FISDAP FINAL EXAM 2 2024/2025 With 170 Questions And Correct Answers (100% Correct & Veri, Exams of Nursing

Download FISDAP FINAL EXAM 2 2024/2025 With 170 Questions And Correct Answers (100% Correct & Veri and more Exams Nursing in PDF only on Docsity! P ag e1 FISDAP FINAL EXAM 2 2024/2025 With 170 Questions And Correct Answers (100% Correct & Verified Answers) Latest Fisdap Final Exam Newest Version Of the following, which item is acceptable and productive to ask a 14 year old female in the presence of her parents - ANSWER History of childhood illness You are treating an 82-year-old female who is having difficulty breathing in a nursing home. Her only history is of a fever yesterday and frequent UTI. While listening to her chest you hear rhonchi and slight cradles in all fields. BP is 110/80 Pulse is 100 & regular RR- 30. Temp is 102F. Her jugular veins are flat and there is no pedal edema. She denies chest pain or pressure. What condition is most likely causing her symptoms - ANSWER Pneumonia You are treating an 82-year-old female who is having difficulty breathing in a nursing home. Her only history is of a fever yesterday and frequent UTI. While listening to her chest you hear rhonchi and slight cradles in all fields. BP is 110/80 Pulse is 100 & regular RR- 30. Temp is 102F. Her jugular veins are flat and there is no pedal edema. She denies chest pain or pressure. What will be your treatment? - ANSWER High flow oxygen, IV fluid bolus, & transport You are treating an 82-year-old female who is having difficulty breathing in a nursing home. Her only history is of a fever P ag e2 yesterday and frequent UTI. While listening to her chest you hear rhonchi and slight cradles in all fields. BP is 110/80 Pulse is 100 & regular RR- 30. Temp is 102F. Her jugular veins are flat and there is no pedal edema. She denies chest pain or pressure. After your initial treatment of the patient, she becomes unconscious. She is using accessory muscles to breath. How would you treat her next? - ANSWER Attempt insertion of an oral airway Which of the following is least likely to cause crackles - ANSWER Asthma. Which of the following medications is least likely to be a part of standard therapy for a patient suffering from exacerbated emphysema - ANSWER Nitrates Which of the following is true about respiratory physiology? - ANSWER Changes in PO2, PCO2, or pH stimulate chemoreceptors What is the purpose of the Good Samaritan laws - ANSWER Offer legal protection yo people who stop at an emergency scene You are treating a thin elderly male complaining of SOB. He looks older than his stated age of 65, leaning forward in a chair. You notice that he has an oxygen generator in the room and is on 2 rpm of o2 via NC. RR is 20 and shallow. BP- 105/60. Pulse 125 & irregular. You are unable to hear any breath sounds in P ag e5 You are called for a young man choking. On arrival, you find very scared parents desperately trying to dislodge a piece of food from their 110 year old Childs airway by administering back lows and abdominal thrusts. The child is limp. As you take over, you discover that the child is able to move minimal amount of air. You should: - ANSWER Continue with back blows & abdominal thrusts until the food is dislodged or the obstruction becomes complete You have just intubated an adult patient. You believe you have been successful. you are listening for sounds in the epigastric area and hear nothing. What would you do? - ANSWER Attach an ETCO2 monitoring device What changes in blood gasses occur when a patient is hyperventilating - ANSWER Decreased CO2: Increased PaO2 First responders are applying unusually long ventilations with oxygen resuscitator to an apnea adult female. they are also passing in between breaths. What negative effects can this increased pressure create? - ANSWER Increased pulmonary elasticity You are treating a cardiac arrest patient who you have successfully resuscitated. The patient is still unconscious, apneic, and he is endotracheally intubated. The patient suddenly becomes cyanotic and his SpO2 decreases from 98% P ag e6 to 82%. His heart rate decreases from 110 to 40. What caused these sudden changes? - ANSWER Dislodged endotracheal tube What is the primary danger to the infant during a precipitous delivery - ANSWER Cerebral Trauma You are treating a 26 year old male victim of an assault. The patient was struck in the chest and abdomen with a baseball bat. Vital Signs: P- 110, R- 6 with sonorous respirations. The patient is place on high flow O2. While attempting an oral airway the patient gags. The oral airway is removed. How are you attempting to secure his airway next? - ANSWER Place an NPA and ventilate with a BVM What effects does morphine sulfate have on the venous system? - ANSWER increases venous pooling, resulting in decreased preload and after load You are treating a 48 year old female with chest