Final EMT Fiscal Questions and answers 100% Accurate All Verified Latest Update 2024 Grade | Exams Nursing | Docsity (2024)

Download Final EMT Fiscal Questions and answers 100% Accurate All Verified Latest Update 2024 Grade and more Exams Nursing in PDF only on Docsity! 1 [Date] Final EMT Fiscal Questions and answers 100% Accurate All Verified Latest Update 2024 Grade A A female is unresponsive due to being hit in the head with a board. She has a large hematoma on her forehead. You should Assess her airway Check for a pulse Obtain consent to treat Manually stabilize the spine Correct an - Manually stabilize the spine Which is the BEST way to assess breathing in an unconscious patient? Watch for chest rise Apply a pulse oximeter Check for capillary refill Examine the skin color Correct an - Watch for chest rise A 10 month old pt has a partial foreign body obstruction due to a piece of hot dog. She is cyanotic and has minimal air movement. Your treatment should include Ventilations by bum and oxygen A blind finger sweep Highly concentrated oxygen blow-by Back blows and abdominal thrusts Correct an - Back blows and abdominal thrusts A 54 year old female is complaining of chest pain. The patient would like you to assist her in taking one of her husband's nitro tablets. Vital signs are BP 140/100, P 96, R 18. What should you do? Monitor vital signs and transport in position of comfort 2 [Date] Assist the pt. in self-administering nitroglycerin Administer oxygen and contact∑ the pt physician Check the expiration date on the nitroglycerine and comply with the patients request Correct an - Monitor vital signs and transport in position of comfort The most common electrical disturbance the result in cardiac arrest in adults is Ventricular tachycardia Ventricular fibrillation Asystole Pulseless electrical activity Correct an - Ventricular fibrillation A 35 year old female claims to have fallen. As you assess her injuries, her husband enters the room tells you to leave. He is holding a baseball bat. You should Remove the pt from the house as quickly as possible Continue caring for the pt while reasoning with the husband Leave the scene and request police assistance Tell the husband to drop the bat Correct an - Leave the scene and request police assistance A 91 year old male was found lying on the floor in his home. He is staring blankly and is rigid and cool to the touch. Vital signs are BP 100/74, Temp 88F, and SPo2 93%. As you prepare for transport, you should Handle the pt gently Apply heat packs and massage extremities Massage his extremities Apply heat packs and handle gently Correct an - Apply heat packs and handle gently A pt complains of abdominal pain. Which of the following questions should you ask? 5 [Date] Open the airway and suction Correct an - Open the airway and suction A 68 year old pt complains of chest pain. Vital signs are BP 146/90, P 92, R 20. You should Provide supplemental oxygen via BVM Administer oxygen via nasal cannula at 6 lpm Administer oxygen via non-rebreather mask at 6lpm Use flow restricted oxygen powered ventilation device Correct an - Administer oxygen via nasal cannula at 6 lpm Your motorcycle accident victim is anxious, short of breath and tachycardic, with unequal chest expansion. There are no wounds present. Your administration of high flow oxygen does not seem to be helping. You suspect, A pleural rub Neurogenic shock An open pneumothorax A flail chest Correct an - A flail chest You arrive at a campsite where there has been an explosion. Your patients clothing is still burning, and she is gasping for air. You should Extinguish burning clothing Open the pts airway Ventilation via bag-valve mask Begin to administer oxygen Correct an - Extinguish burning clothing You have just assisted in the delivery of a healthy newborn girl. Which of the following is the most important? Wrap the newborn in a blanket to keep her warm Note the exact time and location of birth Give the newborn high concentrated oxygen via non rebreather mask 6 [Date] Give the newborn to her mother to begin binding Correct an - Wrap the newborn in a blanket to keep her warm A 20 year old male collapsed while eating a hot dog. He appears cyanotic. You should Begin abdominal thrusts Open his airway Begin chest compressions Check responsiveness Correct an - Check responsiveness Your patient is unconscious. The nurse on scene states: “the pt is bradycardic; please attach your AED and transport." what should you do? Explain that use of an AED is not appropriate at this time Assess the pts breathing and pulse Obtain vital signs and request