Emergency Medical Procedures and Techniques, Exams of Nursing

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NYS EMT EXAM PRACTICE TEST #2 Questions from

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After an EMS call, some crew members begin discussing a recent case with some non-EMS personnel. This is unacceptable behavior because it is: a) A breach of the patient's right to know b) A breach of the patient's privacy and is unethical c) Against the New York State Good Samaritan Law d) Against the principles of patient consent - CORRECT ANSWER- - b) A breach of the patient's privacy and is unethical Which form of consent allows you to treat an unconscious patient? a) Actual consent b) Implied consent c) Informed consent d) Legislated consent - CORRECT ANSWER- - b) Implied consent

• Another name for the left lateral position is: a) Semi-Fowler's b) Trendelenburg c) Recovery position d) dorsal recumbent - CORRECT ANSWER- - c) Recovery position
• In anatomic terms, an injury midway down the left forearm would be considered: a) Distal to the left elbow

b) Proximal to the left elbow c) Superior to the left elbow d) Lateral to the left elbow - CORRECT ANSWER- - a) Distal to the left elbow If a life-threatening problem is discovered during the Initial Assessment, you should: a) Finish the Initial Assessment and then go back to correct the problem b) Complete both the Initial Assessment and the Detailed Physical Examination c) Transport the patient to the hospital immediately d) Correct the problem before continuing with the Initial Assessment - CORRECT ANSWER-

• d) Correct the problem before continuing with the Initial Assessment Which of the following is the BEST definition of the term "auscultation"? a) The reaction of a normal pupil to light b) Evaluating the blood pressure in the sitting and supine positions c) Listening d) Testing of reflexes - CORRECT ANSWER- - c) Listening The "A" in the mnemonic AVPU as it relates to patient assessment, stands for: a) Allergy b) Airway c) Alert d) Auscultate - CORRECT ANSWER- - c) Alert An unconscious trauma victim responds to painful stimuli in both extremities. The EMS Provider should presume that: a) There is no spinal injury b) Circulation to the extremities is defective

c) There is proper circulation to the extremities d) There may still be a spinal injury - CORRECT ANSWER- - d) There may still be a spinal injury The purpose of the first set of vital signs is to: a) Establish a baseline for additional evaluations b) Determine all that is necessary for the prehospital care report (PCR) c) Accurately measure the patient's status d) Fully assess the patient's condition - CORRECT ANSWER- - a) Establish a baseline for additional evaluations The alveoli of the lungs are in close contact with the: a) Diaphragm b) main-stem bronchus c) Pulmonary capillaries d) Pulmonary arteries - CORRECT ANSWER- - c) Pulmonary capillaries The tubelike anatomical structure that carries air from the throat to the lungs is the: a) Pharynx b) Larynx c) Trachea d) Esophagus - CORRECT ANSWER- - c) Trachea An unconscious patient with suspected spinal trauma has an obstruction caused by his tongue. Which of the following procedures is an accepted method for correcting this type of obstruction? a) Slightly lifting the patient's neck

b) Slightly tilting the patient's head back c) Tilting the patient's head forward d) Thrusting the patient's jaw forward - CORRECT ANSWER- - d) Thrusting the patient's jaw forward The patient who makes a crowing noise (strider) while attempting to inhale has a: a) Severe airway obstruction with poor air exchange b) Mild airway obstruction with good air exchange c) Mild airway obstruction with poor air exchange d) Severe airway obstruction with no air exchange - CORRECT ANSWER- - c) Mild airway obstruction with poor air exchange When performing abdominal thrusts on a conscious adult patient with a severe airway obstruction, the EMS Provider should place the thumb side of his/her hand against the patient's abdomen: a) Between the midportion of the sternum and the xiphoid process b) Directly on the umbilicus c) Directly on the xiphoid process d) Between the navel and the xiphoid process in the midline - CORRECT ANSWER- - d) Between the navel and the xiphoid process in the midline You are attempting to ventilate a patient through a stoma and you notice that the patient's chest does not rise completely. You feel an escaping from the patient's mouth and nose. Your next step should be to: a) Perform abdominal thrusts b) Reposition the head and attempt to reventilate c) manually seal the patient's mouth and nose

