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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. Skin Signs!
Assess the following..
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
- Normal (warm) - Cool - Cold - Hot
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.

2. 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?
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.
Determine the mechanism of injury.
- 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.

3. What do you do if the patient needs glucose administration? Do you go ahead and do it? or do you contact someone?
Take BSI precautions.
Contact medical command if patient condition permits.
Determine the mechanism of injury.
Yes. Consult with Medical Command.

4. You deliver the shock.. should the rescuer go back to giving the patient CPR?
Yes - direct resumption of CPR.
Take BSI precautions!
Take BSI precautions!
Hyperextend extremity and palpate brachial artery.

5. Time for the Nebulized Medication Administration part of your skill assessment. Again - what's the First thing you do?
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Take BSI precautions!
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Ventilate the patient at a rate of 10-20 per minute.

6. Should you examine the head - arm - or abdomen first?
Remember to explain the procedure to the patient.
You should determine the chief complaint/apparent life threats of the patient.
You should manage all of the patient's secondary injuries/wounds appropriately
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)

7. What do you do after that?
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.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Connect the mask to high concentration or oxygen.

8. Then What do you switch to?
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Switch to bag/valve mask.
You should verbalize the re - assessment of the vital signs.
Assess the following..

9. What do you do after you determine if the scene is safe?
Determine the mechanism of injury.
After doing so - ventilate the patient at the proper volume and rate.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Explain the procedure to the patient.

10. Integration! First thing you do;
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Direct assistant to assume ventilation and pre - oxygenate patient.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)

11. After consulting Medical Command - are you going to perform the procedure without explaining anything to the patient?
Explain the procedure to the patient.
After doing so - ventilate the patient at the proper volume and rate.
Yes - direct resumption of CPR.
Report/record ausculated blood pressure.

12. Slowly deflate the cuff - and report/record palpable systolic blood pressure when..
Remember to explain the procedure to the patient.
After doing so - ventilate the patient at the proper volume and rate.
The pulse returns.
Ventilate the patient at a rate of 10-20 per minute.

13. You've successfully removed the cap - and you're ready to administer the medication to the patient... but where do you administer it?
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.
Expose the thigh area - (and say that you are doing so.)
Apply direct pressure to the wound.
You should verbalize the re - assessment of the vital signs.

14. Apply a tourniquet.
Assess the airway and breathing.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Did that help? Document when you put the tourniquet on.
You should obtain baseline vital signs of the patient.

15. Pulse! Palpate with How many fingers?
Palpate with 2 fingers (index and middle) over radial artery.
You should verbalize the re - assessment of the vital signs.
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.)

16. You're getting ready to use the AED. But the other rescuer is still performing CPR.. What do you tell him?
The color - temperature - and condition.
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.
Switch to bag/valve mask.
Direct rescuer to stop CPR and ensures all individuals to stand clear.

17. Blood pressure (palpatation)

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18. Time for Bleeding Control/Shock Management! First thing you do?
Take BSI precaution!
You should obtain baseline vital signs of the patient.
Take BSI precautions!
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.

19. There are bystanders who seen what happened.. do you question them?
Briefly question the bystanders about arrest events.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
After doing so - ventilate the patient at the proper volume and rate.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.

20. Skin Color: (observe the patient)
Direct resumption of CPR.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
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.

21. Count palpated pulse for a minimum of ___ seconds and multiply times 2.
Count pulse for minimum of 30 seconds then multiply by 2.
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
Verbalize the transportation of the patient.
Explain the procedure to the patient.

22. 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
First - observe the rise and fall of the chest/abdomen.
Explain the procedure to the patient.
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.'

23. First action performed after you arrive on scene..
Take or verbalize body substance isolation precautions.
You should manage all of the patient's secondary injuries/wounds appropriately
Assess the airway and breathing.
Take BSI precaution!

24. What's the expiration date on the oral glucose?
Take BSI precaution!
Confirm the expiration date.
Apply pressure dressing to the wound.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)

25. Ventilate the patient at a rate of __-__ per minute with appropriate volumes via bag/valve mask.
Initiate analysis of the rhythm.
Expose the thigh area - (and say that you are doing so.)
Ventilate the patient at a rate of 10-20 per minute.
Inspect the chest - palpate - auscultate.