the nurses order in writing Apply the AED and transport immediately Correct an - Assess the pts breathing and pulse A pt has sustained multiple traumatic injuries. In a "load and go: situation, the fastest, most appropriate method of splinting would be securing The entire body to a spine board The injured limb to an uninjured limb Pulse oximetry readings after splinting A KED Correct an - The injured limb to an uninjured limb When giving the hospital a radio report, you should Provide a complete medical history Speak quickly and be brief Only report life threatening conditions 7 [Date] Maintain a clear and steady tone Correct an - Maintain a clear and steady tone A three year old pt has been sick for several days. Her mother tells you that she has been vomiting and has diarrhea. The child appears tired but withdraws from you during your exam. She is breathing quickly and looks pale. Vital signs are 90/50, P 133, R36. you should Encourage active rehydration Observe the pt and transport routine to the hospital Apply high concentration oxygen and transport rapidly Ask if she could have ingested a poison Correct an - Apply high concentration oxygen and transport rapidly A semi- conscious trauma pt with a suspected cervical spine injury has a significant amount of blood in her mouth. You should Perform jaw thrust Fully immobilize the pt Suction using a rigid catheter Insert an OPA Correct an - Suction using a rigid catheter the best treatment for a pt exposed to an absorbed poison is to Remove the poison from the skin Administer activated charcoal "Neutralize" the poison with vinegar Apply a tourniquet Correct an - Remove the poison from the skin Signs and symptoms of early hypoperfusion can include Decreased blood pressure Bradycardia Anxiousness 10 [Date] A pt becomes unresponsive after administration of oral glucose. You should Open and inspect the airway Administer oxygen via non-rebreather Suction the airway Reassess his vital signs correct an - Open and inspect the airway A 34 year old male was found unconscious at the bottom of a flight of stairs. You note dark blue, purple, and yellowish brown bruising across his back and a minor laceration of his chest. You should first be concerned with Wound to the chest Injury to the head Injury to the neck Assault to the back Correct an - Wound to the chest What of the following is the leading causes of death in infants and children? Complications of birth and growth Poisonings Respiratory problems Cardiovascular diseases Correct an - Respiratory problems You are treating a pt in cardiac arrest at a loud outdoor concert. You are awaiting transport and have shocked your pt five times. The AED is recommending another shock, you should Move the pt outdoors Reanalyze in two min Administer the shock Continue chest compressions Correct an - Administer the shock An adult is suffering a cardiac arrest. What should you do to restore circulation? Defibrillation 11 [Date] Administer oxygen Ventilate artificially Begin chest compressions Correct an - Begin chest compressions A 42 year old male was in a house fire. The anterior portion of his lower legs has been burned. The area is charred black but your states he has a little pain. This burn would be classified as Superficial Circumferential Partial thickness Full thickness Correct an - Full thickness You are entering a controlled intersection with emergency lights and siren activated. The signal light is red. Your emergency vehicle Has the right of way against vehicles entering from the right Should come to a complete stop prior to proceeding Has the right of way against all vehicles entering the intersection May proceed through the intersection as long as cross traffic is slowing down Correct an - Should come to a complete stop prior to proceeding A 24 year old trauma patient is holding pressure on a laceration to his right leg. He keeps complaining: "i just can't get it to stop". His respirations are 10 times per min, and he has no radial pulses. You should Open his airway Initiate high flow oxygen Apply a tourniquet Take over manual stabilization of his leg Correct an - Apply a tourniquet Your patient is in cardiac arrest. After administering a shock and two min of car, you detect a faint pulse. Vital signs are BP 90/50, P58, R6, Spo2 88%. What should you do? 12 [Date] Assist respirations via bum Resume chest compressions Apply oxygen via non-rebreather mask Press the analyze button on the AED Correct an - Assist respirations via bum A 19 year old has swallowed lighter fluid. You should Administer syrup of ipecac Contact a poison control center