Paramedic FISDAP Final Exam Questions and Answers, Exams of Nursing

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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? A. Administer oxygen while descending to a lower altitude B. Coach the patient to slow his respirations C. Apply CPAP while the patient adapts to the elevations D. Evacuate the patient to a hyperbaric chamber - Correct Answers ✅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 A. amiodarone B. another fluid challenge C. calcium chloride D. sodium bicarbonate - Correct Answers ✅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

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A. increase IV fluid administration rate B. extubate and re-intubate the patient C. transport emergently and continue ventilation D. perform bilateral chest decompression and reassess - Correct Answers ✅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. A. epinephrine B. lidocaine C. sodium bicarbonate D. morphine sulfate - Correct Answers ✅sodium bicarbonate
5. Braxton Hicks contractions A. are mild and signal the beginning of labor B. occur in the second trimester and are false labor C. cause extreme back and abdominal discomfort D. cause dilation and effacement of the cervix - Correct Answers ✅occur in the second trimester and are false labor.

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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. A. Subdural hematoma B. Subarachnoid Bleed. C. Basilar skull fracture D. Epidural Hematoma - Correct Answers ✅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? A. Mildly hypoventilate with a bag valve mask B. Assist ventilations at 12 breaths per minute C. Administer a 250 mL normal saline bolus D. Administer 25 g of dextrose - Correct Answers ✅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

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A. administer 25 mg diphenhydramine IV B. transport immediately to the hospital C. administer 0.3 mg epinephrine IM D. administer 100 mg Solumedrol IV - Correct Answers ✅Epinephrine 0.3mg

9. You are asked to set up a patient treatment area after a box labeled "radioactive" was found unattended in a park. Which of the following would be the best location. A. An open area in the park B. The Emergency Operations Center C. The Incident Command Center D. A building in the park - Correct Answers ✅Building in the park
10. What is the most common cause of status epilepticus in adults. A. Alcohol withdrawal B. Sudden elevation in body temperature C. Failure to take prescribed medications D. Recent history of head trauma - Correct Answers ✅Failure to take prescribed medications

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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. A. fluid overload B. hypokalemia C. respiratory alkalosis D. hypermagnesemia - Correct Answers ✅Fluid Overload.
13. A 6 month old male was found lying face down in the crib. He is cyanotic and apneic. A weak brachial pulse is present. You are unable to see a chest rise with your second attempt at rescue breathing after repositioning the head. What should you do. A. perform 5 abdominal thrusts B. Start CPR C. Perform a finger sweep D. Give five back slaps - Correct Answers ✅Start CPR
14. You have just been called to a dialysis clinic for a 58 year old male in cardiac arrest. The online physician may order you to administer which of the following medications.

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A. Magnesium sulfate B. Sodium bicarbonate C. Furosemide D. Calcium channel blocker - Correct Answers ✅Sodium Bicarbonate.

18. A 27 year old male has been assaulted with a pen in the supraclavicular area. He is anxious and pale and his vital signs are BP 80/42 P 128 R 32 and shallow. First responders have sealed the wound with a bandage. Assessment reveals lung sounds on the right and poor chest rise what should you do. A. Perform needle decompression B. Lift a corner of the occlusive dressing C. Establish two large bore IV's while en route to the hospital D. Administer high flow oxygen and transport rapidly - Correct Answers ✅needle decompression
19. An 11 year old male has been skateboarding in 100 degrees temperature and has been drinking caffeinated soft drinks. He complains of palpations. The cardiac monitor displays a narrow QRS tachycardia at a rate of 160 beats. Vitals signs BP 110/60 P160 R 20 What should you do? A. transport the patient by ambulance, monitor closely, and administer fluids en route

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B. suggest the father drives his son to the local clinic since vital signs are within normal limits C. perform vagal maneuvers and, if unsuccessful, administer adenosine D. obtain a 12 lead ECG and, if rhythm unchanged, perform vagal maneuvers - Correct Answers ✅Transport the patient by ambulance monitor closely and administer fluids en route.

