Emergency Medical Procedures and Protocols, Exams of Nursing

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1155 - a malfunction of the heart's electrical system may result in A. Atherosclerosis B. Pericarditis C. Aneurysm D. Arrhythmia - - correct ans- - D. Arrhythmia 1156 - All of the following are indications for the use of nitro EXCEPT A. Patient has a history of cardiac problems B. The patient's physician has prescribed nitro C. Pt complains of CP D. The pt's systolic BP is less than 90 - - correct ans- - D. The pt's systolic BP is less than 90 *1157 - A 60 y/o female has chest pain. She has not taken her prescribed nitro you should A> Determine what type of cardiac problem the pt has, and assist her with taking the nitro B> Immediately attached the AED and begin transport to hospital C> Administer aspirin only and withhold the nitro D> Consult medical direction with regard to assisting the pt in taking the nitro - - correct ans- - A> Determine what type of cardiac problem the pt has, and assist her with taking the nitro 1268 - You have assisted a 56 y/o pt in taking 1 nitro he continues to complain of CP. Vital signs are: BP 94/64, P 120, R 14, SaO2 98%. You should

A. Reassess his BP B. Assist him with a 2nd nitro C. Transport D. Assess lung sounds and have pt self-administer their inhaler - - correct ans- - C. Transport 1269 - You are transporting a pt with CP, when suddenly she becomes unresponsive you should A. Start CPR and transport more rapidly B. Stop the ambulance and confirm absence of pulse C. Immediately apply an AED and analyze D. Insert an OPA and ventilate twice - - correct ans- - B. Stop the ambulance and confirm absence of pulse 1271 - __________________ is a cardiac arrhythmia characterized by a complete disorganization of electrical activity A. Ventricular tachycardia B. Pulseless electrical activity C. Ventricular fibrillation D. Atrial fibrillation - - correct ans- - C. Ventricular fibrillation 1273 - One of the most problematic side effects of nitro is A. Hypotension B. Bradycardia C. Angina D. Dyspnea - - correct ans- - A. Hypotension

1278 - The strongest portion of the heart that is responsible for circulating blood to the entire body is the A. Left atrium B. Right atrium C. Left ventricle D. Right ventricle - - correct ans- - C. Left ventricle 1279 - You are dispatched to a 68 y/o female complaining of discomfort in her upper back. She is nauseous and appears to be sweaty. Based on these symptoms, which of the possible causes is most life-threatening. A. Stroke B. Diabetic reaction C. Cardiac compromise D. Indigestion - - correct ans- - C. Cardiac compromise 1281 - A 62 y/o female who has been drinking alcoholic beverages is feeling dizzy. She cannot walk and she complains of severe headache. You should suspect A. Delirium tremens B. Severe migraine C. Hemorrhagic stroke D. Acute alcohol intoxication - - correct ans- - C. Hemorrhagic stroke 1282 - When you assess a pulse you are feeling the A. Contraction of the left atrium B. Relaxation of both ventricles C. Relaxation of the atria 1282 - When you assess a pulse you are feeling the

A. Contraction of the left atrium B. Relaxation of both ventricles C. Relaxation of the atria D. Contraction of the left ventricle - - correct ans- - D. Contraction of the left ventricle 1283 - A common symptom of cardiac compromise is CP or discomfort known as A. Fibrillation B. Ischemia C. Myocardial infarction D. Angina - - correct ans- - D. Angina 1284 - Your pt is a 65 y/o male CC CP, which of the following would be a contraindication for assisting with the administration of sublingual nitro? A. Heart rate < B. SBP > C. SBP < D. HR >100 - - correct ans- - C. SBP < 1286 - You are alone when you witness a 57 y/o woman suddenly collapse and become unresponsive. She is not breathing. After calling for help you find that she has no pulse. You should A. Begin chest compressions B. Leave the pt and obtain an AED C. Continue rescue breathing D. Perform blind finger sweep. - - correct ans- - A. Begin chest compressions

