Paramedic FISDAP Final Exam Questions and Answers| Latest Update 2024, Exams of Nursing

Download Paramedic FISDAP Final Exam Questions and Answers| Latest Update 2024 and more Exams Nursing in PDF only on Docsity! Paramedic FISDAP Final Exam Questions and Answers| Latest Update 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? - Answer 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 QR. You should administer - Answer 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 - Answer 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. - Answer sodium bicarbonate 5. Braxton Hicks contractions - Answer 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. - Answer epidural hematoma Answer Burp dressing 19. A 50-pound child is unresponsive pulseless and apneic. The cardiac monitor displays ventricular fibrillations. CPR is in progress. The initial defibrillator should be at. - Answer 50 joules. 20. 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? - Answer 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. - Answer Decreasing preload 22. A 50-year-old patient is found lying outside on the ground. The ambient temperature is 40 degrees F. Your thermometer reads 20C 86F. He is in V-fib and pulseless and apneic. You should - Answer 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 - Answer Inhalation 25. 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. - Answer Spontaneous pneumothorax 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. - Answer Increased capillary elasticity. 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. - Answer 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 - Answer 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 - Answer administer glucagon IM 30. When setting up a night time landing zone for a helicopter what is the recommended area needed. - Answer 100x100 31. A 67 year old with hypo-tension and bradycardia has no responded to pacing or atropine. You should - Answer administer dopamine infusion 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. - Answer 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 - Answer 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? - Answer 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? - Answer 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. - Answer 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. - Answer 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. - Answer vagal fluids adenosine. 51. Which I V will be able to administer the most fluid in the least amount of time. - Answer 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. - Answer 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? - Answer 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 - Answer determine if she is the only victim continues to struggle and fight. You should - Answer sedate the patient and place him supine on the stretcher in soft restraints 67. The termination of pregnancy for maternal health reasons is called a - Answer 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? - Answer 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 - Answer that acute respiratory distress syndrome has developed 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. - Answer hypertension 71. Which of the following is a cause of multifocal atrial tachycardia - Answer 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 - Answer 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? - Answer 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 - Answer 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. - Answer 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 - Answer 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. - Answer Decerebrate posturing 78. During transportation you PT becomes very upset complaining about her medical expenses. How should you respond? - Answer 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 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 - Answer 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 - Answer 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 - Answer 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 - Answer 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 - Answer Myocardial infarction 98. A 34 year old female crashed her motorcycle while wearing an open face helmet. She is unconsciousness her facial bones and soft tissue are missing from the nose to the upper part of her neck. You are having difficulty ventilating her and you can see bubbles coming from the center of a large mass of tissues when she exhales. You should - Answer insert an ET at the site of the bubbles 99. A 14 year old female is crying and complain of knee pain after a soccer injury. The knee is deformed and obviously angulated. Distal pulses are intact. You should - Answer apply ice split in position found and transport 100. A 53 year old man fell from a ladder. he has multiple abrasions and localized swelling on his head. You have oratorically intubated him. His ETOC2 is 30 his pupils are midpoint and reactive how many times per minute should you ventilate - Answer 10 102. A patient involved in a fist fight. He complains of point tenderness in the right upper abdominal quadrant. You should suspect injury to the - Answer liver 103. Successful intubation of a newborn is more successful by placing padding under the - Answer shoulders 104. For the past 5 min you have been providing ventilations to an intubated patient and performing CPR it is becoming progressively more difficult to ventilate and the chest is moving less during inspiration. What should you suspect - Answer tension pneumothorax 105. An elderly pt is complaining of dyspnea that woke her from sleep about an hour ago. She denies chest pain. Auscultation reveals wheezing and crackles in both lower lobes of her lungs. Vitals signs are 158/108 P 128 and irregular R 32 and slightly labored what should you administer - Answer albuterol 106. A 59 year old pt is lethargic with shallow respiration he has a valid DNR order during transport his respiratory rate diminishes to 8 breaths a min you should - Answer begin assisting with a bvm 107. a 89 year old nursing home pt is in respiratory distress. She is on 3 lpm of oxygen by nasal cannula. She has a history of COPD asthma and diabetic and you note wheezing in all lung fields. Vitals BP 146/84 P 114 R 24 you should - Answer place her on 15 lpm or oxygen via nonrebreather mask 108. you are performing Orotracheal intubation with a mac blade. You can see the cords when you notice the top of the blade is in the vellicula you should - Answer pass an ET through the cords 109. A confused 34 year old male is ambulatory ofter crashing his car. Airbags were deployed he complains of extreme wrist pain and double vision . You note deformity and superficial burns on his writs what should you do - Answer cspine 110 A patient with server closed head injury vitals 180/112 P 48 R 8 and irregular immediate treatment should include - Answer intubate and ventilate at 20 breaths per min 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? - Answer 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 - Answer 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? - Answer 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? - Answer 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 - Answer 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 - Answer abruptio placenta 130. After a prehospital delivery the mother should be allowed to breastfeed her newborn because - Answer 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. - Answer meningitis 132. When starting an external jugular IV the needle should point - Answer 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? - Answer 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? - Answer 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 - Answer 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? - Answer 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? - Answer 36% 138 You are unable to ventilate a trauma patient with extreme facial trauma using advanced airway maneuvers. You should - Answer insert a 14 g needle in cricothyroid membrane 45 degree angle. 