Emergency Medical Procedures and Assessments, Exams of Nursing

Download Emergency Medical Procedures and Assessments and more Exams Nursing in PDF only on Docsity! FISDAP QUESTIONS WITH 100% CORRECT SOLUTIONS 2024 UPDATED GRADED A+ During your primary assessment you palpate the chest and note crepitus to the left lateral ribs. What should you do? a. Continue with your assessment b. Immediately splint the area c. Obtain baseline vitals d. Listen to lung sounds - Solution D: listen to lung sounds a 33 year old male is lying supine on the floor after falling off a ladder. He has an obvious head injury and bleeding. What should you do? a. Assess his level of consciousness b. Insert an oral airway c. Administer oxygen d. Immobilize him to a long back board - Solution A: ASSESS HIS LEVEL OF CONSCIOUSNESS an 18 year old male has a deep laceration to his wrist that is squirting bright red blood. What should you do? a. Assess the airway b. Assess for capillary refill C. place a gloved hand over the wound d. Administer oxygen with a non-rebreather mask - Solution C. PLACE A GLOVED HAND OVER THE WOUND a car is flipped over on to its roof, and two people are trapped inside the car. They are suspended upside down because they were strapped in with seatbelts. Several different fluids are leaking from the vehicle. What should you do? a. Extricate the patients b. Ensure scene safety c. Call for additional resources d. Stabilize the wounds - Solution B. ENSURE SCENE SAFETY you have approached your patient and formed a general impression. What should you do? a. Make a transport decision b. Open the airway c. Assess the level of consciousness d. Determine scene safety - Solution C. ASSESS THE LEVEL OF CONSCIOUSNESS A 78 year old male is unresponsive and lying supine on his bed. What should you do? a. Administer oxygen and apply an AEDb. Assess him for respiratory efforts c. Give him 2 quick rescue breaths d. Start compressions at a rate of 30:2 - Solution B. ASSES HIM FOR RESPIRATORY EFFORTS a 38 year old female was in a car crash and is unresponsive. Her head is slumped forward against the steering wheel and she has snoring respirations. What should you do? a. Administer oxygen b. Check for a pulse c. Apply a cervical collar d. Open her airway - Solution D. OPEN HER AIRWAY which mental status is the most life-threatening? a. Disoriented b. Responsive to verbal stimulus c. Unresponsive d. Responsive to painful stimuli - Solution C. UNRESPONSIVE What should you do after completing the scene size-8p and primary Survey for a trauma pt? a. Manually stabilize the head/neck b. Reconsider the mechanism of injury c. Obtain a SAMPLE history d. Assess baseline vitals - Solution B. RECONSIDER THE MECHANISM OF INJURY A 39 year old females is lying supine in her yard next to a 25 ft ladder. She has an obvious leg fracture. What should you do? a. Apply cervical collar b. Assist ventilations with a bag-valve mask C. Splint her fractured leg d. Cricoid cartilage - Solution D. CRICOID CARTILAGE What is the name of the passageway shared by the digestive and respiratory systems for air and food? a. Larynx b. Pharynx c. Trachea d. Nasopharynx - Solution B. PHARYNX What part of the respiratory system contains the vocal cords? a. Nasopharynx b. oropharynx c. Trachea d. Larynx - Solution D. LARYNX How many lobes are in the lungs? a. 5 b. 4 c. 7 d. 2 - Solution A. 5 What is the name of the muscular structure that divides the chest cavity from the abdominal cavity? a. Alveolus b. Smooth muscles c. Carina d. Diaphragm - Solution D. DIAPHRAGM What is the name of the cartilaginous ridge in the trachea at which the right and left lungs split? a. Xiphoid process b. Cricoid cartilage c. Epiglottis d. Carina - Solution D. CARINA What leaf-shaped structure closes during swallowin to prevent foods and foreign objects from entering the trachea? a. Epiglottis b. Cricoid cartilage c. Oropharynx d. Alveoli - Solution A. EPIGLOTTIS What area is directly posterior to the mouth? a. Oropharynx b. Nasopharynx c. Larynx d.trachea - Solution A. OROPHARYNX what are the small sacs in the lungs that are responsible for gas exchange? A. Carina b. Alveoli c. Bronchioles d. Bronchi - Solution B. ALVEOLI