Download EMT Readiness Exam 4 | ACCURATE QUESTIONS AND DETAILED ANSWERS | GUARANTEED PASS | GRADE and more Exams Nursing in PDF only on Docsity! EMT Readiness Exam 4 | ACCURATE QUESTIONS AND DETAILED ANSWERS | GUARANTEED PASS | GRADED A | LATEST UPDATE 2024-2025 WITH 100 QUESTIONS An unresponsive 67 year old male is lying supine with a weak carotid pulse. He has emesis in his oropharynx and gasping respirations of 6 you should: a. perform abdominal thrusts b. suction his airway c. ventilate him with a bag valve mask d. insert a nasopharyngeal airway - CORRECT ANS-b. suction his airway A 66 year old female complains of shortness of breath. You notice several tissues beside her that contain bloody sputum. You should: a. don an N95 mask and ask her if she has experienced night sweats or cough b. place a nonrebreather mask on her and put the tissues in a biohazard bag c. place a surgical mask on her and ask about her symptoms d. put on a face shield and protective gown - CORRECT ANS-a. don an N95 mask and ask her if she has experienced night sweats or cough 21 year old female has an open femur fracture after falling off horse, you should: a. apply manual stabilization to her femur b. apply a traction splint c. check for distal pulses d. immobilize her on a backboard - CORRECT ANS-c. check for distal pulses 20 year old male has supraclavicular retractions and is slow to respond to questions. He has expiratory wheezes in all lung fields with minimal chest wall movement. You should a. assist the patient in taking his prescribed MDI b. open his airway with head-tilt chin lift c. assist his ventilations with a bag-valve mask d. perform a detailed physical assessment - CORRECT ANS-c. assist his ventilations with a bag-valve mask Periumbilical pain radiates to Right Lower Quadrant - CORRECT ANS-Appendicitis After delivering a shock with an AED to an unresponsive 49 year old male you should - CORRECT ANS-Resume chest compressions A 22 fem was in a bicycle accident and struck her chest on the handlebar. She is short of breath and you notice small section of her chest move asymmetrically. You should suspect? a. pneumothorax b. flail segment c. pulmonary contusion d. sucking chest wound - CORRECT ANS-b. flail segment An alert 62 yo male complains of chest pain, short of breath and long history of angina. Vital signs are BP 90/50, P100, R22, SP02 90%. What should you do? - CORRECT ANS-Administer o2 Newborn is apneic immediately after delivery - CORRECT ANS-Stimulate baby A 56 year old male complains of sever abdominal pain soon after eating a large, greasy meal. What should you suspect? a. bladder infection b. cholecystitis c. peritonitis d. kidney stones - CORRECT ANS-b. cholecystitis Request additional resources for which victim? (couldnt find all the options - CORRECT ANS-Foot wedged in pedal 2 year old has been vomiting for 12 hours and has decreased oral intake. She does not track your movements. What type of shock should you suspect? P150 R 24. Cool skin w/ mottling. a. compensated b. neurogenic c. irreversible d. hypovolemic - CORRECT ANS-d. hypovolemic First step with a sexually assaulted patient? a. protect the evidence b. document the findings c. reassure the patient d. clean the wounds - CORRECT ANS-c. reassure the patient Are administering oral glucose to a known diabetic. What should you be most concerned about? - CORRECT ANS-The smell of acetone on breath A 36 year old female complains of left leg pain after a head-on car crash. When you place her on the long spine board, you notice that her left leg is shortened and rotated outward. What should you suspect? - CORRECT ANS-femur fracture A 35 year old male has a blood pressure of 126/62. What does the number 62 represent? a. active b. palp c. systolic d. diastolic - CORRECT ANS-d. diastolic A 36 year old male is ventilator-dependent. His caregiver called 911 because the ventilator's warning alarm was sounding. You should - CORRECT ANS-look for adequate chest rise and fall You are ventilating a 30 year old male with a bag-valve mask. After several minutes of ventilation, he becomes cyanotic and there is no chest rise. You should - CORRECT ANS-reposition the airway and ventilate again A patient has been shot in the chest. After cutting off the patient's blood-soaked shirt, you should place it in a/an - CORRECT ANS-biohazard disposal bag Where in your patient care report should you document that you placed the patient on oxygen at 15 LPM by non-rebreather mask? - CORRECT ANS-plan A 72 year old female has a nose bleed after a fall. You should - CORRECT ANS-lean her forward When does crowning occur? a. when the umbilical cord presents at the vaginal opening b. when the amniotic sac ruptures c. when the placenta separates from the uterine wall d. when the baby's head is visible at the vaginal opening - CORRECT ANS-d. when the baby's head is visible at the vaginal opening Which of the following pregnancy complications is typically painless? - CORRECT ANS-placenta previa - You are driving emergent with lights and siren. When approaching an intersection with a green light, you should - CORRECT ANS-drive with due regard A 45 year old male is hypothermic after spending the night camping outside. You should a. apply heat packs to any frostbitten areas b. move him into a warm environment c. remove his clothing d. cover him with your outerwear - CORRECT ANS-b. move him into a warm environment Pulmonary veins - CORRECT ANS-Pulmonary veins immediately after the delivery of