1285 - Which of the following is the build-up of fatty deposits on the inner walls of an artery? A. Coronary artery disease B. Thrombus C. Aneurysm D. Atherosclerosis - - correct ans- - D. Atherosclerosis *1287 - Your pt is a 56 y/o male who collapses while mowing the lawn. He is apneic and pulseless immediately following collapse. What is the patient most likely experiencing? A. Heart attack B. Cardiac Arrest C. Angina D. Stroke - - correct ans- - B. Cardiac Arrest 1288 - A 62 y/o female is complaining of crushing CP that radiates to between her shoulder blades. She is very pale, diaphoretic, and feels nauseous. You should suspect a/an A. Cardiac event B. Cerebrovascular event C. Hypoglycemic reactions D. Asthma attack - - correct ans- - A. Cardiac event 1440 - A 67 y/o female just had a syncopal episode while using the toilet. Vitals are BP 100/6-. P 110 irregular, R 12. She is weak and dizzy. You should suspect a A. gastrointestinal obstruction B. vertebral vascular accident C. cardiac rhythm disturbance D. acute myocardial infarction - - correct ans- - C. cardiac rhythm disturbance

1763 - A pulseless and apneic 68 y/o male has an implanted pacemaker in his right shoulder. Without delaying defibrillation where should you apply the AED pads. A. Left shoulder (to avoid pacemaker) and right lower chest B. Nipple line under the left and right armpits C. Anterior chest and back (between shoulder blades) D. Right shoulder (directly over the pacemaker) and lower left chest. - - correct ans- - C. Anterior chest and back (between shoulder blades) 1764 - A pt becomes unresponsive. You find she is apneic and pulseless. You should A. Start CPR and apply the AED B. Apply O2 via BVM and apply the AED C. Apply AED and analyze D. Request ALS and begin CPR - - correct ans- - A. Start CPR and apply the AED 1816 - Albuterol is an example of a (an) A. Vasodilator B. Vasoconstrictor C. Antihypertensive D. Beta-agonist - - correct ans- - D. Beta-agonist *1818 - Your 55-year-old pt complains of CP radiating to left arm. You should first A. Complete a SAMPLE history B. Administer prescribed nitro C. Place the pt on O D. Perform head to toe assessment - - correct ans- - A. Complete a SAMPLE history

1826 - After delivering a shock with an AED, the patient begins to move and speak. You should A. Assess vitals and begin transport B. Immediately remove the AED to avoid accidental shock C. Begin BVM ventilations D. Perform a sternal rub to assess LOC - - correct ans- - A. Assess vitals and begin transport *1827 - A 56 y/o male is complaining of severe CP. He took Viagra two hours ago and has been physically active. You should A. Assist the pt in taking his nitro and apply O B. Administer O2 and request an ALS intercept C. Monitor vitals, if BP is above 100 systolic, administer nitro and apply oxygen D. Assure an open airway and continue gathering history - - correct ans- - D. Assure an open airway and continue gathering history 1829 - You have administered six shocks to your cardiac arrest patient. She remains pulseless and is not breathing. You should next A. Deliver two more shocks B. Continue your assessment C. Reanalyze the rhythm and deliver as many shocks as indicated D. Resume CPR and transport - - correct ans- - D. Resume CPR and transport 1830 - A patient complains of left sided chest discomfort. The vital signs are BP 108/68 P 104 R 24 SpO2 90% and her hands are cyanotic. You should A. Vent using BVM @ 15 LPM B. Use flow restricted PPV C. Administer O2 via NC @ 4 LPM