139. Which of the following is a prehospital medication given for compartment syndrome - Answer sodium bicarbonate 140. which of the following would be an indication for the use of needle cricothyrotomy? - Answer 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? - Answer ASA and admin nitroglycerin 142. Identify this rhythm - Answer paced rhythm 143 A 25 year old female was bitten by something while hiking 12 hours ago. She has slurred speech double vision and excessive 150. A seven year old is having difficulty breathing. He is lethargic with central cyanosis and poor muscle tone. Vitals Signs are P 70 and R 10. You should suspect? - Answer Respiratory failure 151. An 84 year old male has extreme difficulty breathing apprehension cyanosis and diaphoresis. Assessment findings include elevated pulse and blood pressure and rales and rhonchi you should treat this patient for? - Answer left ventricular failure 152. Online medical direction has ordered you to administer 13 mcgkf/min of dop to a patient who weighs 190lbs. Your concentration of dopamine is 1600 mc/mi you are going to administer this through a Micro-drip tubing. At how many drops per minute should you set the IV infusion - Answer 42 gtts/min 153. You have just given a bolus of dextrose to an unconscious female patient with a blood glucose level of 30 . The repeat blood glucose level is now 120. She is now alert and oriented and she refuses further treatment of transport. What should you do? - Answer ask a neighbor to monitor the patient after you leave. 154. Ten workers were exposed to fluorine gas fumes but only two exhibit symptoms. One additional worker was exposed to hydro- fluoric acid on his skin. He is being decontaminated with water by the company's response team. Two ambulances are on scene . You should plan and prepare to? - Answer order a full scale mass casualty response including eleven ambulances and additional fire and law enforcement agencies 155. A 54 year old male has fallen and is holding pressure on his abdomen with bloody kitchen rag. He has had abdominal surgery last week and his incision has ruptured and the abdominal contents are protruding. Vitals are BP 100/68 P 124 R 20 what should you do? - Answer remove the rag apply a moist sterile dressing 156. You have just been stuck with a blood contaminated needle. You should you immediately deal with the exposure? - Answer wash the affected area with soap and water 157. A container of hydro-flouric acid has spilled at a local metal plant. The hazmat team is responding and you are asked to stage at the front gate of the business where the company safety manger is waiting for you. What info would ou expect his manger to have - Answer material safety data sheet MSDA 158. A 33lbs child is experiencing fever poor appetite purpura and vomiting. His cap refill is 3 seconds he is tachycardic you should administer - Answer 300ml of crystalloid solution 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? - Answer 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 - Answer hemothorax 161. Side effects of oral contraceptives include - Answer 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? - Answer 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? - Answer asses for a pulse 164. A 50 year old female is experiencing chest pain then goes into ventricular fibrillation. What should you do? - Answer Defibrillate 165 The medications prepreanolol atenolol and metoproloe are examples of? - Answer 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? - Answer 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 173. You have just fished a stressful shift. you are frustrated and angry with how some of your calls resolved you should - Answer 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? - Answer 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 - Answer 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? - Answer mental status 177. Management of all newborns includes - Answer 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? - Answer liver 179 A 12 lead show 4mm of ST elevation in leads II III and avf you should suspect? - Answer 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 - Answer right sided heart failure 181. In what hazardous material zones does triage and treatment occur - Answer 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? - Answer 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? - Answer 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? - Answer attach etco2 monitor 185. A 50 year old female has just been struck by a car she is alert and complains of shortness of breath. You note crepitation and paradoxical movement in her right chest R 26 spo2 89 you should - Answer augment ventilation with positive pressure 186. While treating a patient for a cardiac event, you forget to administer aspirin. The patient suffers a MI and subsequently dies. The family is suing you for negligence, which element of negligence still needs to be proven? - Answer proximate cause 187. A patent has sustained a soft tissue injury to the face you main concern is? - Answer managing the airway 188 Your partner started an IV and dropped the needed. The exposed needle is wedged between the stretcher bracket and crack on the tile you should? - Answer use a needle nose clap to properly dispose of the needle 189. Which of the following medication is most likely to be prescribed for a server resp conditions - Answer ipratropium 190. You should use lactated ringers and normal saline if you goal is to deliver a - Answer isotonic what will remain in the intravascular space longer than other crystalloids 191. You have been assigned to triage at an MCI a patent complains of small laceration on his forearm R24 and absent radial pulses using start triage you should assign this person as? - Answer immediate 192. A 26 year old female has been involved in an explosion at a chem lab. She has first and second degree burns to her face. Witnesses state that her shirt had been on fire and stopped burning you should suspect? - Answer extensive airway burns