Administer activated charcoal Contact the closest hospital Correct an - Contact a poison control center You should rapidly extricate a motor vehicle collision patient who is awake and complains of: Pain to both thighs with obvious deformity to his left ankle Bleeding from a laceration on his face and breathing at 24/min A fractured left forearm and a rapid pulse Numbness to lower extremities and abnormal respirations Correct an - Numbness to lower extremities and abnormal respirations A three year old exhibits inspiratory stridor, fever, and agitation. You should Transport immediately Hold him in a seated position Visualize the airway and remove and obstruction Apply high flow oxygen Correct an - Transport immediately While transporting an oxygen dependent pt on 4 lpm oxygen, his respiratory rate decreases to 8 breaths per min. You should Ventilation via bum and continue to transport Ensure that his oxygen cylinder has adequate pressure Recheck the pt vital signs 15 [Date] Reposition his head reattempt ventilations Open his airways and perform a finger sweep Perform five abdominal thrust and reassess Deliver 5 back blows and five chests thrust Correct an - Reposition his head a reattempt ventilations A 28 year old patient complains of back pain after falling 20 feet from a balcony. First responders placed a C-collar and splinted bilateral fractured femurs with padded board splints. You should: Check pulses and carefully re-splint the legs Perform a detailed assessment on scene Take patient to the closest hospital Transport to a level 1 trauma center Correct ans - Transport to a level 1 trauma center A very large man in restaurant is clutching his throat and unable to speak. You are unable to reach your arms around his abdomen. You should: Use your portable suction equipment to dislodge the object Perform the heimlich by wrapping your arms around his chest Ask your partner to assist you with the heimlich maneuver Administer multiple back blows and quickly sweep the mouth Correct ans - Ask your partner to assist you with the heimlich maneuver American heart association studies show improved survival to discharge rates with the use of what kind of early cardiac arrest treatment? Advanced airway management Induced hypothermia Transport Chest compressions Correct ans - Chest compressions 16 [Date] 25 year old male asthmatic is short of breath. He has audible wheezes. Vital signs are BP 132/80, P 132, R 24, SpO2 96%. You should: Ventilate using the bag-valve mask Administer high-flow oxygen Assist with a prescribed bronchodilator Administer an Epipen Correct ans - Assist with a prescribed bronchodilator You are treating a patient for heat exposure. She is sweating profusely and complaining of abdominal cramps. En route to the hospital. She begins to shiver. You should: Turn off the air conditioning in the ambulance Discontinue high concentration oxygen Wrap the patient in blankets Transport the patient with lights and sirens Correct ans - Turn off the air conditioning in the ambulance 40 year old male was found confused and wandering around. Vital signs are BP 90/60, P 140, R 30 and shallow skin is hot and dry. You should suspect Alcohol abuse Heat exhaustion Heat stroke Drug abuse Correct ans - Heat stroke 30 year old female was in a car crash and has a severely angulated left lower leg. She has just been extricated after entrapment. The limb is cool and pulseless. Vital signs BP 100/40, P 90, R 20. You should: Apply manual traction and reassess the patient Administer high flow oxygen and transport rapidly Apply cold packs, elevate the limb, and transport 17 [Date] Splint the extremity in the position found and transport rapidly Correct ans - Splint the extremity in the position found and transport rapidly An 11 year old male has been injured. He is crying, sucking his thumb, and acting fearful. You should: Speak calmly and explain all treatment beforehand Reassure the child that you can relieve his pain. Ask the parent if they can get the child to stop crying Ask the parent to hold the child during the exam Correct ans - Speak calmly and explain all treatment beforehand Which of the following is TRUE regarding the use of the flow-restricted, oxygen- powered ventilation device? It should have a standard 10/20 millimeter coupling It can be used on children or adults It rarely causes gastric distention It can cause significant lung injury when used improperly Correct ans - It can be used on children or adults Belted patient was involved in a rollover vehicle crash. She is responsive to pain. Vital signs are BP 95/70, P 60, R 23 and an