d) Blow more forcefully - CORRECT ANSWER- - c) manually seal the patient's mouth and nose A correct statement concerning airway management of a patient who has a suspected spinal cord injury is that: a) The cord injury takes precedence over the airway; the patient can be ventilated only if this can be done without moving the cord b) The airway always takes precedence over the cord injury; the airway must be opened regardless of the damage it might do to the cord c) There is no difference in management; in the presence of cord injury, the airway is still opened in the usual way d) Special techniques must be employed to open the airway without moving the cord - CORRECT ANSWER- - b) The airway always takes precedence over the cord injury; the airway must be opened regardless of the damage it might do to the cord When ventilating an infant with inadequate breathing, rescue breaths should be given at a rate of 1 breath every: a) 2 seconds b) 4 seconds c) 6 seconds d) 8 seconds - CORRECT ANSWER- - b) 4 seconds Which of the following organs is MOST SUSCEPTIBLE to damage if you place your hands on the xiphoid process during chest compression? a) Kidney b) Liver c) Spleen d) Appendix - CORRECT ANSWER- - b) Liver

You are called to the scene of a drowning. The patient is still in the water and is pulseless and apneic. When should you begin CPR? a) Immediately upon reaching the patient in the water b) After removing the patient from the water c) When a second rescuer reaches the patient in the water d) While in the water and supporting the patient's thorax - CORRECT ANSWER- - b) After removing the patient from the water During two-rescuer CPR, at what point is it appropriate to change compressors? a) After each cycle b) After 2 minutes c) After 2 cycles d) After 5 minutes - CORRECT ANSWER- - b) After 2 minutes All of the following are criteria for effective chest compressions in an adult EXCEPT: a) Compress the chest hard and fast b) minimize interruptions during compressions c) Allow for full chest recoil d) Pause chest compressions to check the pulse each minute - CORRECT ANSWER- - d) Pause chest compressions to check the pulse each minute When it is necessary to perform CPR, while transporting a patient on a stretcher, the EMS Provider should: a) Move the stretcher as rapidly as possible to get the victim to a hospital promptly b) Move the stretcher slowly so that effective CPR can continue c) Keep the stretcher in a high position, especially when going down stairs

d) Keep the patient's head raised in order to make ventilation easier - CORRECT ANSWER- - b) Move the stretcher slowly so that effective CPR can continue When you are palpating pulse in an infant, the American Heart Association standards recommend that you palpate a/an: a) Radial pulse b) apical pulse c) brachial pulse d) carotid pulse - CORRECT ANSWER- - c) brachial pulse When performing CPR on an infant, the MINIMUM rate of chest compressions is: a) 80 per minute b) 100 per minute c) 130 per minute d) 150 per minute - CORRECT ANSWER- - b) 100 per minute When using- a non-rebreather mask with an oxygen reservoir, the EMS Provider should adjust the liter flow to: a) 4 liters/min b) 8 liters/min c) 15 liters/min d) 25 liters/min - CORRECT ANSWER- - c) 15 liters/min Which of the following statements regarding nasopharyngeal airways is TRUE? a) Nasopharyngeal airways should be used only in the left nostril b) Nasopharyngeal airways should be coated with a water-soluble lubricant prior to insertion

c) Nasopharyngeal airways are more likely to stimulate a gag reflex than would an oropharyngeal airway d) lf an obstruction is encountered as a nasopharyngeal airway is first introduced, you should immediately switch to an oropharyngeal airway - CORRECT ANSWER- - b) Nasopharyngeal airways should be coated with a water-soluble lubricant prior to insertion In mouth-to-mask ventilation, the stomach is likely to be distended if too great a force is used to inflate the lungs. Lung ventilation may become more difficult because stomach inflation: a) Causes a spasm of the larynx b) Pushes up on the diaphragm and increases the likelihood of vomiting c) Produces a back pressure that pushes the epiglottis forward d) Causes a displacement of the lungs, resulting in deviation of the trachea - CORRECT ANSWER- - b) Pushes up on the diaphragm and increases the likelihood of vomiting You have inserted an oropharyngeal airway into the mouth of an unconscious victim who reacts by having a gag reflex. You should: a) Remove the airway b) remove the airway, then reinsert it c) Pull the airway out slightly d) Use a smaller-sized airway - CORRECT ANSWER- - a) Remove the airway The proper technique for suctioning a patient's mouth is to suction: a) As you are withdrawing the catheter b) As you are inserting the catheter c) While you insert and withdraw the catheter d) While ventilating with high-concentration oxygen - CORRECT ANSWER- - a) As you are withdrawing the catheter