What is directly posterior to the nose? a. Nasopharynx b. Trachea c. Larynx d. Oropharynx - Solution A. NASOPHARYNX What is the normal respiratory rate for an adult? a. 8-16 b.10-18 c.12-20 d.14-22 - Solution C. 12-20 What is the name of the hollow, semi-flexible tube that carries inhaled air from the larynx to the lungs? a. Alveoli b. Trachea c. Bronchi d. Larynx - Solution B. TRACHEA What happens to your diaphragm during inhalation? a.enlarges b. Relaxes c. Lobes upwards d. Contracts - Solution D. CONTRACTS where is Sellicks maneuver applied? A. Esophagus b. Cricoid cartilage c. Trachea d. Thyroid gland - Solution B. CRICOID CARTILAGE A 53 year old male is sleepy diaphoretic, difficult to arouse, and breathing 8 times a minute. What should you suspect? a. respiratory distress b. Respiratory failure c. Respiratory alkalosis - Solution B. RESPIRATORY FAILURE An 18 year old male is cyanotic and complains of sharp chest pain and difficulty breathing after lifting weights. Vital signs are BP 110/66, P 88, R 22. What is most likely the cause? a. Acute myocardial infarction b. Pulmonary embolism c. Spontaneous pneumothorax d. Tension pneumothorax - Solution C. SPONTANEOUS PNEUMOTHORAX What is the term for high-pitched whistling sounds heard during expiration? a. Snoring b. Stridor c. Friction rub d. Wheezing - Solution D. WHEEZING A 56 year old female has a complete airway obstruction from a piece of food. She becomes unconscious while you assess her. What should you do? a. Preform a finger sweep b. Deliver up to 5 abdominal thrusts c. Attempt to ventilate her d. Begin chest compressions - Solution D. BEGIN CHEST COMPRESSIONS An alert 32 year old female complains of difficulty breathing. She speaks in 2-3 word sentences and has an o2 sat of 92%. What should you do? a. Obtain vital signs b. Assist her w metered dose inhaler c. Assist ventilations w bag valve mask an unresponsive 43 year old male is cool, pale, diaphoretic, and breathing 6 times a minute. Which device should you use to administer oxygen? a. Simple face mask b. Nasal cannula c. Bag-valve mask d. Non-rebreather mask - Solution C. BAG VALVE MASK A 82 year old female complains of difficulty breathing. Before you assist her with her prescribed inhaler, who will you need permission from? a. Staff nurse b. Her personal physician C. Online medical control D. Her family - Solution C. ONLINE MEDICAL CONTROL What are structures that branch off of the trachea into the lower airway? a. Arterioles b. Bronchi c. Alveoli d. Cricoid - Solution B. BRONCHI A febrile 44 year old male complains of shortness of breath and has dull chest pain. He has been coughing up rusty sputum for the last 3 days. What is most likely the cause? a. Congestive heart failure b. Chronic bronchitis c. Pneumonia d. Emphysema - Solution C. PNEUMONIA Where does the heart receive its nutrition from blood passing through? a. Pulmonary artery b. Aorta c. Coronary vein d. Coronary artery - Solution D. CORONARY ARTERY when assessing an extremely hypothermic patient, what should you do? a. Wait until the patient is warm to check the pulse b. Move the patient to the ambulance before checking the pulse c. Expect the pulse check will take more time than normal d. Expect the pulse check will take less time than normal - Solution C. EXPECT THE PULSE CHECK WILL TAKE MORE TIME THAN NORMAL a 48 year old male suddenly becomes confused after taking nitroglycerin. He is sitting upright but is unable to follow your directions. What should you do? A. Obtain a stroke scale assessment b. Check his blood glucose level c. Place him in a supine position d. Obtain a blood pressureC. PLACE HIM IN A SUPINE POSITION - Solution C. PLACE HIM IN A SUPINE POSITION what respiratory condition can be directly caused by congestive heart failure a. Postural hypotension b. Pleural effusion c. Pulmonary edema d. Pulmonary embolism - Solution C. PULMONARY EDEMA The following patients are refusing your care, which is at the highest risk of a negative outcome? a. A postictal 13 year old epileptic female with a parent present b. A 50 year old male with diesel fuel splashed on his skin c. A 75 year old male taking Coumadin who fell on his sidewalk d. A 60 year