EMT FISDAP FINAL PRACTICE EXAM Questions and Answers (2023) (Verified Answers), Exams of Nursing

Download EMT FISDAP FINAL PRACTICE EXAM Questions and Answers (2023) (Verified Answers) and more Exams Nursing in PDF only on Docsity! EMT FISDAP FINAL PRACTICE EXAM Questions and Answers (2023) (Verified Answers) 1. A 4-Year-old female tracheostomy pt has pulled out her tracheostomy tube. The opening is partially obstructed with skin. You should A. Use a soft tip catheter and suction until clear B. Insert a nasal airway into stoma C. Wipe the area clean and perform mouth to stoma ventilation D. Cut the skin away from the stoma(ANSWER) Use a soft tip catheter and suction until clear 2. To protect yourself from injury when lifting a stretcher you should A. keep the weight as close to your body as possible B. use two additional ppl for the lift C. lean forward toward the stretcher(ANSWER) keep the weight as close to your body as possible 3. An unresponsive 10 year old male was hit by a car and is bleeding heavily from an open leg fracture. After securing his airway and manually stabilizing c-spine, you should A. place the patient in Tredelenburg position B. perform a rapid trauma assessment C. control bleeding from the leg wound D. immobilize the extremity using a ladder splint(ANSWER) control bleeding from the leg wound * 4. The strongest portion of the heart that is responsible for circulating blood to the entire body is the A. Left atrium B. Right atrium C. Left ventricle D. Right ventricle(ANSWER) Left ventricle 5. A 46 y/o female was involved in a bar fight and has an obvious open neck wound. You should dress this wound with a/ an A.Occlusive dressing B. Sterile gauze dressing C. Pressure dressing D. Moist gauze dressing(ANSWER) Occlusive dressing * 6. When assessing a pulse, you are feeling the(ANSWER) A. relaxation of the atria B. contraction of the left ventricle C. contraction of the left atrium D. relaxation of both ventricles(ANSWER) contraction of the left ventricle* 7. A 60 y/o female has chest pain. She has not taken her prescribed nitro you should A. Determine what type of cardiac problem the pt has, and assist her with taking the nitro B. Immediately attached the AED and begin transport to hospital C. Administer aspirin only and withhold the nitro D. Consult medical direction with regard to assisting the pt in taking the nitro(ANSWER) Determine what type of cardiac problem the pt has, and assist her with taking the nitro 8. Which of the following is the best definition of hypoperfusion? A. Less blood reaching capillary beds B. Inadequate oxygen delivery to cells C. Lowered heart rate and BP D. Blood vessel dilation causing distal pooling(ANSWER) Inadequate oxygen delivery to cells 9. 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 B. increase the ventilation pressure C. switch to an O2 powered ventilation device D. increase the rate of the ventilations(ANSWER) reassess the airway for an obstruction * 10. For which of the following patients would an OPA be most appropriate? A. A 19 y/o with a mandible fracture who is only responsive to pain B. Unresponsive 25 y/o with a suspected spinal injury C. Unresponsive five-year-old with a suspected airway obstruction D. Semiconscious 76 y.o old who is gasping for air(ANSWER) Unresponsive 25 y/o with a suspected spinal injury 11. Your patient is pale, diaphoretic, and complains of chest pressure. Her vitals are R 18 P 58, and BP 88/50. You should suspect A. Unstable angina B. A thoracic aneurysm C. Cardiogenic shock D. Pulmonary embolism(ANSWER) Cardiogenic shock 12. A 66 y/o 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 A. Obtain consent from his family and transport B. Document his refusal and recommend that he see his doctor C. Speak calmly to him and convince him to accept transport D. Have the police transport the pt to detox unit(ANSWER) Speak calmly to him and convince him to accept transport B. Thrombus C. Aneurysm D. Atherosclerosis(ANSWER) Atherosclerosis 26. A 60-year-old pt with stoma is apneic. You have been suctioning pink frothy sputum for 10 seconds and you continue to get more material. You should A. continue suctioning and have a partner ventilate through the pt's mouth B. suction until airway is clear C. stop suctioning and give a breath D. use a saline solution to moisten secretions and continue suctioning(ANSWER) stop suctioning and give a breath 27. A pulseless and apneic 68 year old male has an implanted pacemaker in his right shoulder Without delaying defibrillation, where should you apply the AED pads? A. anterior chest and back (between shoulder blades) B. nipple line under the left and right armpits C. left shoulder (to avoid pacemaker) and lower right chest D. right shoulder (directly over the pacemaker) and the left lower chest(ANSWER) an- terior chest and back (between shoulder blades) 28. 