EMT Final Exam - Test Bank QUESTIONS AND CORRECT VERIFIED ANSWERS 2024-2025., Exams of Nursing

Download EMT Final Exam - Test Bank QUESTIONS AND CORRECT VERIFIED ANSWERS 2024-2025. and more Exams Nursing in PDF only on Docsity! EMT Final Exam - Test Bank QUESTIONS AND CORRECT VERIFIED ANSWERS 2024-2025. A teenage male has fallen onto a railing while skateboarding. He complains of right-sided chest pain and moderate dyspnea. Exposure of the chest reveals a section of his ribs that is moving - Answer- apply a bulky dressing over the section. Your patient is a 50-year-old female with a history of alcoholism. She is found unresponsive in bed by her son. Which of the following possibilities should you keep in mind during your assessment? - Answer- all of the above What is a simple step EMTs can perform to help prevent the spread of flu in the prehospital environment? - Answer- Place a surgical mask on suspected flu patients. You are assessing an 82-year-old female that has been lost in the woods behind her nursing home for several hours on a crisp fall evening. Your pulse oximeter shows her oxygen saturation to be 82% even though she appears to be breathing adequately. In order to ensure an accurate reading - Answer- Warm the patient's hands and try again. A patient uses a home ventilator connected to his tracheostomy tube to breathe. Which of the following is the correct procedure to use when moving this patient to the ambulance? - Answer- Ventilate the patient's tracheostomy tube via a connected bag-valve mask at a normal rate and volume while the patient is disconnected from the ventilator. Which of the following is NOT an appropriate statement for the EMT to make on a patient care report? - Answer- the patient was having an asthma attack Your patient, a 29-year-old female, was the front seat passenger in a vehicle that was struck in the passenger's side door by another vehicle that ran a red light. Which of the following is most likely to have occurred? - Answer- The patient's body was pushed forcefully out from under her head, causing injury to the cervical spine. Your patient is a 12-year-old boy who ran his arm through a glass window and has an 8-inch laceration on his anterior forearm. You have applied a pressure dressing and bandage, but these have become saturated due to continued bleeding. Which of the following should you do now? - Answer- Elevate that arm and prepare to apply a tourniquet or consider administering a hemostatic agent. Under which of the following conditions are safety vests with reflective trim effective in increasing the visibility of the EMT? - Answer- all of the above Your patient is a 2-year-old female who has suffered a seizure but does not have a previous history of seizures. The patient's father states that the child has been pulling at her ear and has had a fever. They were getting ready to leave for a doctor's appointment when the child had a brief seizure. The patient is drowsy and has hot, flushed skin. Which of the following is recommended in the prehospital management of this patient? - Answer- Remove the child's clothing down to her underpants or diaper. Your patient has been injured by a fall down a flight of steps. He is alert and oriented but complains of back and neck pain. You spinal immobilize him on a long spine board with a cervical collar on his neck as a precaution because you know that the - Answer- cervical spine is the most vulnerable part of the spine. You are dispatched to a private residence for a sick person. When you arrive you are told by the patient that due to the snow storm yesterday he missed his scheduled appointment at the dialysis center and is not feeling well. Your assessment does not reveal anything remarkable outside of the fact that he has missed his dialysis. Which of the steps below would NOT be part of your care? - Answer- Place the patient in a supine position What word would be used to refer to a patient's rapid breathing? - Answer- tachypnea You have arrived on the scene of a call for a possible stroke. On your arrival, the patient denies signs and symptoms, is alert and oriented, and moves all extremities well. Her husband states that before you arrived the patient could not move her right arm and the left side of her face seemed to be "slack." Which of the following has most likely occurred? - Answer- The patient suffered a transient ischemic attack. Your patient is a 60-year-old male who is complaining of severe epigastric abdominal pain and difficulty breathing. He is pale, sweaty, and pleads with you, "Don't let me die, I think I'm going to die." Which of the following measures is NOT part of your initial treatment of this patient? - Answer- Applying the defibrillator pads to his chest Your patient is a 28-year-old male who was ejected from his motorcycle after striking a parked vehicle. He has multiple deformities to his upper and lower extremities on both sides. Which of the following would be the BEST way to immobilize this patient's extremities prior to transport? - Answer- Immobilize the patient to a long backboard without splinting the extremities individually. You are the first on the scene of a 72-year-old patient in cardiac arrest. You have your medical supply kit, oxygen, and an AED. At least 4 to 5 minutes of high-quality CPR has been provided by the police officer who arrived before you. You have confirmed an open airway, apnea, and pulselessness. Which of the following should you do next? - Answer- Apply the defibrillator pads and shock as indicated. Your patient is a 55-year-old male who was found in the parking lot behind a tavern. He sta lac that he was assaulted and robbed by three individuals. He is complaining of being "hit in the face and kicked and punched in his ribs and stomach." Your examination reveals contusions and swelling around both eyes, bleeding from the nose, a laceration of his upper