old female who was in a car crash at 10 mph - Solution C. A 75 YEAR OLD MALE TAKING COUMADIN WHO FELL ON HIS SIDEWALK a 42 year old female has a pulse and is breathing adequately after a single shock from the AED. In which position should you place her? a. Supine B. Prone c. Recovery d. Fowlers - Solution C. RECOVERY a 55 year old females skin is cool, clammy, and ashen. Her level of consciousness begins to decreases, and you can no longer palpate a raidal pulse. What should you do> a. Begin chest compressions b. Transport rapidly c. Insert an oral airway d. Assess the carotid pulse - Solution D. ASSESS THE CAROTID PULSE. Which of the following signs is most indicative of hypofersuion. a. Tachycardia b. Altered mental status c. Lightheadnes d. Shortness of breath - Solution B. ALTERED MENTAL STATUS What is the term for a pulse rate above 100? a. Normal B. Irregular c. Bradycardia d. Tachycardia - Solution D. TACHYCARDIA a 56 year old male complains of epigastric pain that started an hour ago. He is diaphoretic and the pain is radiating into his left arm. What should you suspect? a. Peptic ulcer disease b. Anxiety attack c. Angina pectoris D. Myocardial infarction - Solution D. MYOCARDIAL INFARCTION a 61 year old male with chest pain took one dose of nitroglycerin prior to your arrival. He has experienced no relief. Vital signs are BP 88/44, P 58, R 22 What should you do? a. Assist with the administration of Asprin B. Apply oxygen c. Transport immediately d. Administer a second dose of nitroglycerin - Solution A. ASSIST WITH THE ADMINISTRATION OF ASPRIN a 42 year old male is unresponsive. He was found behind a restaurant and bystanders are unsure how long he has been there. What should you do? a. Check for a carotid pulse b. Open the airway with the manual maneuver. c. Assist his ventilations d. Check for a medical alert bracelet - Solution A. CHECK FOR A CAROTID PULSE c. Radial d. Brachial - Solution A. CORONARY what is the name for the chambers of the heart that contract simultaneously to pump blood out of the heart? a. Ventricles b. Venae cavea c. Aorta d. Atria - Solution A. VENTRICLES What is hypoperfusion? a. Heart rate less than 60 b. Altered mental status c. Systolic BP less than 90 d. Inadequacy of cellular gas exchange - Solution D. INADEQUACY OF CELLULAR GAS EXCHANGE What is the tremor adequate circulation of blood through the body's tissue? a. Hypoperfusion b. Perfusion c. Hemorrhage d. Shock - Solution B. PERFUSION What pressure is created when the heart contracts and forces blood into the arteries? a. Systolic B. Pulses paradoxus c. Mean arterial d. Diastolic - Solution A. SYSTOLIC What chamber of the heart pumps blood into the aorta? a. Right ventricle b. Right atrium c. Left atrium d. Left ventricle - Solution D. LEFT VENTRICAL What chamber of the heart receives blood from the vena cave? a. Right atrium B. Right ventricle c. Left artium d. Left ventricle - Solution A. RIGHT ATRIUM when checking a patient's pulse during CPR, which artery should you palpate? a. Brachial b. Femoral c. Radial d. Carotid - Solution D. CAROTID What element of the blood is affected by sickle cell anemia? a. Leukocytes b. Plasma c. Vascular structures d. Erythrocytes - Solution D. ERYTHROCYTES dispatch sends you to a possible seizure. As you arrive, you are advised the seizure has stopped. Which phase is the patient most likely in? a. Clonic b. Postical c. Tonic d. Aura - Solution B. POSTICAL a 20 year old male is agitated and complains of nausea. He tells you, "I feel like my heart is going to jump out of my chest" Vital signs are BP 142/90, P 140, R 24 and warm moist skin. Which drug should you suspect? a. Alcohol B. Amphetamines c. Opiates d. Narcotics - Solution B. AMPHETAMINES a febrile 24 year old male complains of sharp abdominal pain. He states that the pain worsens when you lift your hands from his abdomen after palpation. How should you transport him? a. Sitting upright b. Flat on his back c. In the recovery position d. In the fetal position - Solution D. IN THE FETAL POSITION a 50 year old male complains of a sudden onset of abdominal pain and appears pale and weak. Vitals BP 84/50, P 110, and R 22. What should you suspect? a. Gastrointestinal