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 sue you if you don't remove the restraints. You should(ANSWER) A. place padding between the restraint and the patient's skin B. loosen the restraints C. assess the patient's distal circulation frequently D. remove the restraints(ANSWER) assess the patient's distal circulation frequently* 29. During a birth the baby's head was delivered. You should(ANSWER) A. suction the mouth and nose with a bulb syringe B. insert a Delee suction catheter in the mouth C. suction the mouth only with a bulb syringe D. suction for 15 seconds with a pediatric suction device(ANSWER) suction the mouth and nose with a bulb syringe* 30. 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? A. Heart rate >100 B. Heart rate <100 C. SBP >100 D. SBP <100(ANSWER) SBP <100 31. What are the two manual methods of opening a patient's airway? A. head tilt-chin lift and jaw thrust B. head tilt-chin lift and nasopharyngeal airway C. jaw thrust and finger sweep D. head tilt-chin lift and oropharyngeal airway(ANSWER) head tilt-chin lift and jaw thrust 32. Your patient is in labor. As the baby's head delivers, you notice the amniotic sac has not broken. You should(ANSWER) A. use your gloved finger to puncture the membrane B. place mom on her knees to take the pressure off the sac C. place mom on O2 to prevent fetal distress D. have mom pant(ANSWER) use your gloved finger to puncture the membrane 33. A conscious 7 year old patient has chemical burns around her mouth from ingesting drain cleaner. Her breathing is adequate. You should A. evaluate the patient's airway B. flush burns with water C. contact medical control D. administer activated charcoal(ANSWER) Contact medical control 34. 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(ANSWER) BP 130/80, P 110, R 16. You should(ANSWER) A. apply O2 and transport B. monitor airway, encourage family to transport C. attempt to find the stinger and remove it immediately D. assist the patient in self-administering her Epi-pen(ANSWER) apply O2 and transport* 35. A 45 year old male farmer has been working with dry lime. The patient has large amounts of this powder on both legs. You should(ANSWER) A. gently brush off excess powder and transport B. use vinegar to dilute and transport C. wash off the powder with water and transport D. use milk to dilute(ANSWER) gently brush off excess powder and transport 36. An unbelted driver struck a tree with his vehicle. Upon examination of the chest you see bruising to the right side. Your initial vitals are BP 88/76, P 128, R 20. You should suspect(ANSWER) A. liver laceration B. cardiac tamponade C. neurogenic shock D. multiple rib fractures(ANSWER) cardiac tamponade 37. Five minutes after delivery of a newborn, your patient is moving all extremities, has pink sin, a weak cry, is grimacing and has a pulse of 96. The APGAR score is A. 10 B. 6 C. 8 D. 4(ANSWER) 38. When responding to an incident involving an unidentified hazardous material, the most appropriate place to position the ambulance is(ANSWER) (ANSWER) A. downwind and uphill B. downwind and downhill C. upwind and uphill D. upwind and at the level of the incident(ANSWER) upwind and uphill 39. A 30 year old male has been struck by a car. You note a contusion and pain to his left hip. There is no crepitous on exam. Vital signs are(ANSWER) BP 110/60, P 72, R 12; You should suspect(ANSWER) A. ecchymosis B. fractured pelvis C. neurogenic shock D. long bone contusion(ANSWER) fractured pelvis 40. A patient with chest discomfort becomes unresponsive during trans- portation to the hospital. What is the most appropriate action? A. start CPR while you assess for pulselessness and apnea, then apply AED and shock if necessary B. stop vehicle, confirm pulselessness and apnea, apply an AED, and shock if necessary C. confirm pulselessness, apply an AED, and advise partner to drive vehicle emergently D. confirm pulselessness, initiate CPR, stop the vehicle and apply an AED(ANSWER) confirm pulselessness, initiate CPR, stop the vehicle and apply an AED** 41. Which of the following statements regarding suctioning of an adult is true? A. you should insert the suction catheter only as far as you can visualize B. you should start ventilations if suction cannot clear the airway C. you should only suction for a maximum of 30 seconds D. you should remove the suction catheter with the suction machine turned off(ANSWER) You should insert the suction catheter only as far as you can visualize 42. When driving an ambulance, operators must drive with the safety of others in mind. This is known as driving(ANSWER) A. defensively B. with privileges C. with due regard D. offensively(ANSWER) with due regard 43. 