NYS EMT Written Exam with 100% Verified Solutions |Rated A+, Exams of Clinical Medicine

Download NYS EMT Written Exam with 100% Verified Solutions |Rated A+ and more Exams Clinical Medicine in PDF only on Docsity! NYS EMT Written Exam with 100% Verified Solutions |Rated A+ Providing care within the scope of practice would be considered behavior in accordance with: -The sovereign immunity doctrine -Approved protocols -Professional Standards -Institutional Standards - ✔✔Professional Standards The extent of medical procedures a EMT is authorized to perform is called the: -Medical release -Scope of practice/care -Duty to act -Physician relationship -Skill set - ✔✔Scope of practice/care Which of the following is the EMT's BEST defense in a lawsuit? -Excellent documentation of patient care -Current certification -Knowledge of all legal aspects of emergency care -Being proficient - ✔✔Excellent documentation of patient care EMS providers must be certified to perform legally at their level of training. The New York State law that establishes this level is the: -Good Samaritan Law -General Municipal Law -Medical License Law -Public Health Law - ✔✔Public Health Law Public Health Law Article 30, Part 800 covers all Emergency Medical Technicians from liability except for gross negligence The first action taken by the EMS provider at the scene of an emergency should be: -Triage of all victims -Completion of the initial scene size-up -Notification to the electric and gas companies -Requesting additional ambulances - ✔✔Completion of the initial scene size-up What is the legal basis for treating a patient whose judgement is impaired because he/she is unconscious, severely ill, or badly injured? -Applied consent -Implied consent -Informed consent -Good Samaritan Act - ✔✔Implied consent Which of the following arteries is the MOST RELIABLE for detecting an adult's pulse? -Brachial -Femoral -Carotid -Radial? - ✔✔Carotid -Apply a cervical collar and attempt to ventilate -Turn the patient's body as a unit and begin CPR -Leave the patient in place and attempt to apply the principles of CPR -Do nothing until help arrives - ✔✔Turn the patient's body as a unit and begin CPR During the Initial Assessment, you are assessing a conscious trauma patient complaining loudly of pain in the leg. You should: -Begin to obtain the history -Assess the leg immediately -Discontinue the Initial Assessment, start the Detailed Physical Exam -Continue with your initial assessment - ✔✔Continue with your initial assessment If a EMT is transporting a patient to the hospital and the patient suddenly stops talking, the next step should be to: -Consult with an advanced EMS provider -Repeat the Initial Assessment -Initiate a priority transport -Stop the ambulance - ✔✔Repeat the Initial Assessment The overall purpose of the Initial Assessment is to: -Identify and correct life threatening problems and set priorities -Ensure that airway is open and locate breathing problems -Identify and treat major extremities injuries -Identify minor problems and provide treatment - ✔✔Identify and correct life threatening problems and set priorities In what order is the Detailed Physical Exam usually conducted on an adult patient? -Head, neck, extremities, chest, pelvis, abdomen -Head, neck, chest, abdomen, pelvis, extremities -Head, neck, abdomen, chest, pelvis, extremities -Head, chest, abdomen, neck, pelvis, extremities - ✔✔Head, neck, chest, abdomen, pelvis, extremities A driver has crashed into a tree. In what order should you check for the signs of life-threatening problems in this accident victim? -Pulse, respirations, hemorrhage -Respirations, hemorrhage, pulse -Hemorrhage, pulse, respirations -Respirations, pulse, hemorrhage - ✔✔Respirations, pulse, hemorrhage If a life-threatening problem is discovered during the Initial Assessment, you should: -Finish the Initial Assessment and then go back to correct the problem -Complete both the Initial Assessment and the secondary survey -Transport the patient to the hospital immediately -Correct the problem before continuing with the Initial Assessment - ✔✔Correct the problem before continuing with the Initial Assessment In assessing a pediatric trauma patient's capillary refill time, a normal finding would be a refill time of: -Greater than 5 seconds -Less than 2 seconds -Greater than 2 seconds -Greater than 4 seconds - ✔✔Less than 2 seconds All of the following are symptoms EXCEPT: -Headache -Weak pulse -Chest pain -Nausea - ✔✔Weak Pulse Which of the following is an example of a sign? -Cyanosis -Nausea -Dizziness -Chest