FISDAP EMT READINESS EXAM 4 QUESTIONS WITH COMPLETE VERIFIED SOLUTIONS 2024/2025, Exams of Nursing

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FISDAP EMT READINESS EXAM 4 QUESTIONS

WITH COMPLETE VERIFIED SOLUTIONS

2024/

92 year old female complains of a headache and trouble breathing. She is on home O2. What is the most important question you should ask When did SOB Start 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 start chest compressions Which cardiac rhythm will an AED most likely prompt you to shock? 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 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 hypotension A 10 month old female is choking. You should perform 5 back blows A 53 year old male complains of nausea and a headache. Which of the following statements is most significant? 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? 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 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? 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 perform an emergency extrication A 23 year old female is 30 weeks pregnant and complains of abdominal cramps. She tells you that she has had normal prenatal health care and no vaginal discharge. Vital signs are BP 102/74, P 112, R 22 and labored. You should administer oxygen Your EMS base displays a " Free Blood Pressure Check" sign on the window. This is an example ofa. community community relations A 19 year old female was sexually assaulted and is bleeding from her vagina. You should place a sanitary pad over the vaginal opening While ventilating a 12 year old female with a pocket mask, you are unable to see chest rise. You should reopen the airway A confused 22 year old male has a weak pulse of 122 and distended abdomen. His skin is pale, cool, and clammy. What is the most likely cause? internal bleeding A 45 year old female is 34 weeks pregnant. She complains of a severe headache, sensitivity to light, and swollen feet. Vital signs are BP 130/88, P 104, R 24. What should you suspect? pre-eclampsia While triaging during a mass casualty incident you find an unresponsive and apenic female wiath an open head injury. What color triage tag should you assign her? black A 15 day old female neonate is unresponsive. Vital signs are P 55 and R 58. You should chest compressions You are ventilating a 30 year old male with a BVM. After several minutes of ventilation, he becomes cyanotic and there is no chest rise. You should

reposition the airway and ventilate again A 53 year old male with a history of coronary artery disease had a sudden onset of tearing abdominal pain that radiated to his back. he is ashen and diaphoretic. He states that he needs to use the toilet. Vital signs are BP 110/70, P 100, R 20. You should explain the need for immediate transport A newborn is apneic immediately after delivery. You should stimulate the baby by rubbing vigorously An unresponsive42 year old male is not breathing. He has a medical alert bracelet that identifies him as diabetic. You should check for a pulse A 62 year old male with a history of COPD ran out of his home oxygen. He is short of breath and has a dry, nonreproductive cough with clear lung sounds. What should you suspect? emphysema A 19 year old female is postictal following a 10 minute tonic-clonic seizure. She has snoring respirations. What should you do? insert an OPA Which of the following is a contraindication for nitroglycerin administration? recent use of erectile dysfunction medication A 62 year year old male is in cardiac arrest at a restaurant. After beginning chest compressions, his daughter tells you that he has terminal lung cancer, and she ask you to stop resuscitation efforts. What should you do? ask about a DNR while continuing resuscitation efforts A 7 year old male is in cardiac arrest after choking on a bite chicken. Upon your arrival, you note effective CPR is in progress. You should immediately apply AED A 3 year old female is sitting very still on her father's lap. She is drooling and her father states that she will not eat or drink. What should you suspect? A 3 year old female is sitting very still on her father's lap. She is drooling and her father states that she will not eat or drink. What should you suspect? A 6 year old male has a deep laceration to his lower leg with dark red, oozing blood. Vital signs are BP 108/70, P 124,R 20. You should apply direct pressure A 450 lb patient has a 6-inch laceration two hands right upper arm and a fractured left ankle. He is on the third floor of in apartment building. You should apply a pressure dressing to the arm

A 56 year old male complains of increasing shortness of breath. He is confused and speaking in 2 words sentences. He has pedal edema and jugular vein distention with a productive cough. Vital signs are BP 168/94, P 88 and irregular, R 28 with crackles, Spo2 76%. What should you do? apply high-flow oxygen by non-rebreather mask When using the ambulance siren, you should consider that motorists will not hear it An 88 year old female in hospice care is pulseless and apneic with dependent lividity. Her son says "She died 2 hours ago after I gave her a large dose of pain medication." What should you do? notify law enforcement While assisting in delivery of a newborn patient, you notice the amniotic sac is still intact. You should tear the amniotic sac While performing a primary assessment of a 32 year old female, she complains of a rapid heartbeat. What should you do? obtain base line vitals A 12 year old male is prone in a shallow bathtub the water. He is pulseless and apneic. What should you do? start chest compressions You arrive at a factory and see lots of people coughing as we evacuate the building. You should call for additional resources and look for you triage sites that is upwind from the factory A 33 year old female has been "down" for an unknown period of time and is pulseless after contact with a portable welder. You should begin compressions A 52 year old female complains of severe abdominal pain, distention, and black stools. Vital signs are BP 92/40, P 115, R 20. What should you suspect? upper intestinal bleeding A 46 year old female complains of swollen feet, orthopnea, and shortness of breath with exertion for the last 2 days. What is the most likely cause? heart failure An unconscious 42 year old male is apneic. Bystanders tell you that the patient suddenly grabbed his throat while eating and then collapsed to the ground. You should start chest compressions A 78 year old male tells you, " I feel sick and can't walk." His bed is dirty with urine and feces. He requests that you transport him to the hospitol, but his daughter does not want him transported. You should transport him to the hospital

