Emergency Medical Response: Identifying and Treating Various Conditions, Exams of Nursing

Download Emergency Medical Response: Identifying and Treating Various Conditions and more Exams Nursing in PDF only on Docsity! EMT Fisdap Final Exam Questions and Correct Answers Graded A+ A female is unresponsive due to being hit in the head with a board. She has a large hematoma on her forehead. You should Assess her airway Check for a pulse Obtain consent to treat Manually stabilize the spine - Correct answer Manually stabilize the spine Which is the BEST way to assess breathing in an unconscious patient? Watch for chest rise Apply a pulse oximeter Check for capillary refill Examine the skin color - Correct answer Watch for chest rise A 10 month old pt has a partial foreign body obstruction due to a piece of hot dog. She is cyanotic and has minimal air movement. Your treatment should include Ventilations by bvm and oxygen A blind finger sweep Highly concentrated oxygen blow-by Back blows and abdominal thrusts - Correct answer Back blows and abdominal thrusts A 54 year old female is complaining of chest pain. The patient would like you to assist her in taking one of her husband's nitro tablets. Vital signs are BP 140/100, P 96, R 18. What should you do? Monitor vital signs and transport in position of comfort Assist the pt in self administering nitroglycerin Administer oxygen and contact the pt physician Check the expiration date on the nitroglycerine and comply with the patients request - Correct answer Monitor vital signs and transport in position of comfort The most common electrical disturbance the result in cardiac arrest in adults is Ventricular tachycardia Ventricular fibrillation Asystole Pulseless electrical activity - Correct answer Ventricular fibrillation A 35 year old female claims to have fallen. As you assess her injuries, her husband enters the room tells you to leave. He is holding a baseball bat. You should Remove the pt from the house as quickly as possible Continue caring for the pt while reasoning with the husband Leave the scene and request police assistance Tell the husband to drop the bat - Correct answer Leave the scene and request police assistance A pt has a black substance around her mouth, but says that she has not been exposed to any burning material. After initial assessment, you should Take a sample of the substance Ask if she knows what the substance is Apply an N95 mask to the pt Take the pt blood pressure - Correct answer Ask if she knows what the substance is Which of the following signs would you expect in a pt with a stab wound on the right side of the chest Increased respiratory effort Spontaneous pneumothorax Decreased heart rate Paradoxical chest movement - Correct answer Increased respiratory effort A seven year old boy was struck by a car. He is unresponsive and apneic, bleeding from the head, nose, and mouth, with obvious deformity to his right mid-femur. You should Apply direct pressure to the wound Perform rapid sweep of the mouth Administer high flow oxygen Open the airway and suction - Correct answer Open the airway and suction A 68 year old pt complains of chest pain. Vital signs are BP 146/90, P 92, R 20. You should Provide supplemental oxygen via BVM Administer oxygen via nasal cannula at 6 lpm Administer oxygen via non-rebreather mask at 6lpm Use flow restricted oxygen powered ventilation device - Correct answer Administer oxygen via nasal cannula at 6 lpm Your motorcycle accident victim is anxious, short of breath and tachycardic, with unequal chest expansion. There are no wounds present. Your administration of high flow oxygen does not seem to be helping. You suspect, A pleural rub Neurogenic shock An open pneumothorax A flail chest - Correct answer A flail chest You arrive at a campsite where there has been an explosion. Your patients clothing is still burning, and she is gasping for air. You should Extinguish burning clothing Open the pts airway Ventilation via bag-valve mask Begin to administer oxygen - Correct answer Extinguish burning clothing You have just assisted in the delivery of a healthy newborn girl. Which of the following is the most important? Wrap the newborn in a blanket to keep her warm Note the exact time and location of birth Give the newborn high concentrated oxygen via non rebreather mask Give the newborn to her mother to begin binding - Correct answer Wrap the newborn in a blanket to keep her warm A 20 year old male collapsed while eating a hot dog. He appears cyanotic. You should Begin abdominal thrusts Open his airway Begin chest compressions Check responsiveness - Correct answer Check responsiveness Your patient is unconscious. The nurse on scene states : " the pt is bradycardic, please attach your AED and transport." what should you do? Explain that use of an AED is not appropriate at this time Assess the pts breathing and pulse Obtain vital signs and request the nurses order in writing Apply the AED and transport immediately - Correct answer Assess the pts breathing and pulse A pt has sustained multiple traumatic injuries. In a "load and go: