Final EMT Fisdap/Questions And answers/100% Accurate/All Verified∙Latest Update.2023/, Exams of Nursing

Download Final EMT Fisdap/Questions And answers/100% Accurate/All Verified∙Latest Update.2023/ and more Exams Nursing in PDF only on Docsity! 1 [Date] Final EMT Fisdap/Questions And answers/100% Accurate/All Verified Latest Update.2023/∙ A female is unresponsive due to being hit in the head with a board. She has a large hematoma on her forehead. You should Assess her airway Check for a pulse Obtain consent to treat Manually stabilize the spine Correct ans - Manually stabilize the spine 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 Correct ans - Watch for chest rise 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 should include Ventilations by bvm and oxygen A blind finger sweep Highly concentrated oxygen blow-by Back blows and abdominal thrusts Correct ans - Back blows and abdominal thrusts A 54 year old female is complaining of chest pain. The patient would like you to 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 comfort Assist the pt in self administering nitroglycerin Administer oxygen and contact∑ the pt physician Check the expiration date on the nitroglycerine and comply with the patients request Correct ans - Monitor vital signs and transport in position of comfort The most common electrical disturbance the result in cardiac arrest in adults is Ventricular tachycardia Ventricular fibrillation 2 [Date] Asystole Pulseless electrical activity Correct ans - Ventricular fibrillation 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. You should Remove the pt from the house as quickly as possible Continue caring for the pt while reasoning with the husband Leave the scene and request police assistance Tell the husband to drop the bat Correct ans - Leave the scene and request police assistance 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 extremities Massage his extremities Apply heat packs and handle gently Correct ans - Apply heat packs and handle gently A pt complains of abdominal pain. Which of the following questions should you 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" Correct ans - "How would you describe your pain" 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. Vital signs 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) Correct ans - Congestive heart failure (CHF) 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 treatment should include Gathering info from the driver, applying a c-collar, and performing a detailed physical exam Administering oxygen, splinting to the right arm, and obtaining parental consent 5 [Date] Begin chest compressions Check responsiveness Correct ans - Check responsiveness 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 Correct ans - Assess the pts breathing and pulse 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 Correct ans - The injured limb to an uninjured limb When giving the hospital a radio report, you should Provide a complete medical history Speak quickly and be brief Only report life threatening conditions Maintain a clear and steady tone Correct ans - Maintain a clear and steady tone 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 Correct ans - Apply high concentration oxygen and transport rapidly A semi- conscious trauma pt with a suspected cervical spine injury has a significant amount of blood in her mouth. You should Perform jaw thrust 6 [Date] Fully immobilize the pt Suction using a rigid catheter Insert an OPA Correct ans - Suction using a rigid catheter The best treatment for a pt exposed to an absorbed poison is to Remove the poison from the skin Administer activated charcoal "Neutralize" the poison with vinegar Apply a tourniquet Correct ans - Remove the poison from the skin Signs and symptoms of early hypoperfusion can include Decreased blood pressure Bradycardia Anxiousness Unresponsiveness Correct ans - Decreased blood pressure The following pts are all complaining of shortness of breath. Which of the following 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% Correct ans - 23 year old asthmatic female exposed to cold temperature: SpO2 90% 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 nine hours. 