21. An 80 year old male in server respiratory distress. He has a history of hypertension and breathing problems. He takes inderal daily. Vital signs are BP 170/70 P72 and irregular R40 and extremely labored skin warm and diaphoretic. Lung sounds are diffuse bilateral crackles and wheezing. He coughs up blood tinged sputum. Which of the following is most important. A. Endotracheally intubating B. Restoring a normal sinus rhythm C. Decreasing preload D. Increasing preload - Correct Answers ✅Decreasing preload
22. A 50 year old patient is found lying outside on the ground. The ambient temperature is 40 degrees F. You thermometer reads 20C 86F. He is in V-fib and pulseless and apneic. You should A. ventilate via bag valve mask, administer warm IV infusion, and transport rapidly B. perform CPR, administer warm IV infusion, and transport rapidly

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C. defibrillate, intubate, administer 1mg EPI ETT, and transport rapidly D. defibrillate once, perform CPR, Intubate, and transport rapidly - Correct Answers ✅Defibrillate once perform CPR intubate and transport rapidly.

23. To successfully accomplish nasotracheal intubation you should advance the endotracheal tube though the glottic opening to coincide with patient A. swallow B. expiration C. inspiration D. cough - Correct Answers ✅Inhalation
24. An alert 23 year old male presents with a sudden onset of shortness of breath and chest pain after running upstairs. Breath sounds are diminished in the right side. The most likely cause is. A. pleural effusion B. tension pneumothorax C. subcutaneous emphysema D. spontaneous pneumothorax - Correct Answers ✅Spontaneous pneumothorax

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26. First responders are treating an apneic adult female. You notice that they are applying frequent long ventilations with an oxygen resuscitator. What effects with their actions create. A. Increased capillary elasticity B. Increased venous return C. Decreased venous return D. Decreased intracranial pressure - Correct Answers ✅decreased venous return
27. You are called to a nursing home on a hot summer day for a 88 year old male. The nurse tells you he missed his dialysis appointment because he was complaining of nausea vomiting headache and running a fever. Which differential diagnosis should you consider first. A. Heart attack and stroke B. Sepsis and hyperkalemia C. Hypotension and severe flu D. Hemolytic anemia and heat stroke - Correct Answers ✅Sepsis and hyperkalemia
28. You have just administered adenosine to a 62 year old patient with narrow complex tach. The ECG shows an irregular rate of 50 then steadily climbs back to a rate of 169. What would should suspect A. sinus tachycardia with aberrancy

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B. paroxysmal supraventricular tachycardia C. rapid atrial fibrillation D. a rhythm of ventricular origin - Correct Answers ✅rapid atrial fibrillation.

29. A 63 year old male is having a diabetic emergency. He is unresponsive R12 glucometer 28. You cannot establish IV access. You should A. administer glucose paste PO B. administer glucagon IM C. transport emergently D. administer D 50W 10 - Correct Answers ✅administer glucagon IM
30. When setting up a night time landing zone for a helicopter what is the recommended area needed. A. 100x100 feet B. 25x25 feet C. 50x50 feet D. 300x300 feet - Correct Answers ✅100x
31. A 67 year old with hypo-tension and bradycardia has no responded to pacing or atropine. You should

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A. an epinephrine infusion at 5-20 mcg/min B. 40 units vasopressin via intravenous infusion C. 1 mg epinephrine via intravenous infusion D. a dopamine infusion at 2-10 mcg/kg/min - Correct Answers ✅administer dopamine infusion

32. A 19 year old male has suffered blunt trauma on his left chest. He complains of server dyspnea and pain over the affected area. Vital signs are BP 92/60 P 128 R 32. Breath sounds are very diminished over the left chest. You should A. perform a needle thoracostomy B. perform an endotracheal intubation C. initiate two large bore IVs of normal saline (NS) D. perform a pericardiocentesis - Correct Answers ✅perform needle thoracostomy
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. A. administer oxygen via non-rebreather mask B. put on an N95 mask and eye protection C. apply the ECG monitor and check for blood glucose level

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D. suction the airway and reassess - Correct Answers ✅Put on N mask and eye protection.

34. While treating a patient with suspected TB. What type of personal protective equipment is essential A. protective eyewear B. Surgical facemask C. Face-Shield mask D. HEPA respirator - Correct Answers ✅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. A. Humidified oxygen, transport B. Oxygen, nebulized racemic epinephrine transport C. Nebulized albuterol with atrovent reassess after 15 minutes D. Alternate between placing the patient in a humidified room and cold air from outside - Correct Answers ✅Oxygen nebulized racemic epinephrine transport.

