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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. Integration! First thing you do;
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Indicate the need for immediate transportation.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
Inspect the chest - palpate - auscultate.

2. Respirations!
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.
Report/record ausculated blood pressure.
That one is basically self - explanatory. Do that after you apply the cuff!

3. First step in 'Scene Size Up'.
Assess the patient's ability to use the nebulizer.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Determine if the scene is safe.
The pulse returns.

4. But wait.. are you sure that the patient isn't allergic to the medication?
Expose the thigh area - (and say that you are doing so.)
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Remember to explain the procedure to the patient.
Confirm that the patient has NO allergies to the medication.

5. After consulting Medical Command - are you going to perform the procedure without explaining anything to the patient?
You should verbalize the re - assessment of the vital signs.
You should obtain baseline vital signs of the patient.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Explain the procedure to the patient.

6. You deliver the shock.. should the rescuer go back to giving the patient CPR?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Apply pressure dressing to the wound.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Yes - direct resumption of CPR.

7. Count palpated pulse for a minimum of ___ seconds and multiply times 2.
Apply pressure dressing to the wound.
Palpate with 2 fingers (index and middle) over radial artery.
Direct assistant to assume ventilation and pre - oxygenate patient.
Count pulse for minimum of 30 seconds then multiply by 2.

8. Slowly deflate the cuff.. then..
Report/record ausculated blood pressure.
Scalp - ears - eyes - and the oral/nasal areas.
Take BSI precautions!
Scalp - ears - eyes - and the oral/nasal areas.

9. 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

10. You've successfully removed the cap - and you're ready to administer the medication to the patient... but where do you administer it?
Direct rescuer to stop CPR and ensures all individuals to stand clear.
Select the appropriate assessment (focused - or rapid assessment)
Initiate analysis of the rhythm.
Expose the thigh area - (and say that you are doing so.)

11. There are bystanders who seen what happened.. do you question them?
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.
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.
Initiate analysis of the rhythm.

12. Transportation!
Verbalize the transportation of the patient.
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.

13. 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.
Take BSI precaution!
Monitor the patient's condition and vital signs after administration.
Initiate steps to prevent heat loss from the patient.

14. _______ extremity and palpate ______ artery.
Hyperextend extremity and palpate brachial artery.
Indicate the need for immediate transportation.
Did that help? Document when you put the tourniquet on.
Determine the number of patients.

15. In a smooth - firm - fashion push the injector until the click is heard. How long should you hold it against the patient's thigh?

16. The patient is still bleeding - so you..
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.'
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.
Apply pressure dressing to the wound.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)

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?

18. You deliver the shock - now what?
- Normal (warm) - Cool - Cold - Hot
Direct resumption of CPR.
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.
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery

19. You've prepared the medication and nebulizer...now attach oxygen to the nebulizer.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Place auto - injector on lateral thigh - midway between the knee and thigh.

20. Baseline Vital Signs! What do you do first?
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Take BSI precautions!
Connect the mask to high concentration or oxygen.
Determine the mechanism of injury.

21. Okay - now you have to assess the posterior.. this includes the ______ and the _______.
The color - temperature - and condition.
Assessing the posterior includes assessing the thorax - and the lumbar.
Right patient - Right drug - Right dose - Right route - Right time.
Normal - Moist - Diaphoretic

22. Inflate cuff rapidly to at least 20mm Hg ______ palpated blood pressure.
Hyperextend extremity and palpate brachial artery.
Confirm that the patient has NO allergies to the medication.
Select the appropriate assessment (focused - or rapid assessment)
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.

23. Inflate the cuff rapidly to at least ??mm Hg above the point where the pulse is lost.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Palpate with 2 fingers (index and middle) over radial artery.
Apply pressure dressing to the wound.
Confirm the expiration date.

24. You need to get the patient to the hospital - NOW. What do you do?
Confirm that the patient is sitting as upright as possible.
Indicate the need for immediate transportation.
Scalp - ears - eyes - and the oral/nasal areas.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)

25. How should the patient be sitting?
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 that the patient is sitting as upright as possible.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Indicate the need for immediate transportation.

