Emergency Medical Procedures and Assessments, Exams of Advanced Education

Download Emergency Medical Procedures and Assessments and more Exams Advanced Education in PDF only on Docsity! NREMT EMR EXAM PREP EXAM -with 100% verified solutions 2024 Tutor verified You arrive to find a 48 year old male complaining that his chest feels heavy. The patient is awake and talking to you. During your assessment, you note that his skin is pale, cool, and clammy. Your first step is to: A. apply your AED B. administer supplemental oxygen C. obtain a past medical history D. assist the patient in taking his neighbor's nitroglycerin B (Your first step is to administer supplemental oxygen. When treating chest pain, it is important to get oxygen to the patient as soon as possible to help alleviate damage to the heart muscle.) Which of the following is the correct flow of blood through the heart and lungs? A. inferior/superior vena cavae, lungs, right atrium, right ventricle, left venntricle, aorta B. inferior/superior vena cavae, left atrium, left ventricle, lungs, right atrium, left ventricle, aorta C. inferior/superior vena cavae, lings, aorta, left atrium, left ventricle, right atrium, left ventricle D. inferior/superior vena cavae, right atrium, right ventricle, lungs, left ventricle, aorta D The mitral or bicuspid valve, A. prevents blood from back flowing into the left atrium B. prevents blood from back flowing into the right atrium C. prevents the blood from back flowing into the lungs D. is located between the left atrium and the right ventricle A (The mitral or bicuspid valve is located between the left atrium and the left atrium and the left ventricle. It prevents the blood from back flowing into the left atrium.) Which of the following is NOT true of the treatment of an impaled object? A. remove if blocking the airway B. stabilize in place C. remove to accommodate transport of the patient D. control the bleeding C (The treatment of a patient with an impaled object includes: securing the object in place, exposing the wound area, controlling bleeding, and using a bulky dressing to help stabilize the object. The only time it is permissible to remove an impaled object is if it is impeding the breathing of a patient.) We have an expert-written solution to this problem! The electrical impulse generated in the right atrium is called the: A. atrioventricular node B. purkinje fibers C. sinoatriual node D. bundle of his C You are treating a patient that has been involved in a motor vehicle accident. You can lift a flap of skin on the patient's head. This type of injury would e referred to as a(n): A. avulsion A 29 year old male has taken LSD. The patient appears very anxious and in a panic state. He is showing signs of paranoia. You should: A. agree withe everything the patient says B. restrain the patient C. be aggressive and talk very straight and stern to the patient D. talk the patient down by reassuring the patient D The most serious side effect of alcohol consumption is: A. liver damage B. hepatitis C. death D. loss of consciousness C You arrive on the scene of an incident where a 16 year old male fell approximately 12 feet. That would be considered: A. a trauma alert B. a significant mechanism of injury C. not a significant mechanism of injury D. a case with a load 'n' go patient C (A patient over the age of 8 is considered an adult for most medical care purposes. A fall of greater than 20 feet is considered a significant injury in adults. If this had been an infant or child, it would have been a significant mechanism of injury since any fall greater than 10 feet would be considered a significant mechanism of injury.) When assessing a 35 year old patient complaining she is short of breath, you note that her breathing is in excess of 28 times per minute. This is considered: A. neuropnea B. apnea C. bradypnea D. tachypnea D (Respiratory rates greater than 20 breaths per minute are considered tachypnea. Less than 12 breaths per minute is bradypnea and absent breathing is apnea.) We have an expert-written solution to this problem! You arrive on the scene of a patient who fell from a ladder. You should open the patient's airway by using: A. head-tilt/chin-lift B. jaw thrust maneuver C. neck-lift/head-tilt D. head-tilt/jaw-thrust B You arrive on the scene, finding an unconscious patient. There are no other individuals in the vicinity to give any other information or permission to treat the patient. Even though the patient cannot give you consent to treat him, you begin to do so because of" A. expressed consent B. implied consent C. advanced directives D. emergency consent B The AED is used to treat patients in: A. asystole B. ventricular tachycardia with a pulse C. ventricular fibrillation D. pulseless electrical activity C You arrive on the scene to discover a 65-year-old female lying on the floor of her living room. Your first step in the care of this patient is to" A. begin chest compressions B. apply the AED C. maintain an open airway D. assess level of consciousness D You arrive on the scene to find an unconscious patient about 14 years of age. Where would you assess for a pulse on this patient? A. carotid artery B. brachial artery C. femoral artery D. radial artery A The appropriate care for a patient with epistaxis is to: C. mental status D. blood pressure C Which of the following would findings would be most significant during an assessment of a patient with a severe headache? A. pain in both legs B. chest discomfort C. unilateral