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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. A. use laryngoscopy and Magill forceps to remove the object. B. force the object out of the way as you pass an endotracheal tube. C. place the patient into recovery position and transport immediately. D. perform chest thrusts, blind finger sweep, and attempt to ventilate - Correct Answers ✅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 A. urinary calculi B. azotemia C. urinary tract infection D. disequilibrium syndrome - Correct Answers ✅administer atropine
39. A 14 year old patient was pulled form a indoor pool. She is pulseless and apneic. You should A. begin transcutaneous pacing, Establish an IV, and administer atropine B. establish an airway and an IV, administer epinephrine, and check lung sounds

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C. aggressively suction, perform CPR, transport immediately, and attempt an IV en.route D. perform CPR, endotracheally intubate, establish an IV, and administer epinephrine - Correct Answers ✅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 A. 2500 ml B. 1000 mL C. 1500 mL D. 3000 mL - Correct Answers ✅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 A. aortic dissection B. myocardial infarction C.myocardial contusion D. pericardial tamponade - Correct Answers ✅myocardial contusion

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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. A. 0.1mg of atropine, IV dirp B. 30mg of amiodarone, IV push C. 72mg of acetaminophen, orally D. 0.6mg of adenosine, IV push - Correct Answers ✅0.6 mg adenosine IVP
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 A. central cord syndrome B. Brown-Sequard syndrome C. hypovolemic shock D. neurogenic shock - Correct Answers ✅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? - Correct Answers ✅Remove the blade and attempt to ventilate.

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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? A. transport the patient to the hospital B. have law enforcement assume custody C. delay transport until parental consent is given D. consult with the EMS supervisor - Correct Answers ✅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. A. Provide positive-pressure ventilation with 100% oxygen via bag-valve mask B. Perform endotracheal intubation using the endotracheal tube as a suction catheter C. Suction with bulb syringe and ventilate D. Stimulate the infant by flicking the soles of the feet - Correct Answers ✅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

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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. A. Administer Lidocaine and transport B. Sedate and perform synchronized cardioversion C. Administer nitroglycerin D. Perform vagal maneuvers - Correct Answers ✅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. - Correct Answers ✅vagal fluids adenosine.
51. Which I V will be able to administer the most fluid in the least amount of time. - Correct Answers ✅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. - Correct Answers ✅I understand that you are concerned. Can you tell me more about why you fell this way.

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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? A. Administer amiodarone 150 mg IV B. Administer adenosine 6 mg IV C. Insert an endotracheal tube D. Synchronized cardioversion at 100 J - Correct Answers ✅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 A. perform a rapid trauma assessment B. fully immobilize from a standing position C. determine if she is the only victim D. determine her level of consciousness - Correct Answers ✅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 A. a tension Pneumothorax

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B. cardiac tamponade C. pulmonary occlusion D. a flail chest segment - Correct Answers ✅a flail chest segment

56. You have just converted a 318 lb cardiac arrest patient into a normal sinus rhythm. She is hypotensive and you have been ordered to start the an epinephrine drip at 3mcg/min using a 60 drip set. You have mixed a 4: concentration of epinephrine and should set the drip rate at - Correct Answers ✅45 drops/min (clock)
57. You are assisting with a deliver and the infants head has been deviled. You notice the umbilical cord is wrapped around the infants neck. You should A. instruct the mother to push as hard as possible to facilitate rapid delivery of the infant B. administer oxygen to the mother and transport rapidly to the closest appropriate facility C. gently slip the cord over the infant's head, or clamp the cord in two places and cut ....between the clams to release the cord D. immediately clear the mouth and nose of fluid and mucus with a bulb syringe - Correct Answers ✅gently slip the cord over the infants head or clamp the cord in two places and cut between the clamps to release the cord.

