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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. How will you determine if the patient needs glucose administration?
You should verbalize the re - assessment of the vital signs.
(margin +/-4)
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Check the level of consciousness - and the history.

2. Attach the AED to the patient;
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Initiate analysis of the rhythm.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
(margin +/-4)

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?
Assess the patient's ability to use the nebulizer.
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.

4. You've assessed the patient's ability to use the nebulizer - should you consult with Medical Command?
(margin +/-4)
Yes. Consult with Medical Command.
Check the level of consciousness - and the history.
Briefly question the bystanders about arrest events.

5. Time for the Detailed Physical Examination! Should you examine the head - arm - or abdomen first?
Confirm that the patient is sitting as upright as possible.
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
You should verbalize the re - assessment of the vital signs.

6. Apply a tourniquet.
Did that help? Document when you put the tourniquet on.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Take BSI precautions!
Document the procedure!

7. How do you prepare the medication and nebulizer?
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.
Palpate with 2 fingers (index and middle) over radial artery.
Request additional help.
Take BSI precautions!

8. After checking the chest - where do you move?
Determine the mechanism of injury.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
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.

9. Time for the Nebulized Medication Administration part of your skill assessment. Again - what's the First thing you do?
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Direct resumption of CPR.
Assessing the posterior includes assessing the thorax - and the lumbar.
Take BSI precautions!

10. Palpate radial or brachial artery!
You should verbalize the re - assessment of the vital signs.
Take BSI precautions!
That one is basically self - explanatory. Do that after you apply the cuff!
Assess the airway and breathing.

11. What do you do if the patient needs glucose administration? Do you go ahead and do it? or do you contact someone?
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Contact medical command if patient condition permits.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Connect the mask to high concentration or oxygen.

12. During your Epinephrine Auto - Injector Administration scenario; What is the First thing you should do?
Administer high concentration oxygen.
The color - temperature - and condition.
Verbalize the transportation of the patient.
Take BSI precautions.

13. 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?
Direct rescuer to stop CPR and ensures all individuals to stand clear.
The pulse returns.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Assure high concentration of oxygen is delivered to the patient.

14. Ventilate the patient at a rate of __-__ per minute with appropriate volumes via bag/valve mask.
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
Hyperextend extremity and palpate brachial artery.
You should verbalize the re - assessment of the vital signs.
Ventilate the patient at a rate of 10-20 per minute.

15. You deliver the shock.. should the rescuer go back to giving the patient CPR?
Yes - direct resumption of CPR.
Dispose of the auto - injector in a sharps container.
Place auto - injector on lateral thigh - midway between the knee and thigh.
Remember to position the patient properly.

16. _______ extremity and palpate ______ artery.
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
Direct resumption of CPR.
Take or verbalize body substance isolation precautions.
Hyperextend extremity and palpate brachial artery.

17. Transportation!
Assess the airway and breathing.
Verbalize the transportation of the patient.
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.

18. The patient may start losing body heat.. What do you do?
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery
Direct assistant to assume ventilation and pre - oxygenate patient.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Initiate steps to prevent heat loss from the patient.

19. You've successfully removed the cap - and you're ready to administer the medication to the patient... but where do you administer it?
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
- Rate - Rhythm (regular/irregular)
Expose the thigh area - (and say that you are doing so.)
Indicate the need for immediate transportation.

20. 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?
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Determine the mechanism of injury.
Direct assistant to assume ventilation and pre - oxygenate patient.
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)

21. Skin Moisture: (touch the patient)
Initiate analysis of the rhythm.
Assess the airway and breathing.
Normal - Moist - Diaphoretic
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing

22. What do you do after you determine if the scene is safe?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Determine the mechanism of injury.
Did that help? Document when you put the tourniquet on.

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

24. You need to shock the patient again. The rescuer is STILL delivering CPR.. What do you do?
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Perform two minutes of high quality CPR.

25. Skin Temperature: (touch the patient)
Dispose of the auto - injector in a sharps container.
Take BSI precautions!
- Normal (warm) - Cool - Cold - Hot
Take BSI precautions!