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 Correct ans - Hyperventilation You just assisted a mother delivering a baby who is blue and flaccid. You should 7 [Date] Position and warm him Apply blow by oxygen Perform tactile stimulation Ventilate by BVM Correct ans - Ventilate by BVM A pt is pulseless and apneic. You should Contact medical control for permission to assist nitroglycerine Begin chest compressions and apply the automated external defibrillator Immediately apply the automated external defibrillator Open the airway, insert an OPA, begin ventilations Correct ans - Begin chest compressions and apply the automated external defibrillator 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 Correct ans - A 25 year old female who is acting inappropriately A 28 year old female pt with a history of asthma has stopped breathing. You initiate 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 Correct ans - 10 breaths per min An immobilization trauma patient starts vomiting en route to hospital. You should Use a yankauer catheter to suction vigorously Have your partner pull over and help you Turn the long spine board on its side Rapidly suction with a 12 french catheter Correct ans - Use a yankauer catheter to suction vigorously A trauma patient's injured limb is pale and pulseless. You should suspect An acute hypoxemia 10 [Date] Contact the closest hospital Correct ans - Contact a poison control center You should rapidly extricate a motor vehicle collision patient who is awake and complains of: Pain to both thighs with obvious deformity to his left ankle Bleeding from a laceration on his face and breathing at 24/min A fractured left forearm and a rapid pulse Numbness to lower extremities and abnormal respirations Correct ans - Numbness to lower extremities and abnormal respirations A three year old exhibits inspiratory stridor, fever, and agitation. You should Transport immediately Hold him in a seated position Visualize the airway and remove and obstruction Apply high flow oxygen Correct ans - Transport immediately While transporting an oxygen dependent pt on 4 lpm oxygen, his respiratory rate decreases to 8 breaths per min. You should Ventilation via bvm and continue to transport Ensure that his oxygen cylinder has adequate pressure Recheck the pt vital signs Apply a non rebreather mask and increases oxygen to 15lpm Correct ans - Ventilation via bvm and continue to transport 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 bandage Plastic bag Trauma dressing Moist gauze Correct ans - Plastic bag An unresponsive pt is lying on the ground next to the ladder. You notice a bone sticking out of his left arm. You should Apply direct pressure to the arm Open his airway with a jaw thrust Give high flow oxygen Check for pulse in his left arm Correct ans - Open his airway with a jaw thrust 11 [Date] A pt develops a sudden onset of chest discomfort and shortness of breath while 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 transport Assist the pt taking his nitro Move the patient into the shade and begid cooling measures Correct ans - Assist the pt with his epinephrine auto injector You are transporting a pt with chest discomfort. En route he becomes unresponsive. What is the most appropriate action? Confirm pulselessness, start cpr, apply AED, stop vehicle and shock if necessary Stop vehicle, confirm pulselessness, apply an AED and shock if necessary Confirm pulselessness, apply an AED, advise partner to drive vehicle Start CPR while you assess for pulselessness, then apply AED and shock necessary Correct ans - Confirm pulselessness, start cpr, apply AED, stop vehicle and shock if necessary A 64 year old pt is pale, complains of shortness of breath, and has pedal edema. You should Transport pt sitting up, obtain baseline vitals, and assist pt with prescribed nitro Transport patient with feet elevated, obtain baseline vitals, and contact medical control Listen to the lung sounds, transport pt sitting up, and contact medical control Obtain baseline vitals and assist pt with prescribed nitro Correct ans - Listen to the lung sounds, transport pt sitting up, and contact medical control As you arrive on the scene of a water treatment plant, you notice a large cloud 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 Correct ans - Maintain a safe distance You have repeatedly attempted to ventilate an infant who is choking on a penny. The chest is not rising. You should: Administer chest compressions Insert an oral airway and reattempt Apply an automatic external defibrillator 12 [Date] Perform abdominal thrust Correct ans - Perform abdominal thrust A four year old male with complete foreign body airway obstruction becomes 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 sweep Perform five abdominal thrust and reassess Deliver 5 back blows and five chest thrust Correct ans - Reposition his head a reattempt ventilations 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 legs Perform a detailed assessment on scene Take patient to the closest hospital Transport to a level 1 trauma center Correct ans - Transport to a level 1 trauma center 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 chest Ask your partner to assist you with the heimlich maneuver Administer multiple back blows and quickly sweep the mouth Correct ans - Ask your partner to