EMT FISDAP FINAL PRACTICE EXAM QUESTIONS & VERIFIED SOLUTIONS, Exams of Nursing

Download EMT FISDAP FINAL PRACTICE EXAM QUESTIONS & VERIFIED SOLUTIONS and more Exams Nursing in PDF only on Docsity! EMT FISDAP FINAL PRACTICE EXAM QUESTIONS & VERIFIED SOLUTIONS A 4-Year-old female tracheostomy pt has pulled out her tracheostomy tube. The opening is partially obstructed with skin. You should A. Use a soft tip catheter and suction until clear B. Insert a nasal airway into stoma C. Wipe the area clean and perform mouth to stoma ventilation D. Cut the skin away from the stoma Use a soft tip catheter and suction until clear To protect yourself from injury when lifting a stretcher you should A. keep the weight as close to your body as possible B. use two additional ppl for the lift C. lean forward toward the stretcher keep the weight as close to your body as possible An unresponsive 10 year old male was hit by a car and is bleeding heavily from an open leg fracture. After securing his airway and manually stabilizing c-spine, you should: A. place the patient in Tredelenburg position B. perform a rapid trauma assessment C. control bleeding from the leg wound D. immobilize the extremity using a ladder splint control bleeding from the leg wound * The strongest portion of the heart that is responsible for circulating blood to the entire body is the A. Left atrium B. Right atrium C. Left ventricle D. Right ventricle Left ventricle A 46 y/o female was involved in a bar fight and has an obvious open neck wound. You should dress this wound with a/ an A. Occlusive dressing B. Sterile gauze dressing C. Pressure dressing D. Moist gauze dressing Occlusive dressing * When assessing a pulse, you are feeling the: A. relaxation of the atria B. contraction of the left ventricle C. contraction of the left atrium D. relaxation of both ventricles contraction of the left ventricle* A 60 y/o female has chest pain. She has not taken her prescribed nitro you should A. Determine what type of cardiac problem the pt has, and assist her with taking the nitro B. Immediately attached the AED and begin transport to hospital C. Administer aspirin only and withhold the nitro D. Consult medical direction with regard to assisting the pt in taking the nitro Determine what type of cardiac problem the pt has, and assist her with taking the nitro Which of the following is the best definition of hypoperfusion? A. Less blood reaching capillary beds B. Inadequate oxygen delivery to cells C. Lowered heart rate and BP D. Blood vessel dilation causing distal pooling Inadequate oxygen delivery to cells B. Place pt in lateral recovery position C. Attempt to reposition the head D. Apply firm pressure to the abdomen Attempt to reposition the head A 28 y/o female who is 12 weeks pregnant has twisted her left knee while walking. She states the pain is 10/10 in severity. You should A. Apply a traction splint and immobilize with a long spine board B. Transport on her left side and hold manual stabilization until she gets the hospital C. Splint with the stretcher and straps and transport her on her left side D. Splint using board splints and cravats and transport sitting Splint using board splints and cravats and transport sitting A 20 yr old female complains of severe abdominal pain. She is in the fetal position. After your primary assessment, you should A. transport immediately to hospital B. palpate all 4 quadrants of abdomen C. obtain baseline vital signs obtain baseline vital signs* An intoxicated 33 y/o female was fighting with police. You note some minor scrapes on the pt's leg and face. The pt is being verbally abusive to you. The police want your approval to take the pt to jail. You should A. Ask the officer to transport her to the hospital in a squad car for safety B. Request that the officers arrest the patient prior to transport C. If vital signs are within normal limits, release the pt to the police D. Restrain and transport the pt with police escort Restrain and transport the pt with police escort First responder has delivered a baby. The infant is blue and lethargic; the pulse is 90 you should A. Transport after placenta is delivered B. Dry, stimulate and apply oxygen C. Transport and administer CPR enroute D. Transport to closest hospital Dry, stimulate and apply oxygen A patient has been kicked in the chest. One section of ribs is moving separately during respirations. You should A. Transport emergently B. Listen for lung sounds C. Initiate PPV D. Place a sandbag on the injury Initiate PPV A 56 y/o male is complaining of severe CP. He took Viagra two hours ago and has been physically active. You