26. Palpate radial or brachial artery!
Brachial artery.
That one is basically self - explanatory. Do that after you apply the cuff!
You should obtain baseline vital signs of the patient.
Hold the auto - injector to the patient's thigh for 10 seconds.

27. Slowly deflate the cuff - and report/record palpable systolic blood pressure when..
For at least 30 seconds!
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
The pulse returns.
Take BSI precautions!

28. Time for the Nebulized Medication Administration part of your skill assessment. Again - what's the First thing you do?
Take BSI precautions.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Take BSI precautions!

29. You've exposed the patient's leg. Where do you place the auto - injector?
Place auto - injector on lateral thigh - midway between the knee and thigh.
Assess the patient's ability to use the nebulizer.
You should determine the chief complaint/apparent life threats of the patient.
Initiate analysis of the rhythm.

30. 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.
Initiate steps to prevent heat loss from the patient.
Assure high concentration of oxygen is delivered to the patient.
Yeah.. definitely don't forget to document everything.

31. Skin Color: (observe the patient)
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Confirm the expiration date.
Includes 'inspection - palpation - and assessment of motor - sensory - and circulatory functions.'
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer

32. Time for Bleeding Control/Shock Management! First thing you do?
Take BSI precaution!
Yes - always explain to the patient that they will feel a stick from the needle.
Switch to bag/valve mask.
Verbalizing the general impression of the patient.

33. Do CPR without unnecessary/prolonged interruption..
Initiate analysis of the rhythm.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Inspect the chest - palpate - auscultate.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.

34. What's the expiration date on the oral glucose?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Confirm the expiration date.
Request additional help.
Turn over CPR to another rescuer. Turn on the AED.

35. Where do you dispose of the auto - injector?
Check the level of consciousness - and the history.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Dispose of the auto - injector in a sharps container.
Select the appropriate assessment (focused - or rapid assessment)

36. What do you direct your assistant to do?
Direct rescuer to stop CPR and ensures all individuals to stand clear.
Assessing the posterior includes assessing the thorax - and the lumbar.
Direct assistant to assume ventilation and pre - oxygenate patient.
Dispose of the auto - injector in a sharps container.

37. What do you do after you determine the mechanism of injury?
Connect the one - way valve to mask.
Determine the number of patients.
Inspect the chest - palpate - auscultate.
Take BSI precautions!

38. 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?
First - observe the rise and fall of the chest/abdomen.
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
Yes. Consult with Medical Command.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.

39. Apply a tourniquet.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Did that help? Document when you put the tourniquet on.

40. The patient may start losing body heat.. What do you do?
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Initiate steps to prevent heat loss from the patient.
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.

41. When assessing the head - What do you check?
Take BSI precautions!
You should manage all of the patient's secondary injuries/wounds appropriately
Scalp - ears - eyes - and the oral/nasal areas.
Open the airway manually.

42. What are the ways to assess the airway and breathing of the patient?
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
The second action is determining the patient's responsiveness/level of consciousness
Inspect the chest - palpate - auscultate.

43. Then What do you switch to?
Switch to bag/valve mask.
Take BSI precautions.
Hold the auto - injector to the patient's thigh for 10 seconds.
Yes - direct resumption of CPR.

44. Did THAT help?
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
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.)
Confirm that the patient has NO allergies to the medication.

45. 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?
Connect the one - way valve to mask.
Remember to explain the procedure to the patient.
Hold the auto - injector to the patient's thigh for 10 seconds.
Palpate with 2 fingers (index and middle) over radial artery.

46. You need to get the AED. What should you do?
Turn over CPR to another rescuer. Turn on the AED.
Confirm that the patient has NO allergies to the medication.
Hold the auto - injector to the patient's thigh for 10 seconds.
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.

47. 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.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
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.

48. You need to shock the patient again. The rescuer is STILL delivering CPR.. What do you do?
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
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.
Yes - you should obtain SAMPLE history after taking baseline vital signs.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.

49. Time for Airway Management assessment! What's the First thing you do?
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Take BSI precautions!
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Initiate analysis of the rhythm.

50. When assessing the head - What do you check?
Yes - direct resumption of CPR.
Assessing the posterior includes assessing the thorax - and the lumbar.
Scalp - ears - eyes - and the oral/nasal areas.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.