LC FINAL EXAM 2 2024/2025 WITH 100% ACCURATE SOLUTIONS, Exams of Nursing

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LC FINAL EXAM 2 2024/2025 WITH 100%

ACCURATE SOLUTIONS

A 19 year old man was beaten with a blunt object and his ribs are fractured in his right lower chest. He says it's hard to breathe. His vital signs are BP 106/82, P 106 and R 18. You should - Precise Answer ✔✔administer oxygen by non-rebreather mask. An 86 year old man in an extended care facility is combative, anxious and short of breath. He has a history of Alzheimer's disease. When you attempt to provide oxygen he takes a punch at you. You are able to obtain an SpO2 reading of 84% on room air but the pulse oximeter was attached to his toe. You should suspect his combative behavior is due to - Precise Answer ✔✔cerebral hypoxia. At a high school football game an assistant coach calls you because a player "has a knee injury." When you arrive he is on the bench with ice on the affected knee. The player says he is afraid to stand on it. How should you assess his knee? - Precise Answer ✔✔Palpate around his knee to feel for any edema or crepitation. You've delivered a newborn boy. After 1 minute his pulse remains 56 and his respiration rate is 10. You should first - Precise Answer ✔✔ventilate him. When you are lifting a patient on a long board from the ground you will decrease the likelihood of an injury by using your - Precise Answer ✔✔leg muscles. The wife of a depressed man tells you he has locked himself in an upstairs bedroom with a gun and is going to commit suicide. You should first - Precise Answer ✔✔leave the scene. When you arrive you find an unconscious male with facial injuries. You see blood in his mouth. You should - Precise Answer ✔✔place a tonsil tip catheter in his mouth then suction him. A 46 year old man drove his car across the US to attend to a family emergency. The next day family members call you because he became suddenly short of breath and cyanotic. His initial vital signs are BP 96/72, P 114, R 20 and his SpO2 is 86% on room air. You should suspe - Precise Answer ✔✔pulmonary embolism.

An 82 year old female awoke with right sided paralysis. Her husband states she had a stroke one year ago but she was able to walk yesterday. You should report her onset of symptoms to be the time - Precise Answer ✔✔she fell asleep An 86 year old man with a history of stroke is bedridden at home. When you arrive you find an indwelling Foley catheter with cloudy urine in the bag. He has a fever and is unable to answer your questions. His vital signs are BP 96/84, P 108, R 22 and his SpO2 is 88% on room air. You should suspect - Precise Answer ✔✔septic shock. A woman who is 34 weeks pregnant has been having painless vaginal bleeding for two days. She says she expected this late in pregnancy but the amount of bleeding has her scared. Her vital signs are BP 138/88, P 88, R 22 and her SpO2 is 98% on room air. You should suspect - Precise Answer ✔✔placenta previa Which of the following cardiac rhythms will cause an AED to deliver a shock? - Precise Answer ✔✔Ventricular tachycardia A 4 year old boy fell in the backyard on broken glass and lacerated his left upper leg. His mother wrapped the leg in a towel which is now dripping with blood. The boy is pale, quiet and has a rapid, thready pulse. You suspect - Precise Answer ✔✔hypovolemic shock. A 48 year old man is complaining of substernal chest pain that he describes as pressure in his chest. His vital signs are BP 118/82, P 86 and irregular and R 18. His SpO2 is 96% on room air. You auscultate crackles in both lower lobes. You should first - Precise Answer ✔✔prepare to transport to a STEMI center. A 5 year old boy has a hoarse voice and a fever reported to be 102.5 F. He is sitting in a tripod position leaning forward. You should first - Precise Answer ✔✔administer oxygen by non-rebreather mask. A 26 year old male is apneic and has a weak pulse. To maintain his airway you should - Precise Answer ✔✔insert an oropharyngeal airway. Data shows most ambulance crashes occur - Precise Answer ✔✔at intersections.