assist you with the heimlich maneuver American heart association studies show improved survival to discharge rates with the use of what kind of early cardiac arrest treatment? Advanced airway management Induced hypothermia Transport Chest compressions Correct ans - Chest compressions 25 year old male asthmatic is short of breath. He has audible wheezes. Vital signs are BP 132/80, P 132, R 24, SpO2 96%. You should: Ventilate using the bag-valve mask 15 [Date] An increase blood pressure Drowsiness Tremors Correct ans - Headache 74 year old female may be having a stroke. Which of the following would support 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 Correct ans - She presents with left-sided facial droop How often should you trend a stable patient's condition? Every 10 minutes Every 5 minutes Every 15 minutes Every 20 minutes Correct ans - Every 15 minutes What should you do before defibrillating a patient who has a nitroglycerin patch? Remove the patch Contact medical control Defibrillate directly on top of the patch Place medical tape over the patch Correct ans - Remove the patch A patient is experiencing labor pains. She states she needs to move her bowels. You should suspect that? The bowel movement would slow labor The placenta has separated from the uterus Delivery will be delayed Delivery will occur soon Correct ans - Delivery will occur soon 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, and she has not had to change his diaper very often. You should suspect: Child abuse Meningitis Dehydration 16 [Date] Blood loss Correct ans - Dehydration How should you preserve potential crime scene evidence on clothing that is removed from a patient? Place items in a large paper bag Have a witness verify the condition of all removed clothing Place items in a sealed plastic bag Document the condition of all removed clothing. Correct ans - Place items in a large paper bag Your patient complains of a headache. You notice his right cheek is sagging and his left arm is hanging limp at his side. What should you do? Administer aspirin and nitroglycerin Perform a prehospital stroke scale Ask if the patient takes medications Administer one tube of oral glucose Correct ans - Perform a prehospital stroke scale A six year old female reportedly fell off her bed. You note burns to the girls back and bruises of different colors on her legs. You should: Document the physical findings with a photograph Report suspected abuse to the hospital Request social services intervention Interview the child asking for specific locations of her parents during the events Correct ans - Report suspected abuse to the hospital Two minutes after administration of a prescribed bronchodilator your patient becomes increasingly shaky. You should: Immediately contact medical control to report the patient's response Document your patient's response to the medication Assist the patient with another dose of the medication Continue to reassess the patient every 5 minutes Correct ans - Continue to reassess the patient every 5 minutes A patient was involved in a motor vehicle crash. She is still in her car when you arrive and complains of neck stiffness. Your partner tells you that he notices clear, colorless liquid pooling beneath the vehicle and smoke. You should: Identify the liquid Apply spinal precautions and gently extricate the patient 17 [Date] Conduct a rapid trauma assessment and move the patient Rapidly extricate the patient Correct ans - Conduct a rapid trauma assessment and move the patient Patient from a motor vehicle crash is refusing care. Which of the following is most important to document Any history of recent trauma Advisement of transportation Actions of law enforcement Damage to the vehicles Correct ans - Advisement of transportation A 72 year old man was found lying on a golf course. He is drooling, has a bloody lip, and has burns on his feet. He is confused and none of the bystanders know him. You should suspect the patient: Suffers from epilepsy Is having an psychotic episode Was hit by lighting Is a victim of elder abuse Correct ans - Was hit by lighting You are called to a restaurant where a 62 year old male patient is clutching his chest. When asked if he can breath he shakes his head "no" what should you do? Perform a series of abdominal thrust Perform a blind finger sweep Begin cardiopulmonary resuscitation Apply oxygen and assess his pulse Correct ans - Perform a series of abdominal thrust A newborn is limp, cyanotic, and breathing slowly. She does not respond to suctioning, drying, and stimulation. You should: Ventilate with a BVM Vigorously rub the baby's back Apply oxygen Begin chest compressions Correct ans - Ventilate with a BVM A CPR patient has a complete tracheostomy. You should: Administer oxygen via