EMT FISDAP Readiness Exam 2 -with 100% verified solutions 2024-2025-tutor verified .doc, Exams of Nursing

Download EMT FISDAP Readiness Exam 2 -with 100% verified solutions 2024-2025-tutor verified .doc and more Exams Nursing in PDF only on Docsity! EMT FISDAP Readiness Exam 2 -with 100% verified solutions 2024-2025-tutor verified 134Q&A If an EMT with duty to act fails to provide the standard of care, and if this failure causes harm or injury to the patient, the EMT may be accused of: negligence Leaving a patient on the hallway stretcher in a busy ED and leaving without report with a healthcare professional is an example of: abandonment The EMT should not discuss information about the patient except to relate pertinent information to the physician at the ED. Information considered confidential includes All of the above The EMT can release confidential patient information in all of the following circumstances EXCEPT to: protect the other victims of a motor vehicle collision A medical identification device indicated serious patient medical conditions, allergies, and/or medications they are currently prescribed comes in the form of each of the following except: patches you respond to a high-speed collision a motorcycle and automobile. The 22-year-old male cyclist has a severe head injury and is not likely to live through the evening. When treating this critical patient, who happens to have an organ donor card, the EMT should: treat the patient with the same care as any other patient and inform the ED physician you are treating at the scene of a home invasion where the homeowner was shot to death by the perpetrators. At this crime scene, you should: avoid disturbing any evidence at the scene unless emergency care requires it commonly required reporting situations include all of the following EXCEPT: crimes in public places The extent of limits of the EMT's job is called the: scope of practice you were called to the scene of an incident where a 21-year-old male was knocked unconscious in a bar fight. Upon arrival, the patient is awake and has a broken nose but no life threats. He admits to drinking 6 beers in the last hour. He wants to refuse medical attention. Why should you discourage a refusal? He may not be mentally competent at this time The federal law designed to protect the patient's private medical information is the: HIPPA you are on the scene of a call where a patient barricaded himself and his wife in their home and is threatening to do harm. The police have been notified at the scene for hours and, after the wife escaped, they rushed in. It is now your responsibility to transport this now-restrained patient to the local ED. what should be your highest priority? Monitoring the patient's mental status and vital signs a set of regulations and ethical consideration that define the scope, or extent and limits of the EMT's job The scene size up is the first part of the patient assessment process. It begins as you approach the scene, firstly surveying it to determine if there are any threats to your safety which of the following is the most accurate statement about scene size up? it continues throughout the call if you arrive at the collision scene where there are police, fire vehicles, and other ambulances already present, you should: conduct your own scene size up which of the following is not an appropriate action when you near the scene of a traffic collision attempt to park your vehicle downhill from the scene when you are in sight of the Collision scene, you should watch for the signals of police officers and other emergency service personnel because: they may have info about hazards or the location of injured persons when there are no apparent hazards, consider the danger zone to extend at least ________ feet in all directions from the wreckage 50ft when a collision vehicle is on fire, consider the danger zone to extend at least _____ feet in all directions 100ft it is essential that the EMT do a good scene size up. Your scene size up should identify the potential for violent situations We have an expert-written solution to this problem! the EMT's standard precautions equipment during the scene size up may include all of the following except: nonrebreather mask standard precautions should be taken with all patients. The key element of the standard precautions is to always have personal protective equipment readily available certain injuries are common to particular situations. injuries to bones and joints are usually associated with: falls and vehicle collisions knowing the mechanism of injury assist the EMT in: predicting various injury patterns The physical forces and energy that impinge on the patient are influenced by the laws of physics. One of those laws, the law of inertia, states that: a body in motion will remain in motion unless acted upon by an outside force you are treating a patient who was involved in a head on collision. she was the unrestrained driver who took the "up and over" pathway. To which part of her body would she have most likely sustained injuries? skull which of the following is least likely to be considered a MOI for a patient who was involved in a head-on collision in which they were unrestrained and took the "up and over" pathway? brake pedal you are on the scene of a car crash. Your patient has stable vital signs and is complaint of knee, leg, and hip pain. He also states that he was in the front seat of the car and did not have his seatbelt on. What type of collision did he most likely experience? Head-on, down and under which type of collision is most serious when the occupant is not restrained because it has the potential for multiple impacts? roll-over danger zone: steps taken by the ambulance crew when approaching the scene of an emergency call MOI: a force or forces that may have caused injury penetrating trauma: injury caused by an object that passes through the skin or other body tissues blunt force trauma : injury caused by a blow that does not penetrate the skin or other body tissues index of suspicion : awareness that there may be injuries nature of illness: what is medically wrong with the patient which of the following steps is not part of the primary assessment of a responsive patient with a medical problem? obtained the patients blood pressure the general impression is an evaluation of all the following except: past medical history you are assessing a patient and making observations about the scene. Finding drug-use paraphernalia at the scene of an emergency is an example of an environmental part of the general impression when the patient tells you, in his own words, why he