lip, and multiple contusions of the chest, abdomen, and flanks. Which of the following should cause the greatest concern regarding the prehospital care of this patient? - Answer- Potential internal injuries You respond to a 35-year-old male patient who fell 50 feet from a bluff. Your authority to provide emergency care is an extension of the Medical Director's license to practice medicine. You are acting as a(n) ____of the Medical Director. - Answer- designated agent You are on the scene at a fancy hotel room for a 60-year-old male patient who calls 911 at 10 p.m. for chest pains. He states he was about to go to bed when he suddenly had chest pain that would not go away. He rates his pain as a 7 out of 10 and is diaphoretic. His vital signs are stable, and he takes medications for hypertension, high cholesterol, and erectile dysfunction. The patient is allergic to morphine. After placing the patient on oxygen, you contact medical control and request: - Answer- to administer aspirin to the patient. You have transported a stable patient with complaints of having abdominal pain for the last three weeks to the hospital. On arrival, you notice the emergency department is very busy and there are no empty beds to be found. You have attempted to get the attention of a hospital staff member to transter the patient, but all are currently helping other patients. Your partner tells you to take the patient to the waiting room and leave him since the dispatcher of your service is holding several serious calls. What could possibly happen to you if you leave the patient in this fashion? - Answer- You could possibly be charged with abandonment. You are treating the amputation of three fingers on a 40-year-old male. The fingers were torn off while he was cleaning his snow blower. You have stopped the bleeding. What should you do with the amputated fingers? - Answer- Wrap them in a sterile dressing, put them in a plastic bag, and keep them cool. Your patient is an 11-year old male who fell on his hands while riding his bicycle he has a swollen painful angulated arm. What's should be considered in immobilization of his injured extremity? - Answer- Check pulse, movement and to the wrist al to the injury before and after splinting. When heading back to quarters, on what should you place your emphasis? - Answer- A safe returning Which of the following findings is generally NOT used to assess an adult's circulation? - Answer- capillary refill time Which of the following should you use when you want to move a patient from a wheelchair to a stretcher? - Answer- extremity lift On assessment of the midsection of a 32-year-old male who was struck by a car, you find an abdominal evisceration with several loops of his large intestine exposed. The abdomen appears to have a clean-cut laceration and the bleeding is controlled. Which of the following is the BEST approach toward managing the exposed intestines? - Answer- Moisten a sterile dressing with saline solution and cover the abdominal contents. You respond to the scene of a 56-year-old obese female complaining of respiratory distress. She states that she has been feeling weak and a "little sick" for the past two days but the respiratory distress has been getting progressively worse for the past several hours. She states she has "heart problems," suffers from high blood pressure, and takes a "water pill." She is afebrile and has coarse crackles (rales) bilaterally. What is most likely the cause of her respiratory distress? - Answer- congestive heart failure Which of the following structures closes over the trachea to protect it during swallowing? - Answer- epiglottis The EMT, after administering any medication, must do which of the following? - Answer- Document the administration, reassess the patient, and report to the receiving facility. You are providing care to a 54-year-old male patient complaining of chest pain. The patient asks to speak to you privately. He tells you he is taking Cialis® for erectile dysfunction and his wife does not know he is taking it. He does not want his wife to find out. As you are putting the EMS bags back in the ambulance, the wife corners you and insists that you tell her what her husband said. What should you do? - Answer- You should not tell her. By law, your conversation with your patient is confidential. Your patient is a 17-year-old with a history of asthma. She is complaining of pain in her lower abdomen. Assessment reveals that her breath sounds are clear and equal, she has a respiratory rate of 28 breaths per minute, a heart rate of 96 beats per minute, and a blood pressure of 112/74 mmHg. Which of the following is the MOST appropriate next step? - Answer- Provide high- concentration oxygen. Limiting time spent at a scene can be especially important if the mechanism of injury suggests that the patient could go into shock. In order to keep the time at the scene to a minimum, which of the following assessments or treatments should NOT be performed on the scene? - Answer- Splinting swollen extremities Which of the following is the first concern when you are caring for a patient who has been in a vehicle collision? - Answer- Your own safety Which of the following BEST explains the reason for minimizing scene-time for the trauma patient with significant hemorrhage or the potential for significant hemorrhage? - Answer- Studies have indicated that trauma patients who receive surgery within one hour of injury have betterchances of survival. Nitroglycerin is given via the____ route. - Answer- sublingual You are at the scene of a motor vehicle collision in which a single vehicle has collided with a tree. You note that the driver's side air bag has deployed. Which of the following is recommended by air bag manufacturers? - Answer- Lift the air bag and inspect the steering wheel for damage. Which of the following may be a clue that an incident is