uninjured passenger tells you that she "has her appendix taken out" 3 months ago. Which of the following should MOST lead you to suspect internal bleeding? Level of consciousness Mechanism of Injury Past medical history Vitals signs Correct ans - Mechanism of Injury When informing an 18 year old of a treatment that is needed and the associated risks, what type of consent are you seeking? Advised 20 [Date] How should you preserve potential crime scene evidence on clothing that is removed from a patient? Place items in a large paper bag Have a witness verify the condition of all removed clothing Place items in a sealed plastic bag Document the condition of all removed clothing. Correct ans - Place items in a large paper bag Your patient complains of a headache. You notice his right cheek is sagging and his left arm is hanging limp at his side. What should you do? Administer aspirin and nitroglycerin Perform a prehospital stroke scale Ask if the patient takes medications Administer one tube of oral glucose Correct ans - Perform a prehospital stroke scale A six year old female reportedly fell off her bed. You note burns to the girls back and bruises of different colors on her legs. You should: Document the physical findings with a photograph Report suspected abuse to the hospital Request social services intervention Interview the child asking for specific locations of her parents during the events Correct ans - Report suspected abuse to the hospital Two minutes after administration of a prescribed bronchodilator your patient becomes increasingly shaky. You should: Immediately contact medical control to report the patient's response Document your patient's response to the medication Assist the patient with another dose of the medication 21 [Date] Continue to reassess the patient every 5 minutes Correct ans - Continue to reassess the patient every 5 minutes A patient was involved in a motor vehicle crash. She is still in her car when you arrive and complains of neck stiffness. Your partner tells you that he notices clear, colorless liquid pooling beneath the vehicle and smoke. You should: Identify the liquid Apply spinal precautions and gently extricate the patient Conduct a rapid trauma assessment and move the patient Rapidly extricate the patient Correct ans - Conduct a rapid trauma assessment and move the patient Patient from a motor vehicle crash is refusing care. Which of the following is most important to document Any history of recent trauma Advisem*nt of transportation Actions of law enforcement Damage to the vehicles Correct ans - Advisem*nt of transportation A 72 year old man was found lying on a golf course. He is drooling, has a bloody lip, and has burns on his feet. He is confused and none of the bystanders know him. You should suspect the patient: Suffers from epilepsy Is having an psychotic episode Was hit by lighting Is a victim of elder abuse Correct ans - Was hit by lighting You are called to a restaurant where a 62 year old male patient is clutching his chest. When asked if he can breath he shakes his head "no" what should you do? Perform a series of abdominal thrust Perform a blind finger sweep Begin cardiopulmonary resuscitation 22 [Date] Apply oxygen and assess his pulse Correct ans - Perform a series of abdominal thrust A newborn is limp, cyanotic, and breathing slowly. She does not respond to suctioning, drying, and stimulation. You should: Ventilate with a BVM Vigorously rub the baby's back Apply oxygen Begin chest compressions Correct ans - Ventilate with a BVM A CPR patient has a complete tracheostomy. You should: Administer oxygen via pediatric non-rebreather mask over the tracheostomy Perform CPR as normal Ventilate the patient through the tracheostomy via BVM Ventilate the patient through the mouth and nose while covering the tracheostomy Correct ans - Ventilate the patient through the tracheostomy via BVM You have delivered two shocks with the defibrillator. Your patient now has a pulse and a blood pressure of 80/40. He remains apneic. What should you do? Continue chest compressions and re-analyze Perform a rapid assessment during transport Continue ventilations with oxygen and transport Remove and shut off the defibrillator and transport Correct ans - Continue ventilations with oxygen and transport Your patient is on a home ventilator. While performing your patient assessment, you should Assess the patient as you normally would Disconnect the ventilator to determine respiratory rate 25 [Date] A thin 75 year old female on home oxygen presents in a tripod position with marked dyspnea, confusion, intercostal