Emergency Medical Scenarios and Responses, Exams of Nursing

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A female is unresponsive due to being hit in the head with a board. She has a large hematoma on her forehead. You should - - correct ans- - Manually stabilize the spine Which is the BEST way to assess breathing in an unconscious patient? - - correct ans- - Watch for chest rise A 10 month old pt has a partial foreign body obstruction due to a piece of hot dog. She is cyanotic and has minimal air movement. Your treatment should include - - correct ans- - back blows and abdominal thrusts 54 year old female is complaining of chest pain. The patient would like you to assist her in taking one of her husband's nitro tablets. Vital signs are BP 140/100, P 96, R 18. What should you do? - - correct ans- - Monitor vital signs and transport in position of comfort The most common electrical disturbance the result in cardiac arrest in adults is - - correct ans- - Ventricular fibrillation (V-fib) A 35 year old female claims to have fallen. As you assess her injuries, her husband enters the room tells you to leave. He is holding a baseball bat. You should - - correct ans- - Leave the scene and request police assistance

A 91 year old male was found lying on the floor in his home. He is staring blankly and is rigid and cool to the touch. Vital signs are BP 100/74, Temp 88F, and SPo2 93%. As you prepare for transport, you should - - correct ans- - Apply heat packs and handle gently A pt complains of abdominal pain. Which of the following questions should you ask? - - correct ans- - "How would you describe your pain" A 90 year old female complains of shortness of breath which has been ongoing for the past few days. It gets worse at night when she lies down. Vital signs BP 180/100. P 106, R24. breath sounds reveal crackles bilaterally. Her most likely problem is - - correct ans- - congestive heart failure (CHF) A 7 year old child was struck by an automobile. You note a contusion to the right chest and right lower arm fracture with arterial bleeding. Your treatment should include - - correct ans- - Applying direct pressure to the arm, applying a long backboard, and administering oxygen Your are called to an office building for a pt with an altered mental status. When you arrive, several people in the parking lot tell you that a few of their coworkers began to feel ill with headaches, nausea, and vomiting. Concerned, they left the building but think that there may still be a dozen people inside. You should - - correct ans- - Clear the building of all people A 79 year old pt is in cardiac arrest. No one has started CPR. you should - - correct ans- - Begin CPR, starting with high-quality chest compressions. A pt has a black substance around her mouth, but says that she has not been exposed to any burning material. After initial assessment, you should - - correct ans- - Ask if she knows what the substance is

Which of the following signs would you expect in a pt with a stab wound on the right side of the chest - - correct ans- - Increased respiratory effort A seven year old boy was struck by a car. He is unresponsive and apneic, bleeding from the head, nose, and mouth, with obvious deformity to his right mid-femur. You should - - correct ans- - open the airway and suction A 68 year old pt complains of chest pain. Vital signs are BP 146/90, P 92, R 20. You should -

• correct ans- - Administer oxygen via nasal cannula at 6 lpm Your motorcycle accident victim is anxious, short of breath and tachycardic, with unequal chest expansion. There are no wounds present. Your administration of high flow oxygen does not seem to be helping. You suspect, - - correct ans- - flail chest You arrive at a campsite where there has been an explosion. Your patients clothing is still burning, and she is gasping for air. You should - - correct ans- - Extinguish burning clothing You have just assisted in the delivery of a healthy newborn girl. Which of the following is the most important? - - correct ans- - Wrap the newborn in a blanket to keep her warm A 20 year old male collapsed while eating a hot dog. He appears cyanotic. You should - - correct ans- - check responsiveness Your patient is unconscious. The nurse on scene states: "the pt is bradycardic, please attach your AED and transport." what should you do? - - correct ans- - Assess the pts breathing and pulse A pt has sustained multiple traumatic injuries. In a "load and go: situation, the fastest, most appropriate method of splinting would be securing - - correct ans- - To a backboard

When giving the hospital a radio report, you should - - correct ans- - Maintain a clear and steady tone A three year old pt has been sick for several days. Her mother tells you that she has been vomiting and has diarrhea. The child appears tired but withdraws from you during your exam. She is breathing quickly and looks pale. Vital signs are 90/50, P 133, R36. you should