An unconscious, breathing 18-year-old patient has been rescued from a car that had the engine running. The patient's skin is red; vital signs are: BP = 110/70; P = 110; R = 18. Oxygen should, be administered with which of the following devices? a) Nasal cannula b) Simple face mask c) Venturi mask d) Non-rebreathing mask - CORRECT ANSWER- - d) Non-rebreathing mask You have attempted to insert a nasopharyngeal airway into the right nostril of a patient, but have encountered resistance, You should: a) Insert an oropharyngeal airway instead b) Insert the nasopharyngeal airway despite the resistance c) Remove the tube and try a larger size d) Relubricate the tube and try the other nostril. - CORRECT ANSWER- - d) Relubricate the tube and try the other nostril. Approximately how many liters of blood does an adult male weighing 150 lb. have in his body? a) 3 liters b) 4 liters c) 6 liters d) 7 liters - CORRECT ANSWER- - c) 6 liters How would you describe bleeding from a vein? a) Bright red; flowing steadily b) Bright red; spurting

c) Dark red; flowing steadily d) Dark red; spurting - CORRECT ANSWER- - c) Dark red; flowing steadily The PRINCIPAL cause of hypoperfusion (shock) in a victim with massive body burns is loss of: a) Fatty tissues b) Epidermis c) Plasma d) Dermis - CORRECT ANSWER- - c) Plasma The type of hypoperfusion (shock) that results from a considerable loss of blood or fluid is: a) Hypovolemic b) Anaphylactic c) Cardiogenic d) Psychogenic - CORRECT ANSWER- - a) Hypovolemic Sudden dilation of the blood vessels causing the blood pressure to fall is called: a) Hypovolemic shock b) Metabolic shock c) Distributive shock d) Cardiogenic shock - CORRECT ANSWER- - c) Distributive shock Which of the following is a LATE sign of hypoperfusion (shock)? a) Thready pulse b) Loss of body fluid c) Trembling

d) Falling blood pressure - CORRECT ANSWER- - d) Falling blood pressure Which of the following are the signs of an allergic reaction? a) Pain in the chest, rapid strong pulse, pallor, sweating b) Decreased blood pressure, rapid strong pulse, heavy breathing c) Decreased blood pressure, itching, swelling, difficulty breathing d) Rapid strong pulse, increased blood pressure, pallor, sweating - CORRECT ANSWER- - c) Decreased blood pressure, itching, swelling, difficulty breathing

• Treatment for the patient in hypovolemic shock includes: a) Keeping the patient in a sitting position with the head bent back b) Giving the patient a liquid stimulant immediately c) Bathing the patient with towels wrung in cold water d) Keeping the patient warm and on his/her back with the legs elevated - CORRECT ANSWER- - d) Keeping the patient warm and on his/her back with the legs elevated What is the recommended procedure for the transportation of a severed limb to the hospital? a) Wrap the limb in sterile gauze, seal in a plastic bag, and keep the limb cool b) Place the limb in sterile gauze, seal in a plastic bag, and keep the limb warm c) Place the limb on ice, wrap in sterile gauze, then seal both in a plastic bag d) Wrap the limb in sterile gauze, place on ice, then seal both in a plastic bag - CORRECT ANSWER- - a) Wrap the limb in sterile gauze, seal in a plastic bag, and keep the limb cool An automobile collision patient has a piece of glass that penetrated through his cheek and is bleeding severely from the injury. The EMS Provider should: a) Remove the glass from the cheek and apply a dressing on both sides of the wound