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58. A 50 year old male is complaining of a chronic cough. He has lost his appetite and has had hot flashes and periods of sweating during the night. He has noticed some red specks in his sputum when he coughs. You should suspect A. pneumonia B. tuberculosis C. pulmonary edema D. infectious bronchitis - Correct Answers ✅Tuberculosis
59. A patient has surfaced rapidly from a deep dive and is now complaining of difficultly breathing and extreme muscle and joint pain. You should A. transport rapidly to the closest hospital B. perform a complete neurological assessment C. administer Dilaudid, Lasix, and transport to nearest hyperbaric chamber D. transport rapidly to the nearest hyperbaric chamber - Correct Answers ✅Transport rapidly to the nearest hyperbaric chamber.
60. It is mid-December and a 13 month old child is awakened in the middle of the night with barking cough and inspiratory stridor. The child has been ill for a few days with chills and congestion. You should suspect

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A. epiglottitis B. respiratory syncytial virus C. croup D. bronchiolitis - Correct Answers ✅croup

61. An 80 year old male has just collapsed. Vital signs are BP 90/40 pulse matches ECG 3 degree block R 20 What should you do? - Correct Answers ✅Apply transcutaneous pacing.
62. A patient involved in a motor vehicle crash has an obvious open femur fracture and an angulated right forarm. He is bleeding servery from a scalp laceration. His left arm is guarding his chest and he gasps "i cant breath". You should be MOST concerned by the A. femur fracture B. right forearm fracture C. head trauma D. respiratory difficulty - Correct Answers ✅respiratory difficulty
63. A 37 year male is chocking and has become unconscious. Attempts to ventilate are unsuccessful. you should A. give five abdominal thrusts B. perform a surgical airway C. suction the airway

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D. perform chest compressions - Correct Answers ✅perform chest compressions

64. An unconscious 78 year old male post cardiac arrest is being actively ventilated with a bag valve mask. Initial vitals are BP 98/40 P 82 and irregular. After several minutes reassessment of vital signs are etco2 22 BP 68/28 and irregular spo2 92 you should - Correct Answers ✅decrease the rate of respirations
65. An 86 year old female presents with a rhythm in the ECG she is immobile due to server arthritis and has a history or atherosclerosis and hypertension. What should you suspect - Correct Answers ✅Left ventricular hypertrophy LVH
66. A 37 year old suicidal male is being violent. Police has pinned him in a prone position but he continues to struggle and fight. You should A. sedate the patient and place him supine on the stretcher in soft restraints B. use a long spine board to strap the patient in his current position C. leave the scene until the patient is no longer resisting D. give the police clearance to transport the patient - Correct Answers ✅sedate the patient and place him supine on the stretcher in soft restraints

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67. The termination of pregnancy for maternal health reasons is called a - Correct Answers ✅therapeutic abortion
68. While using the START system at a major incident you encounter a patient not breathing. After positioning the airway the patient breaths 16 a min. You should catagorize him as? A. critically injured B. nonsalvageable C. immediate D. delayed - Correct Answers ✅Immediate
69. You are transporting the victim of a major trauma which occurred yesterday to a larger facility. This patient has been experiencing progressive hypoxemia. You hear coarse crackles blatantly during auscultation of the lungs and the pulse oximetry reading is falling in spite of the patent being intubated. You should suspect A. the patient has developed a tension pneumothorax B. the oxygen tank is empty C. acute respiration distress syndrome has developed D. the endotracheal tube has become dislodged - Correct Answers ✅that acute respiratory distress syndrome has developed

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70. A 19 year old female is 25 weeks pregnant. She has server headache blurred vision and edema she has not regularly seen a doctor during her pregnancy. What other symptom should you expect. - Correct Answers ✅hypertension
71. Which of the following is a cause of multifocal atrial tachycardia - Correct Answers ✅Electrolyte imbalance
72. After receiving Narcan. A patient is waking up quickly and pulling at the airway you have placed. Before removing it you should A. preoxygenate the patient B. begin rapid sequence intubation (RSI) C. restrain the patient according to protocol D. prepare to begin suctioning - Correct Answers ✅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? A. emphysema exacerbation B. spontaneous pneumothorax C. tension pneumothorax

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D. pulmonary embolus - Correct Answers ✅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 A. arterial occlusion B. abdominal aneurysm C. arterial anastomosis D. deep vein thrombosis - Correct Answers ✅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. A. arterial occlusion B. abdominal aneurysm C. arterial anastomosis D. deep vein thrombosis - Correct Answers ✅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 A. foreign body obstructing the upper airway