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 Temperature: (touch the patient)
You move down to the abdomen/pelvis - where you assess each. Verbalize assessment of genitalia/perineum as needed.
Assess the following..
- Normal (warm) - Cool - Cold - Hot
Initiate analysis of the rhythm.


2. 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?
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.
Select the appropriate assessment (focused - or rapid assessment)
- Description of the episode - Onset - Duration - Associated Symptoms - Evidence of trauma - Interventions - Seizures - Fever
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.


3. Count palpated pulse for a minimum of ___ seconds and multiply times 2.
Count pulse for minimum of 30 seconds then multiply by 2.
You should determine the chief complaint/apparent life threats of the patient.
Initiate steps to prevent heat loss from the patient.
Direct assistant to assume ventilation and pre - oxygenate patient.


4. Time for the Nebulized Medication Administration part of your skill assessment. Again - what's the First thing you do?
Did that help? Document when you put the tourniquet on.
Take BSI precautions!
You should obtain baseline vital signs of the patient.
Hold the auto - injector to the patient's thigh for 10 seconds.


5. Everything is in place - and you are ready to administer the drug to the patient. Should you warn them that they're going to feel a stick?
The second action is determining the patient's responsiveness/level of consciousness
Dispose of the auto - injector in a sharps container.
Yes - always explain to the patient that they will feel a stick from the needle.
Medical command


6. During your Epinephrine Auto - Injector Administration scenario; What is the First thing you should do?
Determine the mechanism of injury.
Yes - direct resumption of CPR.
- Normal - Cyanosis - Jaundice - Ashen - Paleness - Flushing
Take BSI precautions.


7. Time for Airway Management assessment! What's the First thing you do?
Take BSI precautions.
Turn over CPR to another rescuer. Turn on the AED.
Check the level of consciousness - and the history.
Take BSI precautions!


8. Do CPR without unnecessary/prolonged interruption..
Scalp - ears - eyes - and the oral/nasal areas.
First - observe the rise and fall of the chest/abdomen.
Report/record ausculated blood pressure.
Initiate analysis of the rhythm.


9. After BSI precautions - you need to perform a blood glucose check.. How do you set up/perform the check?
Take BSI precautions!
Simple.. Remove the cap from the auto - injector. (be careful not to stab yourself in the finger with 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.
Take or verbalize body substance isolation precautions.


10. 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.
Expose the thigh area - (and say that you are doing so.)
Scalp - ears - eyes - and the oral/nasal areas.
Check the level of consciousness - and the history.


11. Skin Moisture: (touch the patient)
Normal - Moist - Diaphoretic
Briefly question the bystanders about arrest events.
Confirm 8-10 liters per minute oxygen flow. Then Confirm mist coing out of flex tube and mouth piece.
Inspect the chest - palpate - auscultate.


12. 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!
Verbalizing the general impression of the patient.
Assessing the posterior includes assessing the thorax - and the lumbar.
You should verbalize the re - assessment of the vital signs.


13. Count the respiratory rate for at least ___ seconds and multiply times 2.
Take BSI precautions!
Count pulse for minimum of 30 seconds then multiply by 2.
Yes - you should obtain SAMPLE history after taking baseline vital signs.
For at least 30 seconds!


14. Attach the AED to the patient;
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Initiate analysis of the rhythm.
Hyperextend extremity and palpate brachial artery.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.


15. 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.
Connect the one - way valve to mask.
You should verbalize the re - assessment of the vital signs.
Assess the following..


16. Circulation assessment re - cap! When assessing the skin - what should you be looking at?
You should determine the chief complaint/apparent life threats of the patient.
Medical command
The color - temperature - and condition.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer


17. 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.)
Confirm the expiration date.
Determine the mechanism of injury.


18. When assessing the head - What do you check?
You should verbalize the re - assessment of the vital signs.
Check the level of consciousness - and the history.
1. indicate appropriate oxygen therapy. 2. assure adequate ventilation 3. continue with injury management.
Scalp - ears - eyes - and the oral/nasal areas.


19. Assessment says that you will notice that the patient is now pale and diaphoretic with a rapid - weak pulse... say that out loud.
Direct assistant to assume ventilation and pre - oxygenate patient.
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.
Remember to position the patient properly.
The second action is determining the patient's responsiveness/level of consciousness


20. It's time to administer the medication to the patient! How are you going to do so?
According to the assessment sheet - you should control/assess major bleeding before you take the patient's pulse.
Perform two minutes of high quality CPR.
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
Request additional help.


21. Administer ____ concentration oxygen.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
Administer high concentration oxygen.
You should verbalize the re - assessment of the vital signs.
You should manage all of the patient's secondary injuries/wounds appropriately


22. You need to shock the patient again. The rescuer is STILL delivering CPR.. What do you do?
Yes - always explain to the patient that they will feel a stick from the needle.
Tell the rescuer to stop delivering CPR - and for everyone to stand clear.. make sure they are all clear.
Yes - direct resumption of CPR.
Medical command


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

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24. 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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25. 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?
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Report/record ausculated blood pressure.
Assess the airway and breathing.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.