bleed b. Gastroenteritis c. Appendicitis d. Intestinal obstruction - Solution A: GASTROINTESTINAL BLEED a 10 year old male is allergic to peanuts. Shortly after sharing some food with a classmate, he began to complain that his throat felt "itchy" his teacher tells you that she thinks his "face looks swollen" What should you do? a. Obtain parental consent to transport the child to the hospital b. Instruct the teacher to administer the epi auto-injector c. Administer o2 and monitor the pt for a change in status d. Help him self0administer the epi - Solution D. HELP HIM SELF ADMINISTER THE AUTO INJECTOR EPINEPHRINE an unresponsive 19 year old female has overdosed on an unknown medication. She has pinpoint pupils and cool skin. Vital signs are BP 84/50, P 72, R 8 and SpO2 82% what class of medication should you suspect? a. Narcotic B. Antidepressant c. Stimulant d. Sedative - Solution A. NARCOTIC A 19 year old male was stung by a bee and the stinger is still embedded in his skin. He is allergic to bees. Vital signs are BP 124/76, P 92 R 18 o2 98% a. Leave the stinger in place and transport emergently b. Leave the stinger in place and apply ice to his skin C. Remove the stinger with a pair of tweezers d. Remove the stinger by scraping the skin with a card - Solution D. REMOVE THE STINGER BY SCRAPING THE SKIN WITH A CARD an 18 year old female complains of pain in her lower right quadrant with rebound tenderness. What should you suspect? a. Peptic ulcer disease b. Appendicitis C. Pelvic inflammatory disease A 41 year old male begins to shake violently while you administer oral glucose to him. What should you do? a. Quickly administer remaining glucose b. Immediately apply soft restraints c. Abandon glucose administration d. Suction the airway with a a soft catheter - Solution C. ABANDON GLUCOSE ADMINISTRATION an unresponsive 22 year old male was found outside on a hot and humid day. His skin is hot and moist. What should you do? A. Begin actively cooling with cold packs around the groin b. Remove all his clothing and wrap him a dry sheet c. Administer cool fluids by mouth d. Move him to the air condition ambulance - Solution D. MOVE HIM TO THE AIR CONDITION AMBULANCE a 32 year old male is lying supine and responding to voice commands with unintelligible gurgling noises. His wife tells you he is an epileptic and had a seizure during which has was able to assist him to the ground. What should you do? a. Roll him onto his side and suction his airway b. Apply a c-collar and place him on a long backboard c. Obtain a detailed history of his present illnesss - Solution A. ROOL HIM ONTO HIS SIDE AND SUCTION HIS AIRWAY what is a typical one minute APGAR score for a newborn? a. 8-10 B. 5-7 c.6-8 d. 7-9 - Solution A. 8-10 Beginning at which APGAR score should you start to aggressive resuscitation efforts? A. 7 b. 8 c. 6 d. 9 - Solution C. 6 a newborn has a pink torso, but his hands and feet are blue, he has a weak cry when stimulated and can straighten his legs. Vital signs are P110 R 40 and irregular. What is his APGAR score? a. 6 b. 7 c. 9 d. 8 - Solution B. 7 a newborn has a pink torso and blue extremities. She is limp and does not respond to your attempts to stimulate her. She has a heart rate of 60 and is taking slow gasping breaths. What is her APGAR score? a. 1 B 3 C. 2 d. 5 - Solution B. 3 a baby girl was born two minutes ago. Her arms and torso are pink, she is wiggling around and has a strong cry. Vital signs are p 120 R 28. What is her APGAR score? a. 6 b. 8 c. 9 d. 7 - Solution C. 9 a newborn is pale and limp with a sunken abdomen. She has a bradycardia pulse and shows little respiratory effort. What is her APGAR score? a. 2 b. 0 c. 1 d. 3 - Solution A. 2 a newborn is actively crying in response to your bulb syringe. His body is pink and he is moving his extremities which are blue. Vitals are P 110 what is his APGAR score? a. 7 b. 6 c. 9 D. 8 - Solution C. 9 a newborn has a blue torsos with pale extremities, she grimaces in response to stimuli and has limited muscle movement. Vital signs are P 88 R 30 what is her APGAR score? A. 4 b. 6 c. 9 d. 8 - Solution D. 5 a newborn baby has a weak cry and is curling his arms and legs. His