EMT FISDAP Final Exam Questions and Answers, Exams of Nursing

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EMT FISDAP Final Exam Questions and Answers

1. A female is unresponsive due to being hit in the head with a board. She hasa large hematoma on her forehead. You should Assess her airway Check for a pulse Obtain consent to treat Manually stabilize the spine ANS Manually stabilize the spine 2. Which is the BEST way to assess breathing in an unconscious patient?Watch for chest rise Apply a pulse oximeter Check for capillary refill Examine the skin color ANS Watch for chest rise 3. 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 shouldinclude Ventilations by bvm and oxygenA blind finger sweep Highly concentrated oxygen blow-by Back blows and abdominal thrusts ANS Back blows and abdominal thrusts

4. A 54 year old female is complaining of chest pain.The patient would like youto 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? Monitor vital signs and transport in position of comfortAssist the pt in self administering nitroglycerin Administer oxygen and contact the pt physician Check the expiration date on the nitroglycerine and comply with the patientsrequest ANS Monitor vital signs and transport in position of comfort 5. The most common electrical disturbance the result in cardiac arrest inadults is Ventricular tachycardia Ventricular fibrillation Asystole Pulseless electrical activity ANS Ventricular fibrillation 6. 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. Youshould Remove the pt from the house as quickly as possible Continue caring for the pt while reasoning with the husbandLeave the scene and request police assistance Tell the husband to drop the bat ANS Leave the scene and request police assistance

7. 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 Handle the pt gently Apply heat packs and massage extremitiesMassage his extremities Apply heat packs and handle gently ANS Apply heat packs and handle gently 8. A pt complains of abdominal pain. Which of the following questions shouldyou ask? "Have you had recent constipation" "Does the pain change when you take a deep breath""Is your pain sharp" "How would you describe your pain" ANS "How would you describe your pain" 9. 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. Vitalsigns BP 180/100. P 106, R24. breath sounds reveal crackles bilaterally. Her most likely problem is Acute respiratory distress syndrome (ARDS)Pulseless electrical activity (PEA) Chronic obstructive pulmonary disease (COPD) Congestive heart failure (CHF) ANS Congestive heart failure (CHF) 10. 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 treatmentshould include Gathering info from the driver, applying a c-collar, and performing a detailedphysical exam Administering oxygen, splinting to the right arm, and obtaining parental con-sent Stabilizing the vehicle, inserting a nasal cannula, and listening to lung soundsApplying direct pressure to the arm, applying a long backboard, and admin- istering oxygen ANS Applying direct pressure to the arm, applying a long backboard, and administering oxygen

11. 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 Request a hazmat team on sceneClear the building of all people

Begin triaging patients in the parking lot Set up a decontamination area ANS Clear the building of all people

12. A 79 year old pt is in cardiac arrest. No one has started CPR. you should Apply and AED and analyze the rhythm Call the hospital for medial direction Perform several quick rescue breaths ANS Begin CPR 13. 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 Take a sample of the substance Ask if she knows what the substance is Apply an N95 mask to the pt Take the pt blood pressure ANS Ask if she knows what the substance is 14. Which of the following signs would you expect in a pt with a stab woundon the right side of the chest Increased respiratory effort Spontaneous pneumothorax Decreased heart rate Paradoxical chest movement ANS Increased respiratory effort 15. 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 rightmid-femur. You should

Apply direct pressure to the woundPerform rapid sweep of the mouth Administer high flow oxygen Open the airway and suction ANS Open the airway and suction

16. A 68 year old pt complains of chest pain. Vital signs are BP 146/90, P 92, R

20. You should Provide supplemental oxygen via BVM Administer oxygen via nasal cannula at 6 lpm Administer oxygen via non-rebreather mask at 6lpm Use flow restricted oxygen powered ventilation device ANS Administer oxygen vianasal cannula at 6 lpm 17. Your motorcycle accident victim is anxious, short of breath and tachy- cardic, with unequal chest expansion. There are no wounds present. Your administration of high flow oxygen does not seem to be helping. You suspect,A pleural rub Neurogenic shock An open pneumothoraxA flail chest ANS A flail chest