The AED shocked a 58 year old man and after doing a series of chest compressions he opens his eyes. You detect a pulse. You should first - Precise Answer ✔✔stop chest compressions and leave the AED on him. Which of the following questions will provide you with the greatest amount of information from a patient who is short of breath? - Precise Answer ✔✔Can you tell me about your shortness of breath today?" As you approach a middle aged man he is lying flat and you see no chest wall movement. You feel for a radial pulse and are unable to find it. You should next - Precise Answer ✔✔check his carotid pulse for up to 10 seconds. Transporting a mentally competent patient against his will is - Precise Answer ✔✔false imprisonment. When a man breathes at a rate of 30 bpm he can become hypoxic because - Precise Answer ✔✔air is moving across dead air space. Law enforcement calls you to a scene of a shooting. They lead you to a young man with a single gunshot wound below his right scapula. You manage the wound and log-roll him onto his back where you immediately find a puncture wound in his right chest. You see slow and shallow breathing. You should next - Precise Answer ✔✔cover the wound with a non-porous dressing. A young man was involved in a roll-over car crash. He was wearing a seatbelt and you see multiple deployed airbags in his car. You find him standing beside the roadway talking on his cell phone. You ask him to hang up the phone and he refuses your care. You advise him to allow you to do an assessment and he refuses. You do not smell any alcohol on him and he is walking around unassisted. You should - Precise Answer ✔✔advise him regarding monitoring his own health after the accident. A 22 year old man was hit on the head with a blunt object by his wife. When you arrive he has a 2" scalp laceration. You manage the wound. En route to the hospital he says, "I don't know what's happening to me. Last month I was incredibly productive; on top of the world. Now today, I am worried about everything and can't get anything done." You should suspect he is exhibiting - Precise Answer ✔✔bipolar disease.

You are the second emergency vehicle at a car crash on an interstate. One emergency vehicle is already parked to block oncoming traffic. You should park your vehicle - Precise Answer ✔✔beyond the crash scene to assure quick transportation. Which of the following statements provides the most reliable information that a person is suicidal? - Precise Answer ✔✔"I bought a gun and soon all my troubles will be over." A 76 year old man has been home alone when a neighbor calls you because he can't stand up. When you arrive he is confused and weak. She tells you he is typically strong for his age. She also says she found dark colored stools in his toilet which he forgot to flush. His vital signs are BP 108/78, P 98, R 20 and his SpO2 is 88% on room air. You should manage him for - Precise Answer ✔✔respiratory failure. A man was ejected during a car crash and is not responding to verbal stimuli. You find a hematoma on the right side of his head, and angulated left lower arm and left lower leg. His vital signs are BP 118/78, P 96 and R 14. How should you assess his response to painful stimuli? - Precise Answer ✔✔It is known due to care provided. The most frequent location of a foreign object in a person who has an upper airway obstruction is at the level of the - Precise Answer ✔✔larynx. A man tells you he is at his home address street when in fact he is on a highway following a car crash. He complains of pain localized near his knee. You should record his Glasgow Coma Score as - Precise Answer ✔✔ 13 Ingested poisons that are highly toxic and lead to death do so because they destroy the - Precise Answer ✔✔liver. Which of the following triage systems was designed for multi-casualty incidents where children may be involved? - Precise Answer ✔✔JumpSTART system A 89 year old diabetic woman is unable to smile and has right arm drift. Her vital signs are BP 138/86 P 88, R 16 and her SpO2 is 95% on room air. You should first - Precise Answer ✔✔administer oral glucose.

A 56 year old man is having chest pain. He is cold and clammy and short of breath. His vital signs are BP 116/86, P 56 and irregular and R 16. You should first - Precise Answer ✔✔administer oxygen 4 Lpm by nasal cannula. A 22 year old fisherman was rescued from a river after being missing for 8 minutes. When you pull him to the shore he is apneic. You should first - Precise Answer ✔✔give two rescue breaths. A tall, thin young man complains of shortness of breath after playing soccer. How should you assess him for presence of a pneumothorax? - Precise Answer ✔✔Have him sit up and auscultate over his upper lobes. A 16 year old female calls you because she has vaginal bleeding. She tells you it started after she had severe cramps and passed a "clot" which she flushed down the toilet. Which of the following questions would you ask her after developing rapport? - Precise Answer ✔✔"Are you sexually active?" A 26 year old male fell while riding a bicycle and complains of shoulder pain. He is holding his right lower arm across his abdomen. You palpate a soft area below the crest of his scapula. You should suspect a/an