b) Leave the glass in the cheek and apply a dressing over the wound c) Leave the glass in the cheek and apply a dressing on both sides of the wound d) Remove the glass and dress the wound only if the glass interferes with breathing - CORRECT ANSWER- - d) Remove the glass and dress the wound only if the glass interferes with breathing To assess the circulatory status of a patient's limbs distal to an injury site, you should check: a) Pulses, skin temperature, and AVPU b) Temperature, crepitus, and grating c) Pulses, skin color, and temperature d) Skin color, AVPU, and crepitus - CORRECT ANSWER- - c) Pulses, skin color, and temperature A closed bone or joint injury is BEST defined as an injury: a) With associated muscle spasms or swelling around a joint b) In which there is no break in the continuity of the skin c) Of a long bone with skin discoloration over the affected area d) With associated ligament involvement - CORRECT ANSWER- - b) In which there is no break in the continuity of the skin After immobilizing a painful, swollen, deformed collarbone, your NEXT priority would be to: a) Check to see that the bone ends are approximated b) Ask the patient if the splint is comfortable c) Check the radial Pulse d) Check the airway - CORRECT ANSWER- - c) Check the radial Pulse

The MOST SERIOUS problem associated with an injury to a joint is that this type of injury: a) Is frequently accompanied by nerve and vascular damage b) Often produces grotesque deformity c) Is very difficult to assess d) Is extremely painful - CORRECT ANSWER- - a) Is frequently accompanied by nerve and vascular damage The recommended treatment for a painful, swollen deformity of the forearm is to immobilize the: a) Elbow b) Elbow and wrist c) Wrist d) Wrist and hand - CORRECT ANSWER- - b) Elbow and wrist A machine shop operator injured his hand while using a drill press. If the injured hand is to be splinted, the EMS Provider should splint it: a) In the position in which it is found b) In the position of function c) With the hand open d) With a pressure dressing - CORRECT ANSWER- - b) In the position of function In the presence of good circulation, the EMS Provider should NOT straighten a dislocated joint before splinting because: a) It may break the bones of the joint b) It will cause significant pain c) There is danger of impairing nerve function and blood supply

d) It is only a medical controlled option in the field - CORRECT ANSWER- - c) There is danger of impairing nerve function and blood supply The treatment for a trauma victim who has sustained a hip joint injury is to: a) Apply a traction splint to the injured leg b) Apply an air splint c) Apply padded board splints and a long spine board d) Attempt to replace the hip to its socket - CORRECT ANSWER- - c) Apply padded board splints and a long spine board A ten-year-old boy on a bicycle was hit by a car. During your Initial Assessment, you determine that there are no immediate life threats. Your Rapid Trauma Assessment reveals possible fractures of the right lower arm and right femur. Your treatment should be to: a) Tie the extremities to the body and transport the victim on a long spine board b) Check distal pulses and sensation, and splint the involved extremities before moving c) Check proximal pulses and straighten the extremities to prevent neurological damage d) Use a scoop stretcher to transport the victim immediately - CORRECT ANSWER- - b) Check distal pulses and sensation, and splint the involved extremities before moving A soft pillow splint can be used to splint an injury to the: a) Elbow b) Shoulder c) Knee d) Ankle - CORRECT ANSWER- - d) Ankle You are called to a gym where a 25-year-old woman has fallen. She is complaining of severe pain in her right elbow, which is swollen and deformed. You should: a) Straighten the elbow to relieve pain

b) Splint the elbow in the position found c) Administer oxygen at 6 liters/minute via nasal cannula d) check the proximal pulse - CORRECT ANSWER- - c) Administer oxygen at 6 liters/minute via nasal cannula A patient was struck in the head with a pipe during a fight. The patient is unresponsive and bleeding from within the ear. You should: a) Transport immediately and do nothing with the ear b) Apply direct pressure to the ear c) Place your finger in the bleeding ear to prevent fluid loss d) Apply a loose sterile dressing to the ear - CORRECT ANSWER- - d) Apply a loose sterile dressing to the ear To control a nosebleed in a patient WITHOUT suspected spinal trauma, the EMS Provider should: a) Have the patient sit upright with the head tilted backward b) Apply tepid compresses to the patient's face and nose c) Have the patient, positioned forward with the head between the legs d) Pinch the patient's nostrils together and sit the patient leaning forward to allow drainage