retractions, and mild cyanosis. Breath sounds are markedly decreased bilaterally. You suspect Acute asthma attack Toxic exposure Emphysema Pneumonia Correct ans - Emphysema An adult is breathing at a rate of 6 breaths per minute. You should Ventilate the patient via BVM Monitor vital signs and Sp02 level Apply high concentration oxygen via non-rebreather mask Assess lung sounds and perfusion Correct ans - Ventilate the patient via BVM A 23 year old has been getting gradually more disoriented and nauseous. HE is thirsty and complaining of abdominal pain. Vital signs are BP 130/90, P 110, R 24. You should suspect Drug overdose Food poisoning Influenza Hyperglycemia Correct ans - Hyperglycemia A 13 year old male has a pencil impaled in his upper arm. You detect no radial pulse. You should Reposition the arm to return pulse Stabilize the pencil with a bulky dressing Apply a tourniquet Remove the pencil Correct ans - Reposition the arm to return pulse 26 [Date] Your patient was eating when he suddenly grasped his throat. He cannot speak or cough. You should suspect Laryngeal spasms An allergic reaction Acute myocardial infarction Foreign body obstruction Correct ans - Foreign body obstruction Which method would be most appropriate when restraining a violent patient? Immobilize the violent patient using a vest device with a backboard Strap the patient in the supine position to the cot using cravats Restrain the patient's arms behind the back to protect the rescuer Use law enforcement handcuffs to secure the patient's arms to the cot Correct ans - Strap the patient in the supine position to the cot using cravats You have properly places defibrillation pads on a patient with a hair chest. The automated defibrillator is continuing to advise: "attach pads." you should Turn the machine off and back on again Reposition the pads in the patient's chest Remove current pads and apply new ones Continue chest compressions and transport Correct ans - Remove current pads and apply new ones A 45 year old female complains of chest pain. She is attempting to pull off the non-rebreather mask that Emergency Medical Responders placed on her. Vital signs are BP 130/80, P 118, R 24,Sp02 92%. What should you do? Use a nasal cannula Explain the danger of acute myocardial infarction Assist ventilations Demonstrate wearing the mask on yourself Correct ans - Use a nasal cannula 27 [Date] A man in a diner suddenly began gasping and coughing violently while eating. He is now silent and his lips appear blue. You should Immediately suction the oropharynx Perform back blows and encourage coughing Perform abdominal thrust Perform a blind finger sweep Correct ans - Perform abdominal thrust A 46 year old male is complaining of chest pain. You should Immediately transport Assist the pt in taking his nitro Obtain a history of present illness Apply oxygen and obtain baseline vital signs Correct ans - Apply oxygen and obtain baseline vital signs A marble has completely obstructed your four year olds patients airway. You should immediately Perform a finger sweep Administer five back blows Perform abdominal thrusts Suction the airway Correct ans - Perform abdominal thrusts A 78 year old female was found in her pajamas on the kitchen floor. It is a cold morning and no one has heard from her for 24 hours. You find her daughter performing cpr. You should. Assess the quality of compressions Continue CPR for 5 min Attach the AED pads Auscultate heart tones Correct ans - Attach the AED pads 30 [Date] Begin active external warming Assist the patient with his prescribed nitroglycerin Administer oxygen via non-rebreather mask at 15 lpm Administer oxygen via nasal cannula at 4 lpm Correct ans - Administer oxygen via non-rebreather mask at 15 lpm Your partner is performing mouth-to-mask ventilation when you notice the presence of increasing gastric distention. You should Decompress the stomach manually Immediately suction the oropharynx Manually reposition the airway Increase the depth of ventilations Correct ans - Manually reposition the airway You are treating an unresponsive victim with facial trauma. He has an avulsed check that is interfering with the airway and has gurgling respirations. You should Suction and remove the obstructing tissue Insert an oral airway Carefully attempt ventilation via BVM Insert a nasal airway and administer high flow oxygen Correct ans - Suction and remove the obstructing tissue A patient is unresponsive in a crashed vehicle that is pointing into the ditch. You should Attempt to open the door Ensure the vehicle is stable Break a side window Deflate