pain. On scene you administer oxygen, aspirin, and two nitro tablets. En route to the hospital your patient states her pain decreases to a 1 on a scale of 0-10. To provide the best care, you should: - ANSWER continue high flow oxygen and repeat vitals, consider 12 lead EKG if pain persists A 52 yom is compelling of constant, severe pain and pressure in his chest, which he says started about 4 hours ago. The patient has bilateral rales, and his skin is cool to the touch. Vital signs are: BP- 72/52, P- 124, R-28. No JVD or Edema in lower P ag e7 extremities. What condition is most likely responsible for his signs and symptoms. - ANSWER Myocardial infraction with cariogenic shock Which of the following patients has the best cerebral oxygenation? - ANSWER 45 yom, disoriented, BP 140/80, skin warm and dry What term best describes the ability of cardiac cells to spontaneously depolarize without being stimulated by a nerve? - ANSWER Automaticity A 72 yom with a history of atherosclerosis complains of a sudden onset of sharp pain in his right leg and foot which has grown worse over the past 2 hours. Objective data includes an anxious patient with vital signs: BP- 124/60, P-70, R-18. He has a pale, waxy, cool right leg. No pedal pulses are present in the right foot. The left leg is normal. What is the patients probable diagnosis? - ANSWER Acute arterial occlusion The gradual blockage of an artery due to cholesterol and hardened deposits - ANSWER Gradual blockage of an artery by cholesterol and hardened deposits Your patient is a 22 y/o female without medical history. She was sitting at her office desk where she had an acute onset of dyspnea and pleuritic type chest pain. Presently she is awake and agitated. upon exam she is pale cool and diaphoretic. BP- 92/40, HR- 142, RR- 36 Shallow but clear bilaterally. Only P ag e1 0 Correct bolus amount for a 44 lb child in hemorrhagic shock? - ANSWER 400 mL You are treating a 80 yom who complains of headache, blurred vision, and left sided weakness. He has a history of heart problems and takes digoxin. Which of these is the most likely cause of his symptoms? - ANSWER embolic stroke caused by afib You are caring for a patient with a heart rate of 50. He is alert and oriented. His BP is 126/72 and he denies chest pain or respiratory distress. How would you initially treat this patient? - ANSWER gather a complete history and physical assessment Which is the ion responsible for determining the resting membrane potential of a cardiac cell? - ANSWER Potassium A 55 yom complains of sudden onset of acute shortness of breath. He denies chest pain and is alert and oriented but anxious. Skin is pale (with cyanosis), cool, and diaphoretic. BP 230/110, P 110, R 28. No JVD. Crackles are heard bilaterally. He has a hx of heart attack 5 years ago. The patient is most likely suffering from? - ANSWER Left sided heart failure A 55 yom complains of sudden onset of acute shortness of breath. He denies chest pain and is alert and oriented but anxious. Skin is pale (with cyanosis), cool, and diaphoretic. BP 230/110, P 110, R 28. No JVD. Crackles are heard bilaterally. He has a hx of heart attack 5 years ago. Besides increasing oxygen P ag e1 1 levels, what is the next step for this patient? - ANSWER Decrease preload A 55 yom complains of sudden onset of acute shortness of breath. He denies chest pain and is alert and oriented but anxious. Skin is pale (with cyanosis), cool, and diaphoretic. BP 230/110, P 110, R 28. No JVD. Crackles are heard bilaterally. He has a hx of heart attack 5 years ago. What medication and dosage would you use? - ANSWER Nitro 0.4mg SL Sally, a 72 yof, called EMS because of severe lower back pain that will not go away. She states that she has arthritis, but this is much worse. She has a hx of hypertension and takes medication for it. She is extremely pale and diaphoretic. BP- 90 by palpation, P- 104, R-24. After oxygen, how would you initially treat. - ANSWER Rapid transport to ER Sally, a 72 yof, called EMS because of severe lower back pain that will not go away. She states that she has arthritis, but this is much worse. She has a hx of hypertension and takes medication for it. She is extremely pale and diaphoretic. BP- 90 by palpation, P- 104, R-24 What condition is most likely affecting the patient. - ANSWER Tripple A You are treating a 59 yom who is complaining of 7/10 chest pain. BP- 130/80, P- 130, R-18. ECG reveals sinus tach with occasional PVC's what drug should you administer? - ANSWER Aspirin P ag e1 2 You are treating a patient who complains of dizziness when sitting up or standing up. She has just come home from running a marathon. BP- 130/80, P-70, RR-18 WHILE SITTING. WHEN SHE STANDS UP her BP-100/60, P-90, RR-24. What is your field impression for this patient? - ANSWER Orthostatic hypotension You are assessing an 86 y/o male BP- 140/88, P-66 Irregular, RR-18 and