• CORRECT ANSWER- - d) Pinch the patient's nostrils together and sit the patient leaning forward to allow drainage The central nervous system consists of the: a) Brain and peripheral nerves b) Brain and spinal cord c) Spinal cord and autonomic functions d) Spinal cord and peripheral nerves - CORRECT ANSWER- - b) Brain and spinal cord

A patient with a severe head injury and increasing pressure within the skull will often present with: a) Decreased blood pressure and rapid pulse b) Normal blood pressure and rapid pulse c) Normal blood pressure and normal pulse d) Elevated blood pressure and slow pulse - CORRECT ANSWER- - d) Elevated blood pressure and slow pulse When treating a patient with a brain injury, it is important to record changes in the patient's: a) Mental status b) Pupil reaction c) Respiratory rate d) Blood pressure - CORRECT ANSWER- - a) Mental status All of the following are signs and/or symptoms of a head injury EXCEPT: a) Sensation and motion in the arms but not in the legs b) Discoloration of soft tissue under the eyes (raccoon eyes) c) A momentary blackout after the injury d) Slight bleeding from the nose, mouth, and/or ear. - CORRECT ANSWER- - a) Sensation and motion in the arms but not in the legs Which of the following is a sign of a skull fracture? a) Hypoperfusion (shock) b) Cerebrospinal fluid leaking from the ears c) Decreasing blood pressure d) Neurogenic shock - CORRECT ANSWER- - b) Cerebrospinal fluid leaking from the ears

Which areas of the spinal are comprised of five vertebrae each? a) Lumbar and sacrum b) Sacrum and cervical c) Cervical and coccyx d) Thoracic and lumber - CORRECT ANSWER- - a) Lumbar and sacrum At which of the following levels does injury to the spinal cord result in loss of arm and leg function? a) Cervical b) Thoracic c) Lumbar d) Sacral - CORRECT ANSWER- - a) Cervical Loss of voice, severe airway obstruction, and air leakage into the soft tissue of the neck can result from an injury to the: a) Epiglottis b) Nasopharynx c) Esophagus d) Trachea - CORRECT ANSWER- - d) Trachea You have arrived at the scene of an automobile accident. One of the victims has a bleeding, depressed scalp wound. What should you do? a) Loosely cover the wound with a sterile dressing b) Apply a pressure dressing c) Collect the fluid in a sterile container for later analysis d) Pack the wound with sterile dressings - CORRECT ANSWER- - a) Loosely cover the wound with a sterile dressing

In rescuing a diving accident victim from a swimming pool, the EMS Provider's FIRST action is to: a) Lay the victim on a flat surface immediately b) Immobilize the victim's entire spine before removing him/her from the water c) Immobilize the victim's entire spine as soon as he/she is removed from the water d) Be sure that the victim's neck is hyperextended. - CORRECT ANSWER- - b) Immobilize the victim's entire spine before removing him/her from the water A woman has slipped on the ice-covered sidewalk on her property. She has an injured jaw and is bleeding from a laceration of the tongue. You should. do all of the following EXCEPT: a) Clear the upper respiratory passage in the first phase of patient care b) Have suction available for use c) Bend the patient's head forward to move the tongue away from the airway d) Prevent blood from getting into the pharynx because it may cause coughing and retching