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
Verbalizing the general impression of the patient.
Confirm that the patient has NO allergies to the medication.
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.
Remember to explain the procedure to the patient.

27. '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?
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.'
Assessing the posterior includes assessing the thorax - and the lumbar.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
You should determine the chief complaint/apparent life threats of the patient.

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

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29. 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?
Assess the patient's ability to use the nebulizer.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Assess the following..
Monitor the patient's condition and vital signs after administration.

30. 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.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Take BSI precautions.
You should manage all of the patient's secondary injuries/wounds appropriately

31. Where do you dispose of the auto - injector?
(margin +/-4)
Yes. Consult with Medical Command.
Confirm that the patient is sitting as upright as possible.
Dispose of the auto - injector in a sharps container.

32. After taking BSI precautions - consult with...
The pulse returns.
Contact medical command if patient condition permits.
Direct rescuer to stop CPR and ensures all individuals to stand clear.
Medical command

33. After you're sure he/she isn't allergic to the medicine; check your 5 rights of drug administration.. which are.....
Assess the airway and breathing.
You should obtain baseline vital signs of the patient.
Right patient - Right drug - Right dose - Right route - Right time.
Initiate analysis of the rhythm.

34. How do you open the airway?
Initiate analysis of the rhythm.
Connect the one - way valve to mask.
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.
Open the airway manually.

35. Okay - you've obtained the baseline vital signs... Should you obtain SAMPLE history now?
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.
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Contact medical command if patient condition permits.
Yes. Consult with Medical Command.

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

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37. When assessing the head - What do you check?
- Normal (warm) - Cool - Cold - Hot
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
Apply direct pressure to the wound.
Scalp - ears - eyes - and the oral/nasal areas.

38. After checking the chest - where do you move?
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
Take BSI precautions!
Place auto - injector on lateral thigh - midway between the knee and thigh.

39. Okay - now you have to assess the posterior.. this includes the ______ and the _______.
Expose the thigh area - (and say that you are doing so.)
Assess the following..
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Assessing the posterior includes assessing the thorax - and the lumbar.

40. Respirations!
Initiate analysis of the rhythm.
First - observe the rise and fall of the chest/abdomen.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Yes - direct resumption of CPR.

41. But wait.. are you sure that the patient isn't allergic to the medication?
Take BSI precautions!
Determine the number of patients.
Confirm that the patient has NO allergies to the medication.
Confirm the expiration date.

42. Baseline Vital Signs! What do you do first?
Take BSI precautions!
You should determine the chief complaint/apparent life threats of the patient.
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 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.

43. Now you have to assess the posterior.. this includes the ______ and the _______.
Connect the mask to high concentration or oxygen.
Direct rescuer to stop CPR and ensures all individuals to stand clear.
Assessing the posterior includes assessing the thorax - and the lumbar.
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.

44. First step in 'Scene Size Up'.
Determine if the scene is safe.
Assess the airway and breathing.
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
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.'

45. Attach the AED to the patient;
Initiate analysis of the rhythm.
Turn over CPR to another rescuer. Turn on the AED.
Yes. Consult with Medical Command.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin

46. Inflate cuff rapidly to at least 20mm Hg ______ palpated blood pressure.
Direct resumption of CPR.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Did that help? Document when you put the tourniquet on.
Scalp - ears - eyes - and the oral/nasal areas.

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?
Take BSI precautions!
Assessing the posterior includes assessing the thorax - and the lumbar.
Direct resumption of CPR.
Remember to explain the procedure to the patient.

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

49. During your Epinephrine Auto - Injector Administration scenario; What is the First thing you should do?
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.
Select the appropriate assessment (focused - or rapid assessment)
Check the level of consciousness - and the history.
Take BSI precautions.

50. Assessment says that you will notice that the patient is now pale and diaphoretic with a rapid - weak pulse... say that out loud.
Remember to position the patient properly.
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.
Expose the thigh area - (and say that you are doing so.)
Brachial artery.

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