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 A. Anaphylaxis B. Choking C. Emphysema D. Asthma(ANSWER) Anaphylaxis 44. A 23 y/o patient is lethargic. The patient just finished mowing the lawn. He is drooling and sweating profusely. You should suspect A. Hyperglycemia B. Hypoglycemia 60. Your 90 year old nursing home patient is pulseless and apneic. The nurse shows you a note in the patient's chart stating "Do not resuscitate". The note is signed by a doctor. You should A. call the patient' doctor to confirm the order B. call on-line medical control C. consult with the family(ANSWER) call on-line medical control* 61. Your patient has been submerged underwater for an unknown period and is in cardiac arrest. After taking c- spine precautions, you should A. begin CPR immediately B. apply pressure to the abdomen C. dry the patient off D. ventilate the patient(ANSWER) begin CPR 62. How should you ventilate an apneic adult patient? A. ventilate with a flow restricted positive pressure ventilator at 12-20 breaths per minute B. ventilate once every 3 seconds with a BVM C. ventilate once every 5-6 seconds with a BVM(ANSWER) ventilate once every 5-6 seconds with a BVM 63. You are inserting an oropharyngeal airway into a 4 year old patient. You should A. insert with the tip pointing toward the roof of the mouth B. use a tongue depressor to keep the tongue out of the way C. use a head tilt chin lift(ANSWER) use a tongue depressor to keep the tongue out of the way 64. 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 Place a mask on your patient's face Inspecting your face mask for dried blood before discarding(ANSWER) Washing your hands with soap and water 65. Allowing for appropriate time on exhalation when assisting ventilations can reduce/alleviate A. airway obstructions B. gastric distension C. the amount of air required to ventilate(ANSWER) gastric distension** 66. A diabetic patient was reported missing last evening. He is found unre- sponsive, lying in a ditch along the road in approximately two inches of water. Vital signs are BP 96/40, P 38, R 6. You should A. wrap the patient in blankets and transport B. place the patient in Trendelenburg position C. place glucose between the patient's cheek and gum D. place heat packs on the patient's groin, neck, and armpits(ANSWER) wrap the patient in blankets and transport * 67. When infants or children experience breathing difficulties, their pulse may A. decrease early, then increase significantly B. increase significantly, then return to normal C. Increase early, then decrease significantly(ANSWER) Increase early, then decrease significantly** 68. A four year old patient has hot, dry skin after being inside a car with the windows rolled up on a hot day. You should A. Rapidly cool the patient with ice packs everywhere B. Pour water on the patient and fan vigorously C. Cover with wet blankets to prevent rapid cooling(ANSWER) Rapidly cool the patient with ice packs everywhere 69. An unresponsive 82 year old patient is lying supine. Their airway is most likely to be obstructed by A. The tongue B. Swelling of the epiglottis C. Secretions D. Loose dentures(ANSWER) The tongue 70. Which patient would benefit the MOST from helicopter transport? A. 30 y/o male pulseless and apneic with a history of asthma B. 38 y/o male burn patient with 1st degree burns to 55% of his body C. 15 y/o female motor vehicle crash victim still trapped BP 78/42(ANSWER) 38 y/o male burn patient with 1st degree burns to 55% of his body * 71. An infant is choking on a piece of candy. You are unable to see chest rise after numerous attempts to ventilate. You should A. perform abdominal thrusts B. insert an oral airway and reattempt C. administer chest compressions(ANSWER) administer chest compressions * 72. Your patient was on a third floor balcony which collapsed. The patient is semi-conscious, has an impaled piece of wood in the lower right quadrant of the abdomen, an obvious femur fracture and multiple cuts. You should A. Establish c-spine protection, open the airway and assess breathing B. Apply