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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. Palpate radial or brachial artery!
That one is basically self - explanatory. Do that after you apply the cuff!
Yes. Consult with Medical Command.
Report/record ausculated blood pressure.
Ventilate the patient at a rate of 10-20 per minute.

2. You've checked the neck - now move down to the chest.
Place auto - injector on lateral thigh - midway between the knee and thigh.
Inspect the chest - palpate - auscultate.
The color - temperature - and condition.
Expose the thigh area - (and say that you are doing so.)

3. Now you have to assess the posterior.. this includes the ______ and the _______.
Take BSI precautions!
Determine the mechanism of injury.
Assessing the posterior includes assessing the thorax - and the lumbar.
Confirm that the patient has NO allergies to the medication.

4. After taking BSI precautions - consult with...
Turn over CPR to another rescuer. Turn on the AED.
Medical command
Check the level of consciousness - and the history.
Verbalizing the general impression of the patient.

5. 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
Count pulse for minimum of 30 seconds then multiply by 2.
Verbalizing the general impression of the patient.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Initiate analysis of the rhythm.

6. 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?
Yes - always explain to the patient that they will feel a stick from the needle.
Verbalizing the general impression of the patient.
Administer high concentration oxygen.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.

7. 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?
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.
Initiate analysis of the rhythm.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer

8. First step in 'Scene Size Up'.
Determine if the scene is safe.
Connect the mask to high concentration or oxygen.
Did that help? Document when you put the tourniquet on.
Take BSI precautions!

9. Integration! First thing you do;
(margin +/-4)
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
Administer high concentration oxygen.

10. Ventilate the patient at a rate of __-__ per minute with appropriate volumes via bag/valve mask.
Yes - always explain to the patient that they will feel a stick from the needle.
Ventilate the patient at a rate of 10-20 per minute.
Assess the airway and breathing.
You should obtain baseline vital signs of the patient.

11. '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?
Report/record ausculated blood pressure.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Open the airway manually.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer

12. Time for the Nebulized Medication Administration part of your skill assessment. Again - what's the First thing you do?
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Apply pressure dressing to the wound.
Take BSI precautions!
Assessing the posterior includes assessing the thorax - and the lumbar.

13. Where do you dispose of the auto - injector?
Dispose of the auto - injector in a sharps container.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Inspect the chest - palpate - auscultate.
Normal - Moist - Diaphoretic

14. You need to get the patient to the hospital - NOW. What do you do?
Remember to explain the procedure to the patient.
Normal - Moist - Diaphoretic
Indicate the need for immediate transportation.
Take BSI precautions!

15. When dealing with a patient who has had an allergic reaction - What are the questions/key things you need to know in order to assess the patient?
Assessing the posterior includes assessing the thorax - and the lumbar.
You should verbalize the re - assessment of the vital signs.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
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.

16. Skin Moisture: (touch the patient)
Normal - Moist - Diaphoretic
Scalp - ears - eyes - and the oral/nasal areas.
Right patient - Right drug - Right dose - Right route - Right time.
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.

17. 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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18. Inflate cuff rapidly to at least 20mm Hg ______ palpated blood pressure.
Indicate the need for immediate transportation.
Take BSI precaution!
Take BSI precautions!
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.

19. Then What do you switch to?
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Verbalize the transportation of the patient.
Switch to bag/valve mask.
The second action is determining the patient's responsiveness/level of consciousness

20. After you're sure he/she isn't allergic to the medicine; check your 5 rights of drug administration.. which are.....
Hyperextend extremity and palpate brachial artery.
Right patient - Right drug - Right dose - Right route - Right time.
Connect the one - way valve to mask.
The color - temperature - and condition.

21. 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!)
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Take BSI precaution!
(margin +/-4)

22. But wait.. are you sure that the patient isn't allergic to the medication?
First - observe the rise and fall of the chest/abdomen.
Assure high concentration of oxygen is delivered to the patient.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Confirm that the patient has NO allergies to the medication.

23. Time for Airway Management assessment! What's the First thing you do?
Assessing the posterior includes assessing the thorax - and the lumbar.
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
Dispose of the auto - injector in a sharps container.
Take BSI precautions!

24. Administer ____ concentration oxygen.
The color - temperature - and condition.
After doing so - ventilate the patient at the proper volume and rate.
Administer high concentration oxygen.
Take BSI precautions!