• • correct ans- - Apply high concentration oxygen and transport rapidly A semi- conscious trauma pt with a suspected cervical spine injury has a significant amount of blood in her mouth. You should - - correct ans- - Suction using a rigid catheter The best treatment for a pt exposed to an absorbed poison is to - - correct ans- - Remove the poison from the skin Signs and symptoms of early hypoperfusion can include - - correct ans- - decreased blood pressure The following pts are all complaining of shortness of breath. Which of the following pts is MOST likely to be hypoxic - - correct ans- - 23 year old asthmatic female exposed to cold temperature: SpO2 90% A 27 year old female with a history of asthma complains of difficulty breathing. She has used her prescribed inhaler multiple times in the last nine hours. She has been in an argument with her boyfriend and is quite upset. Vital signs are P 140, R 60, SpO2 100%, breath sounds clear with no wheezing. You should suspect - - correct ans- - Hyperventilation You just assisted a mother delivering a baby who is blue and flaccid. You should - - correct ans- - Ventilate by BVM

Begin chest compressions and apply the automated external defibrillator - - correct ans- - Begin chest compressions and apply the automated external defibrillator Which of the following diabetic patients should receive oral glucose? - - correct ans- - A 25 year old female who is acting inappropriately A 28 year old female pt with a history of asthma has stopped breathing. You initiate positive pressure ventilations with BVM mask. Which ventilation rate would be most appropriate? - - correct ans- - 10 breaths per minute An immobilization trauma patient starts vomiting en route to hospital. You should - - correct ans- - Use a yankauer catheter to suction vigorously A trauma patient's injured limb is pale and pulseless. You should suspect - - correct ans- - compromised circulation A pt becomes unresponsive after administration of oral glucose. You should - - correct ans-

• Open and inspect the airway A 34 year old male was found unconscious at the bottom of a flight of stairs. You note dark blue, purple, and yellowish brown bruising across his back and a minor laceration of his chest. You should first be concerned with - - correct ans- - injury to neck What of the following is the leading causes of death in infants and children? - - correct ans-
• respiratory problems You are treating a pt in cardiac arrest at a loud outdoor concert. You are awaiting transport and have shocked your pt five times. The AED is recommending another shock, you should
• • correct ans- - Administer the shock

An adult is suffering a cardiac arrest. What should you do to restore circulation? - - correct ans- - Begin chest compressions. A 42 year old male was in a house fire. The anterior portion of his lower legs has been burned. The area is charred black but your states he has a little pain. This burn would be classified as - - correct ans- - full thickness You are entering a controlled intersection with emergency lights and siren activated. The signal light is red. Your emergency vehicle Has the right of way againsts vehicles entering from the right - - correct ans- - Should come to a complete stop prior to proceeding A 24 year old trauma patient is holding pressure on a laceration to his right leg. He keeps complaining: "i just can't get it to stop". His respirations are 10 times per min, amd he has no radial pulses. You should - - correct ans- - Apply tourniquet Your patient is in cardiac arrest. After administering a shock and two min of cpr, you detect a faint pulse. Vital signs are BP 90/50, P58, R6, Spo2 88%. What should you do? - - correct ans- - Assist respirations via bvm A 19 year old has swallowed lighter fluid. You should - - correct ans- - Contact Poison Control Center You should rapidly extricate a motor vehicle collision patient who is awake and complains of: - - correct ans- - Numbness to lower extremities and abnormal respirations A three year old exhibits inspiratory stridor, fever, and agitation. You should - - correct ans- - transport immediately

