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. Place diaphragm of stethoscope over...
Take BSI precautions!
Connect the mask to high concentration or oxygen.
Expose the thigh area - (and say that you are doing so.)
Brachial artery.


2. How do you open the airway?
(margin +/-4)
Direct assistant to assume ventilation and pre - oxygenate patient.
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Open the airway manually.


3. 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?
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.


4. Did THAT help?
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.
Ventilate the patient at a rate of 10-20 per minute.
Direct rescuer to stop CPR and ensures all individuals to stand clear.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)


5. 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?
Take BSI precaution!
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Take BSI precautions!
Direct rescuer to stop CPR and ensures all individuals to stand clear.


6. Monitor the patient's condition and vital signs after you administer the medication - and...
Determine the number of patients.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Hold the auto - injector to the patient's thigh for 10 seconds.
Document the procedure!


7. Blood pressure (palpatation)

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8. You need to get the AED. What should you do?
Turn over CPR to another rescuer. Turn on the AED.
You should manage all of the patient's secondary injuries/wounds appropriately
Hyperextend extremity and palpate brachial artery.
Confirm that the patient has NO allergies to the medication.


9. Skin Moisture: (touch the patient)
Confirm that the patient is sitting as upright as possible.
Normal - Moist - Diaphoretic
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Assessing the posterior includes assessing the thorax - and the lumbar.


10. When assessing the head - What do you check?
Scalp - ears - eyes - and the oral/nasal areas.
Switch to bag/valve mask.
That one is basically self - explanatory. Do that after you apply the cuff!
Verbalizing the general impression of the patient.


11. You've assessed the patient's ability to use the nebulizer - should you consult with Medical Command?
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Yes. Consult with Medical Command.
Turn over CPR to another rescuer. Turn on the AED.
First - observe the rise and fall of the chest/abdomen.


12. After you determine the number of patients - what should you do - IF NECESSARY?
Determine the number of patients.
Request additional help.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Initiate analysis of the rhythm.


13. What do you direct your assistant to do?
Administer high concentration oxygen.
Direct assistant to assume ventilation and pre - oxygenate patient.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Assure high concentration of oxygen is delivered to the patient.


14. First action performed after you arrive on scene..
- Rate - Rhythm (regular/irregular)
Take or verbalize body substance isolation precautions.
Take BSI precaution!
Right patient - Right drug - Right dose - Right route - Right time.


15. 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?
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Connect the one - way valve to mask.
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery


16. You've checked the neck - now move down to the chest.
You should manage all of the patient's secondary injuries/wounds appropriately
Report/record ausculated blood pressure.
Yes. Consult with Medical Command.
Inspect the chest - palpate - auscultate.


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?
You should verbalize the re - assessment of the vital signs.
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.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Open the airway manually.


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.
Direct resumption of CPR.
Monitor the patient's condition and vital signs after administration.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer


19. 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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20. During your Epinephrine Auto - Injector Administration scenario; What is the First thing you should do?
Connect the mask to high concentration or oxygen.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Take BSI precautions.


21. How should the patient be sitting?
Confirm that the patient is sitting as upright as possible.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
Did that help? Document when you put the tourniquet on.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.


22. 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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23. _______ extremity and palpate ______ artery.
Connect the mask to high concentration or oxygen.
Hyperextend extremity and palpate brachial artery.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Assessing the posterior includes assessing the thorax - and the lumbar.


24. You've prepared the medication and nebulizer...now attach oxygen to the nebulizer.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Medical command
Open the airway manually.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)


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

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26. You deliver the shock.. should the rescuer go back to giving the patient CPR?
Yes - direct resumption of CPR.
Connect the mask to high concentration or oxygen.
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Remember to explain the procedure to the patient.


27. You've checked the neck - now move down to the chest.
Verbalize the transportation of the patient.
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
Inspect the chest - palpate - auscultate.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.


28. Baseline Vital Signs! What do you do first?
(margin +/-4)
Take BSI precaution!
Take BSI precautions!
The color - temperature - and condition.


29. What do you do after that?
Contact medical command if patient condition permits.
Inspect the chest - palpate - auscultate.
Explain the procedure to the patient.
Connect the mask to high concentration or oxygen.


30. What's the expiration date on the oral glucose?
Direct resumption of CPR.
Yes - direct resumption of CPR.
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 the expiration date.


31. You need to get the patient to the hospital - NOW. What do you do?
Indicate the need for immediate transportation.
Remember to position the patient properly.
Scalp - ears - eyes - and the oral/nasal areas.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.


32. Time for the Detailed Physical Examination! Should you examine the head - arm - or abdomen first?
Open the airway manually.
Yes - direct resumption of CPR.
Confirm that the patient has NO allergies to the medication.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)


33. Where do you dispose of the auto - injector?
Inspect the chest - palpate - auscultate.
Turn over CPR to another rescuer. Turn on the AED.
Dispose of the auto - injector in a sharps container.
Assess the following..


34. How do you prepare the medication and nebulizer?
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Confirm that the patient has NO allergies to the medication.
Hyperextend extremity and palpate brachial artery.
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.


35. Count palpated pulse for a minimum of ___ seconds and multiply times 2.
The pulse returns.
Count pulse for minimum of 30 seconds then multiply by 2.
Administer high concentration oxygen.
Assessing the posterior includes assessing the thorax - and the lumbar.


36. How long should you perform high quality CPR?
Select the appropriate assessment (focused - or rapid assessment)
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Yes. Consult with Medical Command.
Perform two minutes of high quality CPR.


37. It's time to administer the medication to the patient! How are you going to do so?
Report/record ausculated blood pressure.
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
Perform two minutes of high quality CPR.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)


38. After taking care of the chief complaint of the patient during the initial assessment - you should...
Take BSI precautions!
Assess the airway and breathing.
Verbalize the transportation of the patient.
Administer high concentration oxygen.


39. Blood pressure (auscultation)

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40. What do you do after you determine the mechanism of injury?
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Determine the number of patients.
You should manage all of the patient's secondary injuries/wounds appropriately
Select the appropriate assessment (focused - or rapid assessment)


41. After selecting the appropriate assessment - (focused or rapid) - you should obtain baseline ___?___
Explain the procedure to the patient.
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
You should obtain baseline vital signs of the patient.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer


42. Focused History and Physical Examination/Rapid Trauma Assessment. The first thing you should do in this situation is...
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Select the appropriate assessment (focused - or rapid assessment)
Connect the one - way valve to mask.


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

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44. Count the respiratory rate for at least ___ seconds and multiply times 2.
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Medical command
For at least 30 seconds!
Document the procedure!


45. 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
Verbalizing the general impression of the patient.
You should determine the chief complaint/apparent life threats of the patient.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
After doing so - ventilate the patient at the proper volume and rate.


46. 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
The pulse returns.
Switch to bag/valve mask.
(margin +/-4)


47. 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?
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Remember to explain the procedure to the patient.
Take BSI precautions.
You should determine the chief complaint/apparent life threats of the patient.


48. After checking the chest - where do you move?
(margin +/-4)
Assessing the posterior includes assessing the thorax - and the lumbar.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.


49. You deliver the shock - now what?
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Initiate analysis of the rhythm.
Direct resumption of CPR.


50. Inflate cuff rapidly to at least 20mm Hg ______ palpated blood pressure.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Confirm that the patient has NO allergies to the medication.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)