impression of the patient B.) if the patient is conscious C.) if the patient is hysterical
Direct assistant to assume ventilation and pre - oxygenate patient.
Normal - Moist - Diaphoretic
You should verbalize the re - assessment of the vital signs.
Verbalizing the general impression of the patient.


27. Skin Temperature: (touch the patient)
Confirm the expiration date.
Verbalize the transportation of the patient.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
- Normal (warm) - Cool - Cold - Hot


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

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29. What do you do after you determine if the scene is safe?
Assess the following..
Determine the mechanism of injury.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Did that help? Document when you put the tourniquet on.


30. Ventilate the patient at a rate of __-__ per minute with appropriate volumes via bag/valve mask.
Hold the auto - injector to the patient's thigh for 10 seconds.
Determine the mechanism of injury.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Ventilate the patient at a rate of 10-20 per minute.


31. What do you do after that?
You should verbalize the re - assessment of the vital signs.
Connect the mask to high concentration or oxygen.
Yeah.. definitely don't forget to document everything.
The color - temperature - and condition.


32. How should the patient be sitting?
Confirm that the patient is sitting as upright as possible.
The pulse returns.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.


33. Focused History and Physical Examination/Rapid Trauma Assessment. The first thing you should do in this situation is...
Select the appropriate assessment (focused - or rapid assessment)
Connect the one - way valve to mask.
(margin +/-4)
Take BSI precautions!


34. 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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35. The patient may start losing body heat.. What do you do?
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.
Initiate steps to prevent heat loss from the patient.
Scalp - ears - eyes - and the oral/nasal areas.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.


36. Skin Moisture: (touch the patient)
You should verbalize the re - assessment of the vital signs.
Normal - Moist - Diaphoretic
Direct assistant to assume ventilation and pre - oxygenate patient.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)


37. Ventilate 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.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
Assure high concentration of oxygen is delivered to the patient.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.


38. Inflate the cuff rapidly to at least ??mm Hg above the point where the pulse is lost.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
(margin +/-4)
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)


39. What do you do after you determine the mechanism of injury?
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Did that help? Document when you put the tourniquet on.
Determine the number of patients.
Scalp - ears - eyes - and the oral/nasal areas.


40. Administer ____ concentration oxygen.
The second action is determining the patient's responsiveness/level of consciousness
Confirm that the patient has NO allergies to the medication.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Administer high concentration oxygen.


41. Palpate radial or brachial artery!
Brachial artery.
You should obtain baseline vital signs of the patient.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
That one is basically self - explanatory. Do that after you apply the cuff!


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?
Place auto - injector on lateral thigh - midway between the knee and thigh.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Take or verbalize body substance isolation precautions.
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)


43. Remember to check the '5 Rights' of drug administration.. What are they?
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
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.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing


44. You need to get the patient to the hospital - NOW. What do you do?
Yes - always explain to the patient that they will feel a stick from the needle.
Indicate the need for immediate transportation.
Monitor the patient's condition and vital signs after administration.
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.


45. After consulting Medical Command - are you going to perform the procedure without explaining anything to the patient?
Explain the procedure to the patient.
Take or verbalize body substance isolation precautions.
You should determine the chief complaint/apparent life threats of the patient.
Direct resumption of CPR.


46. Where do you dispose of the auto - injector?
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.
Take BSI precautions.
Dispose of the auto - injector in a sharps container.
Connect the one - way valve to mask.


47. Do CPR without unnecessary/prolonged interruption..
Direct assistant to assume ventilation and pre - oxygenate patient.
Assess the patient's ability to use the nebulizer.
Initiate analysis of the rhythm.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.


48. You deliver the shock.. should the rescuer go back to giving the patient CPR?
Yes - direct resumption of CPR.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Open the airway manually.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)


49. 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?
You should verbalize the re - assessment of the vital signs.
Switch to bag/valve mask.
Yeah.. definitely don't forget to document everything.
Assess the patient's ability to use the nebulizer.


50. You need to get the AED. What should you do?
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
Briefly question the bystanders about arrest events.
Turn over CPR to another rescuer. Turn on the AED.
Apply direct pressure to the wound.