EMT FISDAP FINAL EXAM -with 100% verified solutions- 2024.docx, Exams of Nursing

Download EMT FISDAP FINAL EXAM -with 100% verified solutions- 2024.docx and more Exams Nursing in PDF only on Docsity! EMT FISDAP FINAL EXAM -with 100% verified solutions- 2024 893 - The first step an ambulance crew should take when approaching the scene of an emergency is to: determine the scene is safe. determine the scene is safe. 833 - Your 36 y/o pt is unresponsive upon attempting to insert an OPA, the patient gags, You should A. Insert a nasal airway 894 - To protect yourself from injury when lifting a stretcher, you should C. Keep the weight close to your body 896 - You are completing a patient care report for a patient injured in a car crash. You notice the smell of alcohol and empty beer cans in the vehicle. The best way to document you findings in the patient care report is to: d. describe the smell of alcohol and empty beer cans which were noted at the scene. 898 - Your ambulance is the first to arrive at the scene of a three-car crash. After assessing potential hazards, you should: determine the number of patients. 900 - A good EMS quality improvement (QI) program includes: b. education and feedback regarding patient care. 901 - While transporting a bleeding patient you followed good infection control procedures, including wearing gloves, a mask, protective clothing and eye protection. Further precautions include a. washing your hands with soap and water. 903 - After air passes through the vocal cords during inhalation, which structure does it reach next? Trachea 906 - You are ventilating an apneic asthmatic patient with a BVM, but notice there is inadequate chest rise. What should you do? a. Reassess the airway for an obstruction. You are using a bag valve mask and oral airway on a 72 year old apneic female. Suddenly it becomes difficult to ventilate. What should you suspect? a. She has an airway obstruction. 909- A 72 year old female patient is unresponsive following an ejection from a vehicle crash. She has an open jaw fracture and a dilated right pupil. What is the best way to open this patient's airway? Insert a nasal airway 910- A 4 year old female tracheostomy patient has pulled out her tracheostomy tube. The opening is partially obstructed with skin. You should: b. use a soft tip catheter and suction until clear. 911- Which of the following is the best definition of hypoperfusion? d. inadequate oxygen delivery to cells. 912- Your patient has the following signs and symptoms: increased heart rate, narrowing pulse pressure, rapid respirations, weak peripheral pulses, thirst, and cool, clammy skin. The patient also states a feeling of impending doom. This patient is most likely exhibiting which type of shock? decompensated. 913- You are responding to a 23 year old pedestrian who is 7-months pregnant and was struck by a motor vehicle. She is complaining of abdominal pain, her skin is pale and cool, heart rate is 110, respirations are 20. You should: b. position the patient on her left side, administer oxygen and transport emergently. 915 - Your patient was struck on the right side of the head by a baseball. Which sign or symptom would indicate a significant head injury? decreasing mental status. 916 - Your patient has a 2 inch laceration at the corner of the mouth with profuse bleeding into the oropharynx. You should: b. suction the airway 918- A patient has been kicked in the chest. One section of ribs is moving separately during respirations. You should: b. initiate positive pressure ventilations. 919- the use of a traction splint for femur fractures is important in order to D. Reduce further nerve and blood vessel damage 920- Which of the following is most likely to be life-threatening? a. femur fracture 955 - How should you open the airway of an infant? Lift the neck and elevate the head 956 - A 2 year old patient who has been sick all day, now has a barking cough. You should suspect: c. croup.✓ 957 - A patient is in respiratory distress after eating soup brought by her neighbor. Her neighbor states: "She was eating and suddenly her throat got tight." She is sitting bolt upright in a tripod position. You should suspect: anaphylaxis.✓ 1139 - Which of the following is the most appropriate way to measure for an OPA? C. From the corner of the pt's mouth to the earlobe✓ 1140 - During a birth the baby's head has delivered. You should A. Suction the nose and mouth with a bulb syringe✓ 1141 - How should you ventilate an apneic adult patient? b. Ventilate once every 5-6 seconds with a bag valve mask✓ 1142 - Your patient was involved in a motor vehicle crash. He is unresponsive and you hear snoring respirations when he breathes. You should perform a: a. jaw-thrust with c-spine stabilization.✓ 1145 - A 67 year old female is short of breath and sitting in a tripod position. She is on home oxygen and has had a productive cough over the last few days. During your exam, you note that she is wheezing and breathing with pursed lips. SpO2 is 93%. What should you suspect? Obstructive pulmonary disease✓ 1148 - You are helping a 21 year old patient to self-administer her epinephrine via auto-injector. She has been stung by a bee. You should: b. hold injector in place at least 10 seconds.✓ 1149 - You are treating an unconscious 50 year old diabetic patient. You should: c. transport the patient as soon as possible.✓ 1150 - A 23 year old patient is lethargic. The patient just finished mowing the lawn. He is drooling and sweating profusely. You should suspect: hypoglycemia.✓ 1155 - A malfunction of the heart's electrical system may result in arrhythmia.