Paramedic FISDAP Final Exam (200 Questions with 100% SOLUTIONs) 2024, Exams of Nursing

Download Paramedic FISDAP Final Exam (200 Questions with 100% SOLUTIONs) 2024 and more Exams Nursing in PDF only on Docsity! Paramedic FISDAP Final Exam (200 Questions with 100% SOLUTIONs) 2024 1. A 30 year old climber is experiencing sever shortness of breath after reaching an elevation of 12000feet. The PT is very anxious and has rales noted to all quadrants but is otherwise healthy. He is not accustomed to high altitudes. What should you do? - SOLUTION Administer oxygen while descending to a lower altitude. 2. A 26 year old female does not respond to verbal stimuli but moans in response to pain. A friend states the patient has ingested approx 150 amitriptyline tables. Vital Signs are BP 88/50 R16. You establish IV access and administer a fluid challenge. En route to the hospital her ECG shows a widening QRS. You should administer - SOLUTION Sodium Bicarbonate. 3. You PT experienced trauma yesterday and you are transferring her to a larger facility. She has been experiencing progressive hypoxia. You notice coarse crackles in all lung fields on ventilation. Vital signs are BP 90/50 and SPO2 90%. You should - SOLUTION Transport emergency and continue ventilation. 4. An alert 22 year old male was just disentangled from debris in a house collapse. He denies head or neck pain, but complains of server hip pain. Vital signs are BP 88/40. P120 R 16 you should administer. - SOLUTION sodium bicarbonate 5. Braxton Hicks contractions - SOLUTION occur in the second trimester and are false labor. 6. A 40 year old male crashed his motorcycle. He had a brief loss of consciousness, woke up and walked home. You find him 2 hours later at home unconscious. You should suspect. - SOLUTION epidural hematoma 7. A 47 year old male who was found unconscious on the side of the road respond only to painful stimulus. When you attempt to establish IV access he stiffens his arms and legs. He has minor abrasions all over his body. Vital signs are BO 178/122 P56 R irregular ETCO2 30. What should you do? - SOLUTION Assist ventilations at 12 breaths per minHg. 8. A 28 year old female has a sudden onset of tightness in her chest and server difficulty breathing. Her tongue face and neck appear swollen and she has red itchy hives on her torso. Her signs are BP 80/40 P 130. You should administer - SOLUTION Epinephrine 0.3mg 9. You are asked to set up a patient treatment area after a box labeled "radio active" was found unattended in a park. Which of the following would be the best location. - SOLUTION Building in the park 10. You are at a house fire with multiple patients. Which patient should be transported First to a burn center? - SOLUTION 52 year old with second degree burns to face and right hand 11. What is the most common cause of status epilepticus in adults. - SOLUTION Failure to take prescribed medications 12. A 58 year old male with history of renal failure complains of dizziness lethargy and difficulty breathing. He says he missed his last dialysis appointment. Vital signs are BP 160/90 P 100 R 28 with rales heard in the basses. SPO2 92% you should suspect. - SOLUTION Fluid Overload. 13. A 12 year old girl is seizing. Her mom tells you that her daughter has been feeling tired for days. Her skin is dry and she has been very thirsty. Vital signs are BP 118/80 P115 R26 you should suspect. - SOLUTION Diabetic ketoacidosis 14. A 42 year old female has fallen down a flight of stairs. She appears anxious her skin is cool and clammy her radial pulses are weak at 112 beats per min and she complains of abdominal pain in the left upper quadrant with radiation to the left scapula. You should suspect. - SOLUTION Torn or lacerated spleen. 15. Emergency medical responders are ventilating an apneic medical patient with a bag valve mask. You note abdominal distention and minimal chest rise. What should you do? - SOLUTION Reposition the head. 33. A 44 year old patient has a persistent cough and occasional spits up bloody sputum . He has been living in a a shelter for the past three weeks and he smells like alcohol you should. - SOLUTION Put on N95 mask and eye protection. 34. While treating a patient with suspected TB. What type of personal protective equipment is essential - SOLUTION HEPA respirator 35. A 2 year old male has been sick over the last 48 hours with a low grade fever runny nose and upper respiratory infection. He has a seal bark cough. The patient is using accessory muscles to breath and appears fatigued his upper airway has stridours sounds. His lung sounds appear clear. SPO2 92% how would you treat the patient. - SOLUTION Oxygen nebulized racemic epinephrine transport. 