• Precise Answer ✔✔dislocated shoulder A 21 year old woman with a history of seizures has a seizure at work. After 5 minutes of seizing, the employer calls 9-1-1. When you arrive she continues to have tonic-clonic movements. En route she stops seizing and 8 minutes later has another seizure. You should report she - Precise Answer ✔✔is in status epilepticus. A 63 year old man with a history of alcoholism is having frequent bouts of hematemesis. He waited for two days to call you because he became too weak to drive. His vital signs are BP 96/82, P 110, R 20 and his SpO2 is 95% on room air. You should suspect he has - Precise Answer ✔✔ruptured esophageal varices. A man was cleaning tools with a combustible fluid in his basement when a fire started. He ran from the house with facial, anterior thorax, right upper arm burns and burns of both hands. Your assessment reveals the burns are partial thickness. What percentage of his body surface is burned? - Precise Answer ✔✔31%

A 21 year old woman was in a T-bone car crash. She says, "My chest is hurting; I can't breathe." You remove her outer garment and see irregular chest wall movement. Her vital signs are BP 118/78, P 94 and R 26 and shallow. You should first - Precise Answer ✔✔assist her ventilations. You are performing CPR. You have attached the AED and delivered the first shock. After the shock you should next - Precise Answer ✔✔perform 2 minutes of CPR. On arrival a 42 year old male reports he's having chest pain for the first time in his life. The pain is squeezing and substernal. His vital signs are BP 118/86, P 116, R 18 and his SpO2 is 95% on room air. You should first - Precise Answer ✔✔administer aspirin, 160 mg. Safe transportation of an ambulance to the scene of a car crash is governed by - Precise Answer ✔✔a local red lights and siren policy. A patient's medication label says, "t.i.d.p.o." This means - Precise Answer ✔✔take this three times a day, orally. A 28 year old female complained of a terrible headache and then collapsed. When you arrive she is unconscious and does not respond to pain on her left side. During transport you should - Precise Answer ✔✔keep her in the recovery position Which of the following represents the most acceptable restraint system for behavioral patients? - Precise Answer ✔✔Leather You suspect a 52 year old man has abdominal peritonitis, however he won't let you palpate his abdomen because he is in pain. In order to assess for the presence of peritonitis on this patient you should - Precise Answer ✔✔ask him to cough forcefully. The cause of eclampsia during pregnancy is - Precise Answer ✔✔unknown. You should self administer DuoDoteTM at a WMD scene when you start feeling symptoms of - Precise Answer ✔✔SLUDGE.

A 19 year old with a fever has what appears to be red or purple "spots" on his chest. These "spots" appear to have occurred spontaneously. He denies any trauma. You should suspect these spots are - Precise Answer ✔✔petechiae. A female who is 35 weeks pregnant was involved in a minor car crash. She has a scalp laceration that requires sutures. When transporting her you should - Precise Answer ✔✔lay her on her left side. The initiation of an electrical impulse that starts the cardiac conduction cycle is in the - Precise Answer ✔✔SA node. A 5 year old boy fell from his bike and has an angulated distal radius fracture. You should splint this with a - Precise Answer ✔✔pneumatic splint in the position found. A 23 year old male was stabbed in the abdomen 1" above his umbilicus. You find him pale, cold and clammy. The wound appears to be coagulated. Your partner reports his vital signs are BP 102/82, P 98, R 16 and his SpO2 is 96% on room air. You should first - Precise Answer ✔✔log-roll him onto a long board and rapidly transport. A principle of performing rescue in a HAZMAT environment is to - Precise Answer ✔✔avoid contact with any unknown materials regardless of your PPE. Bystanders were doing CPR when you arrived on scene and applied an AED. Following the shock the patient had a BP of 104/82. When you are en route to the hospital you should prepare for - Precise Answer ✔✔ventricular fibrillation. Which of the following is part of the National Incident Command System? - Precise Answer ✔✔Operation Which of the following is the most reliable indicator of early hypovolemic shoc - Precise Answer ✔✔Narrow pulse pressure A 64 year old man has had LLQ pain for the past two days. He has not eaten food and is weak. He says he h - Precise Answer ✔✔diverticulitis.