• CORRECT ANSWER- - c) Bend the patient's head forward to move the tongue away from the airway A 65 year-old male was involved in a two-car motor vehicle crash. Upon examination, he complains of chest pain upon breathing and tenderness of the sternum. Your INITIAL care would be to: a) Stabilize the sternum b) Position the patient on his side c) Administer high-concentration oxygen d) administer the patient's prescribed nitroglycerin - CORRECT ANSWER- - c) Administer high-concentration oxygen A chest injury may interfere mechanically with the functioning of the:

a) Xiphoid process b) Sternum c) Lungs d) Brain - CORRECT ANSWER- - c) lungs You are treating a male patient who has a penetrating chest wound and frothy bright-red blood at the mouth. About 10 minutes after sealing the chest wall, you notice that the patient's breathing becomes much worse. At this point, you should: a) Immediately place the patient on his uninjured side b) Lift one corner of the dressing c) Administer positive-pressure ventilation immediately d) Administer pure oxygen to aid respiration - CORRECT ANSWER- - b) Lift one corner of the dressing Signs and symptoms of multiple broken ribs include: a) Unequal chest expansion, inadequate breathing, deformity, and pain b) Rapid breathing, chest pain, rapid weak pulse, and cyanosis c) Equal chest expansion, slow weak pulse, cyanosis, and chest pain d) Slow breathing, cyanosis, chest pain, and rapid weak pulse - CORRECT ANSWER- - a) Unequal chest expansion, inadequate breathing, deformity, and pain You are called to treat a patient with a chest injury. There is no suspected spinal injury. How should this patient be transported? a) Prone with the head turned to the side b) Supine with feet elevated c) In a position of comfort d) On the uninjured side - CORRECT ANSWER- - c) In a position of comfort

A high school football player has received a hard direct blow to the abdomen. Which of the following may indicate internal bleeding? a) Profuse bleeding from the bowels, deep slow breathing, slow pulse b) Weak rapid pulse, tenderness, guarding, or pain in the abdomen c) Deep slow breathing, normal pulse, warm dry skin d) Warm dry skin, rapid pulse, nausea, deep regular breathing - CORRECT ANSWER- - b) Weak rapid pulse, tenderness, guarding, or pain in the abdomen Upon arriving at the scene of an accident, you find a victim who has bowel loops protruding through an abdominal laceration. You should cover the loops: a) And apply direct pressure b) As you would an impaled object c) With a dry sterile absorbent dressing d) With a moist sterile dressing - CORRECT ANSWER- - d) With a moist sterile dressing A patient m severe pain due to an abdominal injury should be placed in which of the following positions? a) One leg up, the other one straight b) In a position of comfort c) Both legs stretched out straight d) In a prone position - CORRECT ANSWER- - b) In a position of comfort A patient with a history of diabetes has an altered mental status due to a diabetic emergency. The EMS Provider should: a) Administer a sugar concentrate, if there is no danger that the patient will aspirate b) Encourage the patient to take an insulin solution orally, if there is no danger that the patient will aspirate

c) Administer a sugar concentrate by mouth to an unconscious patient only d) Defer all treatment and transport the patient to the hospital - CORRECT ANSWER- - a) Administer a sugar concentrate, if there is no danger that the patient will aspirate You are treating a patient who is complaining of chest pain and difficulty breathing. You should have the patient lie: a) Flat and take slow deep breaths b) In whatever position feels most comfortable c) On his/her back with head elevated and take fast shallow breaths d) In a coma position - CORRECT ANSWER- - b) In whatever position feels most comfortable According to one theory, the way in which nitroglycerin relieves chest pain is by: a) Dilating coronary arteries b) Deadening the sense of pain c) Increasing cardiac output d) dissolving tiny blood clots - CORRECT ANSWER- - a) Dilating coronary arteries A sign or symptom of decreased oxygen to the heart muscle is: a) Warm red skin b) Unconsciousness c) Chest pain d) Extremity paralysis - CORRECT ANSWER- - c) Chest pain A patient suffering from a diabetic emergency (hypoglycemia) will exhibit which of the following signs and/or symptoms? a) Slow pulse and warm dry skin b) Rapid pulse and warm dry skin