O2 and prepare pt for rapid transport to a trauma center C. Stabilize impaled object with bulky dressing and establish c-spine protec- tion D. Assist ventilations with BVM, and splint femur fracture(ANSWER) Establish c-spine protection, open the airway and assess breathing 73. A 72 year old patient is suddenly unable to speak and begins staring off towards the right. You should first A. administer oral glucose B. note the time and apply oxygen C. transport the patient in the supine position(ANSWER) note the time and apply oxygen* 74. a 11 year old male has crashed his bicycle. The patient's baby sitter is requesting to know the extent of his injuries. You should reply A. "You will have to wait and talk with his parents" B. "I cannot tell you, this would be a violation of patient privacy and confi- dentiality" C. "His leg appears to be broken, do you have a phone number for his parents?"(ANSWER) "You will have to wait and talk with his parents" ** 75. An 18 year old male has become increasingly shaky several minutes after administration of a prescribed bronchodilator. You should A. document the patient's response to the medication B. continue to reassess the patient every 5 minutes C. contact medical control to report the patient's response(ANSWER) continue to re- assess the patient every 5 minutes ** 76. You are conducting a physical exam on a responsive female toddler. You should A. examine the girl upright as her parents hold her use a head-to-toe approach use a toes-to-head approach(ANSWER) use a toes-to-head approach A. Perform a detailed physical examination B. Check vitals and apply an AED C. Interview the neighbors to get a detailed history D. Take spinal precautions and rapidly transport(ANSWER) Take spinal precautions and rapidly transport 90. You have an unconscious pt with blood in the airway. You should A. use a suction unit to immediately clear the airway B. place the pt in recovery position C. use artificial ventilations in an attempt to clear the airway D. perform a finger sweep to remove the blockage(ANSWER) use a suction unit to immediately clear the airway 91. A 5 year old female with asthma is having intercostal retractions. She cannot hold her head up to talk. You should A. contact medical control before assisting her with prescribed inhaler B. administer O2 via NRM at 15 lpm C. administer O2 via blow-by at 6 lpm D. ventilate via BVM at 15 lpm(ANSWER) ventilate via BVM at 15 lpm * 92. Your pt was struck on the right side of the head by a baseball. Which sign or symptom would indicate a significant head injury? A. Bleeding from the mouth B. Decreasing mental status C. Right-sided weakness D. Increasing heart rate(ANSWER) Decreasing mental status 93. How should you open the airway of an infant? A. pad underneath the head B. lift the neck and elevate the head C. place the head in a neutral position D. place the head in the sniffing position(ANSWER) place the head in a neutral position 94. A 45 y/o diabetic pt is experiencing left arm pain and is sweating profuse- ly. You should A. Administer oral glucose B. Administer sublingual nitro C. Administer O2 via BVM D. Administer O2 via NC(ANSWER) Administer oral glucose 95. 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 B. Hyperglycemia C. Stroke D. Diabetic ketoacidosis(ANSWER) Hypoglycemia 96. Your 55 year old patient complains of chest pain radiating to the left arm. You should first A. perform a head-to-toe assessment B. administer the prescribed nitroglycerin C. place the patient on O2 D. complete a SAMPLE history(ANSWER) complete a SAMPLE history* 97. One of the most problematic side effects of nitroglycerin is A. bradycardia B. dyspnea C. hypotension(ANSWER) hypotension 98. A 84-year-old female is anxious and complaining of SOB. She has been a smoke for most of her life. Upon examination, you find she has pedal edema. She is coughing up pink frothy sputum. You should suspect A. Complication of emphysema B. Congestive heart failure C. Chronic bronchitis D. Acute myocardial infarction(ANSWER) Congestive heart failure 99. Which strap should you place first when securing a patient onto a long spine board? A. Chest strap B. Abdominal strap C. Head straps D. Leg straps(ANSWER) chest strap 100. Early signs and symptoms of hypoperfusion can include A. Unresponsiveness B. Anxiousness C. Bradycardia D. Decreased BP(ANSWER) Anxiousness 101. 