Pain - ✔✔Cyanosis You are assessing an unconscious patient who responds to a sternal rub by moaning. Using AVPU how would this patient be described: -Alert -Verbally -Painful stimulus -Unresponsive - ✔✔Painful stimulus AVPU determines level of consciousness After you have determined that the scene is safe, the FIRST step in caring for a patient is to: -Check for a carotid pulse -Open the airway -A sudden attack of a dry hacking cough with pain -Immediate air hunger and mild cyanosis followed by slow and shallow respirations -Sudden shortness of breath with productive cough producing rusty sputum -Sudden shortness of breath, unequal chest expansion and diminished breath sounds - ✔✔Sudden shortness of breath, unequal chest expansion and diminished breath sounds The only artery that carries unoxygenated blood away from the heart is called the: -Coronary arteriole -Hepatic artery -Pulmonary artery -Aorta - ✔✔Pulmonary artery You arrive at the scene of a call and find an unconscious adult victim. The initial attempt to ventilate proves unsuccessful. The NEXT step should be: -Deliver 5 abdominal thrusts -Check carotid pulse -Reposition the head and attempt to ventilate again -Reposition the head and perform a finger sweep - ✔✔Reposition the head and attempt to ventilate again When taking Vital Signs on an unstable patient it is important to take them every: -2-3 minutes -5 minutes -10 minutes -15 minutes - ✔✔5 minutes Vital signs for a stable patient is every 15 minutes When you are administering mouth-to-mask ventilations without supplemental oxygen, approximately how much oxygen are you providing for the non-breathing patient: -16% -18% -20% -21% - ✔✔16% With supplemental oxygen 50% Standard oxygen cylinders are fully pressurized to approximately: -1500 psi -2000 psi -2500 psi -3000 psi - ✔✔2000 psi Which of the following is a description of the correct placement for AED electrodes? -Under the right clavicle and over the lower left rib cage -Under the right clavicle and on the patients lower stomach -On the sternum and over the lower left rib cage -Over the right lower rib cage and over the left lower rib cage - ✔✔Under the right clavicle (white lead) and over the lower left rib cage (red lead) Which of the statements about using an AED is TRUE? -While the AED is analyzing the patient's rhythm, it is acceptable to be touching the patient or continue performing CPR -The AED will ask the user to interpret the heart rhythm -CPR must be stopped for the entire cycle of analysis for the AED to accurately assess the patient's heart rhythm -First responders should immediately attach an AED to every patient - ✔✔CPR must be stopped for the entire cycle of analysis for the AED to accurately assess the patient's heart rhythm In which of the following situations can an AED be used? -A conscious patient experiencing trouble breathing -A patient in cardiac arrest -An unconscious child who has a pulse -A conscious adult having chest pain - ✔✔A patient in cardiac arrest According to the CPR guidelines, when ventilating a non-breathing child how many times per minute should ventilations be performed? -10 to 15 -10 to 20 -15 to 20 -12 to 20 - ✔✔12 to 20 Once every 3-5 seconds According to the CPR guidelines, a child is defined as: -1 year to 8 years old -Birth to 8 years old -1 year to puberty -70/min -100/min -120/min - ✔✔100/min How far down must you compress the sternum when you are giving cardiopulmonary resuscitation to an adult: -1 to 1 1/2 inches -1 1/2 to 2 inches -2 to 2 1/2 inches -2 1/2 to 3 inches - ✔✔1 1/2 to 2 inches Child and infant 1/3 to 1/2 chest depth How many breaths per minute should you provide a non-breathing adult when you are ventilating by the mouth-to-mask procedure: -8 to 10 -10 to 12 -13 to 15 -18 to 20 - ✔✔10 to 12 5-6 seconds if intubated 8-10 breaths per minute. If compressions are needed they are continuous with no breaks for breaths In placing the hands on the patient's sternum to perform CPR, the EMS Provider should: -Hold the fingers of the bottom hand in a fist formation and the fingers on the top hand curved up -Fold the fingers under and make a firm fist -Hold the fingers outward and slightly away from the chest wall -Allow the fingers to curve and conform to the patients chest - ✔✔Hold the fingers outward and slightly away from the chest wall You are performing two-rescuer CPR on a child. The rescuer who has been ventilating informs you that the patient is now breathing spontaneously. What should you do? -Continue to provide ventilations and compressions, since you should not stop CPR once