extremities are blue and his body is pink. He has a pulse of 90 and weak respirations. What is his APGAR score? a. 4 b. 8 c. 7 d. 5 - Solution D. 5 a newborn has a strong cry and is actively moving his blue extremities when stimulated. Vital signs are P 140 R 48 what is his Apgar score. a. 6 b. 9 c. 5 d. 10 - Solution B. 9 a newborn is pink all over and has a pulse of 130. As you dry her off, she begins to cry vigorously and kick her legs. What is her APGAR score? A. 8 b. 7 c. 9 D. 10 - Solution D. 10 a febrile 4 year old male is sitting upright drooling and crying. Vital signs are BP 100/40, P 120, and R 24 with stridor. What should you do? a. Ventilate with BVM b. Suction with a rigid tip catheter C. Inspect his mouth for a foreign object d. Administer blow by oxygen - Solution D. ADMINISTER BLOW BY OXYGEN C. Secretions in the airway are induced d. Heart rate increases and breathing is stimulated - Solution A. Risk of trauma to the soft palate a 7 year old female is in cardiac arrest. You have just administered your first shock with an AED. What should you do? a. Give two breaths b. Reanalyze the rhythm c. Check the pulse d. Resume chest compressions - Solution D. RESUME CHEST COMPRESSIONS A 11 year old male is slow to respond and speaks incomprehensible words. His teacher tells you that he has been playing outside and he has not checked his blood sugar in 4 hours. He has a diabetic medical alert bracelet. What should you do? a. Obtain consent from his parents b. Administer high flow o2 c. Administer one tube of oral glucose d. Transport him in the recovery position - Solution C. ADMINISTER ONE TUBE OF ORAL GLUCOSE a 4 month old male is lethargic with a HR 0f 70 you have been assisting with ventilations with a BVM but there has been no change. What should you do? a. Start chest compressions b. Dry the infant and wrap him in a warm blanket C. Continue ventilations and transport emergently d. Suction and reassess the airway - Solution C. CONTINUE VENTILATIONS AND TRANSPORT EMERGENTLY a 7 year old female was stung by a bee. She has hives and a lump in her throat. Vital signs are BP 66/40, P 154, R 26 with stridor. What should you do? a. Administer epinephrine b. Located the insect and the stinger c. Obtain her medical history d. Obtain vital signs - Solution A. ADMINISTER EPINEPHRINE After drying off a newborn, he has a weak cry and poor muscle tone. What should you do? a. Provide tactile stimulation b. Assist ventilations with a BVM c. Assess his heart rate d. Administer blow by oxygen - Solution D. ADMINISTER BLOW BY O2 a 5 year old male appears jaundiced and complains of right upper quadrant pain. What is the most likely cause? a. Hepatitis b. Cholecystitis c. Gall stones d. Kidney stones - Solution A. HEPATITIS a newborn is apnea immediately after delievery. How should you deliver ventilations. a. Mouth to mask device w small puffs at a rate of 40-60 min b. Mouth to mask device w small puffs at a rate of 60-100 min c. Neonatal BVM with small puffs at a rate of 40-60 min d. Neonatal BVM with small puffs at a rate of 60-100 min - Solution C. NEONATAL BVM WITH SMALL PUFFS AT A RATE OF 40/60 MIN a 12 year old females face and arms twitched for 15 seconds during a seizure. She reports tingling in her fingertips and numbness near her mouth. She was alert and oriented during the incident. What type of seizure did she have? a. Focal motor b. pseudoseizure C. Temporal lobe d. Generalized motor - Solution A. FOCAL MOTOR a full-term pregnant 30 year old female is in active labor. The baby's limb is presenting. How should you position the mother? a. Head down,pelvis elevated b. On her left side c. In a position of comfort d. In the shock position - Solution A. HEAD DOWN PELVIS ELEVATED which is the following is a sign of pre-eclampsia? a. Syncope b. Hypertension c. Hypoglycemia d. Seizures - Solution B. HYPERTENSION which is the term for an umbilical cord that is wrapped around an infants neck? A. Precipitous B. Breech c. Nuchal d. Prolapsed - Solution C. NUCHAL an 18 year old female is crying and complains of being sexually assaulted. She has dry blood on her face and hands. She wants to use the bathroom and wash off the dry blood. What should