D. Administer O2 via NRB @ 15 LPM - - correct ans- - D. Administer O2 via NRB @ 15 LPM 104, R 20, and her fingers are blue. You should A. Administer oxygen by NRB 15 LPM B. Use flow restricted PPV C. Administer O2 via NC @ 4 LPM D. Ventilate using BVM @ 15 LPM - - correct ans- - A. Administer oxygen by NRB 15 LPM 1869 - Your pt's pulse returns after the use of the AED. You should first A. Reanalyze the rhythm B. Continue performing compressions if BP is too low C. Turn off the AED and remove the defibrillator pads D. Continue ventilations - - correct ans- - D. Continue ventilations 1883 - A 72 y/o pt is suddenly unable to speak and begins staring off towards the right. You should first A. Note the time and apply O B. Transport the pt in supine position C. Insert an OPA D. Administer oral glucose - - correct ans- - A. Note the time and apply O 1884 - an AED has advised no shock to be delivered to a 60 y/o pulseless and apneic pt. You should A. Leave the AED pads in place and begin CPR B. Reposition the airway and perform a finger sweep C. Turn off the AED and begin CPR immediately

D. Reposition the AED pads and attempt to defibrillate - - correct ans- - A. Leave the AED pads in place and begin CPR 1935 - Your pt has been submerged underwater for an unknown period and is in cardiac arrest. After taking c-spine precautions you should A. Dry the pt off B. Ventilate the pt C. Apply pressure to abdomen D. Begin CPR immediately - - correct ans- - D. Begin CPR immediately 2118 - Your patient is pale, diaphoretic, and complains of chest pressure. Her vitals are R 18 P 58, and BP 88/50. You should suspect A. Unstable angina B. A thoracic aneurysm C. Cardiogenic shock D. Pulmonary embolism - - correct ans- - C. Cardiogenic shock 16345 - An 18 y/o male has become increasingly shaky several minutes after administration of a prescribed bronchodilator. You should A. assist the pt with another dose of the medication B. contact medical control to report the pt's response C. document the pt's response to the medication D. continue to reassess the pt every 5 minutes - - correct ans- - C. document the pt's response to the medication *16353 - A alert and oriented male is complaining of severe CP, but he refuses transportation against medical advice. You should A. Accept his right to refuse care and leave the scene

B. Ask family to help convince him to be transported C. Contact law enforcement for assistance D. Insist that he be transported by ambulance - - correct ans- - B. Ask family to help convince him to be transported 16354 - A pt with chest discomfort becomes unresponsive during transport to hospital. What is the most appropriate action? A. Start CPR while you assess for pulselessness and apnea, then apply AED and shock if necessary B. Confirm pulselessness, apnea, apply AED, and advise partner to drive vehicle emergently C. Conform pulselessness, initiate CPR, stop vehicle and apply AED D. Stop vehicle, confirm pulselessness and apnea, apply AED, and shock if necessary - - correct ans- - D. Stop vehicle, confirm pulselessness and apnea, apply AED, and shock if necessary 16355 - A 84-year-old female is anxious and complaining of SOB. She has been a smoke for most of her life. Upon examination, you find she has pedal edema. She is coughing up pink frothy sputum. You should suspect A. Complication of emphysema B. Congestive heart failure C. Chronic bronchitis D. Acute myocardial infarction - - correct ans- - B. Congestive heart failure *893 - The first step an ambulance crew should take when approaching the scene of an emergency is to A. Verify number of patients B. Note the MOI C. Determine the scene is safe

D. Take BSI precautions - - correct ans- - A. Verify number of patients 894 - To protect yourself from injury when lifting a stretcher, you should A. Use two additional people for the lift B. Wear an orthopedic back brace C. Keep the weight close to your body D. Lean forward toward the stretcher - - correct ans- - C. Keep the weight close to your body 896 - You are completing a pt care report for a pt injured in a car crash. You notice the smell of alcohol and empty beer cans in the vehicle. The best way to document your findings in the PCR is to A. Discount these findings because your patient may not have been the driver B. Describe the smell of alcohol and empty beer cans which were noted at the scene C. Omit any reference to alcohol because you are not certain if the patient was drinking D. Indicate that the pt was under the influence of alcohol - - correct ans- - B. Describe the smell of alcohol and empty beer cans which were noted at the scene 898 - Your ambulance is the first to arrive at the scene of a three-car crash. After assessing potential hazards, you should A. Contact on-line medical control B. Designate a triage officer C. Determine the number of patients D. Set up immobilization equipment - - correct ans- - C. Determine the number of patients 900 - A good EMS quality improvement program includes A. Response to media request for pt data B. Annual review of ambulance fees