While transporting an oxygen dependent pt on 4 lpm oxygen, his respiratory rate decreases to 8 breaths per min. You should - - correct ans- - Ventilation via bvm and continue to transport A pt has a small, bubbling puncture wound on the right side of his chest. You should dress the wound with a - - correct ans- - plastic bag An unresponsive pt is lying on the ground next to the ladder. You notice a bone sticking out of his left arm. You should - - correct ans- - open his airway with a jaw-thrust maneuver. A pt develops a sudden onset of chest discomfort and shortness of breath while working in his garden. Skin is pale and covered in a red rash. You should - - correct ans- - Assist the pt with his epinephrine auto injector You are transporting a pt with chest discomfort. En route he becomes unresponsive. What is the most appropriate action? - - correct ans- - Confirm pulselessness, start cpr, apply AED, stop vehicle and shock if necessary A 64 year old pt is pale, complains of shortness of breath, and has pedal edema. You should - - correct ans- - Listen to the lung sounds, transport pt sitting up, and contact medical control As you arrive on the scene of a water treatment plant, you notice a large cloud coming from the building. Your primary concern is to - - correct ans- - Maintain a safe distance Perform abdominal thrust - - correct ans- - You have repeatedly attempted to ventilate an infant who is choking on a penny. The chest is not rising. You should: Administer chest compressions Insert an oral airway and reattempt Apply an automatic external defibrillator

Perform abdominal thrust Reposition his head a reattempt ventilations - - correct ans- - A four year old male with complete foreign body airway obstruction becomes unconscious as you are treating him. You place him supine on the ground and attempt ventilations, but the child's chest does not rise. You should: Reposition his head a reattempt ventilations Open his airways and perform a finger sweep Perform five abdominal thrust and reassess Deliver 5 back blows and five chest thrust Transport to a level 1 trauma center - - correct ans- - A 28 year old patient complains of back pain after falling 20 feet from a balcony. First responders placed a C-collar and splinted bilateral fractured femurs with padded board splints. You should: Check pulses and carefully re-splint the legs Perform a detailed assessment on scene Take patient to the closest hospital Transport to a level 1 trauma center Perform the heimlich by wrapping your arms around his chest - - correct ans- - A very large man in restaurant is clutching his throat and unable to speak. You are unable to reach your arms around his abdomen. You should: Use your portable suction equipment to dislodge the object Perform the heimlich by wrapping your arms around his chest Ask your partner to assist you with the heimlich maneuver Administer multiple back blows and quickly sweep the mouth

Chest compressions - - correct ans- - American heart association studies show improved survival to discharge rates with the use of what kind of early cardiac arrest treatment? 25 year old male asthmatic is short of breath. He has audible wheezes. Vital signs are BP 132/80, P 132, R 24, SpO2 96%. You should: - - correct ans- - Assist with a prescribed bronchodilator Turn off the air conditioning in the ambulance - - correct ans- - You are treating a patient for heat exposure. She is sweating profusely and complaining of abdominal cramps. En route to the hospital. She begins to shiver. You should: Turn off the air conditioning in the ambulance Discontinue high concentration oxygen Wrap the patient in blankets Transport the patient with lights and sirens Heat stroke - - correct ans- - 40 year old male was found confused and wandering around. Vital signs are BP 90/60, P 140, R 30 and shallow skin is hot and dry. You should suspect Alcohol abuse Heat exhaustion Heat stroke Drug abuse Apply manual traction and reassess the patient - - correct ans- - 30 year old female was in a car crash and has a severely angulated left lower leg. She has just been extricated after entrapment. The limb is cool and pulseless. Vital signs BP 100/40, P 90, R 20. You should: Apply manual traction and reassess the patient Administer high flow oxygen and transport rapidly Apply cold packs, elevate the limb, and transport

Splint the extremity in the position found and transport rapidly Speak calmly and explain all treatment beforehand - - correct ans- - An 11 year old male has been injured. He is crying, sucking his thumb, and acting fearful. You should: Speak calmly and explain all treatment beforehand Reassure the child that you can relieve his pain. Ask the parent if they can get the child to stop crying Ask the parent to hold the child during the exam Which of the following is TRUE regarding the use of the flow-restricted, oxygen-powered ventilation device? - - correct ans- - It can cause significant lung damage if used improperly Belted patient was involved in a rollover vehicle crash. She is responsive to pain. Vital signs are BP 95/70, P 60, R 23 and an uninjured passenger tells you that she "has her appendix taken out" 3 months ago. Which of the following should MOST lead you to suspect internal bleeding? - - correct ans- - mechanism of injury (MOI) When informing an 18 year old of a treatment that is needed and the associated risks, what type of consent are you seeking? - - correct ans- - Expressed Ask her what the voices are saying - - correct ans- - Your patient has a mental illness and says she is hearing voices. You should: Ask her what the voices are saying Ask her if she can direct the voices Tell her she should not be hearing voices Explain that you can hear the voices too

