Emergency Medical Procedures and Assessments, Exams of Nursing

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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. Manually stabilize the c-spine - Solution D. MANUALLY STABILIZE THE C-SPINE a 35 year old female's husband meet you at their front door for an "unknown emergency." He tells you that his wife is depressed, and she has locked herself in the bedroom where he keeps his handgun. What should you do? a. Get in your ambulance and wait for back up. b. Tell the husband to wait outside while you go talk to her c. Move to a safe place and request law enforcement. d. Enter with the husband to try and reason with his wife - Solution C. MOVE TO A SAFE PALCE AND REQUEST LAW ENFORCEMENT a 20 year old male has a strong odor of alcohol on his breath. He is cutting his arm with a knife and the bleeding is severe. You should a. Call law enforcement b. Control the bleeding c. Try to take the knife away from him d. Don personal protective equipment - Solution A. CALL LAW ENFORCEMENT You are the first to arrive at the scene of a multiple vehicle collision. What should you do? a. Start triaging patients b. Begin to transport the most critical patients c. Contact the receiving hospital d. Preform a scene size-up - Solution D. PREFORM A SCENE SIZE-UP What is intention of the primary survey? a. Gather a SAMPLE history b. Preform a detailed physical exam c. Obtain vital signs d. Find and treat life threats - Solution D: FIND AND TREAT LIFE THREATS AN unresponsive 43 year old male was hit by a car and is lying supine in the street. You can hear loud, snoring respirations. What should you suspect? a. Airway obstruction b. Internal bleeding

c. Pneumothorax d. Traumatic brain injury - Solution A. AIRWAY OBSTRUCTION In which position should you hold the patient while applying manual stabilization? a. The position found b. Neutral position c. Recovery position d. position of comfort - Solution B. NEUTRAL POSITION a 14 year old male is lying supine at a high school football game. He is unresponsive, cyanotic, and has snoring respirations. What should you do? a. Open the airway with a manual maneuver b. Insert an OPAc. Assist ventilations with a BVM d. Administer oxygen by a NRM - Solution A. OPEN THE AIRWAY W/ A MANUAL MANEUVER What should you ask to find out a patient's chief complaint? a. Could you tell me what your chief complaint is? b. What is your problem? c. Why did you call EMS today? D. How are you feeling today? - Solution C. WHY DID YOU CALL EMS TODAY? What should you do to determine if your patient is breathing? a. put your ear to his mouth b. Place your hand on his chest c. Put your hand under his nose d. Assess his skin color - Solution A. PUT YOUR EAR TO HIS MOUTH What is the most common location for an airway obstruction? A. Trachea B. Pharynx c. Larynx d. Epiglottis - Solution B. PHARYNX What ring-shaped structure forms the lower portion of the larynx? a. Diaphragm b. Epiglottis c. Carina

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- b.10- c.12- d.14-22 - Solution C. 12- 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

d. Apply high-flow o2 - Solution D. APPLY HIGH FLOW O What is the amount of air that normally reaches the alveoli in an adult? a. 500 mL B. 350mL c. 150 L D. 750 L - Solution B. 350 ML What are the small air sacs at the end of the airway that are responsible for gas exchange? a.carina b. Trachea c. Bronchioles d. Alveoli - Solution D. ALVEOLI What is the normal range of breaths per minute for an adult? a. 12- b. 28- c.6- D. 20-28 - Solution A. 12- a 67 year old male complains of mild respiratory distress. He smokes 4 packs of cigarettes a day and reports a consistent cough and frequent respiratory infections. Chest sounds reveal bilateral rhonchi. What should you suspect? A. status asthmatics b. Pulmonary embolus c. Lung cancer d. Chronic bronchitis - Solution D. CHRONIC BRONCHITIS a 77 year old female has dyspnea, speaks in short word bursts, and breathes with pursed lips. Lung sounds are diminished, distant, and clear. Vital signs are BP 152/90, P 86 and irregular, and R 23. What should you expect? a. Status asthmatics b. Emphysema c. Bronchitis d. Pulmonary edema - Solution B. EMPHYSEMA