18. You arrive at a campsite where there has been an explosion. Your patientsclothing is still burning, and she is gasping for air. You should Extinguish burning clothing Open the pts airway Ventilation via bag- valve mask Begin to administer oxygen ANS Extinguish burning clothing 19. You have just assisted in the delivery of a healthy newborn girl. Which ofthe following is the most important? Wrap the newborn in a blanket to keep her warmNote the exact time and location of birth Give the newborn high concentrated oxygen via non rebreather mask Give the newborn to her mother to begin binding ANS Wrap the newborn in a blanketto keep her warm 20. A 20 year old male collapsed while eating a hot dog. He appears cyanotic.You should Begin abdominal thrustsOpen his airway Begin chest compressions Check responsiveness ANS Check responsiveness 21. Your patient is unconscious. The nurse on scene states " the pt is bradycardic, please attach your AED and transport." what should you do?Explain that use of an AED is not appropriate at this time Assess the pts breathing and pulse Obtain vital signs and request the nurses order in writing Apply the AED and transport immediately ANS Assess the pts breathing and pulse

22. A pt has sustained multiple traumatic injuries. In a "load and go situation,the fastest, most appropriate method of splinting would be securing The entire body to a spine board The injured limb to an uninjured limb Pulse oximetry readings after splinting A KED ANS The injured limb to an uninjured limb 23. When giving the hospital a radio report, you shouldProvide a complete medical history Speak quickly and be brief Only report life threatening conditions Maintain a clear and steady tone ANS Maintain a clear and steady tone 24. 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 Encourage active rehydration Observe the pt and transport routine to the hospital Apply high concentration oxygen and transport rapidly Ask if she could have ingested a poison ANS Apply high concentration oxygen andtransport rapidly

25. A semi- conscious trauma pt with a suspected cervical spine injury has asignificant amount of blood in her mouth. You should Perform jaw thrust Fully immobilize the pt Suction using a rigid catheter Insert an OPA ANS Suction using a rigid catheter 26. The best treatment for a pt exposed to an absorbed poison is toRemove the poison from the skin Administer activated charcoal "Neutralize" the poison with vinegar Apply a tourniquet ANS Remove the poison from the skin 27. Signs and symptoms of early hypoperfusion can includeDecreased blood pressure Bradycardia Anxiousness Unresponsiveness ANS Decreased blood pressure 28. The following pts are all complaining of shortness of breath. Which of thefollowing pts is MOST likely to be hypoxic

68 year old male with a history of emphysema SpO2 of 95% 23 year old asthmatic female exposed to cold temperature SpO2 90% 12 year old female exposed to cold temperatures SpO2 of 88% 35 year old male assaulted in the chest SpO2 of 96% ANS 23 year old asthmaticfemale exposed to cold temperature SpO2 90%

29. 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 ninehours. 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 COPD An acute asthma attack Hyperventilation A medication overdose ANS Hyperventilation

30. You just assisted a mother delivering a baby who is blue and flaccid. Youshould Position and warm him Apply blow by oxygen Perform tactile stimulation Ventilate by BVM ANS Ventilate by BVM 31. A pt is pulseless and apneic. You should Contact medical control for permission to assist nitroglycerine Begin chest compressions and apply the automated external defibrillatorImmediately apply the automated external defibrillator Open the airway, insert an OPA, begin ventilations ANS Begin chest compressionsand apply the automated external defibrillator 32. Which of the following diabetic patients should receive oral glucose?A 73 year old male who is unresponsive A 25 year old female who is acting inappropriately A 12 year old male who responds to pain by moaning A 34 year old female who is alert and complains of abdominal pain ANS A 25 yearold female who is acting inappropriately 33. A 28 year old female pt with a history of asthma has stopped breathing.Youinitiate positive pressure ventilations with BVM mask. Which ventilation rate would be most appropriate? 24 breaths per min 10 breaths per min 20 breaths per min 30 breaths per min ANS 10 breaths per min 34. An immobilization trauma patient starts vomiting en route to hospital. Youshould

Use a yankauer catheter to suction vigorouslyHave your partner pull over and help you Turn the long spine board on its side Rapidly suction with a 12 french catheter ANS Use a yankauer catheter to suction vigorously

35. A trauma patient's injured limb is pale and pulseless. You should suspectAn acute hypoxemia Hypothermia Muscular alkalosis Compromised circulation ANS Compromised circulation 36. A pt becomes unresponsive after administration of oral glucose. Youshould

Open and inspect the airway Administer oxygen via non-rebreatherSuction the airway Reassess his vital signs ANS Open and inspect the airway