C. Education and feedback regarding pt care D. Discipline for agency policy infractions - - correct ans- - C. Education and feedback regarding pt care 901 - White transporting a bleeding pt you followed good infection control procedures, including wearing gloves, a mask, protective clothing and eye protection. Further precautions include A. Place a mask on your patient's face B. Washing your hands with soap and water C. Open doors of ambulance to air out patient compartment D. Inspecting your face mask for dried blood before discarding. - - correct ans- - B. Washing your hands with soap and water 935 - When lifting a pt on a stretcher you should A. Keep the weight away from your body B. Twist from the hips to better maneuver C. Coordinate your moves with your partner D. Bend at the waist - - correct ans- - C. Coordinate your moves with your partner 937 - Consent to treat is implied in which of the following cases? A. 18 y/o female bleeding profusely B. 21 y/o unconscious male C. 44 y/o bus driver with CP D. 88 y/p female with DNR - - correct ans- - B. 21 y/o unconscious male 938 - Which of the following is a positive method to reduce stress? A. Eating food rich in sugar

B. Developing regular exercise habits C. Drinking alcoholic beverages D. Ignoring feelings of anxiety or stress - - correct ans- - B. Developing regular exercise habits 939 - you are at the scene of a MVC which of the following situations would require rapid extrication? A. Your patient complains of arm tingling B. Your pt blocks access to critical pt C. There are multiple pt's at the scene D. Your pt complains of blurred vision - - correct ans- - B. Your pt blocks access to critical pt 940 - You 90 y/o nursing home pt is pulseless and apneic. The nurse shows you a note in the patient's chart stating DNR. The note is signed by a physician. You should A. Call the pt's doctor and confirm order B. Consult with the family C. Call online medical control D. Request to see a copy of the living will - - correct ans- - C. Call online medical control 942 - You are treating a 50 y/o male with CP. Your written protocol indicates that you should give nitro. This is known as A. License to practice B. An online medical directive C. Scope of practice D. A standing order - - correct ans- - D. A standing order 1252 - A 20 y/o female pt complains of severe abdominal pain. She is in the fetal position. After your primary assessment, you should

A. Ask if she was assaulted B. Obtain baseline vitals C. Palpate all 4 quadrants of abdomen D. Transport immediately to hospital - - correct ans- - B. Obtain baseline vitals 1253 - A 45 y/o male farmer has been working with dry lime. The pt has large amounts of powder on both legs. You should A. Use milk to dilute and cocoon pt B. Gently brush off excess powder and transport C. Wash of the powder with water and transport D. Use vinegar to dilute and transport - - correct ans- - B. Gently brush off excess powder and transport 1260 - You respond to a scene where a mentally ill adult is threatening to kill himself. He is refusing transportation to a hospital. You should A. Document the patient's refusal and have him sign your form B. Restrain the patient C. Ask law enforcement for assistance D. Allow a family member to transport the patient, if they promise to follow through - - correct ans- - C. Ask law enforcement for assistance 1259 - You are transporting a patient who has been restrained due to hostile behavior. He is complaining that he has no feeling in his hands, and is threatening to sue you if you don't remove the restrains. He has been very cooperative since the restrains were placed. You should A. Place padding between the restraint and the pt's skin B. Assess the pt's distal circulation frequently C. Remove the restraints