should A. Assist the pt in taking his nitro and apply O2 B. Administer O2 and request an ALS intercept C. Monitor vitals, if BP is above 100 systolic, administer nitro and apply oxygen D. Assure an open airway and continue gathering history Assure an open airway and continue gathering history You're transporting a 62 yr old patient complaining of chest pain. Vital signs are: BP 88/40, P 90, R 12. Online medical control orders you to assist the patient in taking his prescribed nitro. You should A. check the expiration date then administer the nitro B. assist the patient w/administering his nitro C. repeat the vital signs and confirm the order repeat the vital signs and confirm the order * Which of the following is the build-up of fatty deposits on the inner walls of an artery? A. Coronary artery disease B. Thrombus C. Aneurysm D. Atherosclerosis Atherosclerosis A 60-year-old pt with stoma is apneic. You have been suctioning pink frothy sputum for 10 seconds and you continue to get more material. You should A. continue suctioning and have a partner ventilate through the pt's mouth B. suction until airway is clear C. stop suctioning and give a breath D. use a saline solution to moisten secretions and continue suctioning stop suctioning and give a breath A pulseless and apneic 68 year old male has an implanted pacemaker in his right shoulder Without delaying defibrillation, where should you apply the AED pads? A. anterior chest and back (between shoulder blades) B. nipple line under the left and right armpits C. left shoulder (to avoid pacemaker) and lower right chest D. right shoulder (directly over the pacemaker) and the left lower chest anterior chest and back (between shoulder blades) You are transporting a patient who has been restrained due to hostile behavior. He is complaining that he has no feeling in his hands and is threatening to sue you if you don't remove the restraints. You should: A. place padding between the restraint and the patient's skin B. loosen the restraints C. assess the patient's distal circulation frequently D. remove the restraints assess the patient's distal circulation frequently* During a birth the baby's head was delivered. You should: C. neurogenic shock D. multiple rib fractures cardiac tamponade Five minutes after delivery of a newborn, your patient is moving all extremities, has pink sin, a weak cry, is grimacing and has a pulse of 96. The APGAR score is A. 10 B. 6 C. 8 D. 4 ... When responding to an incident involving an unidentified hazardous material, the most appropriate place to position the ambulance is: A. downwind and uphill B. downwind and downhill C. upwind and uphill D. upwind and at the level of the incident upwind and uphill A 30 year old male has been struck by a car. You note a contusion and pain to his left hip. There is no crepitous on exam. Vital signs are: BP 110/60, P 72, R 12; You should suspect: A. ecchymosis B. fractured pelvis C. neurogenic shock D. long bone contusion fractured pelvis A patient with chest discomfort becomes unresponsive during transportation to the hospital. What is the most appropriate action? A. start CPR while you assess for pulselessness and apnea, then apply AED and shock if necessary B. stop vehicle, confirm pulselessness and apnea, apply an AED, and shock if necessary C. confirm pulselessness, apply an AED, and advise partner to drive vehicle emergently D. confirm pulselessness, initiate CPR, stop the vehicle and apply an AED confirm pulselessness, initiate CPR, stop the vehicle and apply an AED** Which of the following statements regarding suctioning of an adult is true? A. you should insert the suction catheter only as far as you can visualize B. you should start ventilations if suction cannot clear the airway C. you should only suction for a maximum of 30 seconds D. you should remove the suction catheter with the suction machine turned off You should insert the suction catheter only as far as you can visualize When driving an ambulance, operators must drive with the safety of others in mind. This is known as driving: A. defensively B. with privileges C. with due regard D. offensively with due regard A patient is in respiratory distress after eating soup brought by her neighbor. Her neighbor states "She was eating and suddenly her throat got tight." She is sitting bolt upright in a tripod position. You should suspect A. Anaphylaxis B. Choking C. Emphysema D. Asthma Anaphylaxis A 23 y/o patient is lethargic. The patient just finished mowing the lawn. He is drooling and sweating profusely. You should suspect A. Hyperglycemia B. Hypoglycemia C. Heat stroke D. Intoxication