36. 78 year old male lying unresponsive in his bed vital signs are BP unobtainable. R 12 and normal depth radial pulse rate matches ECG below ECG bradycardia - SOLUTION Perform transcutaneous pacing. 37. A 48 year old patient is chocking on a hot dog. He is unresponsive apneic and has a strong pulse. Chest compression are infective at relieving the obstruction. You should. - SOLUTION use lagosopy and magill forceps to remove the object. 38. 87 year male is complaining of dizziness. Physical exam revals pale cool and diaphoretic skin. Pulse matches ECG bradycardia. You should - SOLUTION administer atropine 39. A 14 year old patient was pulled form a indoor pool. She is pulseless and apneic. You should - SOLUTION perform CPR endotracheal intubation establish an IV and administer epinephrine 40. A trauma patient has lost approx 500ml of blood the amount of crystalloid solutions needed to replace this blood loss is - SOLUTION 1500 ml of saline ( 3 to 1 rule) 41. A 43 year old female has been stuck in the chest with a baseball bat. There is a large bruise over her sternum. She is obversely in pain an states her heart feels like it is beating funny Vital signs are BP 109/80 P 124 and irregular R 22 The ECG show sinus tachycardia with ST elevation and frequent PVC's. You should suspect - SOLUTION myocardial contusion 42. A 28 year female is speaking very quickly and stating that she is going see the president of the united states after she buys all her family members a new car. She has not slept in four days because she does not need sleep. She usually takes lithium but ran out of her prescription about a week ago . vitals 144/88 P 128 R 28 you should suspect. - SOLUTION manic phase of bipolar disorder 43. A restrained 23 year old pregnant female is her third trimester was involved in a head on motor vehicle collision. She complains of abdominal pain. initial vital signs are BP 110/70 P 90 R 20. After rapid extrication and spinal immobilization via long spine board her vital signs are BP 90/40 P 110 R 28 what is the most likely explanation for her change in vitals. - SOLUTION Supine hypotensive syndrome 44. A 3 month old infant who weighs 6kg has a history of congenital heart disease. Vital signs are R60 the ECG hows a narrow complex tachycardia at a rate or 240 cyandic nail beds and spo2 at 88% what should you administer. - SOLUTION 0.6 or adenosine IV 45. A 44 year old male fell from a ladder and is now complaining of pain in the middle of his back at the level of his shoulders blades. He responds to verbal stimulus and vitals signs are BP 70/50 P64 R 20. The patient is most likely suffering from - SOLUTION neurogenic shock 46. A 63 year old female chocked on a piece of steak and is apneic. You partner has visualized a partial obstruction in the trachea. He has been trying to grab it with forceps for more than 2 minutes. What should you advise him to do? - SOLUTION Remove the blade and attempt to ventilate. 47. An unconscious 13 year old patient has minor abrasion on his torso after being struck by a vehicle. The child's parents are not on scene law enforcement and an EMS supervisor are on scene You should? - SOLUTION transport the patent to hospital 48. A 38 year old female is crowing. You note the amniotic fluid contains a substance resembling pea soup. An apneic blue limp infant with a heart rate of 80 beats is delivers. How should you treat the infant. - SOLUTION Suction with a bulb syringe and ventilate. 49. A 56 year old female has a sudden onset of substernal chest pressure. She denies any shortness of breath or nausea. She has a history of arthrosporic heart disease and is talking verapamil. Vital signs are BP 160/90 pulse matches the ECG rhythm below R 16 skin warm and dry. and lungs clear bilateral. What should you do. - SOLUTION Nitroglycerin 50. A 64 year old is sitting in his living room in moderate distress. He is able to speak to you in full sentences but claims he is not feeling right. Vitals signs are BP 1110/64 R 16. Pulse matches monitor (super vertical tachycardia) what should you do. - SOLUTION vagal fluids adenosine. 51. Which I V will be able to administer the most fluid in the least amount of time. - SOLUTION 14 gauge 1/2 inch IV catheter. 