pediatric non-rebreather mask over the tracheostomy Perform CPR as normal Ventilate the patient through the tracheostomy via BVM 20 [Date] Pneumonia Correct ans - Emphysema An adult is breathing at a rate of 6 breaths per minute. You should Ventilate the patient via BVM Monitor vital signs and Sp02 level Apply high concentration oxygen via non-rebreather mask Assess lung sounds and perfusion Correct ans - Ventilate the patient via BVM A 23 year old has been getting gradually more disoriented and nauseous. HE is thirsty and complaining of abdominal pain. Vital signs are BP 130/90, P 110, R 24. You should suspect Drug overdose Food poisoning Influenza Hyperglycemia Correct ans - Hyperglycemia A 13 year old male has a pencil impaled in his upper arm. You detect no radial pulse. You should Reposition the arm to return pulse Stabilize the pencil with a bulky dressing Apply a tourniquet Remove the pencil Correct ans - Reposition the arm to return pulse Your patient was eating when he suddenly grasped his throat. He cannot speak or cough. You should suspect Laryngeal spasms An allergic reaction Acute myocardial infarction Foreign body obstruction Correct ans - Foreign body obstruction Which method would be most appropriate when restraining a violent patient? Immobilize the violent patient using a vest device with a backboard Strap the patient in the supine position to the cot using cravats Restrain the patient's arms behind the back to protect the rescuer Use law enforcement handcuffs to secure the patient's arms to the cot Correct ans - Strap the patient in the supine position to the cot using cravats You have properly places defibrillation pads on a patient with a hair chest. 21 [Date] The automated defibrillator is continuing to advise: "attach pads." you should Turn the machine off and back on again Reposition the pads in the patient's chest Remove current pads and apply new ones Continue chest compressions and transport Correct ans - Remove current pads and apply new ones A 45 year old female complains of chest pain. She is attempting to pull off the non-rebreather mask that Emergency Medical Responders placed on her. Vital signs are BP 130/80, P 118, R 24,Sp02 92%. What should you do? Use a nasal cannula Explain the danger of acute myocardial infarction Assist ventilations Demonstrate wearing the mask on yourself Correct ans - Use a nasal cannula A man in a diner suddenly began gasping and coughing violently while eating. He is now silent and his lips appear blue. You should Immediately suction the oropharynx Perform back blows and encourage coughing Perform abdominal thrust Perform a blind finger sweep Correct ans - Perform abdominal thrust A 46 year old male is complaining of chest pain. You should Immediately transport Assist the pt in taking his nitro Obtain a history of present illness Apply oxygen and obtain baseline vital signs Correct ans - Apply oxygen and obtain baseline vital signs A marble has completely obstructed your four year olds patients airway. You should immediately Perform a finger sweep Administer five back blows Perform abdominal thrusts Suction the airway Correct ans - Perform abdominal thrusts 22 [Date] A 78 year old female was found in her pajamas on the kitchen floor. It is a cold morning and no one has heard from her for 24 hours. You find her daughter performing cpr. You should. Assess the quality of compressions Continue CPR for 5 min Attach the AED pads Auscultate heart tones Correct ans - Attach the AED pads You are unable to insert a nasal airway in the right nare of a patient with an altered mental status. You should Use a smaller nasal airway Abort the procedure Attempt insertion in the left nare Attempt to insert an oral airway Correct ans - Attempt insertion in the left nare A two year old patient is in respiratory distress. You detect wheezing respirations. You should suspect A foreign body obstruction Mucus fluid in the airway Croup An asthma attack Correct ans - An asthma attack An 86 year old male has a laceration on his forehead and complains of chest pain. He states that he fell and hit his head. Which of the following questions should you ask? "Do you take any medications?" "What happened just before you fell?" "Does your head hurt worse than your chest?" "Have you had chest pain before?" Correct ans - "What happened just before you fell?" While you are palpating the abdomen of a patient with abdominal pain, he tells you that he cannot breath. What should you do? Determine if the dyspnea worsens with the palpation Tell the patient to take several deep and slow breaths Reassess the patient's vital signs Reassess the patient's airway Correct ans - Reassess the patient's airway While attempting to ventilate your apneic patient, her chest does not rise. You should Insert an oropharyngeal airway. 