you have begun -Stop compressions and place the child in recovery position -Keep both hands on the sternum in order to be ready to resume compressions -Stop the ventilations but continue with the compressions - ✔✔Stop compressions and place the child in recovery position When performing two-rescuer CPR; how often should the rescuer palpate the carotid artery to check for the return of a spontaneous pulse: -Every 2 minutes -Every 5 minutes -Every 10 cycles -Every minute - ✔✔Every 2 minutes Which of the following statements concerning the performance of CPR is CORRECT? -Quick jabs and sudden jerking movement should be avoided when compressing the chest -Quick jabs are effective in providing pulses of blood to the brain -70% of the cycle should be compression and 30% of the cycle should be relaxation -Quick jabs produce jets of blood flow out of the heart and enhance stroke volume - ✔✔Quick jabs and sudden jerking movement should be avoided when compressing the chest To perform external cardiac compressions on a four-year-old child, you should use the: -Tips of the fingers -Thumbs of both hands -Heel of one hand -Heel of your foot - ✔✔Heel of one hand The area of external cardiac compression on an infant should be: -At the nipple line -One finger-width above the nipple line -One finger-width below the nipple line -The upper half of the sternum - ✔✔One finger-width below the nipple line Or 2-Thumb encircling the chest with 2 person CPR Child and adult the area of external compression is center of chest between the nipples In reference to performing external cardiac compressions you should: -Pump lightly and pump fast -Pump hard and pump slow -Pump diligently and pump slow -Pump hard and pump fast - ✔✔Pump hard and pump fast Full chest recoil When checking for signs of circulation on a non-breathing adult the pulse check should last for: -2 to 5 seconds -Connect the bag to oxygen -Control the transmission of communicable diseases -Squeeze the bag at the proper inflation rate - ✔✔Seal the mask properly over the victim's mouth and nose The proper technique for suctioning a patient's mouth is to insert the catheter with the suction: -On, and turn the suction unit off as you are withdrawing the catheter -Off, turn the suction on to remove foreign material, and then off as you withdraw the catheter -On, and suction while you insert and withdraw the catheter -Off, apply suction, and continue suction as you are withdrawing the catheter - ✔✔Off, apply suction, and continue suction as you are withdrawing the catheter The first step which should be taken to treat a patient who is unresponsive is to: -Open the airway -Apply positive pressure ventilation -Clear the mouth -Check for a pulse - ✔✔Open the airway An unconscious, breathing 18 year-old patient has been rescued from a car that had the engine running. The patient's skin is red; vital signs are: Pulse 88, R = 18. Oxygen should be administered with which of the following devices? -Nasal cannula -Simple face mask -Venturi mask -Non-rebreathing mask - ✔✔Non-rebreathing mask You are called to the home of a patient who is on physician-prescribed low-concentration oxygen, and who is NOT in acute respiratory distress. According to the NYS BLS Treatment Protocols, which type of oxygen delivery device should you use during transport? -Non-rebreathing mask -Demand valve -Simple face mask -Nasal cannula - ✔✔Nasal cannula For a trauma victim with a respiratory rate of 40 breaths per minute, shallow and irregular breathing, who is pale and has a history of emphysema, the most appropriate treatment would be to: -Use a bag valve mask with supplemental oxygen -Administer low concentration oxygen because of emphysema history -Administer supplemental oxygen with high concentration mask -Transport the patient sitting up to ease the patient's dyspnea - ✔✔Use a bag valve mask with supplemental oxygen You are suctioning a trauma patient who has large blood clots present in the mouth. You should: -Use alcohol to clear blood clots from the suction tip -Insert the suction tip with the vacuum on -Sweep the clots out of the mouth before suctioning -Ensure that your suction unit does not exceed 200mm Hg of negative pressure - ✔✔Sweep the clots out of the mouth before suctioning The MAXIMUM rate for delivering oxygen via nasal cannula is: -2 liters/minute -4 liters/minute -6 liters/minute -10 liters/minute - ✔✔6 liters/minute When oxygen is administered using a flow restrictive oxygen powered ventilation device with a tight fitting mask, the maximum concentration obtainable is nearly: -40% -60% -80% -100% - ✔✔100% If a patient is in respiratory failure, how many ml of air should be given to a patient using a BVM WITH supplemental oxygen: -700 to 1000ml per ventilation over 2 seconds -600 to 800ml per ventilation over 1-2 seconds -800 to 1200ml per ventilation over 2 seconds -400 to 600ml per ventilation over 1-2 seconds - ✔✔400 to 600ml per ventilation over 1-2 seconds According to the NYS EMT/EMT Student Manual, a breathing patient should NOT be suctioned for any longer then: -5 seconds -10 seconds -15 seconds -20 seconds - ✔✔15 seconds The oxygen concentration delivered by a non-rebreathing mask with a flow rate of 12-15 liters/minute is approximately: Which of the following conditions indicate hypoperfusion (shock)? -Pulse weak and slow; slow respirations -Lethargy; a decreased pulse rate -Skin flushed; decreased blood pressure -Thirst; restlessness; rapid pulse - ✔✔Thirst; restlessness; rapid pulse A characteristic of arterial bleeding is that it: -Is dark maroon in color -Is the easiest of all types of bleeding to control -Flows from the wound in distinct spurts -Clots very easily - ✔✔Flows from the wound in distinct spurts Hypoperfusion (shock) is said to exist whenever there is: -An acute infection -An allergic reaction -A heart problem -Inadequate perfusion - ✔✔Inadequate perfusion In infants and elderly people, excessive diarrhea and vomiting can lead to: -Hypovolemic shock -Pulmonary edema -Cardiogenic shock -Hypertension - ✔✔Hypovolemic shock Treatments for the early phase of hypovolemic shock includes maintenance of airway and: -Raising the patient's head and applying a pressure bandage -O2 administration and maintaining body temperature -Giving water to alleviate thirst and raising the patient's lower extremities -O2 administration and raising the patient's upper torso - ✔✔O2 administration and maintaining body temperature The respirations of a patient who is in hypovolemic shock tend to be: -Rapid and full -Slow and full -Rapid and shallow -Slow and shallow - ✔✔Rapid and shallow Which of the following are the signs of anaphylactic shock? -Pain in the chest, rapid strong pulse, pallor, sweating -Wheezing, rapid strong pulse, heavy breathing -Wheezing, itching or burning, edema, dyspnea -Rapid strong pulse, wheezing, pallor, sweating - ✔✔Wheezing, itching or burning, edema, dyspnea Which component of the blood is active in killing bacteria? -Hemoglobin -Gamma globulin -Platelets -White blood cells - ✔✔White blood cells Which of the following is the correct sequence for controlling hemorrhage: -Direct pressure, pressure dressing/bandage, tourniquet -Direct pressure, pressure point and elevation -Elevation, pressure point and direct pressure -Elevation, direct pressure and pressure point - ✔✔Direct pressure, pressure dressing/bandage, tourniquet What is the recommended procedure for the transportation of a severed limb to the hospital? -Wrap the limb in sterile gauze, seal in a plastic bag, and keep the limb cool -Wrap the limb in sterile gauze, seal in a plastic bag, and keep the limb warm -Place the limb on ice, wrap in sterile gauze, then seal both in a plastic bag -Wrap the limb in sterile gauze, place on ice, then seal both in a plastic bag - ✔✔Wrap the limb in sterile gauze, seal in a plastic bag, and keep the limb cool What type of wound is characterized by uneven edges? -Laceration -Abrasion -Incision -Puncture - ✔✔Laceration Nerve endings, sweat glands, and hair roots are located in which layer of the skin? -Epidermis -Dermis -Subcutaneous -Leave the glass in place and apply a dressing on both sides of the wound. -Remove the glass from the cheek and apply a dressing on both sides of the wound. -Remove the glass from the cheek and apply a dressing on the outside of the wound only. - ✔✔Remove the glass from the cheek and apply a dressing on both sides of the wound. If the spinal cord were severed at the waist, all body segments below the level of injury would MOST LIKELY: -Retain motion but loose all sensation. -Become completely paralyzed. -Become partially paralyzed. -Become completely paralyzed but retain sensation. - ✔✔Become completely paralyzed. Two life-threatening complications which may be encountered in a patient with a cervical spinal cord injury are: -Paralysis of the facial muscles and of the diaphragm -Paralysis of the neck muscles and a ruptured diaphragm -Neurogenic shock and ruptured diaphragm -Inadequate breathing effort and paralysis of the diaphragm - ✔✔Inadequate breathing effort and paralysis of the diaphragm A woman slipped on the ice-covered sidewalk