weakness D. abdominal tenderness C Seizures in children most often are the result of: A. a life threatening infection B. a temperature greater than 102 F C. an abrupt rise in body temperature D. an inflammatory process in the brain C A 34-year-old woman, who is 36 weeks pregnant, is having a seizure. After you protect her airway and ensure adequate ventilation, you should transport her: A. on her left side B. in the prone position C. in the supine position D. in a semisitting position A Snoring respirations are most rapidly managed by A. suctioning the oropharynx B. initiating assisted ventilations C. correctly positioning the head D. inserting an oropharyngeal airway C The scene size-up includes all of the following components, except: A. determining scene safety B. applying personal protective gear C. assessing the need for assistance D. evaluating the mechanism of injury B Which of the following actions should be carried out during the initial assessment? A. assessing the skin B. palpating the cranium C. auscultating the lungs D. obtaining a blood pressure A Firefighters have rescued a man from his burning house. He is conscious and in considerably respiratory distress. He has a brassy cough and singed nasal hairs. The most immediate threat to this patient's life is: A. hypothermia B. severe burns C. severe infection D. closure of the airway D (Because of the signs and symptoms that this patient is exhibiting, you must be immediately concerned with the potential for closure of the airway and be prepared to assist ventilations. Signs of airway burns include respiratory distress, singed nasal hairs, a brassy cough, difficulty breathing and coughing up soot sputum. Infection, the burns themselves and hypothermia should concern you; however, airway problems are the greatest threat to human life.) Immediately upon delivery of a newborn's head, you should first: A. dry the face B. cover the eyes C. suction the nose D. suction the mouth D Which of the following conditions would most likely cause flushed skin? A. shock B. hypoxia C. exposure to heat D. low blood pressure C (Flushed or red skin commonly is seen in patients who are exposed to heat. Fever can also cause flushed skin. Shock and low blood pressure generally cause the skin to become pale, and hypoxia causes cyanosis, a bluish-gray tint to the skin.) B. cover the affected eye and stabilize the object C. stabilize the object and do not cover either eye D. remove the object and cover both eyes A You have successfully converted your cardiac arrest patient out of v-fib with your AED. The patient has a pulse and respirations are 6 per minute. You should: A. continue CPR B. monitor patient C. administer 15 LPM via NRB D. continue to assist the patient with ventilations via a BVM and oxygen D Which of the following arryhythmias should be shocked using an AED? A. asystole B. ventricular tachycardia C. pulseless electrial activity D. atrial fibrillation B A soft-tissue injury that results in a flap of torn skin is referred to as: A. an incision B. an avulsion C. an abrasion D. a laceration B When is it most appropriate to clamp and cut the umbilical cord? A. as soon as the cord stops pulsating B. after the placenta has completely delivered C. before the newborn has taken its first breath D. immediately following delivery of the newborn A We have an expert-written solution to this problem! You are treating a patient with a fractured femur. The most appropriate splint to use for this patient would be: A. a ladder splint B. the other leg C. two board splint D. a traction splint D (A traction splint is used for femur fractures. Ladder splints are used for angulated fractures. Board splints are good to use for extremity fractures.) Albuterol is a medication administered by: A. injection B. inhalation C. absorption D. orally B (Albuterol is a bronchodilator) You arrive on the scene of a tanker truck carrying a hazardous material. You should position your vehicle: A. 2,000 feet from the tanker truck B. uphill C. upwind D. all of the above D You are treating a 35 year old conscious choking victim. The patient suddenly goes unresponsive. Your next step is to: A. attempt to ventilate the patient B. perform CPR C. deliver 5 abdominal thrusts D. deliver 5 chest thrusts B You are the triage officer at the scene of a mass casualty incident. Which of the following patients should be treated first? A. A 37-year-old female patient who is unresponsive B. An 18-year-old male patient who is not breathing and has no pulse C. A 29-year-old male patient with a femur fracture D. An 8-year-old patient who is conscious but is having trouble breathing A When treating children, all of the following are important considerations except: C. femoral artery D. radial artery A You are treating a patient suffering from anaphylactic shock. Which of the signs and symptoms would you likely see in this patient? A. urticaria, bradycardia, tachypnea, and stridor B. subcutaneous emphysema, bradycardia, dyspnea, and wheezing C. urticaria, hypertension, tachypnea, and tachycardia D. urticaria, tachycardia, tachypnea, and hypotension D When you grab a backboard, you realize that blood remains from an earlier call. With your hand covered in blood, your first step towards decontamination should be: A. contacting your Infection Control Officer B. washing your hands with soap and water C. completing exposure control forms D. going to the emergency department for admission B Which of the following is the most common cause of