hypoglycemia Your 18-mo. old pt has pale cool skin, decreased mental status, and delayed cap refill. The mother tells you that the child's diaper has been dry for most of the day. First responders have applied oxygen. You should A. position the child on his side and transport B. rapidly transport and monitor vital signs C. ventilate with BVM and transport rapidly D. transport rapidly and apply wet towels enroute rapidly transport and monitor vital signs After delivering a shock with an AED the patient begins to move and speak. You should A. begin BVM ventilations B. immediately remove AED pads to avoid accidental shock C. perform a sternal rub to assess LOC D. assess vital signs and begin transport assess vital signs and begin transport You should ventilate a newborn once every: B. administer O2 via NRM and transport immediately C. recommend the patient take an oral antihistamine and contact his physician administer O2 via NRM and transport immediately * Which of the following is an anatomical difference between an adult and an infant airway? A. The infants trachea is more rigid B. The infants trachea is softer C. The adults tongue is proportionally larger D. The adults mouth is proportionally smaller The infants trachea is softer Your 36 y/o pt is unresponsive upon attempting to insert an OPA, the patient gags, You should A. Insert a nasal airway B. Suction the oropharynx C. Reattempt using a smaller oral adjunct D. Insert a dual lumen airway Insert a nasal airway An alert and oriented patient is complaining of severe chest pain, but he refuses transportation against medical advice. You should A. insist that he be transported by ambulance B. accept his right to refuse care and leave the scene C. contact law enforcement for assistance D. contact law enforcement for assistance accept his right to refuse care and leave the scene * You respond to car accident on a busy city street. You are the first emergency vehicle on scene. Which of the following best describes where you should park the ambulance? A. directly in front of the wreckage to have quick access to medical supplies B. downhill or downwind from the wreckage so you can smell any hazards C. in front of the wreckage to warn oncoming vehicles in front of the wreckage to warn oncoming vehicles* Your 90 year old nursing home patient is pulseless and apneic. The nurse shows you a note in the patient's chart stating "Do not resuscitate". The note is signed by a doctor. You should A. call the patient' doctor to confirm the order B. call on-line medical control C. consult with the family call on-line medical control* Your patient has been submerged underwater for an unknown period and is in cardiac arrest. After taking c-spine precautions, you should A. begin CPR immediately B. apply pressure to the abdomen C. dry the patient off D. ventilate the patient begin CPR How should you ventilate an apneic adult patient? A. ventilate with a flow restricted positive pressure ventilator at 12-20 breaths per minute B. ventilate once every 3 seconds with a BVM C. ventilate once every 5-6 seconds with a BVM ventilate once every 5-6 seconds with a BVM You are inserting an oropharyngeal airway into a 4 year old patient. You should A. insert with the tip pointing toward the roof of the mouth B. use a tongue depressor to keep the tongue out of the way C. use a head tilt chin lift use a tongue depressor to keep the tongue out of the way While transporting a bleeding patient you followed good infection control procedures, including wearing gloves, a mask, protective clothing and eye protection. Further precautions include A. Washing your hands with soap and water B. Place a mask on your patient's face C. Inspecting your face mask for dried blood before discarding Washing your hands with soap and water Allowing for appropriate time on exhalation when assisting ventilations can reduce/alleviate A. airway obstructions B. gastric distension C. the amount of air required to ventilate gastric distension** A diabetic patient was reported missing last evening. He is found unresponsive, lying in a ditch along the road in approximately two inches of water. Vital signs are BP 96/40, P 38, R 6. You should A. wrap the patient in blankets and transport B. place the patient in Trendelenburg position C. place glucose between the patient's cheek and gum D. place heat packs on the patient's groin, neck, and armpits wrap the patient in blankets and transport * When infants or children experience breathing difficulties, their pulse may A. decrease early, then increase significantly B. increase significantly, then return to normal C. contact medical