vigorous newborn, you should. - CORRECT ANS-Suction oropharynx with bulb A newborn head has just been delivered. You should? a. begin drying the newborn's head b. apply gentle downward traction to the newborn's head c. inspect the airway for meconium staining d. encourage the mother to continue to push - CORRECT ANS-c. inspect the airway for meconium staining A 10 month old F withdraws to painful stimuli. She had an ear infection and fever the passed three days, and she has a bulging fontanelle. a. meningitis b. stroke c. febrile seizure d. hyperglycemia - CORRECT ANS-a. meningitis Bleeding from dialysis shunt you should - CORRECT ANS-Apply direct pressure to the shunt 28 year old is in active labor. You see umbilical cord protruding from her vagina. Which position should you place her in? a. left lateral b. semi-fowler's c. supine d. knee chest - CORRECT ANS-d. knee chest Daughter of 82yo M called 911 because she thought her father was acting strangely. He has no complaints and refusing to go to the hospital. Daughter has proof of Medical Power of Attorney. She tells you to take him to the hospital. You should? a. inform him that his daughter's medical power of attorney requires you to follow her wishes b. tell the daughter that she is only legally allowed to make decisions when her father is incapacitated c. advise him to go to the hospital for medical clearance d. ask the daughter to take her father to the hospital herself since you cannot transport him without consent - CORRECT ANS-b. tell the daughter that she is only legally allowed to make decisions when her father is incapacitated A 24 year old male was hit in the chest with a metal pipe. He is having trouble breathing an coughing up blood. Vital signs are BP 116/70, P110, R24 and shallow. You should suspect: (???) a. pulmonary contusion b. aortic dissection c. tension pneumothorax d. commotio cordis - CORRECT ANS-b. aortic dissection Which of the following body systems is responsible for protection, temperature regulation, and excretion? (???) a. muscular b. neurological c. cardiovascular d. integumentary - CORRECT ANS-d. integumentary A 32 year old female is 28 weeks pregnant. In which position should you transport her? a. position of comfort b. semi-fowler c. trendelenburg d. left lateral recumbent - CORRECT ANS-d. left lateral recumbent a 55 year old male goes unconscious after administration of nitroglycerin. you should: (???) a. assist his ventilations b. contact medical control c. place him in a supine position d. attach the AED - CORRECT ANS-b. contact medical control You have just assisted in the delivery of a newborn. She has central cyanosis and is covered in a thick, greenish fluid. You should: (???) a. vigorously rub the PT b. provide high-flow oxygen c. inspect the oropharynx d. determine an APGAR score - CORRECT ANS-c. inspect the oropharynx A 78 year old female tells you, "I can't breathe." Vital signs are BP 152/84, P108, R20 with bilateral wheezing. SpO2 90%. What should you do? (???) a. insert nasopharyngeal airway b. obtain orthostatic vital signs c. administer oxygen by non-rebreather mask d. assist ventilations with a bag-valve mask - CORRECT ANS-c. administer oxygen by non- rebreather mask A 28 year old female tripped and has an obvious left ankle fracture. She tells you that she has a tingling sensation in her foot. The foot is cool, swollen, and has a faint pulse. You should: (???) a. splint in a position of comfort b. elevate her leg and apply ice c. apply a traction splint d. assist ventilations - CORRECT ANS-d. assist ventilations A 15 year old is 38 weeks pregnant and having strong contractions that are 1 minute apart. She is lying in her high school's bathroom, and the baby's head is crowning. You should: (???) a. notify her parents and take her to the hospital b. prepare for delivery in the bathroom c. move her to the ambulance for delivery d. tell a teacher to call her parents - CORRECT ANS-b. prepare for delivery in the bathroom A 60 year old male is confused and unable to follow simple commands. He cannot move his left arm. Vital signs are BP 210/96, P90, R18. What should you suspect? (???) a. alcohol intoxication b. ischemic stroke c. hyperglycemia d. encephalitis - CORRECT ANS-b. ischemic stroke A 1 year old male has a bark-like cough. He is hot to the touch and his respiratory rate is 40. You should suspect: a. croup b. airway obstruction c. epiglottitis d. influenza - CORRECT ANS-a. croup A 12 year old male has a pencil impaled into his cheek. He is crying and complains of jaw pain. All active bleeding has stopped. What should you do? (???) a. find out why he was assaulted b. stabilize the pencil c. apply an occlusive dressing d. suction the airway - CORRECT ANS-b. stabilize the pencil An 18 year old male has gunshot wound to his groin and is screaming in pain. Bright, red blood is spurting from the wound. You should: (???) a. perform manual cervical stabilization b. administer oxygen by nasal cannula c. apply direct pressure to the wound d. perform a primary assessment - CORRECT ANS-c. apply direct pressure to the wound While checking ambulance you find a dried bloody piece of gauze under the stretcher. What should you do? (???) a. document it on the pre-shift check sheet b. place it in the sharps container c. report it to your supervisor d. dispose of it with a gloved hand - CORRECT ANS-d. dispose of it with a gloved hand A 32 year old female complains of a sudden onset of sharp, cramping pain in her lower abdomen, and