situation, the fastest, most appropriate method of splinting would be securing The entire body to a spine board The injured limb to an uninjured limb Pulse oximetry readings after splinting A KED - Correct answer The injured limb to an uninjured limb When giving the hospital a radio report, you should A medication overdose - Correct answer Hyperventilation You just assisted a mother delivering a baby who is blue and flaccid. You should Position and warm him Apply blow by oxygen Perform tactile stimulation Ventilate by BVM - Correct answer Ventilate by BVM A pt is pulseless and apneic. You should Contact medical control for permission to assist nitroglycerine Begin chest compressions and apply the automated external defibrillator Immediately apply the automated external defibrillator Open the airway, insert an OPA, begin ventilations - Correct answer Begin chest compressions and apply the automated external defibrillator Which of the following diabetic patients should receive oral glucose? A 73 year old male who is unresponsive A 25 year old female who is acting inappropriately A 12 year old male who responds to pain by moaning A 34 year old female who is alert and complains of abdominal pain - Correct answer A 25 year old female who is acting inappropriately A 28 year old female pt with a history of asthma has stopped breathing. You initiate positive pressure ventilations with BVM mask. Which ventilation rate would be most appropriate? 24 breaths per min 10 breaths per min 20 breaths per min 30 breaths per min - Correct answer 10 breaths per min An immobilization trauma patient starts vomiting en route to hospital. You should Use a yankauer catheter to suction vigorously Have your partner pull over and help you Turn the long spine board on its side Rapidly suction with a 12 french catheter - Correct answer Use a yankauer catheter to suction vigorously A trauma patient's injured limb is pale and pulseless. You should suspect An acute hypoxemia Hypothermia Muscular alkalosis Compromised circulation - Correct answer Compromised circulation A pt becomes unresponsive after administration of oral glucose. You should Open and inspect the airway Administer oxygen via non-rebreather Suction the airway Reassess his vital signs - Correct answer Open and inspect the airway A 34 year old male was found unconscious at the bottom of a flight of stairs. You note dark blue, purple, and yellowish brown bruising across his back and a minor laceration of his chest. You should first be concerned with Wound to the chest Injury to the head Injury to the neck Assault to the back - Correct answer Wound to the chest What of the following is the leading causes of death in infants and children? Complications of birth and growth Poisonings Respiratory problems Cardiovascular diseases - Correct answer Respiratory problems You are treating a pt in cardiac arrest at a loud outdoor concert. You are awaiting transport and have shocked your pt five times. The AED is recommending another shock, you should Move the pt outdoors Reanalyze in two min Administer the shock Continue chest compressions - Correct answer Administer the shock An adult is suffering a cardiac arrest. What should you do to restore circulation? Defibrillation A three year old exhibits inspiratory stridor, fever, and agitation. You should Transport immediately Hold him in a seated position Visualize the airway and remove and obstruction Apply high flow oxygen - Correct answer Transport immediately While transporting an oxygen dependent pt on 4 lpm oxygen, his respiratory rate decreases to 8 breaths per min. You should Ventilation via bvm and continue to transport Ensure that his oxygen cylinder has adequate pressure Recheck the pt vital signs Apply a non rebreather mask and increases oxygen to 15lpm - Correct answer Ventilation via bvm and continue to transport A pt has a small, bubbling puncture wound on the right side of his chest. You should dress the wound with a Three sided triangular bandage Plastic bag Trauma dressing Moist gauze - Correct answer Plastic bag An unresponsive pt is lying on the ground next to the ladder. You notice a bone sticking out of his left arm. You should Apply direct pressure to the arm Open his airway with a jaw thrust Give high flow oxygen Check for pulse in his left arm - Correct answer Open his airway with a jaw thrust A pt develops a sudden onset of chest discomfort and shortness of breath while working in his garden. Skin is pale and covered in a red rash. You should Assist the pt with his epinephrine auto injector Provide high flow oxygen and transport Assist the pt taking his nitro Move the patient into the shade and begid cooling measures - Correct answer Assist the pt with his epinephrine auto injector You are transporting a pt with chest discomfort. En route he becomes unresponsive. What is the most appropriate action? Confirm pulselessness, start cpr, apply AED, stop vehicle and shock if necessary Stop vehicle, confirm pulselessness, apply an AED and shock if necessary Confirm pulselessness, apply an AED, advise partner to drive vehicle Start CPR while