At 3:30 AM a 72 year old male with a history of heart attacks calls you because he can't sleep and is short of breath. When you arrive he is sitting upright and leaning forward. You see swollen lower extremities. His vital signs are BP 100/84, P 68, R 20 and his SpO2 is 91% on room air. You auscultate his lungs and expect to hear - Precise Answer ✔✔diffuse crackles. A 68 year old man had a syncopal episode. When you arrive he can make a smile but cannot hold his left arm up as well as his right. He tells you he fainted because he was tired. You should suspect - Precise Answer ✔✔stroke. You and your partner are managing an unconscious 19 year old man who crashed his motorcycle. He has multiple facial fractures, oral bleeding and edema over the parietal area of his skull. You suction him and he continues to bleed into his mouth. During transport you should - Precise Answer ✔✔continue airway maintenance even if no other care is provided. A 24 year old male was beaten and kicked by a group of men during a bar fight. When you arrive he is unconscious with multiple bruises on his face and head. His vital signs are BP 116/82, P 92, R 18 and his SpO2 is 97% on room air. His abdomen is soft and you hear bowel sounds over ribs 4 through 6. You should suspect - Precise Answer ✔✔a ruptured diaphragm. You discover a nuchal cord after a newborn's head has been delivered. You should next - Precise Answer ✔✔attempt to slip it over the baby's head. Law enforcement calls you to transport an unconscious known drug abuser. You find him unresponsive to painful stimuli. His vital signs are BP 96/84, P 62, R 20 and his SpO2 is 88% on room air. His pupils are very constricted. You should suspect a/an - Precise Answer ✔✔opioid overdose. Law enforcement calls you because a man was driving erratically down the road. When you arrive he is handcuffed in the back of a cruiser in a somnolent mood. They say he was combative. When you assess him you find a diabetic symbol on a necklace. You should first - Precise Answer ✔✔administer oral glucose. A 26 year old male suffered a gunshot wound to his left chest. On arrival he is very pale and you see blood on his shirt. You expose the wound and manage it. Your partner reports his vital signs are BP 86/palp, P 118 and thready, R 6 and shallow. You should next - Precise Answer ✔✔ventilate him with a BVM.

You are on duty eating lunch when a man at a restaurant appears in respiratory distress. He is unable to speak and you hear stridor on inhalation. You suspect he has - Precise Answer ✔✔partial airway obstruction. You are transporting a man who is on renal dialysis when he begins to mumble. You palpate an irregular pulse. You notice a shunt in his left lower arm. You should next - Precise Answer ✔✔obtain a BP in his right arm. Continuing education regarding patient care topics throughout your EMS career is - Precise Answer ✔✔a professional responsibility. When fractures of ribs 9 and 10 on the left side of the chest occur, which of the following is likely injured? - Precise Answer ✔✔Spleen A 56 year old female was rescued from a swimming pool after reportedly being under water for " minutes." You find a faint, weak pulse. You should - Precise Answer ✔✔ventilate her at 12 bpm. A belted male driver is sitting in his car seat after a moderate speed head-on car crash. He tells you his neck hurts and his legs are tingling. You should first - Precise Answer ✔✔immobilize his head with your hands. On arrival an 81 year old female with a history of emphysema tells you "these damn puffers aren't working." She is cyanotic around the lips, fingers and lower extremities. Her vital signs are BP 108/84, P 92, R 20 and her SpO2 is 88% on 3 Lpm home oxygen. While en route she relaxes and becomes drowsy. You should suspect - Precise Answer ✔✔respiratory failure. A 64 year old male has an irregular pulse. The reason you cannot feel every heart beat in this patient is because the - Precise Answer ✔✔left ventricle did not fill with blood. A 64 year old two pack a day smoker is short of breath. She reports she feels "worse today." You observe cyanosis around her mouth and in small capillary beds. She has diminished breath sounds in all lung fields. She is on 3 Lpm oxygen by nasal cannula. She denies having a coughing history. You should suspect

• Precise Answer ✔✔emphysema.