Clamp the cord in two places, and cut the cord between the clamps - - correct ans- - You are unable to loosen or slip the umbilical cord from around a baby's neck. You should: Cut the cord and then apply direct pressure to the ends of the cords Clamp the cord in two places and transport Delay delivery by gently pushing on the baby's head Clamp the cord in two places, and cut the cord between the clamps After administering nitroglycerin, your patient might experience - - correct ans- - headache 74 year old female may be having a stroke. Which of the following would support this? - - correct ans- - She presents with left-sided facial droop How often should you trend a stable patient's condition? - - correct ans- - every 15 minutes Remove the patch - - correct ans- - What should you do before defibrillating a patient who has a nitroglycerin patch? Remove the patch Contact medical control Defibrillate directly on top of the patch Place medical tape over the patch Delivery will occur soon - - correct ans- - A patient is experiencing labor pains. She states she needs to move her bowels. You should suspect that? The bowel movement would slow labor The placenta has separated from the uterus Delivery will be delayed Delivery will occur soon

Dehydration - - correct ans- - A mother is holding her one year old baby. His eyes are open and he looks at you when you approach. His eyes are sunken and he appears to be breathing rapidly. His mom tells you that he has been sick for a few days, and she has not had to change his diaper very often. You should suspect: Child abuse Meningitis Dehydration Blood loss Place items in a sealed plastic bag - - correct ans- - How should you preserve potential crime scene evidence on clothing that is removed from a patient? Place items in a large paper bag Have a witness verify the condition of all removed clothing Place items in a sealed plastic bag Document the condition of all removed clothing. Perform a prehospital stroke scale - - correct ans- - Your patient complains of a headache. You notice his right cheek is sagging and his left arm is hanging limp at his side. What should you do? Administer aspirin and nitroglycerin Perform a prehospital stroke scale Ask if the patient takes medications Administer one tube of oral glucose Interview the child asking for specific locations of her parents during the events - - correct ans- - A six year old female reportedly fell off her bed. You note burns to the girls back and bruises of different colors on her legs. You should:

Document the physical findings with a photograph Report suspected abuse to the hospital Request social services intervention Interview the child asking for specific locations of her parents during the events Continue to reassess the patient every 5 minutes or Immediately contact medical contact control to report the patient's response - - correct ans- - Two minutes after administration of a prescribed bronchodilator your patient becomes increasingly shaky. You should: Immediately contact medical control to report the patient's response Document your patient's response to the medication Assist the patient with another dose of the medication Continue to reassess the patient every 5 minutes Conduct a rapid trauma assessment and move the patient - - correct ans- - A patient was involved in a motor vehicle crash. She is still in her car when you arrive and complains of neck stiffness. Your partner tells you that he notices clear, colorless liquid pooling beneath the vehicle and smoke. You should: Identify the liquid Apply spinal precautions and gently extricate the patient Conduct a rapid trauma assessment and move the patient Rapidly extricate the patient Advisement of transportation - - correct ans- - Patient from a motor vehicle crash is refusing care. Which of the following is most important to document Any history of recent trauma Advisement of transportation