regular. Are these vitals of some concern or within normal limits - ANSWER Within normal limits, this is an expected result in an aging patient You are called to a homeless shelter. The manager called you because the pt a 45 y/o male is coughing u blood tinged sputum. he has a persistent cough, night sweats, and a hx of weight loss and fatigue. He is currently taking Rifampin. he feels febrile to the touch. What illness is likely causes his symptoms. - ANSWER Tuberculosis A 24 year old female present with complaints of headache, nausea, joint pain, and loss of appetite. She has white sores in her mouth and a reddish rash on her palms and the soles of her feet, she states they do not itch. Which of the following is likely to cause her presentation - ANSWER Herpes You have just accidnelty given yourself a needle stick and exposed yourself to a patients blood. You don't know their disease status. What are you most at risk of contracting? - ANSWER Hepatitis C P ag e1 5 Your patient is a 44 year old female complaining of right upper quadrant abdominal pain with radiation to the right shoulder. She is nauseated and has a temperature of 99.9F. The pain began 4 hours ago, after she ate dinner that contained very fatty foods. Her abdomen is soft with gurgling over the right upper quadrant. BP 136/84, P 96, R 24. Which of the following is the most likely cause of the patient's presentation - ANSWER Cholecystitis Your patient is a 29 year old male who has been stung by a bee in his thumb. His thumb is swollen, red, and painful, but he has no other complaints. He denies any medical history but states that he has a family history of bee sting allergy. How would you remove the stinger? - ANSWER Gentle scraping with the edge of a card A 29 year old male who has been stung by a wasp on his thumb. He is short of breath. His vitals are BP 90/60, P 120, R 24 and labored. What should you do? - ANSWER Administer 0.3mg of 1:1000 epinephrine & 25mg of diphenhydramine Your patient is a 26 year old female who has ingested 150 amitriptyline tablets. She responds to painful stimuli and has an intact gag reflex, has a BP 88/50, P 130, weak, but regular, R 16. What medications would you consider using to treat this patient? - ANSWER Sodium Bicarb Your patient is a 26 year old female who has ingested 150 amitriptyline tablets. She responds to painful stimuli and has an P ag e1 6 intact gag reflex, has a BP 88/50, P 130, weak, but regular, R 16. Which of the following assessments is likely to give you the most useful information? - ANSWER Cardiac Monitoring Which of the following statements conserning elderly emergency medical care of the elderly is tru - ANSWER Alcohol and drug use may be a cause of altered mental status Which of the following statements concerning seizures is true? - ANSWER The post-ictal phase preceded the seizure in absence (petit mal) seizures Which of the following does not need to be proven by the plaintiff with a malpractice case against a medic? - ANSWER A duty to act Your Patient is a 41 year old female who is 3 days postoperative, recovering from an abdominal hysterectomy. She smokes and is about 40 pounds overweight. She is taking hormone replacement therapy, an antidepressant, and an antibiotic. She has a sudden onset of sharp left-sides chest pain With dyspnea and near syncope. She is not responsive only two painful stimulus, her school skin is cool and diaphoretic, and she is cyanotic. BP 90/50, P 122 weak but regular, Are 36. Which of the following is most likely the cause of her presentation? - ANSWER Massive Pulmonary Embolism Your patient is a 17 year old male who has ingested 20 tablets of diazepam (10 mg each). He is unresponsive to all stimuli, has P ag e1 7 snoring respirations at 6 per minute, BP 70/40, and a weak carotid pulse of 92. Which of the following will have the greatest benefit for the patient? - ANSWER Insert a NPA and BVM Your patient is a 22 year old female veterinary student. She was cleaning up the animal grooming area and accidentally spilled a large quantity of concentrated flea and tick killer on herself. She is nauseated, has abdominal cramping and diarrhea, her eyes are tearing and she is salivating profusely. Which of the following medications is indicated for treatment of this patient's problem? - ANSWER Atropine Your patient is a 70 year-old male. Customers in a bar called 911 when the patient fell out of his chair. He responds to verbal stimulus, has slurred speech, and is weak on the right side of his body. He has an odor of alcohol on his breath and indicates that his head hurts. BP 178/110, P 58, R 24. How would you treat this patient? - ANSWER Oxygen, IV 0.9% sodium chloride Which of the following is the underlying cause of the pain associated with a sickle cell crisis? - ANSWER Tissue ischemia The correct dose of naloxone for a 6lb 8oz neonate suffering respiratory depression