Immediately after the delivery of a vigorous newborn, you shoulda. place the newborn level with the placenta suction the oropharynx with a bulb syringe A 56 year old female complains of shortness of breath with a cough producing thick mucus. She is in tripod position and has a barrel chest. Her lung sounds are diminished with respiratory rate of 24. What should you suspcet? chronic bronchitis A 4 year old was the restrained front seat passenger in a car crash with air deployment. He has chemical burns to his face and is having trouble breathing. You should perform rapid extracation An 18 year old male overdosed on an unknown medicaton and has a respiratory rate of 8. You insertes an OPA, and he had gag reflex. You should insert a NPA An unresponsive 22 year old male is breathing 6 times per minute after crashing his motorcycle a highway speeds. You should begin ventilating him with a BVM A 55 year old female fell and struck her head. She now complains of a headache. Which statement is most concerning? "I think I blacked out." A 23 year old female is 38 weeks pregnant with her third child. Her contractions are 2 minutes apart and 1 minute each. She tells you that she needs to go to the bathroom. You should prepare for immediate delivery A 29 year old female has just delivered a newborn and she is still bleeding heavily. You should massage the fundus What is appropriate to say to a suicidal patient? " Let's bring you to the hospital." A 51 year old male is unresponsive with agonal respirations. You should check for a pulse A 59 year old male complains of dizziness and crushing chest pain. He is pale and cool. You should assist him in self-adiminstering his prescribed nirtoglycerin Which of the following patients has the right to refuse treatment and transport? A 52 year old male with tightness of chest and wheezes A 19 year old female is found by her friend staring blankly at the wall. She is awake, but slow to answer questions. What is the most likely cause? seizure

A 58 year old female has a fever with chills. Lung sounds reveal rales and rhonchi in the lower right lung field. What should you suspect? pneumonia A 66 year old female has regained a pulse after one shock with an AED. She is moving her extremities and has a respiratory rate of 8. The AED propmts you. "Shock advised." You should assist vent A 68 year old male was found unresponsive 5 minutes ago. There is no spontaneous respiratory effort. You should perform a carotid pulse check for 5-10 second A 19 year old female is unresponsive after overdosing on heroin. She is supine on the ground with gurguling respiration and vomit next to her head. You should open her mouth and suction her airway Which of the following should cause you to suspect pulmonary edema? crackles A 56 year old male had car battery acid splashed in his eyes. You should irrigate his eyes You are driving emergent with lights and siren. When approaching with a green light, you should proceed through the intersection with due regard When is it appropriate to insert your gloved fingers into vagina? To relieve pressure off the umbilical cord A 15 year old male was struck in the face by falling tree branch. He was knocked to the ground, and is now alert and repeatedly complains of a headache when lying down. Vital signs are BP 140/90, P 100, R 16. You should begin spinal immobilization A 36 year old male complains of nausea, vomiting, and abdominal pain. He is homeless and admits to chronic alcohol use. Vital signs are BP 92/54, P 122, R 18. You should suspect pancreatitis An unresponsive 19 year old female is supine on a bed next to several empty beer cans, and her 3 year old son is running around the house. Vital signs are BP 80/40, P 110, R 6 and shallow. You should transport the woman and her son to the hospital Which of the following groups of signs and symptoms most correctly suggests an opioid overdose? hypoventilation, pinpoint pupils, and hypotension An 87 year old male has methicillin-resistant staphylococcus aureus and he has several open lesions on his chest. His lungs are clear to auscultation but he coughs regularly. What should you do to prevent the spread of this infection?

