Paramedic FISDAP Final Exam-with 100% verified solutions 2024-2025, Exams of Nursing

Download Paramedic FISDAP Final Exam-with 100% verified solutions 2024-2025 and more Exams Nursing in PDF only on Docsity! Paramedic FISDAP Final Exam-with 100% verified solutions 2024-2025 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? Administer oxygen while descending to a lower altitude. 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 Sodium Bicarbonate. 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 Transport emergency and continue ventilation. 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. sodium bicarbonate Braxton Hicks contractions occur in the second trimester and are false labor. 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. epidural hematoma 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? Assist ventilations at 12 breaths per minHg. 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 Epinephrine 0.3mg 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. Building in the park You are at a house fire with multiple patients. Which patient should be transported First to a burn center? 52 year old with second degree burns to face and right hand What is the most common cause of status epilepticus in adults. Failure to take prescribed medications 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. To successfully accomplish nasotracheal intubation you should advance the endotracheal tube though the glottic opening to coincide with patient Inhalation 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. Spontaneous pneumothorax 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. Increased capillary elasticity. 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. Sepsis and hyperkalemia 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 rapid atrial fibrillation. A 63 year old male is having a diabetic emergency . He is unresponsive R12 glucometer 28. You cannot establish IV access. You should administer glucagon IM When setting up a night time landing zone for a helicopter what is the recommended area needed. 100x100 A 67 year old with hypo-tension and bradycardia has no responded to pacing or atropine. You should administer dopamine infusion 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 perform needle thoracostomy 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. Put on N95 mask and eye protection. While treating a patient with suspected TB. What type of personal protective equipment is essential HEPA respirator We have an expert-written solution to this problem! 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. Oxygen nebulized racemic epinephrine transport. A 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 Perform transcutaneous pacing. 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. use lagosopy and magill forceps to remove the object. A 87 year male is complaining of dizziness. Physical exam revals pale cool and diaphoretic skin. Pulse matches ECG bradycardia. You should administer atropine A 14 year old patient was pulled form a indoor pool. She is pulseless and apneic. You should perform CPR endotracheal intubation establish an IV and administer epinephrine A trauma patient has lost approx 500ml of blood the amount of crystalloid solutions needed to replace this blood loss is 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. vagal fluids adenosine. Which I V will be able to administer the most fluid in the least amount of time. 14 gauge 1/2 inch IV catheter. 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. I understand that you are concerned. Can you tell me more about why you fell this way. 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? Synchronized cardio100J 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 determine if she is the only victim 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 flail chest segment 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 4:1 concentration of epinephrine and should set the drip rate at 45 drops/min (clock) 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 gently slip the cord over the infants head or clamp the cord in two places and cut between the clamps to release the cord. 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 Tuberculosis A patient has surfaced rapidly from a deep dive and is now complaining of difficultly breathing and extreme muscle and joint pain. You should Transport rapidly to the nearest hyperbaric chamber. 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 croup 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? Apply transcutaneous pacing. 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 respiratory difficulty A 37 year male is choking and has become unconscious. Attempts to ventilate are unsuccessful. you should perform chest compressions 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 decrease the rate of respirations retractions . You hear stridorous noises on inspiration . This is most likely caused by a foreign body obstruction the upper airway 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. Decerebrate posturing During transportation you PT becomes very upset complaining about her medical expenses. How should you respond? You seem angry is there any way hat i can help We have an expert-written solution to this problem! Which of the following pharmacological agents are most likely to cause premature arterial contractions. stimulants You are dispatched to a house early on the morning for a family complaining of headaches and nausea. You should evacuate the house. A patient is threatening suicide because his wife left him. Which of the following statements or questions would be appropriate? What method had you intended to use to kill yourself 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 hepatitis 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. Laryngeal edema 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 morphine Which of the following will cause a patient with a tension pneumothorax to become hypotensive an increase in intrathoracic pressure 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 Spider bite. Which of the following is most important when document a patient refusal The patient's mental status 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 remove the ET and ventilate the patent with a bag valve mask 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. Crackles 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 disseminated intravascular coagulation When arriving on a potential HAZMAT incident on the highway you should stage the emergency apparatus. Uphill and upwind shoulders 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 tension pneumothorax 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 albuterol 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 begin assisting with a bvm 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 place her on 15 lpm or oxygen via nonrebreather mask 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 pass an ET through the cords 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 cspine A patient with server closed head injury vitals 180/112 P 48 R 8 and irregular immediate treatment should include intubate and ventilate at 20 breaths per min A 22 year old pregnant patient is experiencing a significant