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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. 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
Dispose of the auto - injector in a sharps container.
- Normal (warm) - Cool - Cold - Hot
Request additional help.

2. You need to get the patient to the hospital - NOW. What do you do?
Apply blood pressure cuff 1' above the antecubital space Not over clothing. - snug fit - center bladder over artery
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Indicate the need for immediate transportation.
Confirm that the patient is sitting as upright as possible.

3. Integration! First thing you do;
Remember to explain the procedure to the patient.
Brachial artery.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Hyperextend extremity and palpate brachial artery.

4. What do you do if the patient needs glucose administration? Do you go ahead and do it? or do you contact someone?
That one is basically self - explanatory. Do that after you apply the cuff!
Normal - Moist - Diaphoretic
Contact medical command if patient condition permits.
Request additional help.

5. You need to shock the patient again. The rescuer is STILL delivering CPR.. What do you do?
Administer high concentration oxygen.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
The color - temperature - and condition.
Take BSI precautions!

6. Skin Temperature: (touch the patient)
Scalp - ears - eyes - and the oral/nasal areas.
- Normal (warm) - Cool - Cold - Hot
Determine the number of patients.
Remember to position the patient properly.

7. After consulting Medical Command - are you going to perform the procedure without explaining anything to the patient?
Explain the procedure to the patient.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Direct rescuer to stop CPR and ensures all individuals to stand clear.
Open the airway manually.

8. What do you do after you determine the mechanism of injury?
Determine the number of patients.
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
Yes - direct resumption of CPR.
Switch to bag/valve mask.

9. After checking the chest - where do you move?
Take BSI precautions!
Remember to explain the procedure to the patient.
Assess the patient's ability to use the nebulizer.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.

10. Transportation!
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.
Verbalize the transportation of the patient.
Assessing the posterior includes assessing the thorax - and the lumbar.
Initiate analysis of the rhythm.

11. Establish and maintain a proper mask to face seal.
After doing so - ventilate the patient at the proper volume and rate.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)

12. Should you examine the head - arm - or abdomen first?
Determine the mechanism of injury.
Confirm that the patient is sitting as upright as possible.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
- Normal (warm) - Cool - Cold - Hot

13. Skin Moisture: (touch the patient)
Normal - Moist - Diaphoretic
Scalp - ears - eyes - and the oral/nasal areas.
Place auto - injector on lateral thigh - midway between the knee and thigh.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)

14. Inflate the cuff rapidly to at least ??mm Hg above the point where the pulse is lost.
Confirm the expiration date.
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Confirm that the patient is sitting as upright as possible.

15. How will you determine if the patient needs glucose administration?
Check the level of consciousness - and the history.
Right patient - Right drug - Right dose - Right route - Right time.
You should obtain baseline vital signs of the patient.
Yeah.. definitely don't forget to document everything.

16. 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?
Dispose of the auto - injector in a sharps container.
Select the appropriate assessment (focused - or rapid assessment)
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.

17. You've assessed the patient's ability to use the nebulizer - should you consult with Medical Command?
First - observe the rise and fall of the chest/abdomen.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
After doing so - ventilate the patient at the proper volume and rate.
Yes. Consult with Medical Command.

18. 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.
Briefly question the bystanders about arrest events.
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
Indicate the need for immediate transportation.

19. When assessing the head - What do you check?
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Medical command
Verbalizing the general impression of the patient.
Scalp - ears - eyes - and the oral/nasal areas.

20. After checking the chest - where do you move?
Count pulse for minimum of 30 seconds then multiply by 2.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Confirm the expiration date.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.

21. When assessing the head - What do you check?
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Scalp - ears - eyes - and the oral/nasal areas.
Direct rescuer to stop CPR and ensures all individuals to stand clear.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)

22. Time for the Nebulized Medication Administration part of your skill assessment. Again - what's the First thing you do?
You should determine the chief complaint/apparent life threats of the patient.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
Take BSI precautions!
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.

23. Time for Cardiac Arrest Management/Automatic External Defibrillator! First thing you do
Direct rescuer to stop CPR and ensures all individuals to stand clear.
Take BSI precautions!
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Initiate analysis of the rhythm.