report the exposure to your supervisor What is a system of internal and external reviews called? quality improvement A 23 year old female had a seizure prior to your arrival. During your primary survey, she starts to have another seizure. You should ensure an open airway and adequate breathing A 15 year old male I having an allergic reaction. Which of the following should concern you the most? throat swelling In which zone should you triage patients during a hazardous materials emergency? cold How many liters pe minute of oxygen is required for a non-rebreather mask? 10 A 20 year old male complains of a sudden onset of shortness of breath and chest pain. His lung sounds are diminished on the right side. He denies trauma and past medical history. You should suspect spontaneous pneumothorax While performing a primary survey on a suicidal 35 year old male, he becomes verbally abusive. You should calmly attempt to deescalate him A 6 year old female is crying in the back seat of a vehicle after a car crash. A downes utility line is on top of the vehicle. You should contact dispatch for additional resources An 18 year old female with sickle cell anemia complains of stomach pain and upper leg pain. Vital signs ar BP 130/66, P 96 , R 14. You should apply oxygen and transport her in a position of comfort While gathering a patient's medical history, you find a mixture of current and expired medications. What should you do about the expired medications? take the expired medications to the hospital A 2 year old male had a seizure following the onset of a high fever. What should you recommend to his parents? transport him to the hospital An alert 65 year old male has a suspected myocardial infarction and is refusing transport. He tells you it's indigestion and wants to stay home with is wife. You should attempt to convince him to go to the hospital A febrile 24 year old female complains of periumbilical pain that radiates to her right lower quadrant. What should you suspect?

appendicititis An 8 year old male was hit by a car and is unresponsive. He has ecchymosis to his left upper quadrant. You should suspect splenic injury A 45 year old female has a frostbite on both feet. Your transport time is 20 minutes. You should re-warm her feet with blankets A circumferential burn from the elbow to the wrist is approximately what percentage of total body surface area?

A 40 year old male has an open ankle fracture that's actively bleeding. Which of the following precautions should you take? gloves, googles, and surgical mask What organ is reponsible for the exchange of oxygen, food, and waste between a mother and fetus? placenta A 16 year old male tripped and landed on his elbow. His elbow is swollen with obvious deformity, and he is screaming in pain. You should splint his arm in the position found A 56 year old female complains of chest pain that is unrelieved with 3 of her own nitroglycerin tables. She is having trouble breathing and is speaking in only 2-3 word sentences. You should provide supplemental oxygen A 50 year old female tells you. " I'm having the worst headache of my life," and that the headache began suddenly, 20 minutes ago. Vital signs are BP 180/90, P 56, R 20. What should you suspect? subarachnoid hemorrhage A 22 year old male was kicked in the chest by a horse. He has distended neck veins and tracheal deviation. What should you suspect? cardiac tamponade A patient amputated her index finger in a table saw accident. You should wrap the finger in gauze, put it in a plastic bag, and keep it cool You resuscitated a 53 year old male with an AED on scene. During transport, he becomes pulseless again. What should you do? Perform chest compression and stop the ambulance A 36 year old female complains of a headache, slurred speech, and weakness in her left hand. What is the most important question to ask her? " When did these symptoms start?"

A 36 year old female complains of a fever and lower abdominal pain that moves to her lower back when she walks. She also mentions that she's had abnormal vaginal discharge for the last 2 days. Vital signs are BP 144/88, P 98, R 16. You should suspect pelivc inflammatory disease Air Medical Landing Zone 100 x 100 Pencil stuck in cheek and bleeding stopped stabilize it A 19 year old Female jaw is clenched following a 5 min tonic clonic seizure. She is cyanotic and has gurgling respirations. What should you do? Insert NPA and suction 42 yo is apneic suddenly grabbed throat while eating and collapse. You should. Compressions an unconscious pt has a partially amputated foot. You should Control bleeding A 25-year-old stabbed in the chest occlusive dressing was applied prior to arrival Vital signs are 90/62 pulse 122 respiration 28 and labor you should Lift one side of the occlusive dressing 28 year old 31 weeks prego falls in shower. Severe abdominal pain, bright red vaginal bleeding. Suspect abruption placenta 76 Year old female with fever, cough w/green sputum for 3 days. Lung sounds Rhonchi Pneumonia Unresponsive 22 year old is breathing 6/min after motorcycle crash Begin ventilation with BVM / 54 year old female drank bleach to kill herself. call Poison control Patient has been shot in the chest after cutting off the patient's blood soaked shirt you should place it in Brown paper bag A 35 year old has shortness of breath after being shot in abdomen and legs. Vital signs are P 122 R 24 and labored Apply 02 by non rebreather A 70 year old male complains of shortness of breath he tells you "I woke up and felt like I was drowning." He has recently been sleeping with extra pillows under his head. Vital signs are BP 166/80, P 98 and irregular, R 24, SpO2 86%. What should you suspect? Left side heart failure