on her property. She has an injured jaw and is bleeding from a laceration of the tongue. You should do all of the following EXCEPT: -Clear the upper respiratory passage in the first phase of patient care. -Have suction available for use. -Bend the patient's head forward to move the tongue away from the airway. -Prevent blood from getting into the pharynx because it may cause coughing and retching. - ✔✔Bend the patient's head forward to move the tongue away from the airway. The most reliable early indicator used to access a patient's overall condition is the patient's: -Mental status -Pupil reaction -Ability to move -Ability to sense your touch - ✔✔Mental status Prior to establishing unresponsiveness, the first step in the emergency care of a patient with suspected spinal injury is to: -Open the airway using the head tilt method. -Apply manual stabilization to the head. -Administer supplemental oxygen. -Apply an extrication collar. - ✔✔Apply manual stabilization to the head. Which areas of the spine are comprised of five vertebrae each? -Lumbar and sacrum. -Sacrum and cervical. -Cervical and coccyx. -Thoracic and lumbar. - ✔✔Lumbar and sacrum. Cervical 7, Thoracic 12, Lumbar 5, Sacrum 5, Coccyx 4. A 65 year-old male was involved in a two-car vehicle crash. Upon examination, he complains of chest pain upon breathing and tenderness of the sternum. Your initial care would be to: -Stabilize to sternum. -Position the patient on his side. -Administer high concentration oxygen. -Administer the patient's prescribed nitroglycerin. - ✔✔Administer high concentration oxygen. Signs and symptoms of multiple broken ribs include: -Unequal chest expansion, inadequate breathing, deformity, and pain. -Rapid breathing, chest pain, rapid weak pulse, and cyanosis. -Equal chest expansion, slow weak pulse, cyanosis, and chest pain. -Slow breathing, cyanosis, chest pain, and rapid weak pulse. - ✔✔Unequal chest expansion, inadequate breathing, deformity, and pain. You are called to a multi-casualty incident. Which one of the following patients should be treated first: -A 56-year-old male with chest pain, shallow respiration, a weak pulse, and clammy skin. -A 10-year-old female with bright red blood spurting from a wound in her leg. -A 23-year-old female who is uninjured but in the first stage of labor. -A 35-year-old male with second-degree burns on both arms. - ✔✔A 10-year-old female with bright red blood spurting from a wound in her leg. Which of the following is an effective method of quickly assessing the circulatory status of a trauma victim? -Completion of the AVPU scale for this patient. -Listening to the patient's heart with a stethoscope. -Taking the patient's blood pressure on each arm. -Squeezing the patient's finger to check capillary refill. - ✔✔Completion of the AVPU scale for this patient. When you are observing paradoxical motion, the flail chest section will be seen to: -Set up flares around the area. -Direct the car's occupants not to touch any metal in the car and do not attempt to get out. -Remove the downed electrical wire with wooden implements. -Notify the utility company of the downed electrical wire and request that the electrical current to the area be turned off immediately. - ✔✔Direct the car's occupants not to touch any metal in the car and do not attempt to get out. An understanding of the mechanism of injury in a motor vehicle collision is important to the EMT in order to: -Prepare the EMT to testify in court on the cause of the collision. -Distinguish injuries the patient may have sustained that are not immediately apparent. -Assist the police in accident investigation. -Assist the family in reporting the accident to their insurance company. - ✔✔Distinguish injuries the patient may have sustained that are not immediately apparent. If friends or relatives of an unconscious patient are present during the evaluation, it is important to: -Have them leave the area immediately. -Ask them to stabilize the patient. -Ask them if you have consent to treat the patient. -Obtain a history from them. - ✔✔Obtain a history from them. Which one of the following is NOT a characteristic finding in a patient who is having a heart attack? -Nausea and vomiting. -Weakness. -Unequal pupils. -Sweating. - ✔✔Unequal pupils. The MOST OBVIOUS indication of a paralyzed limb in a nontraumatic brain injury patient is that the limb will: -Move if its extremity is lightly jabbed with a pin. -Be pulseless and feel cold to the touch. -Be cyanotic and pulseless. -Appear loose and will lack muscle tone when it is moved by the EMS