requested that an ambulance be called, this is referred to as chief complaint during the general impression, the EMT should: do all of these you are assessing a patient who fell off hsi bike and landed on his right shoulder. First you determine his mental status using AVPU. What does the "A" stand for? Alert you determined that your patient is a V as far as mental status goes. What does the "V" stand for? Verbal you are concerned because your patient may have a depressed mental status. What does the "P" stand for in AVPU Painful One major difference between the primary assessment of a responsive trauma patient and the primary assessment of an unresponsive patient is: the unresponsive patient is a higher priority for immediate transport you are assessing a patient who was involved in a serious motor vehicle collision. She is not alert and her breathing rate is slower than 8 per minutes. As the EMT in charge you should: provide positive pressure ventilations with 100% oxygen during your primary assessment of a patient who is alert and has a breathing rate greater than 24 breaths per min, you should provide the patient with: high concentration oxygen via nonrebreather mask In primary assessment, the circulation assessment includes evaluation all the following except: blood pressure If the patient's skin is warm, dry, and normal color, it indicates: good circulation impression of the patients condition that is formed on first approach the patient, based on the patient environment, chief complaint, and appearance mental status level of responsiveness primary assessment first element in assessment of a patient; steps taken for the purpose of discovering and dealing with any life threatening problems priority the decision regarding the need for immediate transport of the patient versus further assessment and care at the scene updated guidelines on administering oxygen, as explained in your textbook, would require which of these conditions to provide oxygen by NRB or BVM? all of the above the study of drugs, their sources, and their effects is called pharmacology medications that re routinely carried on the emt- level EMS unit are: aspirin, oral glucose, and oxygen aspirin is administered by the EMT in the field to help prevent initial or further clot formation when might the administration of aspirin be contraindicated? if the patient has a history of GI bleed your patient is a teenager whose parents sates " she has not accepted her disease and is managing it poorly". poorly managed s=diabetes can cause: altered mental status you are treating a patient who has diabetes and has altered mental status. He has a gag reflex, so oral glucose is you treatment. This is given the patient's cheek and gum using a tongue depressor because: this method allows slow swallowing and absorption into the blood stream as an important part in history taking, you determine if the patient is taking any specific medication, Examples of medications a patient may have in his or her possession and that the EMT may assist the patient in taking under the appropriate circumstances are: epinephrine autoinjector, bronchodilator, nitroglycerin, and aspirin your patient is a 52-year-old female who states that she has a long history of asthma and chronic bronchitis. It would not be unusual for her to carry ____ in her purse a bronchodilator your 62-year-old patient has a history if cardiac problems and is prescribed nitro. The drug is used to ____ vessels dilate the coronary the comprehensive government publication listing all drugs in the U.S. is called U.S. Pharmacopoeia The name that a manufacturer uses in marketing and patent applications of a drug is called the ___ name trade The patient tells yout that he is not supposed to take a specific medication when his blood pressure is low or he feels dizzy. A circumstance in which a drug should not be used because it may cause harm to the patient or offer no effect in improving the patients condition or illness is called a(n): contraindication you are administering a medication for a specific purpose according to your treatment protocols. An action of a drug that is other than the desired action is called a(n): side effect part of the treatment of a seriously ill patient will involve administration of a drug. Prior to administering the medications, you must know all the following except untoward effect an effect of the medication in addition to its desired effect that may be potentially harmful to the patient and is usually unexpected under what circumstances might you administer a medication such as atropine to yourself and your partner? exposure to nerve gas in a terrorist attack which of the following effects does naloxone exert on the body reverses respiratory failure caused by narcotics your partner is an alert 58-year-old male who is complaining of chest pain. The components of the secondary assessment for a responsive medical patient all include all the following except rapid trauma exam many memory aids are used during the assessment process. OPQRST is a memory aid to help the EMT remember the: questions that expand on the history of the patient illness when you ask a 65-year-old woman with chest pain, "can you think if anything that might have triggered or caused this pain?" you are questioning her about the _____ of her pain provocation when you ask a male patient with back pain, "how bad is the pain?" you are questioning him about: severity why is it important for the EMT to determine the T in OPQRST when questioning a 58-year-old male with chief complaint of chest pain it is helpful to determine the time when the pain began We have an expert-written solution to this problem! a 55-year-old male continues to discuss his condition with you. His chief complaint is chest pain and when you ask, "Do you have nausea or have been vomitin?" you are questioning him about his: signs and symptoms The alert 58-year-old male who is complaining of chest pain goes on to describe other recent hospitalizations and the medical condition of chest pain goes on to describe other recent hospitalizations and the medical condition his doctor are treating him for. This information is considered: pertinent past history when you ask an elderly female patient "how have you been feeling today?" you are asking her about the events leading to the illness when interviewing a patient with a specific chief complaint and a known history, the EMT may need to: ask additional questions pertinent to the complaint you are treating a 62-year-old female who is complaining of difficulty breathing. This medical patient does not take any prescribed medications