what is the normal breathing rate for a 6 year old? 18 - 30 An unconscious 28 year old male has a puncture wound in his left forearm. You also see multiple scars on the backs of both his hands. What type of overdose should you suspect? Narcotic od A 42 year old was stung by a bee on his left hand and finger are red and swollen, he tells you that he is allergic to bee stings. Vitals are Bp 112/76 P90 R16 you should? Scrape stinger Appropriate to say to suicidal patient Let's bring you to the hospital A 23 year old male has a penetrating wound to his right upper chest with a small amount of bubbling blood. He is alert, pale, and diaphoretic. Vital signs are BP 122/82, P 112, R 24. You should? Apply an occlusive dressing A 24-year-old female is 32 weeks pregnant she tells you that she feels weak and has been vomiting for the past three days she also tells you that she is scared to go to the hospital in the ambulance. Vital signs are 84/82 pulse is 110 respirations 16 SPO2 98 you should Monitor her vital signs and transport 55 year old female tells you "It feels like something is stuck in my throat and my voice sounds different." She is hot to the touch. Inspect her throat for a foreign body Baby/infant Grunting & Intercostal Retractions & Nasal Flaring Respiratory Distress 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 Suction Airway A 66 year old female complains of shortness of breath. You notice several tissues beside her that contain bloody sputum. You should 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 check distal pulse 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 ventilations with a bag valve mask Periumbilical pain radiates to Right Lower Quadrant Appendicitis After delivering a shock with an AED to an unresponsive 49 year old male you should

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? 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? Administer o 24 year old female complains of right lower quadrant abdominal pain that radiates to her back with slight vaginal bleeding Ruptured ovarian cyst What is the leading cause of bradycardia for pediatric patients Hypoxia 78 yo M says "Feel sick cant walk" wants to be transported but daughter doesn't want you to. Transport to hospital Unresponsive 3yo lying supine in a ditch. VS 60/40 P60 R8. you should? Assist ventilations 82 yo F mumbling and throwing clothes, nurse says she's diabetic. You should? Give oral glucose 19 yr F is posticial following 10 mins seizures has snoring respirations. You should? Insert OPA (jaw thrust was originally but) Complications with precipitous delivery Perineum tearing When lifting a stretcher into the ambulance using power grip, you should? Position hands 10 apart Previous ambulance crew failed to clean backboard properly. Dried blood under the edges Wash board with disinfectant 28 yo F has severe pain after slipping in the shower. 31 wks pregnant has bright red vaginal bleeding. Suspect? Abruption placenta Which the following will only occur in the 1st trimester of pregnancy? Ectopic pregnancy Newborn is apneic immediately after delivery Stimulate baby 56 yo M with severe pain after eating greasy food cholecystitis Request additional resources for which victim? (couldnt find all the options 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. Hypovolemic First step with a sexually assaulted patient? reassure the patient Are administering oral glucose to a known diabetic. What should you be most concerned about? 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? femur fracture A 35 year old male has a blood pressure of 126/62. What does the number 62 represent? diastolic A 36 year old male is ventilator-dependent. His caregiver called 911 because the ventilator's warning alarm was sounding. You should 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 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 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? plan A 72 year old female has a nose bleed after a fall. You should lean her forward When does crowning occur? when the head is visible Which of the following pregnancy complications is typically painless? placenta previa

• You are driving emergent with lights and siren. When approaching an intersection with a green light, you should drive with due regard A 45 year old male is hypothermic after spending the night camping outside. You should move to warm environment

Which of the following is an audible, high-pitched breath sound that usually results from a blockage of the smaller air passages? stridor

• A 32 year old female is 36 weeks pregnant. She is lying on the bathroom floor with two legs protruding from her vagina. What should you suspect? Breech birth
• A 20 year old female has a large contusion on her forearm that she states is from running into a doorknob. You notice she has several other bruises in various stages of healing and she consistently looks down while talking. What should you suspect? Domestic Abuse A 35 year old male spilled corrosive chemicals on his legs while cleaning an indoor swimming pool. He is dyspneic and has partial thickness burns to his legs. You should remove him from the pool area Which statistic about EMS calls would support a community's request to reduce the speed limit in their neighborhood? 15% of calls for car crashes have at least one victim dead on scene To correct an error during documentation, you should draw single line through error and initial While triaging during a mass casualty incident you find an unresponsive and apneic female with an open head injury. What color triage tag should you assign her? black A 56 year old female complains of shortness of breath with a cough producing thick mucus. She is in a tripod position and has a barrel chest.Her lung sounds are diminished with a respiratory rate of 24. What should you suspect? chronic bronchitis You are delivering a baby and the amniotic sac is still in place. You should? Tear amniotic sac 22 year old fem is choking.She is in her 3rd trimester of pregnancy she is standing up leaning over a chair drooling unable to speak or cough. You should? Perform chest thrust You arrive at the factory and see lots of people coughing as they evaluate the building you should? Triage upwind Which vessels carries oxygenated blood back to the heart? Pulmonary veins Pulmonary veins immediately after the delivery of vigorous newborn, you should.

Suction oropharynx with bulb A newborn head has just been delivered. You should? Inspect for meconium 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. Meningitis Bleeding from dialysis shunt you should 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? 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? Tell her daughter that she is only legally allowed to make decisions when her father is incapacitated