secondary to in utero exposure to narcotics is - ANSWER 0.3mg P ag e2 0 You are treating a pregnant woman in her third trimester. She is suffering from a headache. Her vitals, BP 220/108, P 80, R18. She tells you her ankles are more swollen than normal. What illness is most likely causing her signs and symptoms? - ANSWER Preeclampsia 23 yo female is complaining of diffuse Lower abdominal pain, unusual vaginal discharge, and a low-grade fever. Her symptoms began 2 days ago, toward the end of her period, which was otherwise normal. What is the most likely explanation for her symptoms? - ANSWER PID Oxytocin is indicated for the management of which of the following conditions? - ANSWER Postpartum hemorrhage You are assisting with a normal cephalon delivery. The infants head has been delivered. To assist with the delivery of the upper shoulder you should? - ANSWER Assist the infants head downward What stage of labor begins with cervical dilation and ends with delivery of the infant? - ANSWER Second Your Pt is G3 P2 Ab0. 38 weeks began having contractions 2.5 hours ago. Contractions are 2.5 mins apart and regular. The patient states that her water has not yet broken. In considering that the bag of water has not yet ruptured, which of the P ag e2 1 following is true? - ANSWER The infant may be delivered without the bag of water breaking Which of the following is the recommended technique of stimulating a distressed newborn? - ANSWER Rubbing the infants back vigorously with a dry towel You are assisting delivery of a full-term infant. As the bag of water breaks, you notice that it is thick and greenish like pea soup. At delivery, the infant is apneic, blue limp and a HR of 80. what should you do? - ANSWER Assist ventilations with BVM Which of the following would NOT be appropriate in the emergency management of an inverted uterus? - ANSWER Applying traction to the umbilical cord to separate the placenta A 31 yo G3 P1 AB1 is in labor at term at home. She's been in labor for 24 hr without dilation. The midwife called for an ambulance. Upon arrival Pt is having strong contractions 2min apart. As you prepare to transport the mother complains of sudden tearing abdominal pain and becomes pale diaphoretic and agitated. Upon palpating the abdomen you feel the outline of the fetus. You should suspect - ANSWER Uterine rupture Upon examining a 27 yo in labor at 32 weeks gestation you notice that the umbilical cord is prolapsed. Which of the following would you NOT do? - ANSWER Immediately clamp cord in 2 places and cut between P ag e2 2 When the monitor is configured to display lead II, what is the polarity of each lead? - ANSWER Left leg is positive right arm negative What is the earliest gestational age at which a fetus may survive if born early? - ANSWER 26 weeks You have been called to a fitness club where a 28 year old female experienced a sudden onset of lower right quadrant abdominal pain while running in a treadmill. She states she had a normal period 3 weeks ago. Assessment reveals that she is pale and wet with RLQ abdominal pain and tenderness to palpating. Vitals are BP 88/64 P 116. Which of the following conditions is LEAST likely to be causing the patients signs/symptoms? - ANSWER PID 40 yo female who has been sexually assaulted. She is conscious but has multiple injuries. In addition to management of the patients injuries and attention to her psychological needs which of the following is appropriate? - ANSWER Place each article of clothing removed in a separate paper bag 5yo was awakened with severe respiratory distress. She has a seal bark cough, fever, and finds it hard to swallow. What do you suspect? - ANSWER Croup You are treating a 4 year old who is lethargic. Her vitals are BP 50/0, P 50, R 8. After the airway has been secured how would you treat her next? - ANSWER CPR P ag e2 5 How should you approach a helicopter that has just landed to pick up your Pt? - ANSWER Toward the pilots, front of the craft Your Pt is a 40 yo male who has been depressed since his wife left him. He is currently threatening suicide. What would be best for you to ask or say to this patient? - ANSWER Have you given any thought to how you might kill yourself? What is the name of the dispatch system that strategically places EMS units based upon projected call volume and dynamically deploys these units based on actual real-time call volumes? - ANSWER System Status Management The medical command physician orders 20mg of lasix IVP for your patient who is short of breath. After receiving the order, what should you do first? - ANSWER Repeat the order back to the physician to confirm You have just finished a run. You are completing a run report and discover an error as you are writing. What should you do? - ANSWER Draw a line through the error, initial it Which of the following is the best example of a subjective and possibly libelous