FISDAP PARAMEDIC EXAM-with 100% verified solutions 2024-2025, Exams of Nursing

Download FISDAP PARAMEDIC EXAM-with 100% verified solutions 2024-2025 and more Exams Nursing in PDF only on Docsity! FISDAP PARAMEDIC EXAM-with 100% verified solutions 2024-2025 Of the following, which item is acceptable and productive to ask a 14 y/o female in the presence of her parents? A) possibility of child abuse B) date of LMP C) history of childhood illnesses D) drug and alcohol use C) history of childhood illnesses You are treating an 82 y/o female who is having difficulty breathing at a nursing home. Her only history is a fever since yesterday and frequent urinary tract infections. While listening to her chest, you hear rhonchi and slight crackles in all fields. Vital signs are BP 110/80, HR 100 bpm and regular, RR 30/min, temperature 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? A) septic shock B) emphysema C) pneumonia D) CHF C) pneumonia For the previous patient, what will be your treatment? A) high flow O2, IV at TKO, EKG, transport, nebulized albuterol B) high flow oxygen, NTG, IV Lasix, EKG, transport C) oxygen via NC at 6 lpm, IV, and transport D) high flow oxygen, IV fluid bolus, and transport C) oxygen via NC at 6 lpm, IV, and transport The previous patient becomes unconscious after your initial treatment. She is using accessory muscles to breathe. How would you treat her next? A) discontinue previous treatments B) ventilate 8-12/min with PPV C) ventilate 12-20/min with PPV D) attempt insertion of an oral airway B) ventilate 8-12/min with PPV Which of the following is least likely to cause crackles? A) toxic inhalation B) asthma C) alcoholic cardiomyopathy D) pneumonia B) asthma Which of the following medications is least likely to be a part of standard therapy for a patient suffering from exacerbated emphysema? A) beta agonists B) oxygen C) inhaled anticholinergics D) nitrates D) nitrates Which of the following is true about respiratory physiology? A) changes in PO2, PCO2, or pH stimulate chemoreceptors B) the primary muscles of respiration are the diaphragm and sternocleidomastoid C) the vagus nerve is responsible for diaphragmatic movement D) the hypothalamus regulates breathing B) deflate the ET tube cuff, withdraw the tube slightly, reinflate the cuff, and reevaluate breath sounds C) re-visualize for confirmation and apply an EtCO2 detector D) deflate the ET tube cuff, remove the ET tube, and pre oxygenate the patient with a BVM D) deflate the ET tube cuff, remove the ET tube, and pre oxygenate the patient with a BVM A 67 y/o male is complaining of sudden onset of dyspnea. Exam reveals labored breathing and JVD. BP 140/84, HR 118, RR 32/min, breath sounds clear and equal bilaterally. The patient's wife tells you that the patient is recovering from recent hip replacement surgery. What condition do you suspect the most? A) spontaneous PTX B) PE C) pneumonia D) LV failure B) PE What is the name of the syndrome marked by increased capillary permeability and respiratory distress usually due to trauma, inhaled toxins, or gastric aspiration? A) adult respiratory distress syndrome B) acute inhalation disease syndrome C) PE D) COPD A) adult respiratory distress syndrome For which of the following patients is nasotracheal intubation absolutely contraindicated? A) 70 y/o male in cardiac arrest B) 80 y/o female with pulmonary edema C) 35 y/o female with barbiturate OD D) 16 y/o male with status epilepticus A) 70 y/o male in cardiac arrest You are called for a young man choking. On arrival, you find very scared parents desperately trying to dislodge a piece of hot dog from their 10 year old child's airway by administering back blows and abdominal thrusts. The child is limp. As you take over, you discover that the patient is able to move a minimal amount of air. You should: A) prepare for immediate cricothyrotomy B) attempt foreign body removal with laryngoscope and Magill forceps C) place the child on high flow oxygen and transport immediately D) continue with back blows and abdominal thrusts until the food is dislodged or the obstruction becomes complete D) continue with back blows and 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? A) advance the tube 3 cm deeper B) pull the tube back 3 cm and auscultate C) extubate the patient and reattempt D) attach an EtCO2 monitoring device D) attach an EtCO2 monitoring device What changes in blood gases occur when a patient is hyperventilating? A) decreased CO2, increased PaO2 B) increased CO2, increased PaO2 C) increased CO2, decreased PaO2 D) decreased CO2, decreased PaO2 A) decreased CO2, increased PaO2 First responders are applying unusually long ventilations with an oxygen resuscitator to an apneic adult female. They are also not pausing in between breaths. What negative effects can this increased pressure create? A) increased cardiac output B) increased venous return C) increased pulmonary elasticity D) decreased oxygen delivery D) decreased oxygen delivery You are treating a cardiac arrest patient that 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% to 82%. His HR decreases from 110 bpm to 42 bpm. What caused these changes? A) ruptured AAA B) poor ventilation techinque C) dislodged ET tube D) irreversible acidosis C) dislodged ET tube