c) Rapid pulse and cool clammy skin d) Slow pulse and cool clammy skin - CORRECT ANSWER- - c) Rapid pulse and cool clammy skin A woman in her late 40s had been complaining of headaches and vision difficulties. On your arrival, you find that - she is responsive to pain, and has a droopy eyelid, unequal pupils and slow shallow respirations. Your FIRST action should be to: a) Immobilize the patient on a long backboard b) Administer glucose c) Administer high-concentration oxygen d) Assist the patient in administering her EpiPen - CORRECT ANSWER- - c) Administer high- concentration oxygen On arriving at a home, you find an alert three-year-old child who has ingested an unknown quantity of drain cleaner. Which of the following would you do FIRST? a) Reassure the mother that the child will be all right b) Consult with Medical Control c) Induce vomiting with ipecac and retain the vomitus d) Administer ipecac and activated charcoal - CORRECT ANSWER- - b) Consult with Medical Control Which of the following oxygen delivery devices should be used for treatment of a conscious patient who has inhaled a poisonous gas? a) Partial-rebreathing mask b) Simple face mask c) Non-rebreathing mask d) Venturi mask - CORRECT ANSWER- - c) Non-rebreathing mask

An EMS Provider can assist a conscious patient in taking his/her prescribed nitroglycerin pill by seeing to it that the patient: a) Chews it thoroughly b) Swallows it with a glass of water c) Places it under his/her tongue d) Sucks on it until it dissolves - CORRECT ANSWER- - c) Places it under his/her tongue Ln most cases, patients with Cardiac-related chest pain complain of: a) Sharp pain that varies with breathing b) Pressure or heaviness that does not vary with breathing c) Pressure or pain referred to the abdomen d) Sharp pain referred to the arms - CORRECT ANSWER- - b) Pressure or heaviness that does not vary with breathing The MOST OBVIOUS indication of a paralyzed limb in a nontraumatic brain injury patient is that the limb will: a) Move if its extremity is lightly jabbed with a pin b) Be pulseless and feel cold to the touch c) Be cyanotic and pulseless d) Appear loose and will lack muscle tone when it is moved by the EMS Provider - CORRECT ANSWER- - d) Appear loose and will lack muscle tone when it is moved by the EMS Provider Proper care for a victim of a respiratory emergency is: a) Placing the patient in a prone position b) assisting the patient with his/her inhaler c) Placing the patient in a supine position

d) Suctioning of lung fluids to relieve edema - CORRECT ANSWER- - b) assisting the patient with his/her inhaler Which of the following are respiratory effects of an allergic reaction? a) Itching, hives, headache b) Coughing, hoarseness, labored breathing c) Swelling of the face, neck, hands, and feet d) Increased heart rate, decreased blood pressure - CORRECT ANSWER- - b) Coughing, hoarseness, labored breathing In which position should, the mother be placed for delivery? a) Lying on a firm surface, with her knees drawn up and spread apart b) Sitting upright, with her legs fully extended and spread apart c) Sitting on a firm surface, with a pillow under her buttocks d) Lying on a firm surface, With her legs extended and raised above the level of the heart - CORRECT ANSWER- - a) Lying on a firm surface, with her knees drawn up and spread apart Which of the following is an important function of the amniotic sac? a) Providing nourishment for the fetus b) Keeping the fetus in a cool environment c) Protecting the fetus from injury d) Ensuring a cephalic presentation at birth - CORRECT ANSWER- - c) Protecting the fetus from injury If difficulties arise during delivery of the baby's upper shoulder, the EMS Provider should assist by gently: a) Pulling at the baby's shoulders

b) Guiding the baby's bead downward c) Guiding the baby's head upward d) Pushing a glove hand into the vagina - CORRECT ANSWER- - b) Guiding the baby's bead downward During a delivery, if the umbilical cord is wrapped around the infant's neck and you CANNOT slip it free, you should: a) Transport immediately and not cut the cord b) Ask the mother to push c) Clamp the cord immediately and cut between the clamps d) Cut the cord without clamps - CORRECT ANSWER- - c) Clamp the cord immediately and cut between the clamps A man has received on his chest, abdomen and his entire left arm during a house fire. What percentage of the body surface will the EMS Provider estimate to determine the severity of the burn? a) 9% b) 18% c) 27% d) 36% - CORRECT ANSWER- - c) 27% The FIRST objective in the care of any burn is to: a) Stop the burning process b) Exclude air from the area of the burn c) Relieve pain d) Prevent infection - CORRECT ANSWER- - a) Stop the burning process