FISDAP Paramedic Final Exam -With 100% verified solutions-2024.docx, Exams of Nursing

Download FISDAP Paramedic Final Exam -With 100% verified solutions-2024.docx and more Exams Nursing in PDF only on Docsity! FISDAP Paramedic Final Exam -With 100% verified solutions-2024 You have received an order for a dopamine drip. You carry 500cc bags of D5W. How much dopamine should you add to the bag to create a 1600mcg/1mL dilution? A. 800mg B. 1600mcg C. 1600mg D. 400mcg A. 800 mg 2. During the absolute refractory period, what happens to the cardiac cell? A. It is unable to be stimulated. B. The cell is vulnerable to partial stimulation. C. Potassium is being pumped out of the cell. D. Calcium has just rushed into the cell. A. It is unable to be stimulated. 3. A 29 year old female fell from an 18 foot roof. During your rapid trauma assessment, where are you most likely to find life-threatening injuries? A. Head, neck, extremities B. Head, chest, abdomen C. Abdomen, pelvis, arms D. Chest, pelvis, extremities B. Head, chest, abdomen 4. Unequal pupils are a result of pressure on which structure? A. Central medulla B. Trochlear membrane C. Vagus nerve D. Occulomotor nerve D. Occulomotor nerve 5. What is an abnormally high level of carbon dioxide in the blood called? A. Pneumonia B. Hypoxia C. Hypercapnia D. Emphysema C. Hypercapnia 6. What is oxygen deficiency in the body called? A. Hypercarbia B. Hyperoxia C. Hypoxia D. Hypoxemia C. Hypoxia 7. What is your initial priority at a trench collapse? A. Establishing medical command B. Maintaining control of the crowd C. Preventing a secondary collapse D. Protecting the patient's airway A. Establishing medical command B. blood flow increases to the right atrium C. blood flow through the vena cava is reduced D. pressure in the aorta increases B. blood flow increases to the right atrium 16. What is the period of the cardiac cycle when stimulation will not produce any depolarization? A. Impulse refractory period B. Absolute refractory period C. Relative refractory period D. Transient refractory period B. Absolute refractory period 17. While treating a 56 year old male for chest pain, you note a few PVCs on the monitor. You print a strip and measure the distance between the normal beats on each side of the PVC. The normal sinus rhythm continues on both sides of the PVC as if it were the normal beat, even though the PVC happens sooner than the sinus beat would have. The pause after the PVC would be: A. A sign of continued ischemia B. A compensatory pause C. A non-compensatory pause D. Reynaud's Pause B. A compensatory pause 18. A 5 month old male is in cardiac arrest. Resuscitation efforts have been ongoing for 30 minutes. His heart rhythm is and has been asystolic throughout treatment. What should you do? A. Continue CPR and ACLS drugs for another thirty minutes B. Begin termination of resuscitative efforts C. Report suspected child abuse to the police D. Wait for the coroner before stopping CPR B. Begin termination of resuscitative efforts 19. Which of the following requires ATP? A. Active transport B. Osmosis C. Diffusion D. Facilitated diffusion A. Active transport 20. A 52 year old male was the unrestrained driver in a frontal impact car crash. Which of the following injuries would lead you to believe the patient traveled "up and over" the dashboard instead of "down and under"? A. Patellar dislocation B. Cervical spine fracture C. Ruptured diaphragm D. Flail chest C. Ruptured diaphragm 21. How does the blood flow through the heart? A. Right ventricle to right atrium to lungs to left ventricle to left atrium B. Right atrium to right ventricle to lungs to left atrium to left ventricle C. Left ventricle to left atrium to lungs to right ventricle to right atrium D. Left atrium to left ventricle to lungs to right atrium to right ventricle B. Right atrium to right ventricle to lungs to left atrium to left ventricle 22. As soon as an infant's head is delivered, what should you do? A. Determine the location of the umbilical cord. B. Rotate the shoulders to the anterolateral position. C. Examine the vulva and perineum for lacerations. D. Exert strong steady pressure on the fundus. A. Determine the location of the umbilical cord. 23. A