52. A 30 year old man is breathing fast and deep. He works at a preschool and believes that the children plan to harm him. Which of the following statement is most helpful when treating the patient. - SOLUTION I understand that you are concerned. Can you tell me more about why you fell this way. 53. A 67 year old man has collapsed and is on the floor. He is pale clammy and moaning with vomit around his mouth. Vital signs are BP 180/30 P110 and weak R28 and shallow. Oropharynx is clear and lungs are clear bilaterally. His ECG shows ventricular tachycardia. That should you do? - SOLUTION Synchronized cardio100J 54. You arrive at the scene of a single vehicle crash. A woman walks up to a your ambulance with a cut on her forehead. You should - SOLUTION determine if she is the only victim 55. A 73 year old male has several fractured ribs on his right side with unequal chest wall movement. He has dyspnea and diminished breath sounds on the right. Vital signs are BP 124/76 P124 R 26 and shallow. His trachea is mid line and neck veins are flat. Most likely has - SOLUTION a flail chest segment 72. After receiving Narcan. A patient is waking up quickly and pulling at the airway you have placed. Before removing it you should - SOLUTION prepare to begin suctioning 73. A 66 year old male complains of server dyspnea. His has breath sounds on the right and diminished on the left. He has a long history of cigarette smoking. Vital signs are BP 80/30 P124 R 26 and shallow SPO2 88% on 4 lpm What should you suspect? - SOLUTION Emphysema exacerbation 74. A patient is complains of left calf pain. The left leg is cool to the touch and paler than the right leg. You should suspect - SOLUTION Arterial occlusion 75. After placing a combitube bilateral breath sounds are present and chest rise is equal. You notice quiet gurgling in the stomach with each ventilation. You should. - SOLUTION add air to the distal cuff 76. A seven month old is breathing at a rate of 60 per min. He has nasal flaring and intercostal retractions . You hear stridorous noises on inspiration . This is most likely caused by a - SOLUTION foreign body obstruction the upper airway 77. A 28 year old suffered a head injury. Vital signs a BP 140/120 P 55 R 30 and irregular. Which of the following signs would you expect to see in this patient. - SOLUTION Decerebrate posturing 78. During transportation you PT becomes very upset complaining about her medical expenses. How should you respond? - SOLUTION You seem angry is there any way hat i can help 79. Which of the following pharmacological agents are most likely to cause premature arterial contractions. - SOLUTION stimulants 80. You are dispatched to a house early on the morning for a family complaining of headaches and nausea. You should - SOLUTION evacuate the house. 81. A patient is threatening suicide because his wife left him. Which of the following statements or questions would be appropriate? - SOLUTION What method had you intended to use to kill yourself 82. A 44 year old male complains of extreme fatigue headache and fever with pain in this right upper quadrant and joints. He admits to a history of alcoholism and smoking two pack per day for the past 20 years his skin and sclera are yellow in color. You should suspect - SOLUTION hepatitis 83. A patient was just pulled from a burning building. You have started oxygen and initiated transport. While en route to the hospital you notice singed hairs around his face and a spot around his nose and mouth.. He is coughing up black sputum mixed with blood and shows signs of increasing hypoxia. Which developing condition is your biggest concern. - SOLUTION Laryngeal edema 84. A 65 year old female complain of sudden onset of server migraine headache. Vitals signs are BP 140/90 P 120 R 22. She has been non complaint with her prescribed imitrex. You should administer - SOLUTION morphine 85. Which of the following will cause a patient with a tension pneumothorax to become hypotensive - SOLUTION an increase in intrathoracic pressure 86. A 23 year old male complains of chills and headache. He was sleeping outside before waking up with these symptoms. He has a reddish ring with a small fluid filed vesicle in the center on his arm. What should you suspect - SOLUTION Spider bite. 87. Which of the following is most important when document a patient refusal - SOLUTION The patient's mental status 88. You have orally intubated an adult pt and are evaluating the tube placement. You hear auscultation sounds over the