Actions of law enforcement Damage to the vehicles A 72 year old man was found lying on a golf course. He is drooling, has a bloody lip, and has burns on his feet. He is confused and none of the bystanders know him. You should suspect the patient: - - correct ans- - Was hit by lighting You are called to a restaurant where a 62 year old male patient is clutching his chest. When asked if he can breath he shakes his head "no" what should you do? - - correct ans- - Perform a series of abdominal thrust A newborn is limp, cyanotic, and breathing slowly. She does not respond to suctioning, drying, and stimulation. You should: - - correct ans- - Ventilate with BVM Ventilate the patient through the tracheostomy via BVM - - correct ans- - A CPR patient has a complete tracheostomy. You should: Administer oxygen via pediatric non-rebreather mask over the tracheostomy Perform CPR as normal Ventilate the patient through the tracheostomy via BVM Ventilate the patient through the mouth and nose while covering the tracheostomy Continue ventilations with oxygen and transport - - correct ans- - You have delivered two shocks with the defibrillator. Your patient now has a pulse and a blood pressure of 80/40. He remains apneic. What should you do? Continue chest compressions and re-analyze Perform a rapid assessment during transport Continue ventilations with oxygen and transport Remove and shut off the defibrillator and transport

Assess the patient as you normally would - - correct ans- - Your patient is on a home ventilator. While performing your patient assessment, you should Assess the patient as you normally would Disconnect the ventilator to determine respiratory rate Ask the caregiver if a DNR has been filled out Connect the patient to your oxygen Ask your partner to pull over - - correct ans- - You are transporting a 44 year old male complaining of chest pain when he becomes pulseless and apneic. You should: Insert an oral airway and give two breaths Analyze the rhythm with the AED Ask your partner to pull over Request an ALS unit response Implied consent - - correct ans- - You are called to a shopping mall for a "man down." when you arrive, the patient is unresponsive. You may begin treating him based on the principle of Implied consent Beneficence Expressed consent The good samaritan Monitor her oxygen SAT and transport - - correct ans- - A 17 year old female is anxious after breaking up with her boyfriend. She says she is dizzy and has numbness and tingling around her mouth. She has tachypneia and tachycardia. You should: Have her breathe into a brown paper bag Monitor her oxygen SAT and transport

Administer oxygen via non-rebreather mask Tell her to stop breathing so fast Ruptured diaphragm - - correct ans- - An assault victim complains of abdominal pain. On palpation, you note that the abdomen is rigid and tender. His vital signs are BP 110/70, P 118, and R 26. You should suspect Compensated shock A pneumothorax Decompensated shock A ruptured diaphragm Request law enforcement for assistance - - correct ans- - You are dispatched to the scene of a domestic dispute. You have been called to the same residence three prior times without incident. You should: Announce your presence before entering the scene Request assistance from social services Determine if there are any life-threatening injuries Request law enforcement for assistance Let go of the mask and not touch the patient - - correct ans- - You are providing artificial ventilations with a BVM. your partner says, "clear." You should Let go of the mask and not touch the patient Hold onto the mask with a gloved hand Squeeze the bag at the time of defibrillation Release the bag but maintain a good mask seal Remove her clothing - - correct ans- - A ten month old female presents with a temperature of 105 F. You should

Begin oral hydration protocol Remove her clothing Place cold packs in her armpits and groin Immerse her in warm water Emphysema - - correct ans- - A thin 75 year old female on home oxygen presents in a tripod position with marked dyspnea, confusion, intercostal retractions, and mild cyanosis. Breath sounds are markedly decreased bilaterally. You suspect Acute asthma attack Toxic exposure Emphysema Pneumonia Ventilate the patient via BVM - - correct ans- - An adult is breathing at a rate of 6 breaths per minute. You should Ventilate the patient via BVM Monitor vital signs and Sp02 level Apply high concentration oxygen via non-rebreather mask Assess lung sounds and perfusion Hyperglycemia - - correct ans- - A 23 year old has been getting gradually more disoriented and nauseous. HE is thirsty and complaining of abdominal pain. Vital signs are BP 130/90, P 110, R 24. You should suspect Drug overdose Food poisoning Influenza Hyperglycemia

Reposition the arm to return pulse - - correct ans- - A 13 year old male has a pencil impaled in his upper arm. You detect no radial pulse. You should Reposition the arm to return pulse Stabilize the pencil with a bulky dressing Apply a tourniquet Remove the pencil Foreign body obstruction - - correct ans- - Your patient was eating when he suddenly grasped his throat. He cannot speak or cough. You should suspect Laryngeal spasms An allergic reaction Acute myocardial infarction Foreign body obstruction Strap the patient in the supine position to the cot using cravats - - correct ans- - Which method would be most appropriate when restraining a violent patient? Immobilize the violent patient using a vest device with a backboard Strap the patient in the supine position to the cot using cravats Restrain the patient's arms behind the back to protect the rescuer Use law enforcement handcuffs to secure the patient's arms to the cot Remove current pads and apply new ones - - correct ans- - You have properly places defibrillation pads on a patient with a hair chest. The automated defibrillator is continuing to advise: "attach pads." you should Turn the machine off and back on again Reposition the pads in the patient's chest