26. Monitor the patient's condition and vital signs after you administer the medication - and...
Hyperextend extremity and palpate brachial artery.
Palpate with 2 fingers (index and middle) over radial artery.
Administer high concentration oxygen.
Document the procedure!

27. Remember to check the '5 Rights' of drug administration.. What are they?
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Scalp - ears - eyes - and the oral/nasal areas.
Confirm that the patient is sitting as upright as possible.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer

28. 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
Verbalizing the general impression of the patient.
Monitor the patient's condition and vital signs after administration.
Inspect the chest - palpate - auscultate.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)

29. After you determine the number of patients - what should you do - IF NECESSARY?
Request additional help.
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
- Rate - Rhythm (regular/irregular)
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'

30. Assessment says that you will notice that the patient is now pale and diaphoretic with a rapid - weak pulse... say that out loud.
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.
Explain the procedure to the patient.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
Remember to position the patient properly.

31. You've prepared the medication and nebulizer...now attach oxygen to the nebulizer.
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.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Apply pressure dressing to the wound.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.

32. Time for Bleeding Control/Shock Management! First thing you do?
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
Confirm that the patient has NO allergies to the medication.
Assess the airway and breathing.
Take BSI precaution!

33. It's time to administer the medication to the patient! How are you going to do so?
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
Normal - Moist - Diaphoretic
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing

34. Focused History and Physical Examination/Rapid Trauma Assessment. The first thing you should do in this situation is...
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
The second action is determining the patient's responsiveness/level of consciousness
Select the appropriate assessment (focused - or rapid assessment)
Turn over CPR to another rescuer. Turn on the AED.

35. Do CPR without unnecessary/prolonged interruption..
Assessing the posterior includes assessing the thorax - and the lumbar.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Initiate analysis of the rhythm.
Inspect the chest - palpate - auscultate.

36. Baseline Vital Signs! What do you do first?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Take BSI precautions!
Turn over CPR to another rescuer. Turn on the AED.
Direct rescuer to stop CPR and ensures all individuals to stand clear.

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

38. Time for Airway Management assessment! What's the First thing you do?
Apply direct pressure to the wound.
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Take BSI precautions!
The pulse returns.

39. You've exposed the patient's leg. Where do you place the auto - injector?
Take BSI precautions!
Place auto - injector on lateral thigh - midway between the knee and thigh.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)

40. Okay - you've told the patient what you're going to do.. But are you sure they're not allergic to the medication?
Count pulse for minimum of 30 seconds then multiply by 2.
Confirm that the patient has NO allergies to the medication.
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.'
Turn over CPR to another rescuer. Turn on the AED.

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?

42. After BSI precautions - you need to perform a blood glucose check.. How do you set up/perform the check?
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.
- Normal (warm) - Cool - Cold - Hot
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)

43. What's the expiration date on the oral glucose?
Take or verbalize body substance isolation precautions.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Inspect the chest - palpate - auscultate.
Confirm the expiration date.

44. Assess the following
- Rate - Rhythm (regular/irregular)
Briefly question the bystanders about arrest events.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
(margin +/-4)

45. Ventilate patient!
Contact medical command if patient condition permits.
Assure high concentration of oxygen is delivered to the patient.
(margin +/-4)
Assess the patient's ability to use the nebulizer.

46. Slowly deflate the cuff.. then..
Determine the number of patients.
Report/record ausculated blood pressure.
Check the level of consciousness - and the history.
Dispose of the auto - injector in a sharps container.

47. Should you examine the head - arm - or abdomen first?
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Briefly question the bystanders about arrest events.
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'

48. The patient is still bleeding - so you..
Count pulse for minimum of 30 seconds then multiply by 2.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Apply pressure dressing to the wound.
Assessing the posterior includes assessing the thorax - and the lumbar.

49. 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
Initiate analysis of the rhythm.
Remember to position the patient properly.
You should verbalize the re - assessment of the vital signs.
You should determine the chief complaint/apparent life threats of the patient.

50. 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