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. 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?
Determine the mechanism of injury.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Assess the airway and breathing.


2. 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?
Remember to position the patient properly.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Count pulse for minimum of 30 seconds then multiply by 2.
Did that help? Document when you put the tourniquet on.


3. Time for the Detailed Physical Examination! Should you examine the head - arm - or abdomen first?
You should verbalize the re - assessment of the vital signs.
Take BSI precautions.
Request additional help.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)


4. 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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5. What do you direct your assistant to do?
Inspect the chest - palpate - auscultate.
Yes. Consult with Medical Command.
Direct assistant to assume ventilation and pre - oxygenate patient.
For at least 30 seconds!


6. You've exposed the patient's leg. Where do you place the auto - injector?
Explain the procedure to the patient.
Place auto - injector on lateral thigh - midway between the knee and thigh.
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Indicate the need for immediate transportation.


7. How do you open the airway?
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.
Turn over CPR to another rescuer. Turn on the AED.
Open the airway manually.
Inspect the chest - palpate - auscultate.


8. Circulation assessment re - cap! When assessing the skin - what should you be looking at?
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.'
Take or verbalize body substance isolation precautions.
Inspect the chest - palpate - auscultate.
The color - temperature - and condition.


9. 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?
Take BSI precautions!
Assessing the posterior includes assessing the thorax - and the lumbar.
Take BSI precautions!
You should verbalize the re - assessment of the vital signs.


10. Slowly deflate the cuff.. then..
Apply direct pressure to the wound.
Perform two minutes of high quality CPR.
Indicate the need for immediate transportation.
Report/record ausculated blood pressure.


11. Assessment says that you will notice that the patient is now pale and diaphoretic with a rapid - weak pulse... say that out loud.
Determine if the scene is safe.
Yes - always explain to the patient that they will feel a stick from the needle.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Remember to position the patient properly.


12. Should you examine the head - arm - or abdomen first?
Take BSI precautions!
Connect the one - way valve to mask.
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.'
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)


13. Remember to check the '5 Rights' of drug administration.. What are they?
Apply pressure dressing to the wound.
Take or verbalize body substance isolation precautions.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.


14. You've assessed the patient's ability to use the nebulizer - should you consult with Medical Command?
Yes. Consult with Medical Command.
Take BSI precautions!
Yes - always explain to the patient that they will feel a stick from the needle.
(margin +/-4)


15. Blood pressure (palpatation)

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16. What are the ways to assess the airway and breathing of the patient?
Scalp - ears - eyes - and the oral/nasal areas.
Apply pressure dressing to the wound.
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.


17. What's the expiration date on the oral glucose?
Right patient - Right drug - Right dose - Right route - Right time.
Confirm the expiration date.
(margin +/-4)
Verbalizing the general impression of the patient.


18. You need to get the patient to the hospital - NOW. What do you do?
Determine if the scene is safe.
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Indicate the need for immediate transportation.


19. After checking the chest - where do you move?
Assess the following..
Take BSI precautions!
Connect the mask to high concentration or oxygen.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.


20. 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?
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
Did that help? Document when you put the tourniquet on.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin


21. When assessing the head - What do you check?
Apply pressure dressing to the wound.
Assess the following..
Scalp - ears - eyes - and the oral/nasal areas.
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.


22. You've successfully removed the cap - and you're ready to administer the medication to the patient... but where do you administer it?
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Expose the thigh area - (and say that you are doing so.)
Determine if the scene is safe.
You should obtain baseline vital signs of the patient.


23. Skin Moisture: (touch the patient)
Normal - Moist - Diaphoretic
Briefly question the bystanders about arrest events.
Remember to explain the procedure to the patient.
Administer high concentration oxygen.


24. Inflate cuff rapidly to at least 20mm Hg ______ palpated blood pressure.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Take BSI precautions!
Connect the mask to high concentration or oxygen.


25. Time for Airway Management assessment! What's the First thing you do?
Select the appropriate assessment (focused - or rapid assessment)
Take BSI precautions!
Take BSI precaution!
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


26. What do you do after that?
Apply direct pressure to the wound.
Yes - always explain to the patient that they will feel a stick from the needle.
Connect the mask to high concentration or oxygen.
Ventilate the patient at a rate of 10-20 per minute.


27. What do you do after you determine if the scene is safe?
Determine the mechanism of injury.
You should obtain baseline vital signs of the patient.
Yes - always explain to the patient that they will feel a stick from the needle.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.


28. Assess the following
- Rate - Rhythm (regular/irregular)
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Dispose of the auto - injector in a sharps container.
Assess the patient's ability to use the nebulizer.


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

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30. 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.
Palpate with 2 fingers (index and middle) over radial artery.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Take BSI precaution!


31. After you're sure he/she isn't allergic to the medicine; check your 5 rights of drug administration.. which are.....
Assessing the posterior includes assessing the thorax - and the lumbar.
Take or verbalize body substance isolation precautions.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Right patient - Right drug - Right dose - Right route - Right time.


32. 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.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Determine the mechanism of injury.
Take BSI precautions!


33. 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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34. 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?
The second action is determining the patient's responsiveness/level of consciousness
The color - temperature - and condition.
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Connect the one - way valve to mask.


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

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36. Skin Color: (observe the patient)
Yes - always explain to the patient that they will feel a stick from the needle.
That one is basically self - explanatory. Do that after you apply the cuff!
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Indicate the need for immediate transportation.


37. Transportation!
Assess the patient's ability to use the nebulizer.
Verbalize the transportation of the patient.
Direct resumption of CPR.
The pulse returns.


38. The patient may start losing body heat.. What do you do?
Verbalizing the general impression of the patient.
Initiate steps to prevent heat loss from the patient.
Initiate analysis of the rhythm.
Medical command


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

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40. Baseline Vital Signs! What do you do first?
Take BSI precautions!
You should determine the chief complaint/apparent life threats of the patient.
For at least 30 seconds!
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery


41. How will you determine if the patient needs glucose administration?
Initiate steps to prevent heat loss from the patient.
Verbalize the transportation of the patient.
Take BSI precautions!
Check the level of consciousness - and the history.


42. Palpate radial or brachial artery!
Remember to position the patient properly.
That one is basically self - explanatory. Do that after you apply the cuff!
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Brachial artery.


43. First action performed after you arrive on scene..
Explain the procedure to the patient.
Direct rescuer to stop CPR and ensures all individuals to stand clear.
Take or verbalize body substance isolation precautions.
After doing so - ventilate the patient at the proper volume and rate.


44. Okay - you've told the patient what you're going to do.. But are you sure they're not allergic to the medication?
Direct assistant to assume ventilation and pre - oxygenate patient.
Scalp - ears - eyes - and the oral/nasal areas.
Confirm that the patient has NO allergies to the medication.
Connect the mask to high concentration or oxygen.


45. '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?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
Did that help? Document when you put the tourniquet on.
Indicate the need for immediate transportation.


46. Count palpated pulse for a minimum of ___ seconds and multiply times 2.
Normal - Moist - Diaphoretic
Take BSI precautions!
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Count pulse for minimum of 30 seconds then multiply by 2.


47. Time for Bleeding Control/Shock Management! First thing you do?
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Take BSI precaution!
Take BSI precautions.
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery


48. After checking the chest - where do you move?
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Hold the auto - injector to the patient's thigh for 10 seconds.
Briefly question the bystanders about arrest events.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.


49. DON'T FORGET TO DOCUMENT The PROCEDURE AFTERWARD!

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50. What do you do after you determine the mechanism of injury?
Verbalize the transportation of the patient.
Yeah.. definitely don't forget to document everything.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Determine the number of patients.