provider. - ✔✔Appear loose and will lack muscle tone when it is moved by the EMS provider. A woman in her late 40s has been complaining of headaches and vision difficulties. On your arrival, you find that she is responsive to pain and has a droopy eyelid, unequal pupils, and slow shallow respirations. Your FIRST action should be: -Immobilize the patient on a long backboard. -Administer glucose. -Administer high-concentration oxygen. -Assist the patient in administering her EpiPen. - ✔✔Administer high-concentration oxygen. In which of the following positions should a nontraumatic conscious patient showing signs and symptoms of an altered mental status be transported? -Prone, with head elevated. -Supine, with feet elevated. -Laterally, with feet elevated. -Supine, with head elevated. - ✔✔Supine, with head elevated. Which of the following are signs of hypoglycemia with AMS (Altered Mental Status)? -Flushed face, cold clammy skin, rapid respirations, appears intoxicated. -Pale face, sweet-smelling breath, slow respirations. -Elevated heart rate, cold clammy skin, mental irritability, appears intoxicated. -Flushed face, warm dry skin, rapid respirations. - ✔✔Elevated heart rate, cold clammy skin, mental irritability, appears intoxicated. When a diabetic becomes hyperglycemic, he/she may have: -Taken to much insulin. -Not taken enough insulin. -Exercised to much. -Not eaten. - ✔✔Not taken enough insulin. When a patient has ingested poison, you should: -Always induce vomiting. -Always give the universal antidote immediately. -Never induce vomiting under any circumstances. -Never induce vomiting if the ingested poison is a corrosive. - ✔✔Never induce vomiting if the ingested poison is a corrosive. Which of the following oxygen delivery devices should be used for treatment of a conscious patient who has inhaled a poisonous gas? -Partial-rebreathing mask -Simple face mask -Non-rebreathing mask -Venturi mask - ✔✔Non-rebreathing mask What is the FIRST thing you should do when treating a patient for an overdose of drugs? -Call the local poison control center for information. From which direction should you approach an airborne contamination incident: -Down wind from the incident. -The direction of easiest access. -Upwind from the incident. -Perpendicular. - ✔✔Upwind from the incident. When examining a patient who has ingested a poison and is conscious and alert, you should be especially observant for: -Cyanosis. -Respiratory difficulties. -Rising blood pressure. -Increased urinary output. - ✔✔Respiratory difficulties. The uterus is massaged after the placenta is delivered in order to: -Reduce pain. -Control bleeding -Relax the mother. -Increase heart rate. - ✔✔Control bleeding The birth canal consists of the cervix and the: -Placenta. -Amniotic sac. -Vagina. -Umbilical cord. - ✔✔Vagina. If the umbilical is still pulsating following a normal delivery, the new born baby should be positioned so that it is: -Allowed to nurse. -Kept at the level of the mother's vagina. -Kept below the level of the mother's vagina. -Kept above the level of the mother's abdomen. - ✔✔Kept at the level of the mother's vagina. During a breech delivery, the head has not emerged within 3 minutes. At this point, the EMT should: -Form an airway with one or two gloved fingers that push the vaginal wall away from the infant's face. -Support the infant's body and provide gentle traction until the head emerges. -Place the mother in a laterally recumbent position. -Place a gloved finger inside the vagina near the umbilical cord to keep pressure off the cord. - ✔✔Form an airway with one or two gloved fingers that push the vaginal wall away from the infant's face. While assisting at an emergency (normal) childbirth, it is important for you to remember that you should: -Guide, but not pull the baby out. -Encourage the mother to sit up between contractions. -Tell the mother to breathe normally through her nose. -Tell the mother to strain with each contraction. - ✔✔Guide, but not pull the baby out Support the baby's head to prevent an explosive delivery You are assisting in an emergency childbirth. The baby's head has completely emerged, and you are supporting it with one hand. At this point you should: -Turn the baby's head to one side to assist in delivery of the shoulders. -Gently pull on the baby's head to ensure delivery of the rest of the body. -Remove the cord if it is wrapped around the infants neck and suction the mouth and nose. -Apply pressure to the baby's head to avoid an explosive delivery of the shoulders. - ✔✔Remove the cord if it is wrapped