the tires Correct ans - Ensure the vehicle is stable An occlusive dressing should be used to quickly seal any open wound to the 31 [Date] Eye Chest Head Abdomen Correct ans - Chest You respond to a cardiac arrest call and find a bystander performing CPR on a five year old. You confirm the patient is pulseless and apneic, and your partner continues CPR. you open up the AED and discover that there are no pediatric pads, only adult pads. How should you and your partner proceed? Perform two person CPr and wait for an ALS unit Perform CPR while you attach the adult pads and follow AED prompts Perform CPR while you drive quickly to the closest ER Perform two person CPR and call for another AED Correct ans - Perform CPR while you attach the adult pads and follow AED prompts You should open the airway of a six-month old by Turning the patient onto their left side Placing their head in an extended position Padding under the head of the child Placing the head in a neutral position Correct ans - Placing their head in an extended position 26 year old male complains of neck pain after being rear-ended at intersection. There is no damage to the vehicle, and the driver of the second vehicle says her speedometer read two miles an hour at the moment of impact. You should: Request that a police officer come to document the incident Ask the patient if he can move on his own Enter the backseat of the vehicle to stabilize the c-spine Remove the patient to a long-board and transport to the hospital Correct ans - Enter the backseat of the vehicle to stabilize the c-spine 32 [Date] A 35 year old female who is 3 months pregnant has twisted her knee while walking. She is in extreme pain. You should Splint using board splints and cravats, transport sitting Splint with stretcher and straps, transport the patient on her left side Apply a traction splint and immobilized with a long spine board Hold manual stabilization until she gets to the hospital, transport on left side Correct ans - Splint using board splints and cravats, transport sitting The most effective way to control the spread of infection disease is to Avoid contact with all bodily fluids Wear gloves with all patients Wear a face shield on all calls Exercise good hand washing technique Correct ans - Exercise good hand washing technique A bystander from a train derailment wanders into your treatment area. He has an altered mental status, is covered in a green film, and states he cannot catch his breath. You should Check baseline vital signs Transport immediately to the hospital for decontamination Request the hazmat team for decontamination Administer high flow oxygen Correct ans - Request the hazmat team for decontamination An 89 year old female with a history of smoking is anxious and complaining of dyspnea. Upon examination, you find she has pedal edema. She is coughing up pink frothy sputum. What should you suspect? Acute myocardial infarction Chronic bronchitis Complication of emphysema 35 [Date] An unresponsive child with facial trauma requires airway management. You should. Insert a nasal cannula Suction the airway Apply cervical collar Insert an oropharyngeal airway Correct ans - Suction the airway There are 12 survivors from a bridge collapse. They are ready for transportation to the hospital. Who will notify hospitals and coordinate patient allocations to those facilities? Transport officer Incident commander Staging officer Triage officer Correct ans - Incident commander A 64 year old diabetic is hypotensive during dialysis treatment. The most likely cause of his condition is Hypoglycemia Fluid loss Septic shock Heart failure Correct ans - Fluid loss A 24 year old female has large blisters on her forearm from exposure to drain cleaner. This burn would be classified as a Partial thickness burn Thermal burn Superficial burn Third degree burn Correct ans - Partial thickness burn A 24 year old was found apneic and pulseless in a parking lot. You should 36 [Date] Insert an airway adjunct Apply high flow oxygen Defibrillate Begin chest compressions Correct ans - Begin chest compressions A patient is unresponsive. There are several empty beer bottles and insulin syringes nearby. You should Ensure scene safety and induce vomiting Ask if anyone saw what happened Ensure and maintain an open airway Assess her blood glucose level Correct ans - Ensure and maintain an open airway While ventilating a patient you see abdominal distention what should you do? Reassess the volume and rate of ventilations Switch to a pocket mask to give rescue breaths Tell the compressor to push harder on the chest Reposition