amount of painless bleeding shorty after sexual intercourse. The most likely cause is placenta previa An elderly patient has been ill for last few days and has been vomiting. He reports chest discomfort and is now pale and diaphoretic. Vitals BP 130/70 R24. ECG shows (afib RVR) You administer oxygen and now have an IV you should. Fluid bolus Signs and symptoms of hypoglycemia may mimic which of the following conditions CVA A patient complains of server right upper quadrant pain. Right scapula pain and nausea after eating a cheeseburger you should suspect cholecystitis Your patent is suffering from exacerbated emphysema which of the following medications is least likely to be a part of his standard therapy nitrates 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. You note purple yellow and green bruises ( indicates different stages of healing) 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? place a hand on the chest We have an expert-written solution to this problem! Followng a cardioversion of a 72 year old female she coverts to the rhythm bellow ( 3 degree) you identity this as third degree heart block A 13 year old has been found unresponsive. Her mother proves you with a prescription bottle of Oxycontin. What should you give? 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 abruptio placenta After a prehospital delivery the mother should be allowed to breastfeed her newborn because breast feeding helps constrict the uterus and reduce bleeding 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. meningitis When starting an external jugular IV the needle should point toward the feet while using the backwards upward right pressure BURP maneuver during an orotracheal intubation you patient begins to vomit. What should you do? Stop the intubation attempt and suction 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? open the airway ventilate with a bag valve mask for 30 seconds and reassess During a yearly health 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 atropine 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? lactated ringers 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? 36% You are unable to ventilate a trauma patient with extreme facial trauma using advanced airway maneuvers. You should insert a 14 g needle in cricothyroid membrane 45 degree angle. Which of the following is a prehospital medication given for compartment syndrome sodium bicarbonate which of the following would be an indication for the use of needle cricothyrotomy? Inability to ventilate 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? ASA and admin nitroglycerin Identify this rhythm paced rhythm A 25 year old female was bitten by something while hiking 12 hours ago. She has slurred speech double vision and excessive salivation her boyfriend states she had a seizure about 20 min ago. You should: thoroughly wash and immobilize the wound and start an IV An obese 77 year old woman called EMS complaining of dyspnea cough with hemoptysis and diaphoresis. You note tachypnea tachycardia crackles and wheezing. She also has varicose veins. Find significance differences in BP between the right and left arms. You should suspect. aortic aneurysm A 76 year old patient is lying in soiled sheets with diarrhea and vomit . Both the stools and emesis look thick black and tarry similar to coffee grounds What should you suspect? upper gastrointestinal bleeding 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 material safety data sheet MSDA A 33lbs child is experiencing fever poor appetite purpura and vomiting. His cap refill is 3 seconds he is tachycardic you should administer 300ml of crystalloid solution 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? time distance and shielding 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 hemothorax Side effects of oral contraceptives include pulmonary embolism and stroke. 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? rapidly extricate the occupant without a cervical collar 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? asses for a pulse A 50 year old female is experiencing chest pain then goes into ventricular fibrillation. What should you do? Defibrillate The medications prepreanolol atenolol and metoproloe are examples of? beta adrengic blockers 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? rapidly transport to a level one 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 ethanol 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? pneumonia The ECG of a post cardiac arrest adult shows sinus tachycardia at a rate of 120 with bp 60/40 you should give? dopamine 5-20 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? give 320 cc fluid bolus 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 sinus tachycardia administer nitroglycerin A patient who complains of pain in left upper quadrant is most likely suffering from pancreatitis 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? assist ventilations with a bag valve mask We have an expert-written solution to this problem! You have just intubated and adult and you have been successful you hear no sounds in epigastric and equal lung sounds you should? attach etco2 monitor 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 augment ventilation with positive pressure 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? proximate cause A patent has sustained a soft tissue injury to the face you main concern is? managing the airway 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? use a needle nose clap to properly dispose of the needle Which of the following medication is most likely to be prescribed for a server resp conditions ipratropium You should use lactated ringers and normal saline if you goal is to deliver a isotonic what will remain in the intravascular space longer than other crystalloids 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? immediate 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? extensive airway burns A 3 year old female has surfed burns to both her hands after grabbing a hot exhaust pipe the injured area shows dark chard skin. These burns should be considered? critical A 200 pound woman is having difficulty breathing which of the following devices is most appropriate for carrying her down stars.? stair chair A patient has polymorphic ventricular fibrillation you would give? mag A 65 year old female is short of breathe clear lungs and no jvd she has a significant cardiac history what should you admin? oxygen and 12 lead An 18 month has a seizure for first time and according to the parents she has become increasing ill over the last few hours and her current temp is 104 they describe the patent arms curling toward her chest and her legs straightening and pointing together. The parents do not want to go to the hospital tonight. You should? have the parents speak with an online physician A 44 year old female has sustained server blunt trauma to the chest she responds to painful stimulation and her vitals are 88/76 P 130 R 24 muffled heart sounds and flat neck veins. The definitive treatment for this patient is pericardiocentesis A 12 year old becomes ill yesterday and has become progressively sicker. His temp is 103F and he has small specks on his chest the patient appears to be unable to turn his head you should suspect? meningitis