26. 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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27. You need to get the AED. What should you do?
Assess effectiveness of intervention. (the assessment says that you have to tell the patient that the wound continues to bleed.)
Contact medical command if patient condition permits.
Turn over CPR to another rescuer. Turn on the AED.
Assess the neck - next. Inspect and palpate the neck - assess for JVD - and then for tracheal deviation.


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.
Check the level of consciousness - and the history.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Confirm that the patient is sitting as upright as possible.


29. Blood pressure (palpatation)

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30. You've checked the neck - now move down to the chest.
The pulse returns.
For at least 30 seconds!
Inspect the chest - palpate - auscultate.
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery


31. After consulting Medical Command - are you going to perform the procedure without explaining anything to the patient?
Explain the procedure to the patient.
Check the level of consciousness - and the history.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Assess the airway and breathing.


32. You've successfully removed the cap - and you're ready to administer the medication to the patient... but where do you administer it?
You should determine the chief complaint/apparent life threats of the patient.
Expose the thigh area - (and say that you are doing so.)
Indicate the need for immediate transportation.
Connect the one - way valve to mask.


33. What do you direct your assistant to do?
Confirm that the patient is sitting as upright as possible.
Direct assistant to assume ventilation and pre - oxygenate patient.
- History of allergies - What were you exposed to? - How were you exposed? - Effects - Interventions - Refer to Epinephrine.
Take BSI precautions!


34. First action performed after you arrive on scene..
Verbalize or direct insertion of a simple airway adjunct. (oral/nasal)
Take or verbalize body substance isolation precautions.
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer


35. Inflate cuff rapidly to at least 20mm Hg ______ palpated blood pressure.
Inflate cuff rapidly to at least 20mm Hg above palpated blood pressure.
Take BSI precautions!
Right patient - Right drug - Right dose - Right route - Right time.
Yeah.. definitely don't forget to document everything.


36. 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
You should determine the chief complaint/apparent life threats of the patient.
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.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)
Apply the blood pressure cuff 1' above the antecubital space - Not over clothing. - snug fit - center bladder over artery


37. After checking the chest - where do you move?
Verbalize the transportation of the patient.
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.
Remember to explain the procedure to the patient.


38. After you open the airway - What do you do?
- Rate - Rhythm (regular/irregular) - Quality (strong/weak)
You should obtain baseline vital signs of the patient.
You should verbalize the re - assessment of the vital signs.
Connect the one - way valve to mask.


39. Time for Bleeding Control/Shock Management! First thing you do?
Apply pressure dressing to the wound.
Count pulse for minimum of 30 seconds then multiply by 2.
Take BSI precaution!
- Onset - Provokes - Quality - Radiates - Severity - Time - Interventions - Refer to Nebulizer


40. How will you determine if the patient needs glucose administration?
Hyperextend extremity and palpate brachial artery.
Check the level of consciousness - and the history.
Place auto - injector on lateral thigh - midway between the knee and thigh.
Normal - Moist - Diaphoretic


41. What do you do after you determine if the scene is safe?
Hold the auto - injector to the patient's thigh for 10 seconds.
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.
Determine the mechanism of injury.


42. Ventilate patient!
Switch to bag/valve mask.
Assure high concentration of oxygen is delivered to the patient.
Did that help? Document when you put the tourniquet on.
Yes - you should obtain SAMPLE history after taking baseline vital signs.


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

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44. The patient is still bleeding - so you..
Yes - direct resumption of CPR.
Document the procedure!
Apply pressure dressing to the wound.
Yes - you should obtain SAMPLE history after taking baseline vital signs.


45. How long should you perform high quality CPR?
Perform two minutes of high quality CPR.
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.
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.
Place auto - injector on lateral thigh - midway between the knee and thigh.


46. Did THAT help?
Assess effectiveness..(assessment says that the patient Is STILL bleeding.. so. tell them that they are still bleeding.)
Inflate the cuff rapidly to at least 20mm Hg above the point where the pulse is lost.
1. Right patient. 2. Right drug. 3. Right dose. 4. Right route. 5. Right time.
- Normal (warm) - Cool - Cold - Hot


47. Palpate radial or brachial artery!
Connect the mask to high concentration or oxygen.
Direct assistant to assume ventilation and pre - oxygenate patient.
That one is basically self - explanatory. Do that after you apply the cuff!
(margin +/-4)


48. Slowly deflate the cuff - and report/record palpable systolic blood pressure when..
The pulse returns.
Initiate steps to prevent heat loss from the patient.
Switch to bag/valve mask.
Examine the head first. Check/palpate the scalp and ears - check the eyes - and facial areas (the oral and nasal areas.)


49. '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
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.'
Initiate steps to prevent heat loss from the patient.
Assess the airway and breathing.


50. Should you just lay something over the wound after BSI precaution - or should you apply direct pressure?
Perform two minutes of high quality CPR.
Apply direct pressure to the wound.
Inspect the chest - palpate - auscultate.
Indicate the need for immediate transportation.