around the infants neck and suction the mouth and nose. During a delivery, if the umbilical cord is wrapped around the infant's neck and you CANNOT slip it free, you should: -Transport immediately and not cut the cord. -Ask the mother to push. -Clamp the cord immediately and cut between the clamps. -Cut the cord without clamps. - ✔✔Clamp the cord immediately and cut between the clamps. The FIRST objective in the care of any burn is to: -Stop the burning process. -Exclude air from the area of the burn. -Relieve pain. -Prevent infection. - ✔✔Stop the burning process. A patient was pulled from a house fire and has burns involving arms, chest, and back. You should FIRST: -Determine the percentage of burn area and apply moist dressing. -Remove burned clothes that adhere to the skin. -Assess for airway and respiratory distress. -Cover the burn area with a sterile sheet and treat for shock. - ✔✔Assess for airway and respiratory distress. A thermal burn that is often NOT painful because of the destruction of the nerves in the dermis is a: -Administer fluids with caffeine. - ✔✔Apply heat packs to the groin, axillary, and cervical regions. You respond to a call for a possible suicide. A 16 year-old female is locked in the basement. The patient's mother does not know if the patient has a weapon. Your first action should be: -Request police assistance before entering the basement. -Ask the mother to unlock the door. -Instruct the patient to unlock the door and determine if a weapon is present. -Force open the door and observe. - ✔✔Request police assistance before entering the basement. If you suspect the patient is a victim of child abuse, you should: -Confront the parents with these suspicions and inform the child welfare agency. -Document the observation on the prehospital care report (PCR) and notify the emergency room staff. -Avoid reporting these suspicions, since doing so could make you liable to a lawsuit. -Avoid reporting these suspicions in the absence of definitive proof. - ✔✔Document the observation on the prehospital care report (PCR) and notify the emergency room staff. Your primary responsibility is to assess and provide appropriate care At the scene of an accident, an unconscious non-breathing male patient is found trapped in a vehicle in a sitting position. Although the victim can be reached, he cannot be immediately extricated from the vehicle. Your INITIAL action to aid the patient should be to: -Manually stabilize his head and gently remove him to a flat surface. -Support him in an upright position and immobilize a short spine board. -Manually stabilize his head and establish an airway. -Apply an extrication collar and administer oxygen using a non-rebreathing mask. - ✔✔Manually stabilize his head and establish an airway. At the scene of a vehicle extrication, which patient would be the LEAST priority. -50 year old female in cardiac arrest -20 year old needing heavy extended extrication -30 year old pinned needing light tools for extrication -40 year old lightly pinned and can be removed easily - ✔✔50 year old female in cardiac arrest The operator of an emergency vehicle must remember that the NYS vehicle and traffic law grants all of the following privileges to emergency vehicles during an emergency EXCEPT: -Passing other vehicles in a no-passing zone. -Driving the wrong way on a one-way street. -Proceeding through a red light. -Absolute right of way. - ✔✔Absolute right of way. All of following statements regarding a well-written prehospital care report (PCR) are corrected EXCEPT that this report: -Facilitates the transmission of information to the hospital staff. -Includes relevant information. -Contains the EMS provider's personal opinion of the patient's socioeconomic status. -Serves as legal documentation in a court of law. - ✔✔Contains the EMS provider's personal opinion of the patient's socioeconomic status. Using the system of triage at the scene of a multiple-casualty incident, which of the following patients would present the HIGHEST priority? -25 year-old male with full-thickness burns to the right leg, BP - 130/92 -70 year-old male with a spinal injury, BP- 160/88 -37 year-old female with a femur injury, BP 118/80 -18 year-old female with an open head injury, B/P 180/120 - ✔✔18 year-old female with an open head injury, B/P 180/120 A painful, swollen, deformed extremity is considered to be a high-priority injury when: -The injury involves the hip. -There is a loss of distal pulse. -There is severe angulations of the joint. -The patient is unconscious. - ✔✔There is a loss of distal pulse.