D. Loosen the restraints - - correct ans- - B. Assess the pt's distal circulation frequently 1261 - A 24 y/o female has been stabbed and police state she is deceased. You note blood all over her clothing. You should A. Get permission from the police to move the pt B. Assess the airway and check for a pulse. C. Remove her clothing and determine the extent of the wounds D. Do not disturb the crime scene - - correct ans- - B. Assess the airway and check for a pulse. 1262 - a 11 y/o male has crashed his bicycle. The patients baby sitter is requesting to know the extent of his injuries. You should reply A. "you will have to wait and talk with his parents" B. "his leg appears to be broken, do you have a phone number for his parents" C. "please discuss this matter with the police when they arrive" D. "I cannot tell you, this would be a violation of patient privacy and confidentiality" - - correct ans- - B. "his leg appears to be broken, do you have a phone number for his parents" 1263 - you are transporting a 62-year-old pt complaining of CP. Vitals are BP 88/40, P 90, R

12. Online medical control orders you to assist the pt in taking his prescribed nitro. You should A. Wait until the pt's respirations improve then follow the order B. Repeat the vital signs and confirm the order C. Check the expiration date of the medication and administer the medication D. Assist the pt with administering his nitro - - correct ans- - B. Repeat the vital signs and confirm the order *1265 - You are giving a verbal report to the hospital during transport. You should

A. Use codes and abbreviations to simplify communication B. Use a cell phone since it is faster C. Use a radio since it is more private D. Cover only the pertinent facts and be brief - - correct ans- - A. Use codes and abbreviations to simplify communication 1266 - your patient is an alert and oriented adult who is speaking in a foreign language. You cannot communicate with the patient. You should A. Look for a family member who can speak that language B. Check your supplies for a translation manual C. Load the pt into the ambulance and transport D. Determine whether to transport the pt - - correct ans- - A. Look for a family member who can speak that language 1267 - Your 54 y/o pt is refusing to answer your interview questions. You should A. Document his refusal and transport B. Make eye contact and try to gain his trust C. Restrain the patient immediately D. Ask a family member to take over your interview - - correct ans- - A. Document his refusal and transport 1274 - When driving the ambulance, operators must drive with the safety of others in mind. This is known as driving A. With due regard B. Defensively C. With privileges D. Offensively - - correct ans- - A. With due regard

1276 - What are the recommended dimensions of a landing zone for air medical A. 75x B. 50x C. 200x D. 100x100 - - correct ans- - D. 100x 1277 - When responding to an incident involving an unidentified hazardous material, the most appropriate place to position the ambulance is A. Downwind and uphill from the incident B. Upwind and at the level of the incident C. Downwind and downhill from the incident D. Upwind and uphill from the incident - - correct ans- - D. Upwind and uphill from the incident 1289 - you respond to a car accident on a busy city street. You are the first emergency vehicle on scene. Which of the following best describes where you should position your ambulance when arriving on scene? A. Park downhill or downwind from the wreckage so you can smell any hazards B. Park in front of the wreckage to warn oncoming motorist C. Park immediately in front of the wreckage so you have quick access to emergency supplies D. Park beyond the wreckage to protect your truck from being struck by traffic. - - correct ans- - B. Park in front of the wreckage to warn oncoming motorist 1336 - you are transporting a 68 y/o female from a nursing home to hospital. She has a valid DNR. During transportation, she begins to have trouble breathing. You should A. Ventilate the pt with a BVM

B. Return the pt to nursing home C. Provide supportive reassurance only D. Provide oxygen and position the patient for comfort - - correct ans- - D. Provide oxygen and position the patient for comfort 1859 - Which of the following is an essential component of you oral report? A. The name of the pt personal physician B. The pt's social security number C. The EMT assessment of chief complaint D. The history related to the current illness - - correct ans- - C. The EMT assessment of chief complaint 1929 - Your twelve-year-old pt has a penetrating wound to the abdomen. You may provide care based on A. Informed consent B. Mutual consent C. Implied consent D. Expressed consent - - correct ans- - C. Implied consent 16358 - What is the most effective way to control the spread of infectious disease? A. Avoid contact with all bodily fluids B. Exercise good hand washing technique C. Wear a face shield on all calls D. Wear gloves with all patients - - correct ans- - B. Exercise good hand washing technique

