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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. Focused History and Physical Examination/Rapid Trauma Assessment. The first thing you should do in this situation is...
Assessing the posterior includes assessing the thorax - and the lumbar.
Confirm that the patient has NO allergies to the medication.
Apply pressure dressing to the wound.
Select the appropriate assessment (focused - or rapid assessment)

2. It's time to administer the medication to the patient! How are you going to do so?
Confirm that the patient has NO allergies to the medication.
Administer high concentration oxygen.
Take BSI precautions!
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

3. Should you just lay something over the wound after BSI precaution - or should you apply direct pressure?
Take BSI precautions!
Apply direct pressure to the wound.
Initiate analysis of the rhythm.
Hyperextend extremity and palpate brachial artery.

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

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5. How long should you perform high quality CPR?
Administer high concentration oxygen.
Initiate analysis of the rhythm.
Monitor the patient's condition and vital signs after administration.
Perform two minutes of high quality CPR.

6. Attach the AED to the patient;
Administer high concentration oxygen.
Assessing the posterior includes assessing the thorax - and the lumbar.
Direct rescuer to stop CPR and ensures all individuals to stand clear.
Initiate analysis of the rhythm.

7. Report/record pulse findings.
Determine the number of patients.
(margin +/-4)
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Yes - direct resumption of CPR.

8. Baseline Vital Signs! What do you do first?
Take BSI precautions!
Verbalizing the general impression of the patient.
Apply pressure dressing to the wound.
Determine the mechanism of injury.

9. '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?
Initiate analysis of the rhythm.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
The pulse returns.
First - observe the rise and fall of the chest/abdomen.

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

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11. Establish and maintain a proper mask to face seal.
After doing so - ventilate the patient at the proper volume and rate.
The pulse returns.
That one is basically self - explanatory. Do that after you apply the cuff!
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)

12. First action performed after you arrive on scene..
Yes - direct resumption of CPR.
Take or verbalize body substance isolation precautions.
Verbalize the transportation of the patient.
Direct resumption of CPR.

13. Ventilate patient!
Document the procedure!
After doing so - ventilate the patient at the proper volume and rate.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Assure high concentration of oxygen is delivered to the patient.

14. To assess circulation - (after you assess the airway/breathing of the patient) - What are the four actions needed to be taken?
Apply direct pressure to the wound.
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.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Turn over CPR to another rescuer. Turn on the AED.

15. How should the patient be sitting?
Inspect the chest - palpate - auscultate.
Confirm that the patient is sitting as upright as possible.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Initiate steps to prevent heat loss from the patient.

16. Skin Signs!
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
Assess the following..
Brachial artery.
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?
After doing so - ventilate the patient at the proper volume and rate.
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
You should verbalize the re - assessment of the vital signs.
- Normal (warm) - Cool - Cold - Hot

18. You need to get the patient to the hospital - NOW. What do you do?
Indicate the need for immediate transportation.
Direct resumption of CPR.
Did that help? Document when you put the tourniquet on.
Scalp - ears - eyes - and the oral/nasal areas.

19. Assess the following
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.
Ventilate the patient at a rate of 10-20 per minute.
- Rate - Rhythm (regular/irregular)
Determine the number of patients.

20. 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?
Switch to bag/valve mask.
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Turn over CPR to another rescuer. Turn on the AED.
Count pulse for minimum of 30 seconds then multiply by 2.

21. There are bystanders who seen what happened.. do you question them?
Connect the one - way valve to mask.
Briefly question the bystanders about arrest events.
Assure high concentration of oxygen is delivered to the patient.
Did that help? Document when you put the tourniquet on.

22. After selecting the appropriate assessment - (focused or rapid) - you should obtain baseline ___?___
You should obtain baseline vital signs of the patient.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Scalp - ears - eyes - and the oral/nasal areas.
Perform two minutes of high quality CPR.

23. Administer ____ concentration oxygen.
Right patient - Right drug - Right dose - Right route - Right time.
Direct rescuer to stop CPR and ensures all individuals to stand clear.
You should verbalize the re - assessment of the vital signs.
Administer high concentration oxygen.