a 42 year old male complains of SOB after being sprayed w superheated steam. He has burns to his face, neck, and upper chest. Vital signs are 112/66, p 124, R 28 shallow and labored. What should you do? a. Apply sterile dressings. b. Remove excess clothing c. Suction his airway d. Assist his ventilations - Solution D. ASSIST HIS VENTILATIONS a 64 year old male is not breathing. What should you do after initiating ventilations w a bag-valve mask? a. Look for inflation of his cheeks b. Look for signs that he begins breathing on his own c. Look for rise and fall of his chest d. Listen for gurgling and check the mask position - Solution C. LOOK FOR RISE AND FALL OF HIS CHEST a 75 year old female complains of sudden onset right-sided chest pain and dyspnea. She is recovering from a recent hip surgery. What should you expect? a. PULMONARY EMBOLISM Q: the use of accessory muscles and nasal flaring are signs of what type of breathing? a. Obstructed b. Shallow c. Labored d. Normal - Solution C. LABORED What is the term for abnormal breath sounds that result from an obstructed airway? a. Wheezing B. Snoring c. Stridor d. Crackles - Solution C. STRIDOR How should you insert an NPA? a. Apply an oil based lubricant b. Face the bevel towards the septum c. Rotate the device 360 degrees d. Guide w a soft tip stylet - Solution B. FACE THE BEVEL TOWARDS THE SEPTUM

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

an unresponsive 72 year old female is pale with peripheral cyanosis. She has a pulse of 20 beats per minute. What should you do? a. Preform a sternal rub b. Apply the AED and analyze c. Contact medical control d. Transport rapidly - Solution D. TRANSPORT RAPIDLY a 57 year old male with chest pain needs assistance taking his medication. What should you do? a. Assist him with his medication b. Obtain a medication history c. Call for medical direction d. Assess his vital signs - Solution D. ASSESS HIS VITAL SIGNS A diaphoretic 65 year old male is experiencing a sudden onset of left jaw pain. Vital signs are BP 118/80 p 70 and r 18. What should you suspect? a. Pulmonary embolism B. Non-traumatic brain injury c. Dental abscess d. Actor coronary syndrome - Solution D. ACUTE CORONARY SYNDROME Which of the following would suggest a syncopal episode? a. Prolonged period of confusion b. High blood sugar c. Brief period of unconsciousness d. Left-sided weakness - Solution C. BRIEF PERIOD OF UNCONSCIOUSNESS An AED delivers a "no shock indicated" message for a patient with no palpable carotid pulse. What should you expect? a. Pulseness electrical activity b. Ventricular tachycardia c. AED malfunction d. Ventricular fibrillation - Solution A. PULSELESS ELECTRICAL ACTIVITY a 66 year old female complains of severe shortness of breath that started during the night. She denies chest pain. Vital signs are BP 180/92, P 110 and irregular, @ 24 with crackles. What is most likely the cause?

A. Respiratory failure b. Asthma exacerbation C. Congestive heart failure d. Pulmonary embolism - Solution C. CONGESTIVE HEART FAILURE a 92 year old male complains of a headache, difficulty breathing, slurred speech, and loss grip in his left hand. What should you suspect? a. Myocardial infarction B. Emphysema c. Diabetic emergency d. Stroke - Solution D. STROKE a 45 year old female complains of weakness, shortness of breath, back pain, and pressure in her chest. What should you suspect? a. Hypertensive emergency b. Dissecting aortic aneurysms c. Spontaneous pneumothorax d. Myocardial infarction - Solution D. MYOCARDIAL INFARCTION What is considered a central pulse? a. Dorsalis pedis b. Radial c. Femoral d. Brachial - Solution C. FEMORAL which artery is located in the neck? a. Carotid b. Radial c. Brachial d. Femoral - Solution A. CAROTID What are the two upper chambers of the heart? a. Atria b. Ventricles c. Alveoli d. Venae cava - Solution A. ATRIA. What artery supplies the heart muscle with blood a. Coronary b. Carotid

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 o 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

d. Kidney stones - Solution B. APPENDITICITIS a 15 year old female is sitting in a chair with left-sided facial droop and slurred speech. She has acetone odor on her breath, Why should you suspect? a. hypolgycemia b. Intoxication c. Bells palsy d. Hyperglycemia - Solution D. HYPERGLYCEMIA a confused 56 year old female is complaining of headache and presents with pale, diaphoretic skin. She has had diarrhea for 2 days. Vital signs are BP 80/40, P 120, R 16. What is most likely cause? a. Dehydration b. food poisoning c. Diabetic ketoacidosis D. Insulin shock - Solution A. DEHYDRATION a confused 62 year old diabetic man says he has not been feeling well for several days. Vital signs are BP 140/90, P 120, R 34 and deep. What should you suspect? a. Hyperglycemia b. Diabetic coma c. Insulin shock d. Dementia - Solution A. HYPERGLYCEMIA A 83 year old female is diaphoretic and has an altered mental status. Her caregiver states, "she is more out of it than normal, and she slapped me" What should you suspect? a. Transient ischemic attack B. hypogylcemia c. Hyperglycemia d. Dementia - Solution B. HYPOGLYCEMIA a 40 year old male with a history of bipolar depression is hearing voices, throwing clothing. Law enforcement is on scene. He has several large lacerations to his forearms that are actively bleeding. What should you do? a. Tell him that you hear the voices as well b. Retreat and have police transport the patient c. Restrain the patient and treat his injuries