957 - A patient is in respiratory distress after eating soup brought by her neighbor. Her neighbor states "she was eating and suddenly her throat got tight" she is sitting bolt upright in a tripod position. You should suspect A. Anaphylaxis B. Choking C. Emphysema D. Asthma - - correct ans- - A. Anaphylaxis 1148 - You are helping a 21 y/o pt to self-administer her epinephrine via auto-injector. She has been stung by a bee. You should A. Hold injector in place at least 10 seconds B. Immediately inject and release C. Inject it into the antecubital fossa D. Check the patient's BP - - correct ans- - 1149 - you are treating an unconscious 50 y/o diabetic pt, you should A. Transport the pt as soon as possible B. Immediately administer oral glucose C. Assist a family member in administering insulin D. Insert a dual lumen airway adjunct - - correct ans- - A. Transport the pt as soon as possible 1150 - A 23 y/o patient is lethargic. The patient just finished mowing the lawn. He is drooling and sweating profusely. You should suspect A. Hyperglycemia B. Hypoglycemia C. Heat stroke

D. Intoxication - - correct ans- - B. Hypoglycemia 1248 - A 10-year-old male complains of a stiff neck and a fever. He is very confused and complains of extreme fatigue and headache. You should suspect A. Febrile seizure B. Epilepsy C. Meningitis D. Diabetic reaction - - correct ans- - C. Meningitis 1255 - Your pt is allergic to bee stings. She suddenly began having water eyes and itching in her arms. She does not remember being stung. Vital signs are BP 130/80, P 110, R 16. You should A. Apply O2 and transport to the hospital B. Assist the pt in self-administering her epi-pen C. Monitor airway, encourage the patients family to transport D. Attempt to find the stinger and remove immediately - - correct ans- - A. Apply O2 and transport to the hospital 1256 - a 66 y/o male is confused. He has a history of substance abuse and falls. His breath smells of alcoholic beverage. He is alert and refusing service. You should A. Obtain consent from his family and transport B. Document his refusal and recommend that he see his doctor C. Speak calmly to him and convince him to accept transport D. Have the police transport the pt to detox unit - - correct ans- - C. Speak calmly to him and convince him to accept transport 1257 - An 18 y/o soccer player is feeling disoriented. He has been playing soccer in 90- degree heat. You should

A. Direct the pt to drink at least 8 ox of orange juice B. Remove the pt's clothes and pour ice water on him C. Move the pt somewhere cool and assess vitals D. Direct the pt to rest on the bench until he feels better. - - correct ans- - C. Move the pt somewhere cool and assess vitals 1258 - An intoxicated 33 y/o female was fighting with police. You note some minor scrapes on the pt's leg and face. The pt is being verbally abusive to you. The police want your approval to take the pt to jail. You should A. Ask the officer to transport her to the hospital in a squad car for safety B. Request that the officers arrest the patient prior to transport C. If vital signs are within normal limits, release the pt to the police D. Restrain and transport the pt with police escort - - correct ans- - D. Restrain and transport the pt with police escort 1291 - Your unresponsive pt is slumped over the kitchen table. A friend tells you that she was fine one minute and started acting abnormally the next. She moans in response to painful stimuli and her skin is pale, cool, and clammy. Her medical alert bracelet denotes diabetes. You should suspect A. Hypoglycemia B. Hyperglycemia C. Stroke D. Diabetic ketoacidosis - - correct ans- - A. Hypoglycemia 1292 - Of the following communicable diseases, which one is MOST likely to be transmitted through airborne droplets A. Salmonella B. HIV/AIDS