24. What's the expiration date on the oral glucose?
Verbalizing the general impression of the patient.
Confirm the expiration date.
Select the appropriate assessment (focused - or rapid assessment)
Confirm that the patient has NO allergies to the medication.

25. You've exposed the patient's leg. Where do you place the auto - injector?
Assessing the posterior includes assessing the thorax - and the lumbar.
Place auto - injector on lateral thigh - midway between the knee and thigh.
Take BSI precautions.
Remember to position the patient properly.

26. First step in 'Scene Size Up'.
Determine if the scene is safe.
That one is basically self - explanatory. Do that after you apply the cuff!
Apply pressure dressing to the wound.
Perform two minutes of high quality CPR.

27. 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
Turn over CPR to another rescuer. Turn on the AED.
Determine if the scene is safe.
Document the procedure!

28. 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?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Assess the patient's ability to use the nebulizer.
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Apply pressure dressing to the wound.

29. Where do you dispose of the auto - injector?
Dispose of the auto - injector in a sharps container.
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 the transportation of the patient.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin

30. Palpate radial or brachial artery!
Explain the procedure to the patient.
Palpate with 2 fingers (index and middle) over radial artery.
That one is basically self - explanatory. Do that after you apply the cuff!
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.

31. Skin Color: (observe the patient)
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Determine if the scene is safe.
Right patient - Right drug - Right dose - Right route - Right time.
The pulse returns.

32. During your Epinephrine Auto - Injector Administration scenario; What is the First thing you should do?
The color - temperature - and condition.
Take BSI precaution!
Did that help? Document when you put the tourniquet on.
Take BSI precautions.

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

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34. But wait.. are you sure that the patient isn't allergic to the medication?
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Inspect the chest - palpate - auscultate.
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
Confirm that the patient has NO allergies to the medication.

35. 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?
Yeah.. definitely don't forget to document everything.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Take BSI precautions!
Assess the patient's ability to use the nebulizer.

36. When assessing the head - What do you check?
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.
Scalp - ears - eyes - and the oral/nasal areas.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing

37. Circulation assessment re - cap! When assessing the skin - what should you be looking at?
Count pulse for minimum of 30 seconds then multiply by 2.
Briefly question the bystanders about arrest events.
Take BSI precautions.
The color - temperature - and condition.

38. Assess the following
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Assess the following..
Initiate steps to prevent heat loss from the patient.

39. What do you direct your assistant to do?
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Direct assistant to assume ventilation and pre - oxygenate patient.
Verbalizing the general impression of the patient.

40. 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 obtain baseline vital signs of the patient.
Apply direct pressure to the wound.
Hold the auto - injector to the patient's thigh for 10 seconds.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.

41. 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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42. Assessment says that you will notice that the patient is now pale and diaphoretic with a rapid - weak pulse... say that out loud.
For at least 30 seconds!
Apply direct pressure to the wound.
Remember to position the patient properly.
Take or verbalize body substance isolation precautions.

43. How do you open the airway?
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Open the airway manually.
Take BSI precautions!
Yes - you should obtain SAMPLE history after taking baseline vital signs.

44. 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.
Assessing the posterior includes assessing the thorax - and the lumbar.
Document the procedure!
Assess the airway and breathing.

45. 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
Apply the 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)
Verbalizing the general impression of the patient.
Normal - Moist - Diaphoretic

46. Did THAT help?
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Scalp - ears - eyes - and the oral/nasal areas.
Take BSI precautions!
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)

47. Respirations!
Report/record ausculated blood pressure.
First - observe the rise and fall of the chest/abdomen.
Yeah.. definitely don't forget to document everything.
Assess the airway and breathing.

48. After taking care of the chief complaint of the patient during the initial assessment - you should...
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over 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.
The pulse returns.
Assess the airway and breathing.

49. Slowly deflate the cuff - and report/record palpable systolic blood pressure when..
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Inspect the chest - palpate - auscultate.
(margin +/-4)
The pulse returns.

50. Transportation!
Assure high concentration of oxygen is delivered to the patient.
Initiate steps to prevent heat loss from the patient.
Verbalize the transportation of the patient.
Take BSI precautions!

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