you do? a. Ask her to explain the details of the rape b. Ask her to change her clothes and save as evidence c. Comfort her and wrap her in a blanket d. Allow her to clean herself - Solution C. COMFORT HER AND WRAP HER IN A BLANKET a 29 year old female is 32 weeks pregnant. She complains of excessive vaginal bleeding but no pain. What should you suspect? a. Placenta previa b. Spontaneous abortion c. Abruptio placentae d. Abdominal aortic aneurysm - Solution A. PLACENTA PREVIA a 27 year old female is 36 weeks pregnant. She has two children and this is her third pregnancy. She complains of lower back pain and tells you, "I wet myself and I need to have a bowel movement," what should you do next? A. Imminent delievery b. First stage of labor C. Placenta previa d. Braxton hicks - Solution A. IMMINENT DELIEVERY In which position should a 36 week pregnant female be transported? A. Position of comfort b. Supine c. Semi-fowlers d. Left lateral recumbent - Solution D. LEFT LATERAL RECUMBENT b. An umbilical cord that has detached from the newborn c. An umbilical cord that wraps around the neckborns neck d. An umbilical cord that presents first during delievery - Solution D. AN UMBILICAL CORD PRESENTS FIRST DURING DELIEVERY a 21 year old woman is in labor, she is lying flat on her back and the newborns head has already delievered. What should you do? a. Make sure the cord is not wrapped around the neck b. Obtain the mother and infant's vital signs c. Suction the infant's nose and then mouth d. Apply downward pressure on the infant's shoulders - Solution A. MAKE SURE THE CORD IS NOT WRAPPED AROUND THE NECK a febrile 28 year old female complains of bloody urine and lower abdominal pain that increases when she urinates. Vital signs are BP 130/86, P 98, R 18 What should you suspect? a. Cervicitis b. Cholecystitis c. Ovarian cyst d. Urinary tract infection - Solution D. URINARY TRACT INFECTION a 49 year old male at a mass casualty incident is responsive to verbal stimuli, breathing 28 times per minute, and has a carotid pulse. What color tag should you give him? a. Black b. Green c. Red d. Yellow - Solution C. RED an EMT noticed that a local fitness center did not have an AED. He spoke to the fitness center's manager and discussed obtaining an AED and providing CPR training to the staff and members. What is the best description for this engagement? a. Community outreach B. Injury prevention c. Quality management d. Public education - Solution D. PUBLIC EDUCATION an 18 year old female was in a car crash. After introducing yourself and asking if you can help, she nods her head. What type of consent did she give you? a. Implied b. Informed c. Expressed d. Minor - Solution C. EXPRESSED You received an order from the online physician that you do not understand. What should you do? a. Call another hospital for clarification b. Ask your partner to help you determine the physicians direction C. Ask the physicians to repeat the order d. Do nothing and clarify with the physician at the hospital - Solution C. ASK THE PHYSICIAN TO REPEAT THE ORDER You are dispatched to a call but have not completed your truck check. Which is the most important item to make sure you have before leaving the station? a. BP cuff b. Backboard c. Blood glucose monitory d. AED - Solution D. AED a 56 year old male complains of abdominal pain. He was restrained driver involved in a car crash at highway speeds. Your assessment reveals no obvious injury. What should you do? a. Call your supervisor for direction b. Transport him to a trauma center c. Transport him to the hospital of his choice d. Transport him to the closest hospital - Solution B. TRANSPORT GIM TO A TRAUMA CENTER a 89 year old female displays clear signs of death. What should you do? a. Cover her body with a sheet b. Document her position and injuries c. Begin chest compressions d. Call medical control to report the death - Solution B. DOCUMENT HER POSITION AND INJURIES a man gives you a DNR order for his 65 year old wife who has terminal cancer. Their adult children called 911 and tell you, "Dad wouldn't call for an ambulance and Mom stopped breathing 10 minutes ago." What should you do? a. Contact medical control b. Assess