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(ANSWER) A. return the patient to the nursing home B. ventilate the patient with a BVM C. provide O2 and position the patient for comfort D. provide supportive reassurance only(ANSWER) provide O2 and position the patient for comfort provide supportive reassurance only ** second time 102. You have assisted a 56 y/o patient in taking 1 nitroglycerin tablet. He continues to complain of chest pain. Vital signs are(ANSWER) BP 94/64, P 120, R 14, SaO2 98%. You should A. Reassess his BP B. Assist him with a 2nd nitro tablet C. Transport him to the hospital D. Assess lung sounds and have pt self-administer his inhaler(ANSWER) Transport him to the hospital 103. 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 A. Rapidly extricate the child and place her in a supine positon B. Place a short back board behind the child and gently extricate her from the car seat. C. Remove the child from the car seat and place her on a long spine D. Secure the child in the car seat using towels and tape to immobilize her head and chest(ANSWER) Secure the child in the car seat using towels and tape to immobilize her head and chest 104. A patient becomes unresponsive. You find she is apneic and pulseless. You should A. apply the AED and analyze B. apply O2 via BVM and apply AED C. start CPR and apply the AED D. request advanced life support and begin CPR(ANSWER) start CPR and apply the AED 105. A 40-year-old his just been struck by lightning. There are no visible wounds. You should suspect A. Spinal fracture B. Significant internal bleeding C. Permanent memory loss D. Deep tissue damage(ANSWER) Deep tissue damage 106. Your pt 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 A. Coach her to calm down and have her husband transport B. Prepare for an imminent on scene delivery C. Transport the patient on her left side and monitor C. Decompensated hemorrhagic shock D. Basilar skull fracture(ANSWER) Increased intracranial pressure 120. Which of the following pt is MOST at risk for hypovolemic shock? A. A hemophilia pt with a nosebleed B. A leukemia pt with a fracture left arm C. A TB pt with fractured tibia D. An HIV pt with a UTI(ANSWER) A hemophilia pt with a nosebleed 121. A 72 y/o female pt is unresponsive following an ejection from a car accident. She has an open jaw fracture and a dialated right pupil. What is the best way to open this pt's airway? A. Insert an OPA B. Perform a modified head-tilt chin lift C. Insert a NPA D. Perform jaw thrust(ANSWER) head-tilt* 122. 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 A. Encourage her to use her inhaler until she feels relief B. Start O2 therapy at high flow, transport and contact medical control for orders to administer a nebulizer C. Start O2 therapy at high flow and transport D. Start O2 therapy at high flow, administer a nebulizer, reassess to determine if transport is required(ANSWER) Start O2 therapy at high flow, transport and contact medical control for orders to administer a nebulizer 123. What does pulse oximetry measure? A. Percent of carbon dioxide in the cells B. Percent of tissue that is saturated with oxygen C. The amount of plasma that is saturated D. The amount of hemoglobin that is saturated usually with oxygen(ANSWER) The amount of hemoglobin that is saturated usually with oxygen 124. A 32 y/o female amputated her index finger in a table saw accident. How should you care for the amputated finger? A. Wrap an occlusive dressing around the finger and place it in a bag B. Soak the part in saline and place in a bag of ice C. Place the finger in a plastic bag and place the bag in icy water D. Wrap it with moist sterile gauze, place in a plastic bag and keep it cool(ANSWER) Wrap it with moist sterile gauze, place in a plastic bag and keep it cool 125. Your patient is an alert and oriented adult who is speaking in a foreign language. You cannot communicate with the patient. You should A. determine whether to transport the patient B. look for a family member who can speak that language C. load the patient into the ambulance and transport(ANSWER) load the patient into the ambulance and transport wrong i think* 126. When ventilating with a mouth to mask you notice the presence of increasing gastric distention. You should A. Manually reposition the airway B. Immediately suction oropharynx C. Increase the depth of ventilations D. Decompress the stomach manually(ANSWER) Manually reposition the airway 127. A 24 y/o male with a history of asthma has stopped breathing. Which ventilation rate would be most appropriate? A. 30 breaths per minute B. 20 breaths per minute C. 10 breaths per minute D. 24 breaths per minute(ANSWER) 10 breaths per minute 128. You