37. 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 Wound to the chest Injury to the head Injury to the neck Assault to the back ANS Wound to the chest 38. What of the following is the leading causes of death in infants and chil-dren? Complications of birth and growth Poisonings Respiratory problems Cardiovascular diseases ANS Respiratory problems 39. 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 recom- mending another shock, you should Move the pt outdoors Reanalyze in two min Administer the shock Continue chest compressions ANS Administer the shock 40. An adult is suffering a cardiac arrest. What should you do to restorecirculation? Defibrillation

Administer oxygen Ventilate artificially Begin chest compressions ANS Begin chest compressions

41. 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 littlepain. This burn would be classified as Superficial Circumferential Partial thickness Full thickness ANS Full thickness 42. You are entering a controlled intersection with emergency lights and sirenactivated. The signal light is red. Your emergency vehicle

Has the right of way againsts vehicles entering from the rightShould come to a complete stop prior to proceeding Has the right of way against all vehicles entering the intersection May proceed through the intersection as long as cross traffic is slowingdown ANS Should come to a complete stop prior to proceeding

43. 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 Open his airway Initiate high flow oxygen Apply a tourniquet Take over manual stabilization of his leg ANS Apply a tourniquet 44. Your patient is in cardiac arrest. After administering a shock and two minof cpr, you detect a faint pulse. Vital signs are BP 90/50, P58, R6, Spo2 88%. What should you do? Assist respirations via bvm Resume chest compressions Apply oxygen via non-rebreather mask Press the analyze button on the AED ANS Assist respirations via bvm 45. A 19 year old has swallowed lighter fluid. You shouldAdminister syrup of ipecac Contact a poison control center Administer activated charcoal Contact the closest hospital ANS Contact a poison control center 46. You should rapidly extricate a motor vehicle collision patient who is awakeand complains

of Pain to both thighs with obvious deformity to his left ankle Bleeding from a laceration on his face and breathing at 24/minA fractured left forearm and a rapid pulse Numbness to lower extremities and abnormal respirations ANS Numbness to lowerextremities and abnormal respirations

47. A three year old exhibits inspiratory stridor, fever, and agitation.You shouldTransport immediately Hold him in a seated position Visualize the airway and remove and obstructionApply high flow oxygen ANS Transport immediately 48. While transporting an oxygen dependent pt on 4 lpm oxygen, his respira-tory rate decreases to 8 breaths per min. You should Ventilation via bvm and continue to transport

Ensure that his oxygen cylinder has adequate pressureRecheck the pt vital signs Apply a non rebreather mask and increases oxygen to 15lpm ANS Ventilation viabvm and continue to transport

49. A pt has a small, bubbling puncture wound on the right side of his chest.You should dress the wound with a Three sided triangular bandagePlastic bag Trauma dressing Moist gauze ANS Plastic bag 50. An unresponsive pt is lying on the ground next to the ladder. You notice abone sticking out of his left arm. You should Apply direct pressure to the arm Open his airway with a jaw thrustGive high flow oxygen Check for pulse in his left arm ANS Open his airway with a jaw thrust 51. A pt develops a sudden onset of chest discomfort and shortness of breathwhile working in his garden. Skin is pale and covered in a red rash. You should Assist the pt with his epinephrine auto injector Provide high flow oxygen and transportAssist the pt taking his nitro Move the patient into the shade and begid cooling measures ANS Assist the pt withhis epinephrine auto injector 52. You are transporting a pt with chest discomfort. En route he becomesunresponsive.

What is the most appropriate action? Confirm pulselessness, start cpr, apply AED, stop vehicle and shock if neces-sary Stop vehicle, confirm pulselessness, apply an AED and shock if necessaryConfirm pulselessness, apply an AED, advise partner to drive vehicle Start CPR while you assess for pulselessness, then apply AED and shock necessary ANS Confirm pulselessness, start cpr, apply AED, stop vehicle and shock ifnecessary

53. A 64 year old pt is pale, complains of shortness of breath, and has pedaledema. You should Transport pt sitting up, obtain baseline vitals, and assist pt with prescribednitro Transport patient with feet elevated, obtain baseline vitals, and contact med-ical control Listen to the lung sounds, transport pt sitting up, and contact medical control

Obtain baseline vitals and assist pt with prescribed nitro ANS Listen to the lungsounds, transport pt sitting up, and contact medical control