you assess for pulselessness, then apply AED and shock necessary - Correct answer Confirm pulselessness, start cpr, apply AED, stop vehicle and shock if necessary A 64 year old pt is pale, complains of shortness of breath, and has pedal edema. You should Transport pt sitting up, obtain baseline vitals, and assist pt with prescribed nitro Transport patient with feet elevated, obtain baseline vitals, and contact medical control Listen to the lung sounds, transport pt sitting up, and contact medical control Obtain baseline vitals and assist pt with prescribed nitro - Correct answer Listen to the lung sounds, transport pt sitting up, and contact medical control As you arrive on the scene of a water treatment plant, you notice a large cloud coming from the building. Your primary concern is to Decontaminate patients. Move bystanders from the scene Maintain a safe distance Locate the Hazmat classification sign - Correct answer Maintain a safe distance You have repeatedly attempted to ventilate an infant who is choking on a penny. The chest is not rising. You should: Administer chest compressions Insert an oral airway and reattempt Apply an automatic external defibrillator Perform abdominal thrust - Correct answer Perform abdominal thrust A four year old male with complete foreign body airway obstruction becomes unconscious as you are treating him. You place him supine on the ground and attempt ventilations, but the child's chest does not rise. You should: Reposition his head a reattempt ventilations Open his airways and perform a finger sweep 30 year old female was in a car crash and has a severely angulated left lower leg. She has just been extricated after entrapment. The limb is cool and pulseless. Vital signs BP 100/40, P 90, R 20. You should: Apply manual traction and reassess the patient Administer high flow oxygen and transport rapidly Apply cold packs, elevate the limb, and transport Splint the extremity in the position found and transport rapidly - Correct answer Splint the extremity in the position found and transport rapidly An 11 year old male has been injured. He is crying, sucking his thumb, and acting fearful. You should: Speak calmly and explain all treatment beforehand Reassure the child that you can relieve his pain. Ask the parent if they can get the child to stop crying Ask the parent to hold the child during the exam - Correct answer Speak calmly and explain all treatment beforehand Which of the following is TRUE regarding the use of the flow-restricted, oxygen-powered ventilation device? It should have a standard 10/20 millimeter coupling It can be used on children or adults It rarely causes gastric distention It can cause significant lung injury when used improperly - Correct answer It can be used on children or adults Belted patient was involved in a rollover vehicle crash. She is responsive to pain. Vital signs are BP 95/70, P 60, R 23 and an uninjured passenger tells you that she "has her appendix taken out" 3 months ago. Which of the following should MOST lead you to suspect internal bleeding? Level of consciousness Mechanism of Injury Past medical history Vitals signs - Correct answer Mechanism of Injury When informing an 18 year old of a treatment that is needed and the associated risks, what type of consent are you seeking? Advised Implied Expressed Emancipated - Correct answer Expressed Your patient has a mental illness and says she is hearing voices. You should: Ask her what the voices are saying Ask her if she can direct the voices Tell her she should not be hearing voices Explain that you can hear the voices too - Correct answer Ask her what the voices are saying You are unable to loosen or slip the umbilical cord from around a baby's neck. You should: Cut the cord and then apply direct pressure to the ends of the cords Clamp the cord in two places and transport Delay delivery by gently pushing on the baby's head Clamp the cord in two places, and cut the cord between the clamps - Correct answer Clamp the cord in two places, and cut the cord between the clamps After administering nitroglycerin, your patient might experience Headache An increase blood pressure Drowsiness Tremors - Correct answer Headache 74 year old female may be having a stroke. Which of the following would support this? Her temperature is below normal limits She has equal, bilateral arm strength She presents with left-sided facial droop Pulses in her right foot are diminished - Correct answer She presents with left-sided facial droop How often should you trend a stable patient's condition? Every 10 minutes Every 5 minutes Every 15 minutes Every 20 minutes - Correct answer Every 15 minutes Continue to reassess the patient every 5 minutes - Correct answer Continue to reassess the patient every 5 minutes A patient was involved in a motor vehicle crash. She is still in her car when you arrive and complains of neck stiffness. Your partner tells you that he notices clear, colorless liquid pooling beneath the vehicle and smoke. You should: Identify the liquid Apply spinal precautions and gently extricate the patient Conduct a rapid