for signs of lividity and rigor mortis c. Verify that the DNR is properly completed d. Disregard the DNR and begin CPR - Solution C. VERIFY THAT THE DNR IS PROPERLY COMPLETED You are transferring a 89 year old female to a nursing home when she begins to complain of stabbing chest pain and difficulty breathing. The nearest hospital is 2 minutes away and an ALS ambulance is seven minutes away. What should you do? a. Administer oxygen and contact medical control b. Rapidly transport her to the nursing home c. Administer oxygen and wait for the ALS ambulance D. TRANSPORT TO THE ED WITH LIGHTS AND SIRENS - Solution D. an eat knows what he is approved to do without directly interacting with his medical direction. What is this called? a. Scope of practice b. Online medical direction C. Standing orders d. Permission to treat - Solution C. STANDING ORDERS a 56 year old male has been in cardiac arrest for the part 15 minutes. You start CPR and his son asks you, "is he going to live?" How should you respond? a. "We're very busy and cannot talk to you right now." B. "Im story. He appears to be pulseless and apneic" c. "CPR is not working and we are trying to keep him alive" d. "His heart stopped are we are doing our best to revive him" - Solution D. "HIS HEART STOPPED AND WE ARE DOING OUR BEST TO REVIVE HIM" a 78 year old male has dementia and has become combative toward staff members at the nursing home. He threatens to "punch your lights out!" How should you restrain him? a. Handcuffs a 2 year old female has a second degree burns on both palms and third degree burns on her chest and abdomen. What percentage of her body is burned? a. 29 b. 20 C. 36 d. 18 - Solution B. 20 a 42 year old male has circumferential burns on both legs and his genitals. What percentage of his body is burned? a. 45 b. 18 c. 29 d. 37 - Solution D. 37 a 37 year old male has full thickness burns covering his arms, posterior trunk and right leg. What percentage of burns did he recieve? a. 25 b. 50 c. 36 d. 65 - Solution B. 50 a 17 year old female has second degree circumferential burn on her left lower leg and foot. What percentage of body surface area is burned? a. 9 b. 4 c. 21 d. 18 - Solution A. 9 a 22 year old male has isolated and patchy third degree burns. Which classification method should you use to determine the percentage of body area burned? a. Rule of nines b. Rule of palm c. Broselow tape d. Lund and Browder chard - Solution B. RULE OF PALM a 49 year old male has burns on the front of both arms and has entire chest above the coastal margin. What percentage of burns received? a. 13.5 b. 18 c. 27 d. 9 - Solution B. 18 a 60 year old male was burned in a house fire. He has partial and full thickness burns to the anterior surface of his neck, chest, and abdomen. What percentage of burns did he receive? a. 19 b. 14 c. 44 d. 3 - Solution A. 19 a 21 year old male tripped and fell into a small camp fire. He has burns to his hands, anterior forearms and upper chest. What percentage of his body has been burned? a. 15 b. 27 c. 21 d. 9 - Solution A. 15 a 21 year old male fell asleep by the pool for 5 hours. He has a bright red burns on his neck and down to his ankles. What percentage of his body is burned? a. 50 b. 36 c. 27 d. 45 - Solution D. 45 a 27 year old male has burns on his entire anterior chest and to the left upper extremity, circumferentially. What percentage of burns did he receive? a. 9.5 b. 13.5 c. 48 d. 27 - Solution B. 13.5 a 6 month old male has full thickness burns to his head, right arm, and back. What percentage of his body is burned? a. 27 b. 36 c. 45 d.65 - Solution C. 45 which injury or condition should be managed first in a patient with a multi- system trauma? a. A large open abdominal wound B. Bleeding within the oral cavity c. Bilateral fractures of the femurs d. Fluid drainage from both ears. - Solution B. BLEEDING WITHIN THE ORAL CAVITY an alter 19 year old male was just extricated from a burning building by the fire department. He has soot around his mouth and nose. What should you do? a. Administer high-flow o2 b. Apply a pulse oximeter c. Inspect his airway for any burns d. Remove any smoldering clothing - Solution D. REMOVE ANY SMOULDERING