epigastrium and an absence of breath sounds over the right and left chest. You should - SOLUTION remove the ET and ventilate the patent with a bag valve mask 89. Your elderly patent is supine. She complains of labored respirations. She is cyanotic and has a history of CHF vitals signs are BP 230/100 P120 R 36 What lung sounds would you expect to hear. - SOLUTION Crackles 90. You are treating an unresponsive elderly male from a nursing home. He has a surgical incision on his right hip that is is red and warm to the touch. You notice widespread deep purple bruising on his body. Vitals sings are BP 80/40 P116 R 10 spo2 89%. You should suspect - SOLUTION disseminated intravascular coagulation 91. When arriving on a potential HAZMAT incident on the highway you should stage the emergency apparatus. - SOLUTION Uphill and upwind 92. After delivery of a newborn she cries weakly with stimulation and moves all extremities P140 R 18 and irregular her body is pink but the extremities are blue. What is her APGAR. - SOLUTION 7-8 93. A 21 year old male is intoxicated he was struck in the head with a bat 3 hours prior to arrival. He has suddenly began acting aggressive towards his friends. A police officer on scene states " i want to arrest him" you should - SOLUTION suspect hypoxia and head injury and transport the patient to a hospital 94. A 5 year old has a sudden onset of high fever score throat and pain on swallowing. His voice is muffled and he is drooling. You should suspect - SOLUTION epiglottis 95. A 19 year old intoxicated female is distraught after being involved in a MVC she is complaining of pain in her head and multiple superficial facial lacerations. Vitals 88/40 P 128 R 28 you should suspect - SOLUTION neurogenic shock or Hypovolemia do to bleeding from other injury's 96. You are working during inclement weather in a remote location. The nearest hospital is more than two hours away. Your patient just delivers a healthy baby boy but has inverted her uterus. What orders you expect from an online physician - SOLUTION Replace the inverted uterus with a gloved hand 97. A 67 year old female with a history of diabetes complainants of nausea and began vomiting an hour ago. She denies any pain her blood glucoses is 208 her skin is cool and pale vital signs are BP 146/88 R 24 P 126 and irregular. What should you suspect - SOLUTION Myocardial infarction 115. A 7 year old has a suspected broken arm and numerous bruises what finding would lead you to suspect that a mothers account of the injures may not be true. - SOLUTION You note purple yellow and green bruises ( indicates different stages of healing) 116. A 19 year old female collapsed in the top bleaches during a concert. She is unresponsive and does not appear to be breathing. how should you asses her respiratory status? - SOLUTION place a hand on the chest 117. Followng a cardioversion of a 72 year old female she coverts to the rhythm bellow ( 3 degree) you identity this as - SOLUTION third degree heart block 118. A 13 year old has been found unresponsive. Her mother proves you with a prescription bottle of Oxycontin. What should you give? - SOLUTION narcan 119 A man was involved in a lateral impact auto accident that deformed the vehicle. The patient could have sustained a? - SOLUTION traumatic aortic dissection 120 You are assisting with vaginal delivery. The infant head has been delivered and the mouth and nose suction. To deliver the anterior shoulder you should - SOLUTION gently guide the infants head downward 121. A 22 year old female 22 weeks pregnant is experiencing abdominal discomfort during evaluation you notice the umbilical cord is pressing the vaginal canal. How should the patient be positioned - SOLUTION supine with legs open 122. Which of the following situations constitutes abandonment? - SOLUTION A patient is unattended in the ambulance while loading a second patient 123. A patient is arching his back and rolling his eyes upward. He was recently prescribed compazine. How should you teat this patient? - SOLUTION 25 mg benadryl IVP 124. A 38 year old male has been sick for a few days he is now complaining of sharp mid chest pain vitals 118/69 pulse 124 and regular and R 24 and slight laberod temp 102. You should suspect? - SOLUTION pericarditis 125 46 year old male is alert oriented and complains of a headache. He has tremors in his hands he has been in the detox unit for 32 hours . Vitals signs are BP 210/100 P100 R 25. He has a history of alcoholism