statement? - ANSWER "The Pt was drunk and disorderly" You have arrived at the scene of a MVC. The Pt head is flexed forward, and she does not appear to be breathing. What is your immediate concern? - ANSWER Safety of the rescuers P ag e2 6 You and your partner respond to a full arrest. During the arrest, you are unable to defib the Pt because it won't charge. Later the Pt dies, and the family learns that you forgot to replace the defib battery that morning according to routine procedures. What can the family sue you for? - ANSWER Negligence You have been called to check and alert and oriented diabetic patient who is sweating. He refuses treatment, but you forcibly proceed to give him an injection of glucagon. What legal charge will be most applicable? - ANSWER Committing battery What is a radio "PL" (private line) tone? - ANSWER Allows 2 ambulances to talk to each other privately You are at the scene of a riot. The IC has assigned you to the task of triage. Which of the following patients can wait the longest for transportation? - ANSWER 34 yo near amputation of a leg R18; strong radial; mental status: Alert A police officer at the scene of a traffic stop has requested that you medically clear the driver who was arrested for driving erratically. The other claims he's a diabetic. Refusing transport. The officer asks what his BGL was, what will you ANSWER the officer? - ANSWER Apologize to the officer and explain that you can not divulge that information Your partner Colleen, is assisting you with a premature delivery. Colleen is wearing gloves but no gown or face/eye protection. P ag e2 7 During the delivery amniotic fluid squirts up onto colleens face. After the shift ends, Colleen tells you she is embarrassed about getting amniotic fluid in her mouth and is not planning on reporting the incident. What should you do? - ANSWER Strongly encourage her to report the exposure You are on scene of a mci you are expecting 40 Pt from a building collapse. A patient walks up to you and shows you a 3in laceration on his forearm. What triage priority would you give this patient? - ANSWER Green Your ambulance has malfunctioned? En route to a non emergency call at a clinic. It stalled and will not restart. What is you best action to take next? - ANSWER Request another unit to respond you respond to the local pool where a maintenance worker just spilled chlorine. You are the first to arrive. The lifeguards are treating your patient with oxygen and fresh air. What is your first course of action? - ANSWER Stop and do not approach What do apparently mild electrical burns and hydrofluric acid burns have in common? - ANSWER They can be worse than initially expected What does neurogenic shock due to spinal injury create? - ANSWER Decreased cardiac output P ag e3 0 A 24 year old woman is found lying on the sidewalk after jumping out of her trailer home bedroom during a fire. She has second degree burns to her face and head and third degree burns to both her arms. She is coughing up black tinged sputum and complains of difficulty breathing. Her breathing is stridorous, her lungs are clear. She is awake and able to ANSWER verbally but very hoarse. She moves all extremities on common. She is oriented to person , place, time. What is your biggest concern - ANSWER Swelling of airway Dispatched to the scene of a fight. 17 yo male complaining of left upper quadrant pain. He was hit with a bat in the "stomach" one time. On visual inspection you not redness at the left anterior costal margin. Palpating of the same region reviews the presence of slight crepitus. Based on these findings, you would expect damage to which abdominal organ? - ANSWER Spleen What complaint would suggest a traumatic injury to the spleen? - ANSWER "My left shoulder hurts" Injury into the spleen is life threatening. If the structure is severely injured, the greatest concern is which of the following? - ANSWER Rapid and significant blood loss When attempting to give the most fluid in the least amount of time through an IV line it is best to use a - ANSWER 14g, 4 inch IV cath P ag e3 1 On palpating you observe that your patient is complaining of point tender pain in the RUQ. These findings would be consistent with injury to the - ANSWER Liver You are treating a patient and find that a carotid pulse - ANSWER 60-80mmhg Which of the following patients require immediate transport to the nearest appropriate medical facility as opposed to intervention by prehospital personnel? - ANSWER An unresponsive 30yo unrestrained passenger involved in a serious head on MVC A 45 yo woman is found unconscious at the scene of a MVC. Her vitals are bp are BP 80/40, P 130, and R 30. Which of the following is most likely causing her condition? - ANSWER Bleeding into the chest or abdomen What is the preferred method for assessing a patient for spinal tenderness? - ANSWER Palpate over the spinal processes