the result of terrorist violence? - Answer- all of the above When the body's water moves from the bloodstream into the interstitial space, it is called: - Answer- edema You respond to a 32-year-old female who is having a seizure. You arrive on the scene to find the patient drowsy, confused, and complaining of a headache. This patient is demonstrating the: - Answer- Postictal phase You are dispatched to a local industrial plant for an "electrical injury." You arrive on-scene and find a 46-year-old male lying supine in front of an electrical panel. You are told he was attempting to make a repair and somehow received an electrical shock and was thrown to the ground. The scene is safe and the electricity is off. Your initial exam reveals a conscious person, breathing adequately. Vital signs are normal and there are no obvious signs of burns. Coworkers state that he was unconscious until your arrival. What is the next step? - Answer- While on the scene, rapidly do a complete assessment, provide oxygen, provide care for potential spine injuries, and transport as soon as possible after the exam. You arrive on the scene where a school bus has been hit by a train. The bus was in its early stages of picking up students and you only have 5 patients. Your closest unit is 30 minutes away. Triage this patient based on this scenario: - Answer- Priority, 1. Red tag Biological warfare is MOST effective when the agent can gain access through which of the following routes? - Answer- respiratory tract You have performed a head tilt-chin lift maneuver on a 17-month-old boy and are attempting to ventilate him with a bag-valve mask. You are experiencing a lot of resistance with each breath and the chest is barely rising. Prior to attempting ventilations again, you should: - Answer- ease the head forward a little. Your patient is an infant being treated for bronchopulmonary dysplasia. He is being weaned off his respirator by a process called intermittent mandatory ventilation. When you arrive, you find the infant obviously hypoxic and sick-looking. Which of the following treatments is indicated? - Answer- All of the above Your patient is an 86-year-old male with congestive heart failure. He called for help tonight because he cannot breathe and feels like he is "drowning in his own lungs." The patient has had several heart attacks in the past and he tells you his "heart is shot." The patient's cardiac output is likely diminished because: - Answer- All of the above are true You are responding to a 54-year-olid female palentin respiratory distens. The patient is on home wygen by nasal cannula at 1 lpm. The pattent has in reshed lung sounds bilaterally with wheezes. She appears malnourished and hert bas diminish What Pondition do you suspect? - Answer- Chronic obstructive pulmonary disease Whale interviewing your patient she all you hay her ****and wilbe buck from the store horly and can get you a list of her medications. Her daughter tells you that the patient's husband died 15 years ago. This situation is known as: - Answer- confabulation. You are transporting a patient down a bumpy road. Your patient's blood pressure has just been measured by the monitor to be 19/110. The patient's blood pressure on scene was 130/80. You should - Answer- Re-measure the patient's blood pressure manually Your patient is a 33-year-old man who has been eiected from his vehicle during a high-speed collision. During your primary assessment it is discovered that he is not moving, does not appear to have adequate respirations, and has suffered moderate external bleeding. Which of the following should be done first? - Answer- open the airway Your patient is a 23-year-old male who is unresponsive in the restroom of a bar. His respirations are slow and shallow, he has a heart rate of 50 beats per minute, he is sweating profusely, and he has constricted pupils. Which of the following substances is MOST likely responsible for the patient's condition? - Answer- heroin You are moving an elderly patient down the stairs using a stair chair. The patient is alert and very anxious. What should you do prior to moving the patient to prevent her from grabbing the railing and causing you to fall? - Answer- Explain to the patient what you are doing and advise her to hold her hands together and not let go until you are finished moving her. You are on the scene of a 40-year-old male patient who is anaphylactic and still unresponsive following a single epinephrine injection. You had inserted an oral airway and administered oxygen at 15 liters per minute by bag-valve mask and your partner found diminished lung sounds. After the epinephrine administration your partner reassesses lung sounds and tells you that the patient is now wheezing loudly in all fields. What is the next action you should perform? - Answer- Contact medical control and request to administer another dose of epinephrine. Your partner is assesing a 55-year-old man who was found sitting on the talgate of his truck after being involved in a motor vehicle colision. Thorder to provide for stabilization of the patient's cerxical spine, you should: - Answer- assist the patient to the stretcher. You are transporting a patient whom you are treating for chest pain. You have completed all of your assessments and are writing down some of his personal information sack as his address and phone number. As the patient is speaking, you notice that he is having increasing difficulty breathing. You should: - Answer- immediately repeat your primary assessment. Which of the following is the BEST initial intervention for a patient who has inhaled a poison? - Answer- Provide a patent airway, ventilation, and high-concentration oxygen. Your patient is a 37-year-old man who tripped while walking down a hill and now has a painful, deformed right leg. Your assessment reveals that the foot is cold and mottled in appearance. You