C. Hepatitis D. German measles (rubella) - - correct ans- - D. German measles (rubella) 1293 - A the local homeless shelter, a 50 y/o male complains of fever. He is drowsy, weak and is coughing up blood. He states that he has had this persistent cough and fever for the past two days. You should suspect A. HIV/AIDS B. Hepatitis C. Tuberculosis D. German measles - - correct ans- - C. Tuberculosis 1294 - Which of the following symptoms would indicate a significant localized cold injury? A. Skin appears blue and is diaphoretic B. Tissue below the surface is soft C. Mottled or blotchy skin D. Skin appears white and is hard - - correct ans- - D. Skin appears white and is hard 1295 - You are called to a local beach for a 10 y/o possible drowning pt. The pt's parents have pulled him from the water and he is sitting on a blanket coughing up small amounts of water. The parents state they do not want him to go to the hospital and thinks he only swallowed a small amount of water. His vitals are BP 100/50 P 72 R 20. What should you do? A. Ignore the parents' concerns, load the patient, and rapidly transport o the nearest emergency department B. Agree with the parents, because your assessment indicates that the child is fine C. Explain the complications of near drowning and the necessity of transport via ambulance D. Request that the parents transport the victim to the nearest emergency department - - correct ans- -

1442 - Which of the following best describes a bipolar pt? A. They do not generally function normally in society B. They do not have a history of manic-depressive disorder C. They appear psychotic during manic phases D. They often have hallucinations - - correct ans- - C. They appear psychotic during manic phases 1443 - Which of the following pt is MOST at risk for hypovolemic shock? A. A hemophilia pt with a nosebleed B. A leukemia pt with a fracture left arm C. A TB pt with fractured tibia D. An HIV pt with a UTI - - correct ans- - A. A hemophilia pt with a nosebleed 1766 - You are called to an elderly patient who had a syncopal episode. The patient has had blood-tinged vomiting and general fatigue for the last few days. You suspect A. An abdominal aneurysm B. Gastrointestinal bleed C. CHF D. Cerebrovascular accident - - correct ans- - B. Gastrointestinal bleed 1769 - You are dispatched to a pt who has intentionally OD on pain beds. The patient is refusing transport. You should A. Convince the pt that they should be transported and can return home after seeing doctor B. Give the pt a few minutes to change their mind C. Ask a family member for assistance in convincing the pt to accept transport

D. Request law enforcement assistance with this pt - - correct ans- - D. Request law enforcement assistance with this pt 1770 - Your 23 y/o male pt is acting erratically. Which of the following would be the most important to relay to the ER? A. Allergies B. Last doctor visit C. Last oral intake D. Medications - - correct ans- - D. Medications 1772 - A 40-year-old his just been struck by lightning. There are no visible wounds. You should suspect A. Spinal fracture B. Significant internal bleeding C. Permanent memory loss D. Deep tissue damage - - correct ans- - D. Deep tissue damage 1815 - Your pt was exposed to an unknown chemical that has soaked their clothing. You should immediately A. Have the pt remove all clothing B. Administer O2 via NRB C. Flush pt's body with large amount of water D. Contact the poison control center. - - correct ans- - A. Have the pt remove all clothing 1824 - A seventeen y/o pt has ingested sleeping pills and alcohol. They are responsive only to painful stimuli. Vitals are BP 100/60, P 58, R 8. You should A. Administered activated charcoal

B. Contact the parents for consent to transport C. Place in recovery position D. Ventilate with BVM - - correct ans- - D. Ventilate with BVM 1835 - you respond to a 22 y/o male with altered mental status. His skin is warm and diaphoretic and has a known seizure history. It is likely your pt is A. Postictal B. Clonic C. Hypovolemic D. hypothermic - - correct ans- - A. Postictal 1852 - A diabetic patient was reported missing last evening. He is found unresponsive, lying in a ditch along the road in approximately two inches of water. Vital signs are BP 96/40, P 38, R 6. You should A. Place heat packs on pt's groin, neck and armpits B. Place glucose between the patients cheek and gum. C. Place the pt in Trendelenburg position D. Wrap the patient in blankets and transport. - - correct ans- - D. Wrap the patient in blankets and transport. 1904 - Your pt is unresponsive and is wearing a medic alert bracelet stating he is a diabetic. You should A. Establish and maintain an airway B. Check for a regular carotid pulse C. Administer one tube of oral glucose D. Ventilate with a BVM - - correct ans- - A. Establish and maintain an airway