25 [Date] Padding under the head of the child Placing the head in a neutral position Correct ans - Placing their head in an extended position 26 year old male complains of neck pain after being rear-ended at intersection. There is no damage to the vehicle, and the driver of the second vehicle says her speedometer read two miles an hour at the moment of impact. You should: Request that a police officer come to document the incident Ask the patient if he can move on his own Enter the backseat of the vehicle to stabilize the c-spine Remove the patient to a long-board and transport to the hospital Correct ans - Enter the backseat of the vehicle to stabilize the c-spine A 35 year old female who is 3 months pregnant has twisted her knee while walking. She is in extreme pain. You should Splint using board splints and cravats, transport sitting Splint with stretcher and straps, transport the patient on her left side Apply a traction splint and immobilized with a long spine board Hold manual stabilization until she gets to the hospital, transport on left side Correct ans - Splint using board splints and cravats, transport sitting The most effective way to control the spread of infection disease is to Avoid contact with all bodily fluids Wear gloves with all patients Wear a face shield on all calls Exercise good hand washing technique Correct ans - Exercise good hand washing technique A bystander from a train derailment wanders into your treatment area. He has an altered mental status, is covered in a green film, and states he cannot catch his breath. You should Check baseline vital signs Transport immediately to the hospital for decontamination Request the hazmat team for decontamination Administer high flow oxygen Correct ans - Request the hazmat team for decontamination An 89 year old female with a history of smoking is anxious and complaining of dyspnea. Upon examination, you find she has pedal edema. She is coughing up pink frothy sputum. What should you suspect? 26 [Date] Acute myocardial infarction Chronic bronchitis Complication of emphysema Congestive heart failure Correct ans - Congestive heart failure You arrive on the scene of a patient in respiratory distress. The patient is thin and barrel-chested, with rhonchi and wheezing. He also exhibits purse lips and intercostal retraction. You should suspect his currently respiratory distress is caused by Emphysema Asthma CHF Bronchitis Correct ans - Emphysema An intoxicated patient responds to voice by moaning. You note vomit in his mouth. You should Turn the patient on his side Sweep the mouth Insert an oral airway Assess for breathing Correct ans - Turn the patient on his side You are on the scene of a stabbing when an unresponsive 25 year old male is bleeding severely. The assailant returns to the scene and is holding a knife. You should Retreat to a safe area Pull the patient to safety Ask the assailant to drop the knife Call law enforcement Correct ans - Retreat to a safe area Agonal respirations are characteristic of breathing seen in Allergic reaction Severe diabetic emergencies Impending respiratory arrest Emotionally disturbed patients Correct ans - Impending respiratory arrest An unconscious patient was found lying supine in a parking lot. You note a large bruise on a his upper- right abdominal quadrant. You should carefully monitor your patient for signs of Hypothermia Low blood sugar 27 [Date] Infection Hypoperfusion Correct ans - Hypoperfusion A seven year old child has been ejected from a vehicle. You should Immobilize a long-spine board Request consent to treat Attempt to locate his parents Perform a rapid trauma assessment Correct ans - Perform a rapid trauma assessment Signs and symptoms of a nontraumatic brain injury may be similar to those of A burst eardrum Shock Spinal injury hypoglycemia Correct ans - hypoglycemia 23 year old male was in an motor vehicle crash and has an open abdominal injury with a protruding bowel. You should. Apply the PASG Apply a three-sided occlusive dressing Cover the bowel with moist dressings Cover the bowel with dry sterile gauze Correct ans - Cover the bowel with moist dressings An unresponsive child with facial trauma requires airway management. You should. Insert a nasal cannula Suction the airway Apply cervical collar Insert an oropharyngeal airway Correct ans - Suction the airway There are 12 survivors from a bridge collapse. They are ready for transportation to the hospital. Who will notify hospitals and coordinate patient allocations to those facilities? Transport officer Incident commander Staging officer Triage officer Correct ans - Incident commander A 64 year old diabetic is hypotensive during dialysis treatment. The most likely cause of his condition is 30 [Date] A spike