CLOTHING which injury is most likely to develop compartment syndrome? a. Open radius fracture b. Knee hyperextension c. Closed tibia fracture d. Ankle dislocation - Solution C. CLOSED TIBIA FRACTURE what type of injury results from prolonger compression forces applied to soft tissue? a. Concussion b. Crash injury c. Convolution d. Avulsion - Solution B. CRUSH INJURY a 23 year old male was stabbed in the lower left quadrant. He has minor bleeding from the woun.d What should you do? a. Perform a secondary assessment b. Immobilize him on a long backboard c. Attempt to located the weapon d. Apply an occlusive dressing - Solution D. APPLY AN OCCLUSIVE DRESSING a 21 year old female has an open femur fracture after falling off a horse. What should you do? a. Immobilize her on a long back board b. Apply a traction splint c. Apply manual stabilization to her femur d. Check for a distal circulation - Solution C. APPLY MANUAL STABILIZATION TO HER FEMUR what is the best care for a suspected Hemothorax? A. Transporting rapidly b. Providing manual ventiliations c. Applying an occlusive dressing d. Stabilizing the chest segment - Solution A. TRANSPORTING RAPIDLY a 20 year old male was the unrestrained driver in a car crash. He is anxious, pale, and has absent lung sounds on the left side. Vital signs are BP 80/48 P132 R 31 and shallow what should you suspect. a. Pulmonary contusions b. Tension pneumothorax c. Pericardial tamponade d. Flail chest - Solution B. TENSION PNEUMOTHORAX a 21 year old male has a large piece of glass impaled in his eye. What should you do? a. Test eye movement b. Stabilize the glass with a paper cup c. Flush his eye with sterile water d. Perform a secondary assessment - Solution B. STABILIZE THE GLASS WITH A PAPER CUP Q: a 44 year old female off a roof. She answers your command with incomprehensible sounds. When you pinch her trapezius, her eyes do not open but she moves her legs, what is her Glasgow coma score? a. 7 b. 6 c. 5 d. 8 - Solution C. 5 An 85 year old male in a nursing home is walking around his room and greets you when you enter. He speaks clearly but his answers are confusing and rambling. What is his Glasgow coma score? a. 12 b.15 c. 13 d.14 - Solution D. 14 a 30 year old male was found on the sidewalk outside a homeless shelter. When you apply painful stimuli, he opens his eyes, tells you to go away, and then he pushes your hand away. What is his Glasgow coma score? a. 15 b. 10 c. 12 d. 8 - Solution C. 12 a 20 year old female fell 20 feet while rock climbing. When you apply a sternal rub, she extends her arms and legs, but shows no other response. What is her Glasgow coma score? a. 5 B. 6 c. 7 d. 4 - Solution D. 4 A 37 year old female is intoxicated and fractured her leg. When you apply a splint she looks at you and withdraws her leg then grunts in pain. What is her Glasgow coma score? a. 11 b. 6 c. 10 d. 8 - Solution D. 8 a 17 year old male overdosed on narcotics. He looks around with an unfocused gaze, mumbles when you ask him questions, and pulls away from painful stimulus. What is his GCS? a. 10 b. 8 c. 7 - Solution A: 10 a 24 year old female overdosed on an unknown substance. She is staring off into space, writhing, and babbling. When you apply a painful stimulus she cries out incomprehensibly but does not pull away, what is her GCS? a. 8 b. 9 c. 10 d. 7 - Solution B. 9 a 81 year old male is pulseless and apneic. He is lying supine in bed with dried blood in his nose and ears. What is his GCS? a. 6 b. 3. c. 4 d. 5 - Solution B. 3 a 64 year old male looks at you when you speak to him. When you ask him the date, he says, "blue" and has left sided weakness when he grips your fingers. What is his GCS? a. 12 b. 15 c. 14 d.13 - Solution D. 13 a 6 year old male fell 6 ft from a tree. He is awake and has the ability to move all his extremities. When you ask what happened, he tells you hat he fell and then begins to tell you about his pet dog. What is his GCS? a. 15 b. 11 c. 13 d. 9 - Solution A. 15 Q: a 56 year old male rubs his abdomen and tells you, "it really hurts" he tells you that he wants to go to the hospital, and you help him walk to the stretcher. What is his GCS? A. 9 b. 15 c.11 d. 13 - Solution B. 15