54. As you arrive on the scene of a water treatment plant, you notice a largecloud coming from the building. Your primary concern is to Decontaminate patients. Move bystanders from the scene Maintain a safe distance Locate the Hazmat classification sign ANS Maintain a safe distance 55. You have repeatedly attempted to ventilate an infant who is choking on apenny. The chest is not rising. You should Administer chest compressions Insert an oral airway and reattempt Apply an automatic external defibrillator Perform abdominal thrust ANS Perform abdominal thrust 56. A four year old male with complete foreign body airway obstruction be-comes 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 sweepPerform five abdominal thrust and reassess Deliver 5 back blows and five chest thrust ANS Reposition his head a reattempt ventilations 57. 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 legsPerform a detailed assessment on scene Take patient to the closest hospital Transport to a level 1 trauma center ANS Transport to a level 1 trauma center

58. 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 chestAsk your partner to assist you with the heimlich maneuver Administer multiple back blows and quickly sweep the mouth ANS Ask your partnerto assist you with the heimlich maneuver 59. American heart association studies show improved survival to dischargerates with the use of what kind of early cardiac arrest treatment?

Advanced airway management Induced hypothermia Transport Chest compressions ANS Chest compressions

60. 25 year old male asthmatic is short of breath. He has audible wheezes. Vitalsigns are BP 132/80, P 132, R 24, SpO2 96%. You should Ventilate using the bag-valve mask Administer high-flow oxygen Assist with a prescribed bronchodilator Administer an Epipen ANS Assist with a prescribed bronchodilator 61. You are treating a patient for heat exposure. She is sweating profusely andcomplaining 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 ANS Turn off the air conditioning in the ambulance 62. 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 suspectAlcohol abuse Heat exhaustion Heat stroke Drug abuse ANS Heat stroke 63. 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 andpulseless. Vital signs BP 100/40, P 90, R 20. You should

Apply manual traction and reassess the patient Administer high flow oxygen and transport rapidlyApply cold packs, elevate the limb, and transport Splint the extremity in the position found and transport rapidly ANS Splint theextremity in the position found and transport rapidly

64. An 11 year old male has been injured. He is crying, sucking his thumb, andacting fearful. You should Speak calmly and explain all treatment beforehandReassure 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 ANS Speak calmly and explain alltreatment beforehand

65. Which of the following is TRUE regarding the use of the flow-restricted,oxygen- powered ventilation device? It should have a standard 10/20 millimeter couplingIt can be used on children or adults It rarely causes gastric distention It can cause significant lung injury when used improperly ANS It can be used onchildren or adults 66. Belted patient was involved in a rollover vehicle crash. She is responsive topain. Vital signs are BP 95/70, P 60, R 23 and an uninjured passenger tells youthat she "has her appendix taken out" 3 months ago. Which of the following should MOST lead you to suspect internal bleeding? Level of consciousness Mechanism of Injury Past medical history Vitals signs ANS Mechanism of Injury 67. When informing an 18 year old of a treatment that is needed and theassociated risks, what type of consent are you seeking? Advised Implied Expressed Emancipated ANS Expressed 68. Your patient has a mental illness and says she is hearing voices. Youshould Ask her what the voices are sayingAsk her if she can direct the voices

Tell her she should not be hearing voices Explain that you can hear the voices too ANS Ask her what the voices are saying

69. You are unable to loosen or slip the umbilical cord from around a baby'sneck. You should Cut the cord and then apply direct pressure to the ends of the cordsClamp 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 ANS Clamp thecord in two places, and cut the cord between the clamps 70. After administering nitroglycerin, your patient might experienceHeadache An increase blood pressure Drowsiness Tremors ANS Headache

71. 74 year old female may be having a stroke. Which of the following wouldsupport this? Her temperature is below normal limits She has equal, bilateral arm strength She presents with left-sided facial droop Pulses in her right foot are diminished ANS She presents with left-sided facial droop 72. How often should you trend a stable patient's condition?Every 10 minutes Every 5 minutes Every 15 minutes Every 20 minutes ANS Every 15 minutes 73. What should you do before defibrillating a patient who has a nitroglycerinpatch? Remove the patch Contact medical control Defibrillate directly on top of the patch Place medical tape over the patch ANS Remove the patch 74. A patient is experiencing labor pains. She states she needs to move herbowels. You should suspect that? The bowel movement would slow labor The placenta has separated from the uterusDelivery will be delayed Delivery will occur soon ANS Delivery will occur soon 75. 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, andshe has not had to change his diaper very often. You