✓ 1156 - All of the following are indications for the use of nitroglycerin EXCEPT: b. the patient's systolic blood pressure is less than 90✓ 1157 - A 60 year old female has chest pain. She has not taken her prescribed nitroglycerin. You should b. determine what type of cardiac problem the patient has, and assist her with taking the nitroglycerin.✓ 1170 - You are evaluating a disoriented 27 year old female who is 32 weeks pregnant. Her husband states, "her arms and legs just got stiff, and she had a blank stare". She has no prior medical history. You should suspect: eclampsia.✓ 1171 - A 19-year-old sexual assault victim is bleeding from an external vaginal laceration. You should C. Have the patient apply a sterile dry dressing to the wound✓ 1172 - Your patient is nine months pregnant with her first child. Her contractions are 10 minutes apart, lasting for 20 seconds. She tells you that she is "having this baby now". You should: b. transport the patient on her left side and monitor.✓ 1173 - Which of the following is an anatomical difference between an adult and an infant airway? d. The infant's trachea is softer✓ 1174 - A 2 year old boy has a circumferential burn to his hand up to the wrist. The mother tells you a pot of boiling water spilled onto the boy. You should transport and inform the ER that you suspect abuse.✓ 1175 - A father has dialed 911 because his 5 year old daughter is choking. She is coughing vigorously. You should c. encourage the patient to keep coughing✓ 1249 - Bystanders are doing CPR on a 3-month-old infant. You should: b. evaluate effectiveness of CPR while gathering information.✓ 1250 - A 7 year old female fell out of the tree and was unconscious for 2 minutes. The patient is very scared and combative. You should: apply a c-collar and backboard.✓ 1251 - First Responders have delivered a baby. The infant is blue and lethargic. The baby's pulse is 90. You should Dry, stimulate and apply oxygen✓ 1252 - A 20 year old female complains of severe abdominal pain. She is in the fetal position. After your primary assessment, you should: obtain baseline vital signs.✓ A 45 year old Farmer has been working with dry lime. The patient has large amounts of this powder on both legs. You should: Gently brush off excess powder and transport✓ 1255 - Your patient is allergic to bee stings. She suddenly began having watery eyes and itching in her arms. She does not remember being stung. Vital signs: BP 130/80, P 110, R 16. You should: apply oxygen and transport the patient to a hospital.✓ 1256 - A 66 year old male is confused. He has a history of substance abuse and falls. His breath smells of alcoholic beverage. He is alert and refusing service. You should: b. speak calmly to him and convince him to accept transport.✓ 1257 - An 18 year old soccer player is feeling disoriented. He has been playing soccer in 90 degree heat. You should b. move the patient somewhere cool and assess vital signs.✓ 109) 1258 - An intoxicated 33 year old female was fighting with the police. You note some minor scrapes on the patient's leg and face. The patient is being verbally abusive to you. The police want your approval to take the patient to jail. You should c. restrain and transport the patient with police escort. 1259 - You are transporting a patient who has been restrained due to hostile behavior. He is complaining that he has no feeling in his hands, and is threatening to 1283 - A common symptom of cardiac compromise is chest pain or discomfort known as: a. angina✓ 1284 - Your patient is a 65 year old male complaining of chest pain. Which of the following would be a contraindication for assisting with the administration of sublingual nitroglycerin? Systolic blood pressure <100✓ 1285 - Which of the following is the build-up of fatty deposits on the inner walls of an artery? Atherosclerosis✓ 1286 - You are alone when you witness a 57 year old woman suddenly collapse and become unresponsive. She is not breathing. After calling for help you find she has no pulse. You should: d. begin chest compressions.✓ 1287 - Your patient is a 56 year old male who collapses while mowing the lawn. He is apneic and pulseless immediately following collapse. What is the patient most likely experiencing? Cardiac arrest✓ 1288 - A 62 year old female is complaining of crushing chest pain that radiates to between her shoulder blades. She is very pale, diaphoretic, and feels nauseous. You should suspect a/an Select one: a. cardiac event.✓ 1289 - you respond to a car accident on a busy city street. You are the first emergency vehicle on scene. Which of the following best describes where you should position your ambulance when arriving on scene? B. Park in front of the wreckage to warn oncoming motorist✓ 1291 - Your unresponsive pt is slumped over the kitchen table. A friend tells you that she was fine one minute and started acting abnormally the next. She moans in response to painful stimuli and her skin is pale, cool, and clammy. Her medical alert bracelet denotes diabetes. You should suspect ~ A. Hypoglycemia✓ 1292 - Of the following communicable diseases, which one is MOST likely to be transmitted through airborne droplets? b. German measles (rubella)✓ 1293 - At the local homeless shelter, a 50 year-old male complains of fever. He is drowsy, weak, and is coughing up blood. He states that he has had this persistent cough and a fever for the past two days. You should suspect: tuberculosis.✓ 1294 - Which of the following symptoms would indicate a SIGNIFICANT localized cold injury? b. Skin appears white and is hard✓ 1295 - You are called to a local beach for a ten year old possible drowning patient. The patient's parents have pulled the victim from the water and he is sitting on a blanket coughing up small amounts of water. The parents state they do not want him to go to the hospital and thinks he only swallowed small amount of water. His vital signs are BP 100/50, P 72 and R 20. What should you do? Request that the parents transport the victim to the nearest emergency department.