your hand on the mask keep going Correct ans - Reassess the volume and rate of ventilations Your patient is complaining of shortness of breath. Vital signs are BP 188/110, P 120, R 32 and shallow. Lung sounds include crackles or "bubbling" sounds. You should suspect Asthmas attack Pulmonary embolism Congestive heart failure Heart attack Correct ans - Congestive heart failure 37 [Date] A 23 year old patient is in respiratory arrest following a severe asthma attack. He has an asthma inhaler in his hand and bystanders say he gave himself two doses when the attack started. You should Administer another dose of his prescribed bronchodilator Consult medical direction for permission to give another dose Perform ventilation with a BVM and oxygen Find out how long he has been respiratory arrest Correct ans - Perform ventilation with a BVM and oxygen 54 year old male was involved in a car crash and has a large open neck wound. You should dress this would: Pressure dressing Sterile gauze dressing Moist gauze dressing Occlusive dressing Correct ans - Sterile gauze dressing A six year old has partial-thickness burns on her arms, upper chest, upper back, and face. Vital signs are BP 92/48, P 140, R 40. You should Administer oxygen via nasal cannula Administer oxygen via mask Apply cold compresses Apply moist dressing Correct ans - Administer oxygen via mask A 14 year old female is making grunting sounds. These sounds are indicative of Cheyne-stokes An airway obstruction Diabetic ketoacidosis Respiratory distress Correct ans - Respiratory distress 40 [Date] Contact the operating surgeon immediately Correct ans - Perform CPR as with any other pt A 45 year old male weighing 130 kg is having chest pain. He is on the fifth floor of an apartment building and the elevator is too small for your stretcher. You should move the pt by Performing a fore-and-aft carry Using a Bradford cot Having the pt walk Using the stair chair Correct ans - Using the stair chair A patient has hives, watering eyes, and mild wheezing. Vital signs are BP 102/60 P 110 and r 22. Which treatment should you provide during the initial assessment? Elevate the pt legs Administer high flow oxygen via bvm Manage the patient's airway Assist with the patients epinephrine auto injector Correct ans - Assist with the patients epinephrine auto injector A 57 year old male is hemorrhaging after cutting off three fingers eit a power saw. A fourth finger was partially detached. You should Apply immediate pressure to the brachial artery Realign the partially detached fourth finger Apply direct pressure over the injured fingers Rap the fingers in plastic and place directly on ice Correct ans - Apply direct pressure over the injured fingers A motorcyclist is conscious after being stuck by an automobile. His full face helmet is still in place. Which of the following is an indication for removing the helmet? The helmet is preventing you from assessing his face 41 [Date] The helmet is damaged and the visor is no longer present The cervical immobilizer cushions will not fit properly Law enforcement requests that you remove the helmet Correct ans - The helmet is preventing you from assessing his face What is the most common error made while using an AED? Touching the pt during analysis Applying to a dead pt Misinterpreting the rhythm Applying the pads improperly Correct ans - Applying the pads improperly A patient hands you a lethargic 22 month old male and states "he had a congested cough". He has sternal retractions and his belly and chest move in opposite directions With each breath. He is breathing at a rate of 64. You should suspect Complete airway compromise Cardiac insufficiency Hyperventilation Respiratory distress Correct ans - Respiratory distress You have just transported a pt who is HIV positive. The dispatcher orders you to clear rapidly because another call is waiting. Before taking that call, you should, Disinfect your stretcher and replace the linen Complete and inventory and restock supplies Advise your dispatcher you are out of service Completely clean and disinfect you ambulance Correct ans - Disinfect your stretcher and replace the linen A six year old pt has retractions and a history of asthma. He is unable to hold his head up. You should 42 [Date] Administer oxygen via non rebreather mask at 15lpm Contact medical control before assisting with prescribed inhaler Administer oxygen via blow by method at 6lpm Ventilate via bvm at 15lpm Correct ans - Ventilate via bvm at 15lpm An unresponsive male has a weak, rapid pulse with deep, rapid respirations. His skin is warm and dry and