control to report the patient's response continue to reassess the patient every 5 minutes ** You are conducting a physical exam on a responsive female toddler. You should A. examine the girl upright as her parents hold her B. use a head-to-toe approach C. use a toes-to-head approach use a toes-to-head approach You are dispatched to a 68 y/o female complaining of discomfort in her upper back. She is nauseous and appears to be sweaty. Based on these symptoms, which of the possible causes is most life- threatening. A. Stroke B. Diabetic reaction C. Cardiac compromise D. Indigestion Cardiac compromise You are completing a patient care report for a patient injured in a car crash. You notice the smell of alcohol and empty beer cans in the vehicle. The best way to document your findings is to A. indicate that the patient was under the influence of alcohol B. describe the smell of alcohol and empty beer cans which were noted at the scene C. discount these findings because your patient may not have been the driver describe the smell of alcohol and empty beer cans which were noted at the scene* At the local homeless shelter, a 50 y/o male complains of fever. He is drowsy, weak and is coughing up blood. He states that he has had this persistent cough and fever for the past two days. You should suspect A. HIV/AIDS B. Hepatitis C. Tuberculosis D. German measles Tuberculosis A 24-year-old male has been stabbed in the right chest. Which of the following signs should you expect? A. Increased respiratory effort B. Spontaneous pneumothorax C. Paradoxical chest movement D. Decreased heart rate Increased respiratory effort A 62 y/o female is complaining of crushing CP that radiates to between her shoulder blades. She is very pale, diaphoretic, and feels nauseous. You should suspect a/an A. Cardiac event B. Cerebrovascular event C. Hypoglycemic reactions D. Asthma attack Cardiac event Which of the following is an essential component of your oral report? A. the EMT assessment of the chief complaint B. history related to the current illness history related to the current illness Your pt was exposed to an unknown chemical that has soaked their clothing. You should immediately A. Have the pt remove all clothing B. Administer O2 via NRB C. Flush pt's body with large amount of water D. Contact the poison control center Have the pt remove all clothing A 62 y/o female who has been drinking alcoholic beverages is feeling dizzy. She cannot walk and she complains of severe headache. You should suspect A. Delirium tremens B. Severe migraine C. Hemorrhagic stroke D. Acute alcohol intoxication hemorrhagic stroke A 75 y/o female pt has partial thickness, thermal burn on her right forearm. You should A. Place a dry sterile dressing or sheet over the burn B. Pour water over the burn to cool site C. Place the pt on O2 NC 2 LPM D. Place a moist dressing over the burn Place a moist dressing over the burn You are treating an unconscious 50 year old diabetic patient. You should A. Transport the pt as soon as possible B. Immediately administer oral glucose C. Assist a family member in administering insulin D. Insert a dual lumen airway adjunct Transport the pt as soon as possible C. Administer O2 via BVM D. Administer O2 via NC Administer oral glucose Your unresponsive pt is slumped over the kitchen table. A friend tells you that she was fine one minute and started acting abnormally the next. She moans in response to painful stimuli and her skin is pale, cool, and clammy. Her medical alert bracelet denotes diabetes. You should suspect A. Hypoglycemia B. Hyperglycemia C. Stroke D. Diabetic ketoacidosis Hypoglycemia Your 55 year old patient complains of chest pain radiating to the left arm. You should first A. perform a head-to-toe assessment B. administer the prescribed nitroglycerin C. place the patient on O2 D. complete a SAMPLE history complete a SAMPLE history* One of the most problematic side effects of nitroglycerin is A. bradycardia B. dyspnea C. hypotension hypotension A 84-year-old female is anxious and complaining of SOB. She has been a smoke for most of her life. Upon examination, you find she has pedal edema. She is coughing up pink frothy sputum. You should suspect A. Complication of emphysema B. Congestive heart failure C. Chronic bronchitis D. Acute myocardial infarction Congestive heart failure Which strap should you place first when securing a patient onto a long spine board? A. Chest strap B. Abdominal strap C. Head straps D. Leg straps chest strap Early signs and symptoms of hypoperfusion can include A. Unresponsiveness B. Anxiousness C. Bradycardia D. Decreased BP Anxiousness