vaginal bleeding. She tells you that she is 18 weeks pregnant. What should you suspect? (???) a. spontaneous abortion b. ectopic pregnancy c. placenta previa d. pelvic inflammatory disease - CORRECT ANS-a. spontaneous abortion A 32 year old female was involved in a car crash and complains of a tearing pain in her back. Upon assessment, her left radial pulse is stronger than her right radial pulse. You should suspect: a. tension pneumothorax b. aortic dissection c. flail segment d. abdominal aortic aneurysm - CORRECT ANS-b. aortic dissection You are lifting a 26 year old male who was in a car crash onto a long backboard. He begins to complain of shortness of breath and becomes anxious. You should: (???) a. allow him to sit up b. perform a secondary survey c. apply oxygen d. place him on his side - CORRECT ANS-c. apply oxygen While driving the ambulance, you are the first on scene for a car crash involving 4 cars with significant damage and a semi-trailer on its side. You should: a. begin triage b. request additional resources c. set up a staging area d. begin treating the most serious patients - CORRECT ANS-b. request additional resources What are the recommended dimensions of a landing zone for air medical? a. 200ft x 200ft b. 75ft x 75ft c. 100ft x 100ft d. 50ft x 50ft - CORRECT ANS-c. 100ft x 100ft During a cardiac arrest for a 62 year old female, the AED prompts you, "Shock Advised". You should: a. ensure no one is touching her b. discontinue oxygen administration c. administer the defibrillation A 22 year old female with an altered mental status and a stoma has irregular respirations. You should: a. insert a nasopharyngeal airway into her stoma b. apply a pediatric nonrebreather mask over her stoma c. ventilate her through her stoma with a BVM d. open her airway and ventilate her through her mouth - CORRECT ANS-c. ventilate her through her stoma with a BVM A 44 year old male is unresponsive, pulseless and panic. What should you initiate? (???) a. the use of an AED b. chest compressions c. oxygenation by nonrebreather mask d. bag valve mask ventilations - CORRECT ANS-b. chest compressions A 29 year old male has a large stick impaled in his lower right abdominal quadrant. He is supine and screaming in pain. Vital signs are P110, R22. What should you do? (???) a. assist his ventilations b. stabilize the stick c. assess for peripheral pulses d. remove the stick - CORRECT ANS-b. stabilize the stick 92 year old female complains of a headache and trouble breathing. She is on home oxygen. She speaks in 2-3 word sentences. What is the most important question you should ask her? a. How many liters of home oxygen are you normally on? b. which medications do you take? c. are you allergic to any medications? d. when did you become short of breath - CORRECT ANS-d. when did you become short of breath You have attached an AED to a 42 year old female who is apneic and pulseless. The AED prompts you. "No shock advised." You should - CORRECT ANS-start chest compressions Which cardiac rhythm will an AED most likely prompt you to shock? a. atrial fibrillation b. asystole c. pulseless electrical activity d. ventricular tachycardia - CORRECT ANS-d. ventricular tachycardia A 22 year old female tells you she is weak and complains of steady vaginal bleeding that started 2 hours ago. She denies any pain and tells you that she had her menstrual cycle 2 weeks ago. Vital signs are BP 100/68, P 110, R 16, and skin is warm and dry. You should - CORRECT ANS- place a sanitary pad over the vaginal opening When securing a pregnant patient to a long spine board, you should tilt the board to the left to prevent a. hypotension b. hypertension c. eclampsia d. toxemia - CORRECT ANS-a. hypotension A 10 month old female is choking. You should perform - CORRECT ANS-5 back blows A 53 year old male complains of nausea and a headache. Which of the following statements is most significant? - CORRECT ANS-just turned the furnace on last night." A 72 year old female's family member tells you that she had a brief period of slurred speech and left arm weakness prior to EMS arrival. What is the most likely cause? a. narcotic overdose b. stroke c. hypoglycemia d. transient ischemic attack - CORRECT ANS-d. transient ischemic attack A 58 year old male complains of general weakness and tells you that he had severe chest pain and shortness of breath the day before. You hear takes at the bases of both lungs. His skin is pale, cool, and clammy. Vital signs are BP 70/40, P 110 and weak, R 28. You should suspect a. cardiogenic shock b. hypovolemic shock c. angina pectoris d. pulmonary embolism - CORRECT ANS-a. cardiogenic shock An unresponsive 52 year old females in respiratory failure after being struck in the chest with a metal pipe. With each breath only one side of her chest rises. She has subcutaneous emphysema and absent radial pulses. What should you do? a. begin chest compressions b. apply blow-by oxygen c. apply bulky dressings to the chest d. provide positive pressure ventilations - CORRECT ANS-d. provide positive pressure ventilations A 48 year old male who was involved in a car crash is slumped over the steering wheel and unresponsive to loud verbal stimuli. You see smoke inside the vehicle and that the airbag deployed. You should a. perform an emergency extrication b. perform a primary survey c. administer high flow oxygen by nonrebreather mask d. tell the fire department to stand by for extrication - CORRECT ANS-a. perform an emergency extrication