patient has aphasia following a stroke, which lobe of the brain was affected? A. Temporal B. Occipital C. Parietal D. Frontal A. Temporal 24. What does the P wave represent with an ECG? A. Ventricular depolarization B. Atrial depolarization C. Ventricular repolarization D. Atrial repolarization B. Atrial depolarization 25. A lethargic 22 month old male presents with hoarseness and coughing. He has sternal retractions and his belly and chest move in opposite directions with each breath. He is breathing at a rate of 64. What should you suspect? A. Cardiopulmonary failure. B. Respiratory failure. C. Cardiopulmonary arrest. D. Respiratory distress. B. Respiratory failure. A. IV fluid bolus B. Administer a diuretic C. Administer an antiemetic D. Apply oxygen A. IV fluid bolus 34. How much time do you have to successfully intubate a patient? A. 30 seconds. B. 15 seconds. C. 60 seconds. D. 45 seconds. A. 30 seconds. 35. What condition results when the alveoli collapse? A. Pneumothorax B. Pneumonia C. Effusion D. Atelectasis D. Atelectasis 36. Why should you administer IV fluid to a patient in hypovolemic shock? A. Increase the blood pressure B. Maintain adequate tissue perfusion C. Increase the body's oxygen carrying capacity D. Maintain the body's homeostatic state B. Maintain adequate tissue perfusion 37. What best defines shock? A. Deficiency of vascular tone due to hemorrhage. B. Inadequate cerebral blood flow. C. Hemorrhage exceeding 50% of total blood volume. D. Lack of adequate perfusion to the tissues. D. Lack of adequate perfusion to the tissues. 38. What causes priapism in a trauma patient? A. Rupture of the urinary bladder B. Total autonomic nervous system dysfunction C. Parasympathetic nervous system dominance D. Sympathetic nervous system dominance C. Parasympathetic nervous system dominance 39. What is the primary function of insulin? A. Increase glucose transport out of the cells and increase pancreas glycogen levels B. Increase glucose transport out of the cells and increase liver glycogen levels C. Increase glucose transport into the cells and increase liver glycogen levels D. Decrease glucose transport into the cells and decrease pancreas glycogen levels C. Increase glucose transport into the cells and increase liver glycogen levels 40. A 60 year old male fell onto a coffee table yesterday and he woke up this morning complaining of diffuse, dull abdominal pain. You note periumbilical bruising. What is this known as? A. Crohn's sign B. Cullen's sign C. Kehr's sign D. Grey-Turner's sign B. Cullen's sign 41. After placement of an ET tube, you find breath sounds are diminished on the left side but present on the right side. What should you do? A. Contact Medical Direction and ask for further instruction. B. Deflate and withdraw the tube while listening over the left side. C. Deflate the cuff, remove the tube and ventilate with a BVM. D. Continue ventilating the patient and secure the tube. B. Deflate and withdraw the tube while listening over the left side. 42. A 25 year old male has a closed head injury and a knife impaled in his back. He is combative and screams incomprehensible words while thrashing. What should you do? A. Titrate diazepam administration to gain control of the patient. B. Use straps and spine board to gain control of the patient. C. Use rapid sequence intubation to protect the patient. D. Request the police to restrain the patient for transport. C. Use rapid sequence intubation to protect the patient. 43. What does the body use for fuel in diabetic ketoacidosis? A. Acids B. Fats C. Glucose D. Ketones B. Fats 44. What neurotransmitter found in the brain that regulates mood, anxiety, and sleep? A. Acetylcholine B. Gamma-aminobutyric acid C. Norepinephrine D. Filtration A. Diffusion 52. A 12 year old male has suffered a blast injury. What phase would projectiles have caused injury to the patient? A. Primary B. Quaternary C. Tertiary D. Secondary D. Secondary 53. A 25 year old female began to experience shortness of breath, chest tightness, and coughing. She has difficulty speaking in full sentences. Vital signs are BP 116/64, P 96 and regular, RR 24 and labored, SpO2 93% on room air. You auscultate her lung sounds and hear high-pitched