are helping a 21 y/o pt to self-administer her epinephrine via auto-in- jector. She has been stung by a bee. You should A. Hold injector in place at least 10 seconds B. Immediately inject and release C. Inject it into the antecubital fossa D. Check the patient's BP(ANSWER) Hold injector in place at least 10 seconds 129. Your 92 y/o pt is SOB, unable to speak, and cyanotic. You should first A. Assure the patient has an open airway B. Ventilate the pt with BVM C. Administer O2 via NRB D. Administer the prescribed bronchodilator(ANSWER) Assure the patient has an open airway 130. You have administered six shocks to your cardiac arrest patient. She remains pulseless and is not breathing. You should next A. Deliver two more shocks B. Continue your assessment C. Reanalyze the rhythm and deliver as many shocks as indicated D. Resume CPR and transport(ANSWER) Resume CPR and transport 131. Your pt has a 2-inch laceration at the corner of the mouth with profuse bleeding into the oropharynx. You should A. Apply high flow O2 B. Suction the airway C. Stabilize the c spine D. Control the bleeding(ANSWER) Suction the airway 132. All of the following are indications for the use of nitro EXCEPT A. Patient has a history of cardiac problems B. The patient's physician has prescribed nitro C. Pt complains of CP D. The pt's systolic BP is less than 90(ANSWER) The pt's systolic BP is less than 90 133. A 7 y/o female fell out of a tree and was unconscious for 2 minutes the pt is very scared and combative. You should A. Apply four point restraints and transport rapidly B. Obtain parental consent prior to transport C. Apply a c-collar and backboard D. Place pt on stretcher(ANSWER) Apply a c-collar and backboard 134. A 75 y/o pt is complaining of SOB vital signs are 160/88, P 130, R 22 with crackles in the bases of the lungs. You should A. Administer O2 via mask B. Perform detailed chest assessment C. Assist the pt with prescribed inhaler D. Obtain a complete SAMPLE history(ANSWER) Administer O2 via mask 135. A 62 y/o female pt is clutching her chest inside a local restaurant. She is unable to breathe. You should A. Begin cardiopulmonary resuscitation B. Perform a blind finger sweep C. Perform a series of abdominal thrusts D. Apply O2 and assess her pulse(ANSWER) Perform a series of abdominal thrusts 136. Your pt is pale and seems anxious but is speaking in full sentences. You should administer O2 using a A. flow restricted O2 powered ventilation device B. NRB @ 15 LPM C. NC @ 4 LPM D. BVM @ 15 LPM(ANSWER) NRB @ 15 LPM 137. 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%. You should suspect A. Anaphylactic reaction B. Obstructive pulmonary disease C. AMI D. Pulmonary embolism(ANSWER) Obstructive pulmonary disease 138. You are treating a 23 y/o pt in a car crash. He is complaining of neck, back and leg pain. He has a cut above his left eye. You should A. Remove the pt from the vehicle ASAP B. Immediately place O2 on the pt C. Apply a C-collar and perform rapid extrication D. Take manual stabilization of the spine(ANSWER) Take manual stabilization of the spine 139. Your 73 y/o pt is sitting in the tripod position. As you approach they motion for assistance in using their inhaler. You should immediately A. Administer their prescribed inhaler B. Administer O2 via NRB C. Assess the pt's airway status D. Request law enforcement assistance with this pt(ANSWER) Request law enforcement assistance with this pt 154. Which of the following symptoms would indicate a significant localized cold injury? A. Skin appears blue and is diaphoretic B. Tissue below the surface is soft C. Mottled or blotchy skin D. Skin appears white and is hard(ANSWER) Skin appears white and is hard 155. You are transporting a pt with CP, when suddenly she becomes unre- sponsive you should A. Start CPR and transport more rapidly B. Stop the ambulance and confirm absence of pulse C. Immediately apply an AED and analyze D. Insert an OPA and ventilate twice(ANSWER) Stop the ambulance and confirm absence of pulse 156. Your pt is unresponsive 44 y/o found indoors after working in the garden on a hot day. Her vitals are R 32, P 128, 88/56 with hot, dry skin. You should A. Cover the pt with ice and transport to a trauma center B. Administer O2 via NC C. Place a wet sheet over her and fan vigorously D. Administer O2 via simple face mask(ANSWER) Place a wet sheet over her and fan vigorously * 157. The use of a traction splint for femur fractures is important in order to A. Prevent tissue swelling B. Facilitate easy transfer of pt to the hospital