and seizures. He takes tegretol you should administer - SOLUTION 20mg diazepam 126. You are reliving a crew form a 24 hour shift before you compete the ambulance check you are dispatched to a cardiac arrest with CPR in progress. what should you do before leaving for the call? - SOLUTION ensure essential equipment is present and the ECG monitor is functional 127. A pregnant patient is experiencing contractions upon examination you notice that the infantst head is bulging from the premium and the patent has the urge to push what stage of labor is this? - SOLUTION two 128. you are dispatched to a playground for a patent with difficulty breathing. Upon arrival you find a five year old male who appears anxious with noted cyanosis and intercostal retraction BP 85/pb P112 R24 with swelling of the upper airway. You should suspect - SOLUTION anaphylaxis 129. A 28 year old female is 34 weeks pregnant and experiences sudden sharp tearing pain in her abdomen and developers a rigid abdomen what should you suspect - SOLUTION abruptio placenta 130. After a prehospital delivery the mother should be allowed to breastfeed her newborn because - SOLUTION breast feeding helps constrict the uterus and reduce bleeding 131. A two year old male has been ill for several days with a respirator tract infection. Yesterday he developed server headache high fever and extreme lethargy. You should suspect. - SOLUTION meningitis 132. When starting an external jugular IV the needle should point - SOLUTION toward the feet 133. while using the backwards upward right pressure BURP maneuver during an orotracheal intubation you patient begins to vomit. What should you do? - SOLUTION Stop the intubation attempt and suction 134. You have just assisted with the delivery of a 32 week old infant. She is apneic and has a pulse of 64. What should you do? - SOLUTION open the airway ventilate with a bag valve mask for 30 seconds and reassess 135. During a yearly heath screening a clinic discovered your patient has the heart rhythm shown below (bradycardia). She alert and oriented but scared because the clinic call for an ambulance Vital signs bp 114/50 R12 spo2 99%. You should administer - SOLUTION atropine 136. A 18 year old male was 40 miles into a long distance bike race when he had a syncopal episode and fell off his bike. He responds to painful stimulation BP 60/40 P160 skin cool and diaphoretic. You should administer? - SOLUTION lactated ringers 137 An 18 year old male suffered second degree burns to his entire head and neck anterior chest and both arms while removing a radiator cap from his overheated engine. Using the rule of nines what percentage of his body is burned? - SOLUTION 36% 138 You are unable to ventilate a trauma patient with extreme facial trauma using advanced airway maneuvers. You should - SOLUTION insert a 14 g needle in cricothyroid membrane 45 degree angle. 139. Which of the following is a prehospital medication given for compartment syndrome - SOLUTION sodium bicarbonate 140. which of the following would be an indication for the use of needle cricothyrotomy? - SOLUTION Inability to ventilate 141. A pale diaphoretic patient complains of chest pain at a level of 6 on 1- 20 BP 132/88 you see the following ECG (ST elevation) You have established oxygen and an IV you should give? - SOLUTION ASA and admin nitroglycerin 142. Identify this rhythm - SOLUTION paced rhythm 159. Your crew is the first unit to arrive for a suspected radiation emergence after a box labeled recitative material was found unattended in a park. What three principals should you follow? - SOLUTION time distance and shielding 160. A 19 year old male has suffered a significant blunt trauma to his left anterior chest. He is in obvious respiratory distress vital signs are BP 80/p P 140 R 32 lung sounds are diminished and there is dullness to percussion over the left side of the chest. You should suspect - SOLUTION hemothorax 161. Side effects of oral contraceptives include - SOLUTION pulmonary embolism and stroke. 