Paramedic FISDAP Final Questions with Complete Solutions (Latest Update 2023), Exams of Nursing

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Solutions (Latest Update 2023)

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? - Correct 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 QRS. You should administer - Correct 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 - Correct 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

Solutions (Latest Update 2023)

signs are BP 88/40. P120 R 16 you should administer. - Correct Answer ✅sodium bicarbonate

5. Braxton Hicks contractions - Correct 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. - Correct Answer ✅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? - Correct Answer ✅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

Solutions (Latest Update 2023)

has red itchy hives on her torso. Her signs are BP 80/40 P 130. You should administer - Correct Answer ✅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. - Correct Answer ✅Building in the park
10. You are at a house fire with multiple patients. Which patient should be transported First to a burn center? - Correct Answer ✅52 year old with second degree burns to face and right hand
11. What is the most common cause of status epilepticus in adults. - Correct Answer ✅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. - Correct Answer ✅Fluid Overload.

Solutions (Latest Update 2023)

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. - Correct Answer ✅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. - Correct Answer ✅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? - Correct Answer ✅Reposition the head.
16. 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. - Correct Answer ✅Start CPR

Solutions (Latest Update 2023)

17. 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. - Correct Answer ✅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. - Correct 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. - Correct 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? - Correct Answer ✅Transport the patient by ambulance monitor closely and administer fluids en route.

Solutions (Latest Update 2023)

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. - Correct Answer ✅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 - Correct 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 - Correct Answer ✅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. - Correct Answer ✅Spontaneous pneumothorax

Solutions (Latest Update 2023)

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. - Correct 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. - Correct 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 - Correct 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 - Correct Answer ✅administer glucagon IM

Solutions (Latest Update 2023)

30. When setting up a night time landing zone for a helicopter what is the recommended area needed. - Correct Answer ✅100x
31. A 67 year old with hypo-tension and bradycardia has no responded to pacing or atropine. You should - Correct Answer ✅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 - Correct Answer ✅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. - Correct Answer ✅Put on N95 mask and eye protection.
34. While treating a patient with suspected TB. What type of personal protective equipment is essential - Correct Answer ✅HEPA respirator

Solutions (Latest Update 2023)

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. - Correct Answer ✅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 - Correct Answer ✅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. - Correct Answer ✅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 - Correct Answer ✅administer atropine

Solutions (Latest Update 2023)

39. A 14 year old patient was pulled form a indoor pool. She is pulseless and apneic. You should - Correct Answer ✅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 - Correct Answer ✅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 - Correct Answer ✅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. - Correct Answer ✅manic phase of bipolar disorder

Solutions (Latest Update 2023)

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. - Correct Answer ✅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. - Correct 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 - Correct 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

Solutions (Latest Update 2023)

advise him to do? - Correct 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? - Correct 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. - Correct 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/ pulse matches the ECG rhythm below R 16 skin warm and dry. and lungs clear bilateral. What should you do. - Correct 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

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are BP 1110/64 R 16. Pulse matches monitor (super vertical tachycardia) what should you do. - Correct Answer ✅vagal fluids adenosine.

51. Which I V will be able to administer the most fluid in the least amount of time. - Correct 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. - Correct 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 P and weak R28 and shallow. Oropharynx is clear and lungs are clear bilaterally. His ECG shows ventricular tachycardia. That should you do? - Correct Answer ✅Synchronized cardio100J

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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 - Correct Answer ✅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 - Correct Answer ✅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 4:1 concentration of epinephrine and should set the drip rate at - Correct Answer ✅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

• Correct Answer ✅gently slip the cord over the infants head or clamp the cord in two places and cut between the clamps to

Solutions (Latest Update 2023)

release the cord.

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 - Correct Answer ✅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 - Correct Answer ✅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 - Correct Answer ✅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 Answer ✅Apply transcutaneous pacing.

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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 - Correct Answer ✅respiratory difficulty
63. A 37 year male is chocking and has become unconscious. Attempts to ventilate are unsuccessful. you should - Correct Answer ✅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 Answer ✅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 Answer ✅Left ventricular hypertrophy LVH

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66. A 37 year old suicidal male is bing violent. Police has pinned him in a prone position but he continues to struggle and fight. You should - Correct 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 - Correct 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? - Correct 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 - Correct Answer ✅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 Answer ✅hypertension
71. Which of the following is a cause of multifocal atrial tachycardia - Correct 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 - Correct 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? - Correct 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 - Correct Answer ✅Arterial occlusion

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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. - Correct 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 - Correct 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. - Correct Answer ✅Decerebrate posturing
78. During transportation you PT becomes very upset complaining about her medical expenses. How should you respond? - Correct 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

Solutions (Latest Update 2023)

contractions. - Correct Answer ✅stimulants

80. You are dispatched to a house early on the morning for a family complaining of headaches and nausea. You should - Correct Answer ✅evacuate the house.
81. A patient is threatening suicide because his wife left him. Which of the following statements or questions would be appropriate? - Correct Answer ✅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 - Correct Answer ✅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. - Correct Answer ✅Laryngeal edema

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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 - Correct Answer ✅morphine
85. Which of the following will cause a patient with a tension pneumothorax to become hypotensive - Correct Answer ✅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 - Correct Answer ✅Spider bite.
87. Which of the following is most important when document a patient refusal - Correct Answer ✅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

Solutions (Latest Update 2023)

absence of breath sounds over the right and left chest. You should - Correct Answer ✅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. - Correct Answer ✅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 - Correct Answer ✅disseminated intravascular coagulation
91. When arriving on a potential HAZMAT incident on the highway you should stage the emergency apparatus. - Correct Answer ✅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. - Correct Answer ✅7-8

Solutions (Latest Update 2023)

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 - Correct 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 - Correct 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 - Correct 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 - Correct Answer ✅Replace the inverted uterus with a gloved hand

Solutions (Latest Update 2023)

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 - Correct 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 - Correct 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 - Correct Answer ✅apply ice split in position found and transport

Solutions (Latest Update 2023)

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 - Correct Answer ✅ 10
101. A patient involved in a fist fight. He complains of point tenderness in the right upper abdominal quadrant. You should suspect injury to the - Correct Answer ✅liver
102. Successful intubation of a newborn is more successful by placing padding under the - Correct Answer ✅shoulders
103. 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 - Correct Answer ✅tension pneumothorax
104. 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