trauma assessment and move the patient Rapidly extricate the patient - Correct answer Conduct a rapid trauma assessment and move the patient Patient from a motor vehicle crash is refusing care. Which of the following is most important to document Any history of recent trauma Advisement of transportation Actions of law enforcement Damage to the vehicles - Correct answer Advisement of transportation A 72 year old man was found lying on a golf course. He is drooling, has a bloody lip, and has burns on his feet. He is confused and none of the bystanders know him. You should suspect the patient: Suffers from epilepsy Is having an psychotic episode Was hit by lighting Is a victim of elder abuse - Correct answer Was hit by lighting You are called to a restaurant where a 62 year old male patient is clutching his chest. When asked if he can breath he shakes his head "no" what should you do? Perform a series of abdominal thrust Perform a blind finger sweep Begin cardiopulmonary resuscitation Apply oxygen and assess his pulse - Correct answer Perform a series of abdominal thrust A newborn is limp, cyanotic, and breathing slowly. She does not respond to suctioning, drying, and stimulation. You should: Ventilate with a BVM Vigorously rub the baby's back Apply oxygen Begin chest compressions - Correct answer Ventilate with a BVM A CPR patient has a complete tracheostomy. You should: Administer oxygen via pediatric non-rebreather mask over the tracheostomy Perform CPR as normal Ventilate the patient through the tracheostomy via BVM Ventilate the patient through the mouth and nose while covering the tracheostomy - Correct answer Ventilate the patient through the tracheostomy via BVM You have delivered two shocks with the defibrillator. Your patient now has a pulse and a blood pressure of 80/40. He remains apneic. What should you do? Continue chest compressions and re-analyze Perform a rapid assessment during transport Continue ventilations with oxygen and transport Remove and shut off the defibrillator and transport - Correct answer Continue ventilations with oxygen and transport Your patient is on a home ventilator. While performing your patient assessment, you should Assess the patient as you normally would Disconnect the ventilator to determine respiratory rate Ask the caregiver if a DNR has been filled out Connect the patient to your oxygen - Correct answer Connect the patient to your oxygen You are transporting a 44 year old male complaining of chest pain when he becomes pulseless and apneic. You should: Insert an oral airway and give two breaths Analyze the rhythm with the AED Ask your partner to pull over Request an ALS unit response - Correct answer Analyze the rhythm with the AED You are called to a shopping mall for a "man down." when you arrive, the patient is unresponsive. You may begin treating him based on the principle of Implied consent Beneficence Expressed consent Apply high concentration oxygen via non-rebreather mask Assess lung sounds and perfusion - Correct answer Ventilate the patient via BVM A 23 year old has been getting gradually more disoriented and nauseous. HE is thirsty and complaining of abdominal pain. Vital signs are BP 130/90, P 110, R 24. You should suspect Drug overdose Food poisoning Influenza Hyperglycemia - Correct answer Hyperglycemia A 13 year old male has a pencil impaled in his upper arm. You detect no radial pulse. You should Reposition the arm to return pulse Stabilize the pencil with a bulky dressing Apply a tourniquet Remove the pencil - Correct answer Reposition the arm to return pulse Your patient was eating when he suddenly grasped his throat. He cannot speak or cough. You should suspect Laryngeal spasms An allergic reaction Acute myocardial infarction Foreign body obstruction - Correct answer Foreign body obstruction Which method would be most appropriate when restraining a violent patient? Immobilize the violent patient using a vest device with a backboard Strap the patient in the supine position to the cot using cravats Restrain the patient's arms behind the back to protect the rescuer Use law enforcement handcuffs to secure the patient's arms to the cot - Correct answer Strap the patient in the supine position to the cot using cravats You have properly places defibrillation pads on a patient with a hair chest. The automated defibrillator is continuing to advise: "attach pads." you should Turn the machine off and back on again Reposition the pads in the patient's chest Remove current pads and apply new ones Continue chest compressions and transport - Correct answer Remove current pads and apply new ones A 45 year old female complains of chest pain. She is attempting to pull off the non-rebreather mask that Emergency Medical Responders placed on her. Vital signs are BP 130/80, P 118, R 24,Sp02 92%. What should you do? Use a nasal cannula Explain the danger of acute myocardial infarction Assist ventilations Demonstrate wearing the mask on yourself - Correct answer Use a nasal cannula A man in a diner suddenly began gasping and coughing violently while eating. He is now silent and his