Remove current pads and apply new ones Continue chest compressions and transport Use a nasal cannula - - correct ans- - A 45 year old female complains of chest pain. She is attempting to pull off the non-rebreather mask that Emergency Medical Responders placed on her. Vital signs are BP 130/80, P 118, R 24,Sp02 92%. What should you do? Use a nasal cannula Explain the danger of acute myocardial infarction Assist ventilations Demonstrate wearing the mask on yourself Perform abdominal thrust - - correct ans- - A man in a diner suddenly began gasping and coughing violently while eating. He is now silent and his lips appear blue. You should Immediately suction the oropharynx Perform back blows and encourage coughing Perform abdominal thrust Perform a blind finger sweep Apply oxygen and obtain baseline vital signs - - correct ans- - A 46 year old male is complaining of chest pain. You should Immediately transport Assist the pt in taking his nitro Obtain a history of present illness Apply oxygen and obtain baseline vital signs Perform abdominal thrusts - - correct ans- - A marble has completely obstructed your four year olds patients airway. You should immediately

Perform a finger sweep Administer five back blows Perform abdominal thrusts Suction the airway Attach the AED pads - - correct ans- - A 78 year old female was found in her pajamas on the kitchen floor. It is a cold morning and no one has heard from her for 24 hours. You find her daughter performing cpr. You should. Assess the quality of compressions Continue CPr for 5 min Attach the AED pads Auscultate heart tones Attempt insertion in the left nare - - correct ans- - You are unable to insert a nasal airway in the right nare of a patient with an altered mental status. You should Use a smaller nasal airway Abort the procedure Attempt insertion in the left nare Attempt to insert an oral airway An asthma attack - - correct ans- - A two year old patient is in respiratory distress. You detect wheezing respirations. You should suspect A foreign body obstruction Mucus fluid in the airway Croup An asthma attack

"What happened just before you fell?" - - correct ans- - An 86 year old male has a laceration on his forehead and complains of chest pain. He states that he fell and hit his head. Which of the following questions should you ask? "Do you take any medications?" "What happened just before you fell?" "Does your head hurt worse than your chest?" "Have you had chest pain before?" Reassess the patient's airway - - correct ans- - While you are palpating the abdomen of a patient with abdominal pain, he tells you that he cannot breath. What should you do? Determine if the dyspnea worsens with the palpation Tell the patient to take several deep and slow breaths Reassess the patient's vital signs Reassess the patient's airway Reposition the airway and ventilate - - correct ans- - While attempting to ventilate your apneic patient, her chest does not rise. You should Insert an oropharyngeal airway. Reposition the airway and ventilate Ventilate more forcefully Perform a blind finger sweep Dilates blood vessels - - correct ans- - Which of the following is a beneficial effect of nitroglycerin Dilates blood vessels Helps reduce clotting in coronary arteries Increase cerebral blood flow

Improves blood pressure Unresponsive five year old with a suspected airway obstruction - - correct ans- - For which of the following would an oropharyngeal airway be MOST appropriate? c Semi-conscious 76 year old who is gasping for air Unresponsive five year old with a suspected airway obstruction 19 year old with a mandible fracture who is only responsive to pain Internal bleeding - - correct ans- - A confused 22 year old male has a weak pulse of 122 and a distended abdomen. His skin is pale, cool, and clammy. What is the most likely cause? Bowel obstruction Insulin shock Internal bleeding Acute cholecystitis Administer oxygen via non-rebreather mask at 15 lpm - - correct ans- - A 73 year old male is experiencing chest pain and peripheral cyanosis. You should Begin active external warming Assist the patient with his prescribed nitroglycerin Administer oxygen via non-rebreather mask at 15 lpm Administer oxygen via nasal cannula at 4 lpm Manually reposition the airway - - correct ans- - Your partner is performing mouth-to-mask ventilation when you notice the presence of increasing gastric distention. You should