suicide? A. alcohol B. drugs C. depression D. the holidays C You are called to the scene of a possible drowning at a local pool. When you arrive on the scene, a bystander is holding the patient at the surface of the water. The patient is unconscious. Your next step is to: A. being rescue breathing B. remove the patient from the pool C. start CPR D. apply cervical and spinal immobilization D You arrive on the scene of a patient who says that she was bitten by fire ants. She has bites all over her legs. Your first step in treating this patient would be to: A. apply high flow oxygen and remove any jewelry B. cleanse the bites with alcohol to remove the sting C. transport the patient to the hospital D. use her epi-injector You are treating a patient with frostbite. Which of the following actions should be taken? A. break any blisters on the wound B. apply direct heat to the affected area C. rub or massage the affected area D. remove any jewelry from the afflicted limb D You are suctioning your patient's airway. One of the biggest side effects of suctioning is: A. hypoxia B. aspiration C. suction power D. suction catheter clogging A Which of the following are the signs and symptoms of shock in the early stages? A. tachycardia, anxious, restless, skin pale, cool, clammy B. bradycardia, anxious, restless, skin pale, cool, and clammy C. tachycardia, hypotension, increased breathing D, bradycardia, hypotension, skin pale, cool, clammy A Which of the following pressures is considered narrowed? A. 30 B. 20 C. 20 D. 35 A You are treating a patient with shortness of breath. You want to deliver 6 liters per minute of oxygen. You would deliver this flow rate with a: A. nasal cannula B. simple face mask You arrive on the scene to discover a patient who refuses to allow you to touch her. You feel the patient is in need in treatment and attempt to take her blood pressure. You have just committed: A. an assault B. battery C. negligence D. an act befitting your profession B You are assessing a 24-year-old male who was involved in a bar room brawl. Witnesses say the patient was struck with a barstool. The patient is unresponsive. You note battle signs on your assessment. This is a sign of: A. intracranial bleeding B. basilar skull fracture C. epidural hematoma D. subdural hematoma B Your patient is vomiting large amounts of bright red blood. The patient does not complain of any pain or tenderness in the abdomen during your assessment. The patient's pulse is 128 and he is having difficulty breathing. His skin is pale, cool and clammy. You noticed he has a jaundiced appearance. You would suspect this patient has: A. pancreatitis B. esophageal varices C. abdominal aortic aneurysm D. appendicitis B There are three stages of labor. In the second stage of labor. A. labor pains develop C. the cervix becomes dilated C. the baby is born D. the placenta is expelled C kjpo joj You are at the scene of a mass casualty incident. Who is in charge of the overall scene? A. the EMT-B B. the incident commander C. the paramedic D. the medical director B You arrive at the scene of a possible unconscious patient located in a lab setting. On the exterior of the room there is a NFPA diamond with a 4 in the blue portion of the diamond. This is an: A. extreme health hazard B. extreme fire hazard C. extreme reactivity hazard D. extreme water reactivity A You have just intubated a patient in cardiac arrest. Your partner tells you he hears breath sounds on the right side but not on the left. You would suspect: A. intubated the right stem bronchus B. intubated the left stem bronchus C. are in the proper position D. are in the esophagus A You are attempting to intubate a patient. The vocal cords appear anterior and you are having a difficult time visualizing them. You could A. have your partner try B. ask your partner to perform the Sellick maneuver C. insert the laryngoscope further D. wait until you get to the hospital Which of the following medications is an EMT-B not allowed to assist the patient in taking? A. the neighbor's nitroglycerin for chest pain B. an albuterol inhaler for shortness of breath C. the patient's nitroglycerin of chest pain D. the patient's epipen for an allergic reaction A. front B. rear C. left D. right B EMTs should wear high-efficiency particulate air (HEPA) respirators when they are in contact with patients who would have which of the following? A. HIV B. TB C. open wounds D. hepatitis B B You are called to assist a 60-year-old female who consists of a severe headache. Upon entering the home, you smell a strong odor of natural gas. What is your first action? A. check the patient's airway, breathing and circulation B. insert a nasopharyngeal airway and assess vital signs C. remove the patient from the house to your ambulance D. open all the windows and determine the source of the gas leak C The most common electrical rhythm disturbance that results in sudden cardiac arrest is called: A. pulseless electrical activity B. ventricular fibrillation C. ventricular tachycardia D. asystole B Which of the following is the highest priority patient? A. 57 year old male with chest pain and systolic blood pressure of 80 B. 40 year old female with moderate pain from a leg injury C. 75 year old male who appears confused but responds to commands D. 25 year old female in labor with contractions six minutes apart A Of the following, which body fluid has the most potential to transmit blood-borne diseases? A. nasal discharge B. vomitus C. amniotic fluid D. feces C