24. Administer ____ concentration oxygen.
Brachial artery.
Administer high concentration oxygen.
Direct resumption of CPR.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.

25. Do CPR without unnecessary/prolonged interruption..
Brachial artery.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Take BSI precautions!
Initiate analysis of the rhythm.

26. After selecting the appropriate assessment - (focused or rapid) - you should obtain baseline ___?___
You should obtain baseline vital signs of the patient.
Perform two minutes of high quality CPR.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
Scalp - ears - eyes - and the oral/nasal areas.

27. You've prepared the medication and nebulizer...now attach oxygen to the nebulizer.
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
Connect the mask to high concentration or oxygen.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Indicate the need for immediate transportation.

28. Attach the AED to the patient;
Yes - direct resumption of CPR.
Initiate analysis of the rhythm.
Medical command
Yeah.. definitely don't forget to document everything.

29. Report/record pulse findings.
(margin +/-4)
- Rate - Rhythm (regular/irregular)
Take BSI precautions!
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.'

30. Time for the Detailed Physical Examination! Should you examine the head - arm - or abdomen first?
Direct resumption of CPR.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Palpate with 2 fingers (index and middle) over radial artery.
First - observe the rise and fall of the chest/abdomen.

31. Assess the following
Determine the number of patients.
Yes. Consult with Medical Command.
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
Direct resumption of CPR.

32. 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?
Apply pressure dressing to the wound.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin
Indicate the need for immediate transportation.
The color - temperature - and condition.

33. 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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34. First step in 'Scene Size Up'.
Determine if the scene is safe.
Inspect the chest - palpate - auscultate.
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.

35. What are the ways to assess the airway and breathing of the patient?
Take or verbalize body substance isolation precautions.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Direct assistant to assume ventilation and pre - oxygenate patient.
Apply pressure dressing to the wound.

36. The patient may start losing body heat.. What do you do?
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)
Initiate steps to prevent heat loss from the patient.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Connect the one - way valve to mask.

37. Did that help?
Indicate the need for immediate transportation.
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Determine if the scene is safe.
Verbalize the transportation of the patient.

38. Okay - you've obtained the baseline vital signs... Should you obtain SAMPLE history now?
You should verbalize the re - assessment of the vital signs.
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Determine the mechanism of injury.
Confirm that the patient has NO allergies to the medication.

39. 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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40. Pulse! Palpate with How many fingers?
The color - temperature - and condition.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Palpate with 2 fingers (index and middle) over radial artery.
Apply direct pressure to the wound.

41. 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?
Scalp - ears - eyes - and the oral/nasal areas.
Take BSI precautions.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Confirm the expiration date.

42. 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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43. Time for Bleeding Control/Shock Management! First thing you do?
Take BSI precautions.
You should determine the chief complaint/apparent life threats of the patient.
Take BSI precaution!
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nitroglycerin

44. What do you do after that?
Apply pressure dressing to the wound.
Connect the mask to high concentration or oxygen.
Direct assistant to assume ventilation and pre - oxygenate patient.
Scalp - ears - eyes - and the oral/nasal areas.

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

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46. Okay - now you have to assess the posterior.. this includes the ______ and the _______.
You should manage all of the patient's secondary injuries/wounds appropriately
Inspect the chest - palpate - auscultate.
Assessing the posterior includes assessing the thorax - and the lumbar.
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.

47. Inflate cuff rapidly to at least 20mm Hg ______ palpated blood pressure.
Take BSI precautions.
First - observe the rise and fall of the chest/abdomen.
Yes - you should obtain SAMPLE history after taking baseline vital signs.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.

48. How do you prepare the medication and nebulizer?
The second action is determining the patient's responsiveness/level of consciousness
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.
Confirm that the patient is sitting as upright as possible.
Scalp - ears - eyes - and the oral/nasal areas.

49. Respirations!
First - observe the rise and fall of the chest/abdomen.
Determine if the scene is safe.
Inspect the chest - palpate - auscultate.
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with it!)

50. How do you open the airway?
Request additional help.
Yeah.. definitely don't forget to document everything.
Assess the airway and breathing.
Open the airway manually.