Suction and remove the obstructing tissue - - correct ans- - You are treating an unresponsive victim with facial trauma. He has an avulsed check that is interfering with the airway and has gurgling respirations. You should Ensure the vehicle is stable - - correct ans- - A patient is unresponsive in a crashed vehicle that is pointing into the ditch. You should Chest - - correct ans- - An occlusive dressing should be used to quickly seal any open wound to the Perform CPR while you attach the adult pads and follow AED prompts - - correct ans- - You respond to a cardiac arrest call and find a bystander performing CPR on a five year old. You confirm the patient is pulseless and apneic, and your partner continues CPR. you open up the AED and discover that there are no pediatric pads, only adult pads. How should you and your partner proceed? Placing their head in an extended position - - correct ans- - You should open the airway of a six-month old by Enter the backseat of the vehicle to stabilize the c-spine - - correct ans- - 26 year old male complains of neck pain after being rear-ended at intersection. There is no damage to the vehicle, and the driver of the second vehicle says her speedometer read two miles an hour at the moment of impact. You should: Splint using board splints and cravats, transport sitting - - correct ans- - A 35 year old female who is 3 months pregnant has twisted her knee while walking. She is in extreme pain. You should Exercise good hand washing technique - - correct ans- - The most effective way to control the spread of infection disease is to

Request the hazmat team for decontamination - - correct ans- - A bystander from a train derailment wanders into your treatment area. He has an altered mental status, is covered in a green film, and states he cannot catch his breath. You should Congestive heart failure - - correct ans- - An 89 year old female with a history of smoking is anxious and complaining of dyspnea. Upon examination, you find she has pedal edema. She is coughing up pink frothy sputum. What should you suspect? Emphysema - - correct ans- - You arrive on the scene of a patient in respiratory distress. The patient is thin and barrel-chested, with rhonchi and wheezing. He also exhibits purse lips and intercostal retraction. You should suspect his currently respiratory distress is caused by Turn the patient on his side - - correct ans- - An intoxicated patient responds to voice by moaning. You note vomit in his mouth. You should Retreat to a safe area - - correct ans- - You are on the scene of a stabbing when an unresponsive 25 year old male is bleeding severely. The assailant returns to the scene and is holding a knife. You should Agonal respirations are characteristic of breathing seen in - - correct ans- - Impending respiratory arrest Hypoperfusion - - correct ans- - An unconscious patient was found lying supine in a parking lot. You note a large bruise on a his upper-right abdominal quadrant. You should carefully monitor your patient for signs of Perform a rapid trauma assessment - - correct ans- - A seven year old child has been ejected from a vehicle. You should

hypoglycemia - - correct ans- - Signs and symptoms of a nontraumatic brain injury may be similar to those of Cover the bowel with moist dressings - - correct ans- - 23 year old male was in an motor vehicle crash and has an open abdominal injury with a protruding bowel. You should. Apply the PASG Apply a three-sided occlusive dressing Cover the bowel with moist dressings Cover the bowel with dry sterile gauze An unresponsive child with facial trauma requires airway management. You should. - - correct ans- - Insert an oropharyngeal airway There are 12 survivors from a bridge collapse. They are ready for transportation to the hospital. Who will notify hospitals and coordinate patient allocations to those facilities? - - correct ans- - Incident Commander A 64 year old diabetic is hypotensive during dialysis treatment. The most likely cause of his condition is - - correct ans- - fluid loss A 24 year old female has large blisters on her forearm from exposure to drain cleaner. This burn would be classified as a - - correct ans- - partial thickness burn A 24 year old was found apneic and pulseless in a parking lot. You should - - correct ans- - Begin chest compressions. A patient is unresponsive. There are several empty beer bottles and insulin syringes nearby. You should - - correct ans- - Ensure and maintain an open airway