162. You are first on scene of a car crash. You partner stops the ambulance a safe distance from a single vehicle that crashed into a concrete barrier. Black smoke is coming from underneath the hood. The vehicles only occupant screams for assistance you should? - SOLUTION rapidly extricate the occupant without a cervical collar 163. A 50 year old female is experiencing chest pressure her ECG is ( sinus tack) she becomes unresponsive while you are obtaining iv access her ECG changes to the rhythm below. What should you do? - SOLUTION asses for a pulse 164. A 50 year old female is experiencing chest pain then goes into ventricular fibrillation. What should you do? - SOLUTION Defibrillate 165 The medications prepreanolol atenolol and metoproloe are examples of? - SOLUTION beta adrengic blockers 165 A 17 year old male alert was struck in abdomen with large wrench vitals 90/78 P128 weak R 22 skin is pale and cool and diaphoretic. The abdomen is bruised and rigid you should? - SOLUTION rapidly transport to a level one 166. A 14 year old male is found in an intoxicated condition. His friends report he admitted to drinking alcohol taken from his fathers workshop. The container is marked methanol not for human consumption. Definitive treatment for his condition is administration of - SOLUTION ethanol 167. A 74 year old patent is short of breath he has had a slight fever since yesterday and he suffers from frequent urinary track infections. Lung sounds are present with rhonchi and slight crackles in all fields. Vitals 110/80 P100 R30 temp 102 you should suspect? - SOLUTION pneumonia 168. The ECG of a post cardiac arrest adult shows sinus tachycardia at a rate of 120 with bp 60/40 you should give? - SOLUTION dopamine 5-20 169 One year old has been ill with multiple episodes of emesis and diarrhea. Asses shows a lethargic 35 pond child who has mottled skin dry mucous membranes cap >2 sounds P 220. After securing airway you providing high consultation oxygen and establishing an IV you should? - SOLUTION give 320 cc fluid bolus 170. A 79 year old female complains of labored respirations she is cyanotic and has a history of CHF identify the following rhythm (sinus tach) and appropriate treatment - SOLUTION sinus tachycardia administer nitroglycerin 171. A patient who complains of pain in left upper quadrant is most likely suffering from - SOLUTION pancreatitis 172. A 28 year old woman complains of sudden onset severe abdominal pain that radiates to her shoulder 88/60 P 100 R 20 skin cool pale and clammy states her last menstrual period was 8-10 weeks ago you should suspect - SOLUTION ectopic pregnancy 173. You have just fished a stressful shift. you are frustrated and angry with how some of your calls resolved you should - SOLUTION talk to an internal critical incident stress counselor 174. A 78 year old female is lying supine in an nursing home bed with labored respiration she is semi-conscious cyanotic and the nurse tells you she has a history of CHF 80/40 spo2 90 pulse is ventricular tachycardia you should? - SOLUTION perform sync cardiovert 175 An adult has a foot laceration from a farming accident he is alert and refusing treatment his religious beliefs do not permit medical you should - SOLUTION document the patient wishes 176. A 50 year old female tripped down four steps. Her airway is patent radial P 100 R 16 what other initial information do you need to decide if she is unstable? - SOLUTION mental status 177. Management of all newborns includes - SOLUTION prevent heat loss opening the airway and evaluating of the infant 178 A 6 year old female has suffered blunt trauma to her upper right quadrant she responds to painful stimulation BP 50/30 P110 you should most likely suspect damage to her? - SOLUTION liver 179 A 12 lead show 4mm of ST elevation in leads II III and avf you should suspect? - SOLUTION an inferior wall MI 180. A 58 year old male is complaining of swollen legs and feet and increased heart rate. you note distended neck veins and abdominal distention you should suspect - SOLUTION right sided heart failure 181. In what hazardous material zones does triage and treatment occur - SOLUTION cold 182. An 87 year old patient with recent history of hematuria and lower abdominal pain now presents with altered mental status her physical exam is otherwise unremarkable. She is resident of adult foster home. A likely cause is? - SOLUTION urinary tract infection 183. A 26 year old male is experiencing dyspnea after being struck in the chest during a bar fight. He has a history of asthma and has taken his inhaler without relief he has busing to the right side of the rib cage with crepitus P128 R24 with clear bilateral lung sounds spo2 86% what should you do? - SOLUTION assist ventilations with a bag valve mask 184 You have just intubated and adult and you have been successful you hear no sounds in epigastric and equal lung sounds you should? - SOLUTION attach etco2 monitor