his breath smells like nail remover. What should you do Drug overdose Diabetic emergency Cardiac compromise Heat stroke Correct ans - Diabetic emergency Your pt has crashed his car and you are unable to gain access. How should you protect his cervical spine Approach the pt from behind and instruct him not to move Stand in front of the pt and instruct him not to move Approach a side window and instruct him not to move Stand by until you have gained access Correct ans - Stand in front of the pt and instruct him not to move Your pt has cancer is obviously near death. A valid DNR is present. You should Immediately notify the medical examiner Attempt resuscitation if the pt appears to be visible Not withhold oxygen or other supportive care Ask the next of kin if they are sure about the decision not to resuscitate Correct ans - Not withhold oxygen or other supportive care A patient who is suffering from hypoglycemia would have skin that is Cold and clammy Warm and dry 45 [Date] Ask the family to convince the pt to be transported Restrain the pt and transport him by ambulance Correct ans - Ask the family to convince the pt to be transported A pt has a history of type one diabetes. Which of the following questions is most helpful for immediate treatment in the field? "When did you last eat?" "What type of oral hypoglycemic medication do you take?" "Are you feeling alert?" "What type of insulin do you take?" Correct ans - "When did you last eat?" Which of the following is a SYMPTOM that is often associated with a heart attack? High fever Arm pain Abnormal heart tones Leg cramp Correct ans - Arm pain An adult trauma patient has gurgling sounds during respirations. You should Complete spinal immobilization and suction Log roll patient to the side and suction Turn patient's head to the side and suction Ventilate the patient with a BVM Correct ans - Log roll patient to the side and suction A 54 year old male was playing basketball when he developed a crushing pain with associated shortness of breath. He sat down and his symptoms went away five minutes later. These symptoms best describe. Myocardial infarction Fractured rib Cardiogenic shock 46 [Date] Angina pectoris Correct ans - Angina pectoris A 52 year old male was unconscious after rolling his tractor. You notice an open knee fracture. His vital signs are BP 118/66 P 96, R20. You should Rapidly extricate with a cervical collar Splint the knee and extricate to a long board Assess distal pulses and apply sterile dressing Remove him using a short spine board Correct ans - Splint the knee and extricate to a long board A patient has a closed head injury with the following signs and symptoms; altered mental status, increasing blood pressure, decreased pulse and unequal pupils. These symptoms are consistent with Decompensated hemorrhagic shock Blowout orbital fracture Increased intracranial pressure Basilar skull fracture Correct ans - Increased intracranial pressure An 80 year old male complains of shortness of breath. Vitals signs are BP 156/88, P 132, R 24, with crackles, Spo2 93%. You should Obtain a complete SAMPLE history Perform a detailed assessment of the chest Assis the patient with his prescribed inhaler Administer oxygen by non-rebreather mask Correct ans - Obtain a complete SAMPLE history A two year old child is in respiratory arrest. You should be prepared for Cyanosis Cardiac arrest Bronchospasms 47 [Date] Seizures Correct ans - Cyanosis You are a transport unit at an MCI. The Fire department brings a patient to your ambulance. What is your first priority? Baseline vital signs Airway Universal precations Breathing Correct ans - Airway A 92 year old female fell in the bathroom. She has large hematomas on the bridge of her nose and the side of her head. First responders report vital signs of BP 90/43, P 62, R 12. She is alert and denies neck pain or tenderness. Before transport, you should Obtain vital signs and review important finding with first responders Suction the airway and assist ventilations with oxygen via BVM Immobilize the patient with a C-collar and long spine board Perform a detailed physical exam and bandage her head Correct ans - Immobilize the patient with a C-collar and long spine board When you palpate a pulse you are feeling the Relaxation of both ventricles Relaxation of the atria Contraction of the left atrium Contraction of the left ventricle Correct ans - Contraction of the left ventricle In case of bee stings, you should Carefully cleanse the site of the sting Remove the stinger using tweezers Remove the stingers by gently scraping with the edge of a card