in temperature An epileptic seizure Correct ans - And epileptic seizure Which of the following marks the difference between preeclampsia and eclampsia? A head ache The onset of seizure Peripheral edema A bp of 220/140 Correct ans - The onset of seizure A 25 year old prisoner complains of difficulty breathing, chills, and cough. You should suspect Influenza Pneumonia Hiv Tuberculosis Correct ans - Pneumonia You have assisted a pt in self administering her epinephrine auto injector. You should expect Decreases heart rate Increased mucus production Decreased blood pressure Increased respiratory depth Correct ans - Decreased blood pressure A 55 year old male has just self administered his epipen. He now complains of chest tightness and shortness of breath. He believes that his tongue is swelling. Vital signs are BP 136/80, p 130, r 22. What should you do Transport rapidly and monitor vital signs Reassess skin and temp in five min Assist him in administering a second epi Obtain a complete history and physical exam Correct ans - Transport rapidly and monitor vital signs A man inhaled poison. After opening his airway, you should Administer activated charcoal Transport him to the nearest hospital Apply high concentrated oxygen 31 [Date] Contact medical control Correct ans - Apply high concentrated oxygen A 16 year old male walked up to you after falling while rollerblading. He is agitated and states his hands and tongue are tingling. He takes fluoxetine. The most likely cause of his symptoms is Hypoxia An anxiety disorder A traumatic brain injury A spinal cord Correct ans - An anxiety disorder A 64 year old man suddenly became pulseless and apneic while watching tv. His wife informs you that he recently had bypass surgery. You should Perform CPR as with any other pt Perform CPR without chest compressions Call medical control before conducting CPR Contact the operating surgeon immediately Correct ans - Perform CPR as with any other pt A 45 year old male weighing 130 kg is having chest pain. He is on the fifth floor of an apartment building and the elevator is too small for your stretcher. You should move the pt by Performing a fore-and-aft carry Using a Bradford cot Having the pt walk Using the stair chair Correct ans - Using the stair chair A patient has hives, watering eyes, and mild wheezing. Vital signs are BP 102/60 P 110 and r 22. Which treatment should you provide during the initial assessment? Elevate the pt legs Administer high flow oxygen via bvm Manage the patient's airway Assist with the patients epinephrine auto injector Correct ans - Assist with the patients epinephrine auto injector A 57 year old male is hemorrhaging after cutting off three fingers eit a power saw. A fourth finger was partially detached. You should Apply immediate pressure to the brachial artery Realign the partially detached fourth finger Apply direct pressure over the injured fingers 32 [Date] Rap the fingers in plastic and place directly on ice Correct ans - Apply direct pressure over the injured fingers A motorcyclist is conscious after being stuck by an automobile. His full face helmet is still in place. Which of the following is an indication for removing the helmet? The helmet is preventing you from assessing his face The helmet is damaged and the visor is no longer present The cervical immobilizer cushions will not fit properly Law enforcement requests that you remove the helmet Correct ans - The helmet is preventing you from assessing his face What is the most common error made while using an AED? Touching the pt during analysis Applying to a dead pt Misinterpreting the rhythm Applying the pads improperly Correct ans - Applying the pads improperly A patient hands you a lethargic 22 month old male and states "he had a congested cough". He has sternal retractions and his belly and chest move in opposite directions With each breath. He is breathing at a rate of 64. You should suspect Complete airway compromise Cardiac insufficiency Hyperventilation Respiratory distress Correct ans - Respiratory distress You have just transported a pt who is HIV positive. The dispatcher orders you to clear rapidly because another call is waiting. Before taking that call, you should, Disinfect your stretcher and replace the linen Complete and inventory and restock supplies Advise your dispatcher you are out of service Completely clean and disinfect you ambulance Correct ans - Disinfect your stretcher and replace the linen A six year old pt has retractions and a history of asthma. He is unable to hold his head up. You should Administer oxygen via non rebreather mask at 15lpm Contact medical control before assisting with prescribed inhaler 35 [Date] A 45 year old woman whose pelvis and legs were pinned by a fallen tree for 30 min A 14 year old girl