25. Respirations!
Perform two minutes of high quality CPR.
(margin +/-4)
Report/record ausculated blood pressure.
First - observe the rise and fall of the chest/abdomen.

26. After you determine the number of patients - what should you do - IF NECESSARY?
Confirm that the patient is sitting as upright as possible.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
Request additional help.

27. You're getting ready to use the AED. But the other rescuer is still performing CPR.. What do you tell him?
Briefly question the bystanders about arrest events.
You should obtain baseline vital signs of the patient.
Direct rescuer to stop CPR and ensures all individuals to stand clear.
Check the level of consciousness - and the history.

28. You've prepared the medication and nebulizer...now attach oxygen to the nebulizer.
Did that help? Document when you put the tourniquet on.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Medical command
The second action is determining the patient's responsiveness/level of consciousness

29. Should you examine the head - arm - or abdomen first?
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
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.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Take BSI precautions!

30. Okay - now you have to assess the posterior.. this includes the ______ and the _______.
That one is basically self - explanatory. Do that after you apply the cuff!
Assessing the posterior includes assessing the thorax - and the lumbar.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Scalp - ears - eyes - and the oral/nasal areas.

31. After consulting Medical Command - are you going to perform the procedure without explaining anything to the patient?
Ventilate the patient at a rate of 10-20 per minute.
Explain the procedure to the patient.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Scalp - ears - eyes - and the oral/nasal areas.

32. How should the patient be sitting?
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Administer high concentration oxygen.
Confirm that the patient is sitting as upright as possible.
Confirm that the patient has NO allergies to the medication.

33. Assess the following
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
- Rate - Rhythm (regular/irregular)
The color - temperature - and condition.
Count pulse for minimum of 30 seconds then multiply by 2.

34. What do you do after you determine if the scene is safe?
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Initiate steps to prevent heat loss from the patient.
Determine the mechanism of injury.
Scalp - ears - eyes - and the oral/nasal areas.

35. Skin Signs!
Hold the auto - injector to the patient's thigh for 10 seconds.
Connect the mask to high concentration or oxygen.
(margin +/-4)
Assess the following..

36. After checking the chest - where do you move?
Medical command
First - observe the rise and fall of the chest/abdomen.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Take BSI precautions.

37. Inflate the cuff rapidly to at least ??mm Hg above the point where the pulse is lost.
Medical command
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
- Normal (warm) - Cool - Cold - Hot
(margin +/-4)

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

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39. Focused History and Physical Examination/Rapid Trauma Assessment. The first thing you should do in this situation is...
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
The color - temperature - and condition.
Apply direct pressure to the wound.
Select the appropriate assessment (focused - or rapid assessment)

40. How do you prepare the medication and nebulizer?
Dispose of the auto - injector in a sharps container.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Administer high concentration oxygen.
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.

41. 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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42. Monitor the patient's condition and vital signs after you administer the medication - and...
Assess the airway and breathing.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Document the procedure!
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)

43. 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?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Confirm that the patient has NO allergies to the medication.
Connect the one - way valve to mask.
Assessing the posterior includes assessing the thorax - and the lumbar.

44. Place diaphragm of stethoscope over...
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
Brachial artery.
Remember to position the patient properly.

45. After selecting the appropriate assessment - (focused or rapid) - you should obtain baseline ___?___
Direct rescuer to stop CPR and ensures all individuals to stand clear.
You should obtain baseline vital signs of the patient.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
The pulse returns.

46. Count the respiratory rate for at least ___ seconds and multiply times 2.
Yes - always explain to the patient that they will feel a stick from the needle.
The color - temperature - and condition.
Take BSI precaution!
For at least 30 seconds!

47. You've assessed the patient's ability to use the nebulizer - should you consult with Medical Command?
You should verbalize the re - assessment of the vital signs.
Hyperextend extremity and palpate brachial artery.
Yes. Consult with Medical Command.
Scalp - ears - eyes - and the oral/nasal areas.

48. You've checked the neck - now move down to the chest.
Inspect the chest - palpate - auscultate.
Administer high concentration oxygen.
Yes - always explain to the patient that they will feel a stick from the needle.
Yes - direct resumption of CPR.

49. Should you just lay something over the wound after BSI precaution - or should you apply direct pressure?
Connect the one - way valve to mask.
Confirm that the patient is sitting as upright as possible.
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Apply direct pressure to the wound.

50. 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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