✓ 1296 - You are called to the scene of a motor vehicle crash, where you find a three year old female sitting in an unsecured car seat. She has abrasions to her forehead and right arm. She is alert to voice, her skin is pink and dry, and she appears to breathing normally. You should: c. secure the child in the car seat using towels and tape to immobilize her head and chest. ✓ 1297 - Your 18 month-old patient has pale cool skin, decreased mental status, and delayed capillary refill. The mother tells you that the child's diaper has been dry for most of the day. First responders have applied oxygen. You should: rapidly transport and monitor vital signs.✓ 1298 - A 30 year-old female is experiencing vaginal bleeding and abdominal pain. She is drowsy. Her skin is pale, cool, and clammy. Her vital signs are BP 90/60, P 120 and R. 20. You estimate that she may have lost 500 cc of blood. Which of the following should concern you the MOST? Hypovolemic shock due to blood loss.✓ You are transporting a 68- year old female from a nursing home to a hospital. She has a valid DNR. During transportation, she begins to have trouble breathing. You should: Provide supportive reassurance only 1338 - Which of the following indicates the correct flow range and delivery percentage for a nasal cannula? 1-6 lpm / 40%✓ 1348 - Allowing for appropriate exhalation when assisting ventilations can reduce/alleviate D. Gastric distention✓ 1350 - Which of the following is TRUE about the insertion of an oropharyngeal airway (OPA)? Select one: If properly inserted, the OPA will keep the tongue out of the airway.✓ 1351 - Which of the following statements regarding suctioning of an adult is TRUE? You should insert the suction catheter only as far as you can visualize.✓ 1352 - You are called to an elderly male who is having trouble breathing. Respirations are at a rate of 24 and labored and the patient is cyanotic. Your patient is conscious but unable to speak in full sentences. Enroute to the hospital your patient goes into respiratory arrest. You should: d. assist ventilations with BVM and 100% O2.✓ 1353 - What are two manual methods of opening a patient's airway? Head tilt-chin lift and jaw thrust✓ 1358 - What is the amount of air moved with one normal breath called? D. Tidal volume✓ 1360 - What does pulse oximetry measure? D. The amount of hemoglobin that is saturated usually with oxygen.✓ 1438 - Your pregnant patient has a history of asthma. She started having difficulty breathing 15 minutes prior to calling 911. She has used her inhaler three times with no relief. You should: Your patient is pale and seems anxious, but is speaking in full sentences. You should administer oxygen using a: non rebreather mask at 15 lpm✓ 1808 - Five minutes after delivery of a newborn, your patient is moving all extremities, has pink skin, a weak cry, is grimacing and has a pulse of 96. The APGAR score is: b. 8.✓ A four year old pt is experiencing difficulty and is not tolerating an O2 mask. You Should Have the mother hold the mask near the pt face Characterized by a total disorganization of atrial electrical activity caused by multiple ectopic foci resulting in loss of effective atrial contraction atrial fibrillation A four year old patient has hot, dry skin after being inside a car with the windows being rolled up on a hot day You should: Rapidly cool the patient with ice packs everywhere✓ 1812 - A four year old patient is experiencing breathing difficulty and is not tolerating an oxygen mask. You should: D. Have the mother hold the mask near the pt's face✓ 1815 - Your patient was exposed to an unknown chemical that has soaked their clothing. You should immediately: d. have the patient remove all clothing✓ 1816 - Albuterol is an example of a(an): vasodilator medication✓ 1817 - When infants or children experience breathing difficulties, their pulse may: d. increase early, then decrease significantly.✓ 1818 - Your fifty-five year old patient complains of chest pain radiating to the left arm. You should first: d. place the patient on oxygen.✓ 1819 - Your ninety-two year old patient is short of breath, unable to speak, and cyanotic. You should first: a. assure the patient has an open airway. 1820 - A 73 year old male is sitting in the tripod position. As you approach, he motions for assistance in using his inhaler. What should you do? a. Assess his airway status 1824 - A seventeen y/o pt has ingested sleeping pills and alcohol. They are responsive only to painful stimuli. Vitals are BP 100/60, P 58, R 8. You should ~ D. Ventilate with BVM 1826 - After delivering a shock with an AED, the patient begins to move and speak. You should: c. assess vital signs and begin transport. 1827 - A 56 year old male is complaining of severe chest pain. He took Viagra two hours ago and has been physically active. You should: c. assure an open airway and continue gathering a history. 1828 - A patient involved in a vehicle crash does not open his eyes, respond verbally, or move when stimulated. What is his Glasgow Coma Score? d. 3 1829 - You have administered six shocks to your cardiac arrest patient. She remains pulseless and is not breathing. You should next D. Resume CPR and transport 1830 - A patient complains of left side chest discomfort. The vital signs are BP 108/68, P 104, R 24, SpO2 90%, and her hands are cyanotic. You should administer oxygen by nonrebreather at 15L/minute. 1831 - Your patient is in labor. As the baby's head delivers, you notice the amniotic sac has not broken. You should: c. place mother on oxygen to prevent fetal distress.