in cardiac arrest with multisystem trauma 18 year old man who struck his head while driving into a pool 53 year old man who was kicked in the chest by a horse and complains od dyspnea Correct ans - A 45 year old woman whose pelvis and legs were pinned by a fallen tree for 30 min An alert and oriented adult complaining of chest pain refuses transport against medical advice. You should Accept his right to refuse care and leave the scene Contact law enforcement for assistance Ask the family to convince the pt to be transported Restrain the pt and transport him by ambulance Correct ans - Ask the family to convince the pt to be transported A pt has a history of type one diabetes. Which of the following questions is most helpful for immediate treatment in the field? "When did you last eat?" "What type of oral hypoglycemic medication do you take?" "Are you feeling alert?" "What type of insulin do you take?" Correct ans - "When did you last eat?" Which of the following is a SYMPTOM that is often associated with a heart attack? High fever Arm pain Abnormal heart tones Leg cramp Correct ans - Arm pain An adult trauma patient has gurgling sounds during respirations. You should Complete spinal immobilization and suction Log roll patient to the side and suction Turn patient's head to the side and suction Ventilate the patient with a BVM Correct ans - Log roll patient to the side and suction A 54 year old male was playing basketball when he developed a crushing pain with associated shortness of breath. He sat down and his symptoms went away five minutes later. These symptoms best describe. 36 [Date] Myocardial infarction Fractured rib Cardiogenic shock Angina pectoris Correct ans - Angina pectoris A 52 year old male was unconscious after rolling his tractor. You notice an open knee fracture. His vital signs are BP 118/66 P 96, R20. You should Rapidly extricate with a cervical collar Splint the knee and extricate to a long board Assess distal pulses and apply sterile dressing Remove him using a short spine board Correct ans - Splint the knee and extricate to a long board A patient has a closed head injury with the following signs and symptoms; altered mental status, increasing blood pressure, decreased pulse and unequal pupils. These symptoms are consistent with Decompensated hemorrhagic shock Blowout orbital fracture Increased intracranial pressure Basilar skull fracture Correct ans - Increased intracranial pressure An 80 year old male complains of shortness of breath. Vitals signs are BP 156/88, P 132, R 24, with crackles, Spo2 93%. You should Obtain a complete SAMPLE history Perform a detailed assessment of the chest Assis the patient with his prescribed inhaler Administer oxygen by non-rebreather mask Correct ans - Obtain a complete SAMPLE history A two year old child is in respiratory arrest. You should be prepared for Cyanosis Cardiac arrest Bronchospasms Seizures Correct ans - Cyanosis You are a transport unit at an MCI. The Fire department brings a patient to your ambulance. What is your first priority? Baseline vital signs 37 [Date] Airway Universal precations Breathing Correct ans - Airway A 92 year old female fell in the bathroom. She has large hematomas on the bridge of her nose and the side of her head. First responders report vital signs of BP 90/43, P 62, R 12. She is alert and denies neck pain or tenderness. Before transport, you should Obtain vital signs and review important finding with first responders Suction the airway and assist ventilations with oxygen via BVM Immobilize the patient with a C-collar and long spine board Perform a detailed physical exam and bandage her head Correct ans - Immobilize the patient with a C-collar and long spine board When you palpate a pulse you are feeling the Relaxation of both ventricles Relaxation of the atria Contraction of the left atrium Contraction of the left ventricle Correct ans - Contraction of the left ventricle In case of bee stings, you should Carefully cleanse the site of the sting Remove the stinger using tweezers Remove the stingers by gently scraping with the edge of a card Call medical control for orders to administer benadryl Correct ans - Remove the stingers by gently scraping with the edge of a card A patient was covered with a diluted bleach solution while washing the walls of the school gym. You should Rapidly transport and begin decontamination Instruct the patient to remove his clothing Leave the scene and return with protective equipment Have your partner call the hazmat team Correct ans - Instruct the patient to remove his clothing A man, sitting outside, was stung by a bee while drinking a soda. When you arrive, he is pale and complains of abdominal pain. Vital signs are BP 90/60, P110, R24 and wheezing. You should Begin treatment on-scene