A boy was in a fight and has epistaxis. You should - Precise Answer ✔✔pinch his nostrils together. A 52 year old man with a history of heart disease took one nitroglycerin tablet prior to your arrival. When you arrive his vital signs are BP 102/82, P 56 and irregular and R 18. His SpO2 reading is 90% on room air. You should first - Precise Answer ✔✔administer oxygen by non-rebreather mask. On arrival a 72 year old male is apneic and pulseless. Chest compressions are being delivered by a caregiver. You should first - Precise Answer ✔✔prepare for defibrillation. A 52 year old homeless man is weak, has a yellow tone to his skin and the whites of his eyes are yellow. The best method to protect yourself from the spread of his disease is to - Precise Answer ✔✔be vaccinated. A mother calls 9-1-1 because her 18 month old son is having a seizure. When you arrive he is in pajamas, seizing in her arms. He is hot to touch. You should first - Precise Answer ✔✔move him to the cot and remove his clothing. When you arrive at a car crash a male driver complains of neck pain. He is moving all extremities and has normal sensations. How should you assess him? - Precise Answer ✔✔Apply slight pressure to every cervical spinous process. You've applied the AED to an apneic and pulseless 62 year old male. The AED says "no shock advised." You should next - Precise Answer ✔✔begin chest compressions. Which of the following signs should cause you concern that a patient may have colon cancer? - Precise Answer ✔✔Melena An unconscious 74 year old female suffered an acute stroke. She is Cheyne-Stokes breathing and is flaccid on her left side. Her vitals are BP 186/96, P 84, and R 18 and irregular. You assessment of this patient's ability to ventilate should focus on - Precise Answer ✔✔adequate minute volume. The primary cause of symptoms in a patient with asthma is - Precise Answer ✔✔bronchoconstriction.

A 68 year old male tells you on arrival that his congestive heart failure is "back again." You conduct your initial management and start en route when he asks for one of his nitroglycerin tablets. You should - Precise Answer ✔✔allow him to take a tablet. An 82 year old woman has a neighbor call 9-1-1 because she is unable to ambulate. When you arrive she complains of weakness, nausea and abdominal pain. Her vital signs are BP 98/84, P 82, R 18 and her SpO2 is 90% on room air. She has crackles in both lower lobes of her lungs. You should suspect - Precise Answer ✔✔heart attack. The signs present when a person is in anaphylactic shock are due to - Precise Answer ✔✔histamine release. A 72 year old male pedestrian was struck by a car. When you arrive he is unconscious, has a scalp laceration, fractures of ribs 4 and 6 and shows facial grimace when you move his pelvis. His vital signs are BP 112/84, P 94, R 20. Your partner immobilizes him while you - Precise Answer ✔✔place a pelvic splint. A 23 year old man has a gunshot wound in the RUQ of his abdomen with minimal bleeding. When you arrive he says he is weak. His vital signs are BP 94/palp, P 118 and thready and R is 8 and irregular. His SpO2 is 94% on room air. You should first - Precise Answer ✔✔ventilate him with a BVM. When you speak on a hand held radio, in order for your signal to transmit to the hospital it must - Precise Answer ✔✔go through a repeater system. You should protect yourself by obtaining a vaccination to prevent acquiring - Precise Answer ✔✔Hepatitis B. The determination to deliver the task of assisting a patient with ventilations is best accomplished by knowing the patient's - Precise Answer ✔✔alveolar ventilation. A 3 year old boy drank an unknown amount of bleach. When you arrive he is crying in his mother's arms. His breath smells of bleach. You should next - Precise Answer ✔✔contact the poison control center. Which of the following has the highest correlation with Type II diabetes? - Precise Answer ✔✔Obesity