for her condition, so you should generally: transport the patient to the hospital In terms of your initial approach to the focused history and physical exam of a middle-aged male patient, the biggest difference between a responsive and an unresponsive patient is that: the unresponsive patient will be given a rapid physical exam first We have an expert-written solution to this problem! you will be conducting a rapid physical exam on an unresponsive 54-year- old female medical patient. you should include all of the following except ask the SAMPLE history questions when asessing a 28-year-old female who has a medical complaint, be sure to check the extremities for: sensation and motor functions when conducting a physical exam of an unresponsive adult patient with a suspected medical problem, you remember there was a "vial of life" sticker on the front door of the residence. This is the important because it may: reveal that additional medical identification is in the refrigerator when considering the mechanism of injury (MOI), which of the following would not be considered a significant MOI in an adult? a 10ft fall you are treating a patient who is in the front seat of an automobile involved in a collision. you observe a spiderweb crack in the windshield and facial lacerations on the patient. Most likely the patient: did not wear a seatbelt The EMT should lift and look under the airbag after the patient has been removed from the vehicle in order to note any visible damage to the steering wheel We have an expert-written solution to this problem! when assessing the head of an adult male critical trauma patient, the EMT should inspect/palpate for _______ in addition to wounds and deformities crepitation when assessing the neck for an adult trauma patient, the EMT should inspect/palpate for ________ in addition to wounds and deformities JVD the neck veins are usually not visible when the patient is: sitting up when assessing the chest of an adult female critical trauma patient, the EMT should inspect/palpate for ________ in addition to crepitation and deformities paradoxical motion when assessing the abdomen of an adult male critical trauma patient, the EMT should inspect/palpate for _________ in addition to wounds and deformities colostomy and or ileostomy an important principle to remember when examining a patient is to: all of the above when assessing the pelvis of an adult male critical patient the EMT should inspect/palpate for _________ in addition to wounds and deformities, and tenderness. priapism (boner) if you were treating a severely injured trauma patient, it may be appropriate to skip the : detailed physical exam a difference between the detailed physical exam and the rapid exam includes: the detailed exam is usually done on the way to the ED the final step of the detailed physical exam is to: make sure you have notified the ED you are examining a patient who was struck on the head last night. his mental status is altered, and he has a bruise behind the ear. This is referred to as battle signs when performing the detailed physical exam, you note blood on the anterior chamber of the eye. This tells you that the: patients eye is bleeding inside clear fluid that is draining from the ears and nose is called ________ fluid CSF (spinal fluid) in addition to looking for deformities, you should look for all the following except _________ when examining the mouth crepitation the detailed physical exam is not designed for the: medical patient with very few signs and symptoms if you are treating a patient who could either be medical or trauma, it is always best to assess for: when a clinician is specifically looking for evidence that supports the diagnosis he or she already has in mind, he or she is committing a(n) _________ bais availability when a patient does not fit the classic pattern, such as cardiac patient without crushing chest pain, the EMT has to be careful not to make a(n) __________ error or bias representativeness an EMT recently had a patient with a heat stroke. The next time he or she has a patient in a warm environment, the EMT is more likely to think of this as the diagnosis as opposed to more common problems, such as dehydration. This is bias referred to as: availability the EMT should be skeptical about one condition being the actual cause of another condition a patient presents with. Drawing conclusions about the cause of a diagnosis can lead to a(n) illusory correlation you are treating a patient who was found on the floor in the nursing home. It seems evident that he has fractured his hip as he lies on the floor in pain. if you stop the search for a diagnosis as soon as you come up with the cause of today's problem, this can lead to: missing out on the secondary diagnosis if you are an EMT who wants to think like a highly trained experienced physician in your assessment of patients, you should try to: understand the limitations of technology and people (wtf?) the EMT who wants to think like a highly experienced physician to do each of the following techniques except: try not to learn from others you are an emt treating a patient who has developed a rash and uticaria on her chest and face. If you were to begin treating this patient as a victim of a severe allergic reaction rather than questioning her about previous development if a similar rash, you would be exhibiting an example of: an illusionary correlation The collective set of regulations and ethical consideration governing the EMT is called: Scope of practice Legislation that governs the skills and medical interventions that may be performed by the EMT is: Different from state to state When the EMT makes the physical/emotional need of the patient a priority, this is considered a(n)_________of the EMT. Ethical responsibility Which of the following is NOT a type of consent required for any treatment or action by an EMT? applied when you informed the adult patient of the procedures were about to perform and its associated risks, you are asking for his or her: expressed consent You are treating a patient that was found unconscious at the bottom of the stairwell. Consent that is based on the assumption that an unconscious patient would approve the EMT's life-saving interventions is called: implied your record of the patient's refusal of medical care (aid) or transport should include all of the following EXCEPT: signing of the form by the medical director Forcing a competent adult to go to the hospital against his or her will may result in_______charges against the EMT assault and battery Which of the following is an action you should take if a patient refuses care?