lung sounds on exhalation. What should you do? A. Assist with her prescribed nitroglycerin B. Administer albuterol via a nebulizer C. Administer abdominal thrusts D. Assist ventilations with a bag-valve mask B. Administer albuterol via a nebulizer 54. You have been assigned to triage at an MCI. Your patient is bleeding from a cut on his head, R 22, P 100 radially, and he keeps asking "What happened?". What priority should be assigned to this patient? A. Yellow B. Red C. Black D. Green A. Yellow 55. A 32 year old female seated at a restaurant has severe wheezing. She is flushed, appears anxious, and has a runny nose. She states that she is allergic to shellfish and peanuts. What should you suspect? A. Anaphylaxis B. Epiglottitis C. Asthma D. Aspiration A. Anaphylaxis 56. You arrive on scene to find a 14 year old male leaning forward in a chair. He appears anxious, is drooling and you hear high-pitched sounds when he inhales. His mother states he has a fever and has been complaining of a sore throat. What should you suspect? A. Anaphylaxis B. Asthma C. Croup D. Epiglottitis D. Epiglottitis 57. How should you ensure that your glucometer is functioning properly? A. Insert a test strip and ensure that the glucometer turns on. B. Measure your partner's blood glucose level and compare to normal. C. Measure your own blood glucose level and compare to your normal. D. Insert a test strip and acquire a drop of the glucometer control solution D. Insert a test strip and acquire a drop of the glucometer control solution 58. What is the biggest difference between cardiogenic shock and hemorrhagic shock? A. Pulmonary edema B. Hypotension C. Cardiac Arrest D. Cyanosis A. Pulmonary edema 59. When you apply an end-tidal CO2 monitor, what are the 3 main items you are measuring? A. Metabolism, perfusion, and ventilation B. Metabolism, perfusion, and respiration C. Metabolism, cardiac output, and ventilation D. Perfusion, ventilation, and oxygenation A. Metabolism, perfusion, and ventilation 60. What do you call progressively deeper, faster breathing alternating gradually with shallow, slower breathing? A. Kussmaul's respirations B. Cheyne-Stokes respirations C. Biot's respirations D. Agonal respirations B. Cheyne-Stokes respirations 61. What happens during phase 0 of the cardiac action potential? A. The sodium-potassium pump is initiated. B. Potassium moves rapidly into the cell. C. The slow calcium channels close. D. The fast sodium channels open. D. The fast sodium channels open. 62. A 26 year old female jumped from the second floor of her house. She states she was getting away from her abusive husband. What should you do? B. CO is displacing O2 on erythrocyte hemoglobin. C. CO is binding to the alveoli preventing O2 from being exchanged. D. Carbonic anhydrase is inhibiting gas exchange. B. CO is displacing O2 on erythrocyte hemoglobin. 70. A 22 year old female complains of joint pain and flu-like symptoms over the past two days. Her abdomen is soft and non-tender, but she appears to have a circular rash on her lower left quadrant. What should you suspect? A. Cholecystis B. Gastroenteritis C. Lyme's disease D. Influenza C. Lyme's disease 71. What the mechanism of action for glucagon? A. Convert glucose to glycogen B. Reduce blood glucose levels C. Move glucose into the cell D. Stimulate gluconeogenesis D. Stimulate gluconeogenesis 72. When delivering a radio report, it is important to A. speak continuously in order to expedite the report. B. provide a field assessment of the patient's condition. C. clearly state and spell the patient's name. D. provide a comprehensive health history. B. provide a field assessment of the patient's condition. 73. What is the primary action of insulin? A. Add a functional group during gluconeogenesis. B. Reduce the glucose consumption of the cells. C. Facilitate glucose transport into cells. D. Increase blood glucose levels. C. Facilitate glucose transport into cells. 74. What cells form the initial clot following vascular injury? A. Erythrocytes B. Lymphocytes C. Thrombocytes D. Monocytes C. Thrombocytes 75. What is the first confirmation of tube placement after orotracheal intubation? A. Condensation in the ET tube. B. Auscultation of the epigastrium C. Visualizing the tube passing the vocal cords. D. End tidal CO2 confirmation. B. Auscultation of the epigastrium ? 