d. Place a hand on his shoulder and speak calmly - Solution C. RESTRAIN THE PATIENT AND TREAT HIS INJURIES A 49 year old male complains of severe right upper quadrant abdominal pain and nausea. He has jaundice and febrile. Vital signs are BP 98/60 P 92, R 16. What should you suspect? a. Gastric ulcers b. Pancreatitis c. Gall stones d. Hepatitis - Solution D. HEPTATITIS During cleanup operations after a house fire, a firefighter complains of a headache dizziness and slight difficulty breathing. He reports not having worn his breathing apparatus for the past 30 minutes. What should you suspect? a. Acute hypoglycemia b. Mild hyperventilation c. Asthma exacerbation d. Carbon monoxide poisoning - Solution D. CARBON MONOCIXDE POISONING A 14 year old male is shouting obscenities and not following your directions. His friend tells you, "He had a few beers" Vital signs are BP 118/66 P 100, R 24, GCS: 14, SpO2 94% on room air. What should you do? a. Transport him on his side b. Administer oral glucose c. Call his parent D. Restrain him on a long spine board - Solution A. TRANSPORT HIM ON HIS SIDE A 43 year old female ws bitten by a rattlesnake on her lower leg. You see swelling and redness at the injection site. She feels cool, pale, and clammy. What should you do? a. Splint her leg b. Apply a tourniquet above the bite site c. Apply a cold pack to the bite d. Elevate her leg - Solution A. SPLINT HER LEG

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- B. 5- c.6- d. 7-9 - Solution A. 8- 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

a 6 year old female complains of pain in her left arm. She landed on her hand after jumping off of a swing at a playground. His left radial pulse is absent. Vital signs are BP 96/70 P 120 R 16 What should you do? a. Transport rapidly b. Ask her to lie down and immobilize her spine c. Reposition her arm and recheck the pulse d. Splint her arm in the anatomically correct position - Solution C. REPOSITION HER ARM AND RECHECK PULSE A 6 month old is pale and limp. Vital signs are P 56 R 24 with a 4 second capillary refill. What should you do? a. Give two rescue breaths B. Ventilate him with a bag valve mask c. Start chest compressions d. Attach the AED - Solution C. START CHEST COMPRESSIONS Your initial attempt to ventilate an unconscious 6 month old male infant is unsuccessful. What should you do? a. Place him over your forearm and deliver 3 back blows b. Reposition his head and reattempt to ventilate c. Preform a jaw thrust and ventilate d. Position him supine and deliver chest thrusts - Solution B. REPOSITION HIS HEAD AND REATTEMPT TO VENTILATE A male newborn is kicking his legs breathing normal and has a loud cry. His extremities are blue and his pulse is 140, what is his Apgar score. a. 10 B. 9 c. 8 d. 7 - Solution B. 9 a ventilatory dependent 2 year old female is not breathing. Her caregiver is having difficulties operating the vent. What should you do? a. Call the ventilatory emergency help line b. Increase the respiration rate on the vent c. Call the hospital respiratory care department d. Ventilate with a bag valve mask - Solution D. VENTILATE WITH A BVM a 6 year old female complains of fatigue and decreased urine output. Vital signs are BP 76/50, P 140 R 40. What should you suspect?

A. Cardiognenic shock b. Hypovolemic shock c. Respiratory distress d. Prolonged fever - Solution B. HYPOVOLEMIC SHOCK A 4 year old female has an acute onset of a harsh barking cough and complains of a sore throat and fever for 1-2 days. What should you suspect? a. Pneumonia b. Croup c. Epiglottitis d. Tonsilitis - Solution B. CROUP an 18 month old has a partial thickness burns to 40% of his body. What type of dressing should you apply? A. Occlusive b. Dry c. Moist d. wet - Solution B. DRY A 3 year old male has a complete airway obstruction after swallowing a marble. He is now unresponsive. What should you do? a. Administer back blows b. Start chest compressions c. Preform abdominal thrusts d. Apply an AED - Solution B. START CHEST COMPRESSIONS a 12 year old male is bleeding uncontrollably from a deep laceration on the lam of his hand. His mother tells you that is a hemophiliac. What should you do? a. Apply a tourniquet above his elbow b. Administer a hemostatic agent c. Bandage his hand with pressure dressings d. Apply direct pressure to the wound - Solution A. APPLY A TOURNIQUET ABOVE HIS ALBOW or a 6 year old child what happens when an oral airway is inserted with a curvature towards the roof of the mouth and then rotated as its inserted? a. Risk of trauma to the soft palate b. The tongue is lifted off the hypo pharynx

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