C. Decrease pain by preventing bone movement D. Reduce further nerve and blood vessel damage(ANSWER) Reduce further nerve and blood vessel damage 158. A 40 y/o male complains of abdominal pain after being assaulted. His abdomen is rigid and tender on assessment. Vital signs are BP 108/68, P 116, R 26. You should suspect A. Compensated shock B. A ruptured diaphragm C. Decompensated shock D. Pneumothorax(ANSWER) Compensated shock 159. A 16 y/o football player received a blow to his left femur. You can see deformity and the patient is in extreme pain. He does not remember how the injury happened. You should. A. Apply a board splint B. Immediately stabilize the C-spine C. Apply a long spine board and rapidly transport D. Apply a traction splint to injured leg(ANSWER) Immediately stabilize the C-spine 160. You respond to a conscious thirty-four y/o male burned in a fire with full thickness burns to both hands and forearms and partial thickness burns to his chest. You should A. Apply cool water to burned areas B. Soak the burned areas in saline and wrap with sterile dressing C. Apply an antiseptic ointment to the burned areas D. Carefully wrap the burned areas with dry sterile dressing(ANSWER) Carefully wrap the burned areas with dry sterile dressing 161. A 24 year old female has been stabbed and the police state she is deceased. You note blood all over her clothing. You should A. do not disturb the crime scene B. assess the airway and check for a pulse C. remove her clothing and determine the extent of the wounds(ANSWER) assess the airway and check for a pulse * 162. You respond to a 22 y/o male with altered mental status. His skin is warm and diaphoretic and has a known seizure history. It is likely your pt is A. Postictal B. Clonic C. Hypovolemic D. Hypothermic(ANSWER) Postictal 163. A 2 y/o pt who has been sick all day, now has a barking cough. You should suspect A. Epiglottitis B. Asthma C. Croup D. Chronic laryngospasm(ANSWER) Croup 164. A 67 y/o female just had a syncopal episode while using the toilet. Vitals are BP 100/6-. P 110 irregular, R 12. She is weak and dizzy.You should suspect a A. gastrointestinal obstruction B. vertebral vascular accident C. cardiac rhythm disturbance D. acute myocardial infarction C. cardiac rhythm disturbance(ANSWER) cardiac rhythm disturbance 165. Which of the following is most likely to be life-threatening? A. Femur fracture B. Humerus fracture C. Clavicle fracture D. Lumbar fracture(ANSWER) Femur fracture 166. An 18 y/o soccer player is feeling disoriented. He has been playing soccer in 90-degree heat. You should A. Direct the pt to drink at least 8 ox of orange juice B. Remove the pt's clothes and pour ice water on him C. Move the pt somewhere cool and assess vitals D. Direct the pt to rest on the bench until he feels better(ANSWER) Move the pt some- where cool and assess vitals 167. A malfunction of the heart's electrical system may result in A. Atherosclerosis B. Pericarditis C. Aneurysm D. Arrhythmia(ANSWER) Arrhythmia 168. You are called to an elderly patient who had a syncopal episode. The patient has had bloodtinged vomiting and general fatigue for the last few days. You suspect A. An abdominal aneurysm B. Gastrointestinal bleed C. CHF D. Cerebrovascular accident(ANSWER) Gastrointestinal bleed 169. A 10-year-old male complains of a stiff neck and a fever. He is very con- fused and complains of extreme fatigue and headache. You should suspect A. Febrile seizure B. Epilepsy C. Meningitis D. Diabetic reaction(ANSWER) Meningitis 170. 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 A. Administered activated charcoal B. Contact the parents for consent to transport C. Place in recovery position D. Ventilate with BVM(ANSWER) Ventilate with BVM 171. According to family members, your patient has been seizing for 10 minutes, You should A. Hold the pt's arms and legs securely B. Administer one tube of oral glucose C. Place the pt in the shock position D. Open the airway and provide O2(ANSWER) Open the airway and provide O2 172. You are evaluating a disoriented 27 y/o 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 A. Eclampsia B. Ectopic pregnancy C. Epilepsy D. Placental abruption(ANSWER) Eclampsia 173. A 17 y/o pt has been assaulted. He is lying prone and responds to painful stimuli. There is a screwdriver impaled in his shoulder. He is breathing at a rate of 12 and deep. You should A. Begin ventilations with a BVM B. Insert an oral airway without moving pt C. Carefully remove the screwdriver and roll the patient onto his back