A 72 year old man has multiple bruises in various stages of healing. He has a history of atrial fibrillation and takes coumadin. His caregiver called you because he won't get up and has had a hard time walking. You should suspect the cause of his bruises to be - Precise Answer ✔✔the fact that he takes a blood thinner. At the hospital after reporting on care given to an elderly patient you should - Precise Answer ✔✔report on any social services the patient may need at home. A 76 year old man awoke short of breath. When you arrive he is cyanotic and sitting up in bed breathing rapidly. His vital signs are BP 104/84, P 64 and irregular, R 20 and his SpO2 is 86% on room air. You should first - Precise Answer ✔✔administer oxygen by non-rebreather mask. A man called 9-1-1 because his 78 year old wife could not get out of bed in the morning. When you arrive she has right-sided weakness. He says she went to bed at 10:00 PM last night and she was feeling OK. You should record the time of onset of her symptoms to be - Precise Answer ✔✔10:00 PM. At the scene of a suspected WMD the first patient you encounter has excessive salivation, nausea and is incontinent of bowel and bladder. You should immediately - Precise Answer ✔✔move to a cold zone. You respond to a school where an 8 year old boy has hives and itching after eating his lunch. The principal hands you an epinephrine auto-injector and says, "this isn't his but we have them at the school if you need it." You should suspect the boy is - Precise Answer ✔✔having an allergic reaction. A 22 year old with a history of asthma tells you "I can't breathe." Her mother says she's used her inhaler four times in the last hour and a half. You administer oxygen and - Precise Answer ✔✔assist her using her inhaler. Which of the following organs secretes endocrine system hormones? - Precise Answer ✔✔Pancreas Your team arrives and finds an apneic and pulseless infant. You immediately begin chest compressions - Precise Answer ✔✔using the two thumb hand encircling technique.

A 64 year old man who is a two pack a day smoker complains of shortness of breath. His vital signs are BP 134/94, P 94, R 22 and his SpO2 is 88% on room air. He says he has been coughing up phlegm for the past 3 months. You should suspect - Precise Answer ✔✔chronic bronchitis. A 72 year old woman with a history of chronic bronchitis is cyanotic in small capillary beds. When you arouse her she says "I'm tired." When you again arouse her she says "leave me alone." Her SpO2 is 82% on 3 Lpm home oxygen. You suspect her responses to your arousals to be due to cerebral - Precise Answer ✔✔hypoxia. A 29 year old was riding his motorcycle without a helmet and fell at a slow rate of speed. When you arrive he is sitting beside the roadway complaining of a headache. He has tenderness over the right side of his skull. Other riders say he was unconscious for about 8 minutes. He doesn't remember what made him fall. His vital signs are BP 124/84, P 92, R 14. You should suspect - Precise Answer ✔✔epidural hematoma. A 64 year old obese woman has been indoors unable to walk during a heat wave. She is not responding appropriately to your questions, has hot, dry skin and is rapidly breathing. You should suspect - Precise Answer ✔✔hyperthermia. A young man fell from his motorcycle at a high rate of speed. When you arrive he is unconscious, very pale and you are unable to palpate a radial pulse. Your partner reports he only heard one sound when taking his blood pressure and that was at 88 mmHg. His respiratory rate is 4. You suspect he will develop

• Precise Answer ✔✔irreversible shock. A newborn has blue extremities, a pulse of 150, facial grimace, flexion of the arms and a weak cry one minute after delivery. You should record an initial APGAR of - Precise Answer ✔✔6. A 21 year old woman is out to dinner. She was unaware shellfish was an ingredient in her food. She began to have urticaria, a hoarse voice, edema and weakness. When you arrive her husband hands you an epinephrine auto-injector. You should - Precise Answer ✔✔pull up her skirt and inject her in the mid- thigh on the lateral side. The best method to prevent the spread of diseases to yourself or your patient is - Precise Answer ✔✔hand washing.

You arrive at a shooting where a law enforcement officer shows you through a crowd to a young man with an open wound in his upper right leg. You see a pool of blood on the ground. His vital signs are BP 104/84, P 116, R 16. He says his leg is broken. You should first appl - Precise Answer ✔✔a tourniquet. The most frequent cause of chest pain in middle aged men is - Precise Answer ✔✔atherosclerosis. At a home where you terminated resuscitation efforts you should - Precise Answer ✔✔inform the family members regarding the outcome. A diabetic female has flu-like symptoms and stopped taking her insulin because she couldn't eat. When you arrive she is hot to touch, has dry skin and sweet smelling breath. Her vital signs are BP 110/96, P 96, R 26 and deep. You should first - Precise Answer ✔✔administer oxygen by nasal cannula.