76. A 88 year old male is combative and angry. His wife states that he is normally pleasant and calm. What intervention would narrow your differential diagnosis? A. A response to oxygen therapy B. A blood glucose reading C. If he responds to forceful control D. Cincinnati stroke scale B. A blood glucose reading 77. What does preload refer to? A. The pressure in the filled ventricle at the end of systole. B. The pressure in the filled ventricle at the end of diastole. C. The pressure in the filled atria at the end of the systole. D. The pressure in the filled atria at the end of the diastole. B. The pressure in the filled ventricle at the end of diastole. 78. Which immunoglobulin is mainly responsible during inflammation? A. IgM B. IgE C. IgG D. IgA B. IgE 79. What percent of oxygen is delivered with a pocket mask on room air? A. 23 B. 92 C. 17 D. 10 C. 17 ? 80. A 57 year old male complains of chest pain, shortness of breath and nausea. A 12 lead ECG shows ST elevation in Ieads V2, V3 and V4. What should you administer? A. Dopamine and oxygen. B. Aspirin and oxygen. 88. Which of the following structures serves as a passageway for both the respiratory and digestive system? A. Trachea B. Pharynx C. Esophagus D. Cricoid cartilage B. Pharynx 89. What is a highly infectious disease that causes bronchiolitis? A. RSV B. Pneumonia C. Common cold D. Asthma A. RSV 90. A 39 year old male has an angulated deformity to the humerus. You cannot feel a distal pulse and the limb is blue. What should you do? A. Contact medical control for pain medication orders. B. Attempt to pull gentle traction and realign the bones. C. Splint with a sling and swathe, apply ice, and transport. D. Transport emergently to the closest hospital B. Attempt to pull gentle traction and realign the bones. 91. A 23 year old male complains of diffuse lower leg pain and tension after a car accident. Pedal pulses are absent bilaterally and you note slight cyanosis in his feet. Vital signs are BP 130/90, P 88, R 16. What should you suspect? A. Iliac arterial rupture B. Bilateral tibial fractures C. Compartment syndrome D. Lower leg embolism C. Compartment syndrome 92. What happens to hemoglobin as the blood pH decreases? A. Releases oxygen. B. Releases carbon dioxide. C. Binds to carbon dioxide. D. Binds to oxygen. A. Releases oxygen. 93. A 24 year old male screams at you to leave after your arrive on scene. He states that there are people after him and that they can hear his thoughts. He is agitated nervous, and constantly peering out the windows. His mother states that this is abnormal for him. What is he suffering from? A. Organic psychosis B. Dementia C. Autism D. A neurotic disorder A. Organic psychosis 94. A 62 year old female complains of chest pain and shortness of breath. She is extremely anxious. Vital signs are BP 80/56, P 118, R 24 with crackles, SpO2 87%. What is the most likely cause? A. Pulmonary embolus B. Hypovolemic shock C. Right-sided heart failure D. Cardiogenic shock D. Cardiogenic shock 95. A 62 year old female complains of chest pain and shortness of breath. She is extremely anxious. Lung sounds are present with crackles in the bases. Vital signs are BP 80/56, P 128, R 24, SpO2 87%. What should you do? A. Administer nitroglycerin B. Start a dopamine drip C. Give a fluid bolus D. Administer Aspirin D. Administer Aspirin 96. You suspect your partner has intubated the esophagus. What should you do? A. Check the end tidal CO2 monitor. B. Leave the tube in place and ventilate by BVM. C. Extubate and ventilate by BVM. D. Extubate and reattempt to intubate the patient. C. Extubate and ventilate by BVM. 97. A 79 year old male complains of shortness of breath. He smokes cigarettes for 60 years. On physical exam you notice that he has a barrel shaped chest. What pathophysiology is most likely causing his symptoms? A. Collapsed bronchial tubes B. Spasm of bronchial muscle C. Inflammation of the trachea D. Excessive mucus production A. Collapsed bronchial tubes 98. Which of the following is NOT part of the Cincinnati Stroke Test? A. Arm drift B. Slurred speech C. Ability to walk