lips appear blue. You should Immediately suction the oropharynx Perform back blows and encourage coughing Perform abdominal thrust Perform a blind finger sweep - Correct answer Perform abdominal thrust A 46 year old male is complaining of chest pain. You should Immediately transport Assist the pt in taking his nitro Obtain a history of present illness Apply oxygen and obtain baseline vital signs - Correct answer Apply oxygen and obtain baseline vital signs A marble has completely obstructed your four year olds patients airway. You should immediately Perform a finger sweep Administer five back blows Perform abdominal thrusts Suction the airway - Correct answer Perform abdominal thrusts A 78 year old female was found in her pajamas on the kitchen floor. It is a cold morning and no one has heard from her for 24 hours. You find her daughter performing cpr. You should. Assess the quality of compressions Continue CPR for 5 min Unresponsive five year old with a suspected airway obstruction 19 year old with a mandible fracture who is only responsive to pain - Correct answer Unresponsive five year old with a suspected airway obstruction A confused 22 year old male has a weak pulse of 122 and a distended abdomen. His skin is pale, cool, and clammy. What is the most likely cause? Bowel obstruction Insulin shock Internal bleeding Acute cholecystitis - Correct answer Internal bleeding A 73 year old male is experiencing chest pain and peripheral cyanosis. You should Begin active external warming Assist the patient with his prescribed nitroglycerin Administer oxygen via non-rebreather mask at 15 lpm Administer oxygen via nasal cannula at 4 lpm - Correct answer Administer oxygen via non-rebreather mask at 15 lpm Your partner is performing mouth-to-mask ventilation when you notice the presence of increasing gastric distention. You should Decompress the stomach manually Immediately suction the oropharynx Manually reposition the airway Increase the depth of ventilations - Correct answer Manually reposition the airway You are treating an unresponsive victim with facial trauma. He has an avulsed check that is interfering with the airway and has gurgling respirations. You should Suction and remove the obstructing tissue Insert an oral airway Carefully attempt ventilation via BVM Insert a nasal airway and administer high flow oxygen - Correct answer Suction and remove the obstructing tissue A patient is unresponsive in a crashed vehicle that is pointing into the ditch. You should Attempt to open the door Ensure the vehicle is stable Break a side window Deflate the tires - Correct answer Ensure the vehicle is stable An occlusive dressing should be used to quickly seal any open wound to the Eye Chest Head Abdomen - Correct answer Chest You respond to a cardiac arrest call and find a bystander performing CPR on a five year old. You confirm the patient is pulseless and apneic, and your partner continues CPR. you open up the AED and discover that there are no pediatric pads, only adult pads. How should you and your partner proceed? Perform two person CPr and wait for an ALS unit Perform CPR while you attach the adult pads and follow AED prompts Perform CPR while you drive quickly to the closest ER Perform two person CPR and call for another AED - Correct answer Perform CPR while you attach the adult pads and follow AED prompts You should open the airway of a six-month old by Turning the patient onto their left side Placing their head in an extended position Padding under the head of the child Placing the head in a neutral position - Correct answer Placing their head in an extended position 26 year old male complains of neck pain after being rear-ended at intersection. There is no damage to the vehicle, and the driver of the second vehicle says her speedometer read two miles an hour at the moment of impact. You should: Request that a police officer come to document the incident Ask the patient if he can move on his own Enter the backseat of the vehicle to stabilize the c-spine Remove the patient to a long-board and transport to the hospital - Correct answer Enter the backseat of the vehicle to stabilize the c-spine Ask the assailant to drop the knife Call law enforcement - Correct answer Retreat to a safe area Agonal respirations are characteristic of breathing seen in Allergic reaction Severe diabetic emergencies Impending respiratory arrest Emotionally disturbed patients - Correct answer Impending respiratory arrest An unconscious patient was found lying supine in a parking lot. You note a large bruise on a his upper-right abdominal quadrant. You should carefully monitor your patient for signs of Hypothermia Low blood sugar Infection Hypoperfusion - Correct answer Hypoperfusion A seven year old child has been ejected from a vehicle. You should Immobilize a long-spine board Request consent to treat Attempt to locate his parents Perform a rapid trauma assessment - Correct answer Perform a rapid trauma assessment Signs and symptoms of a nontraumatic brain injury may be similar to those of A burst eardrum Shock Spinal injury hypoglycemia - Correct answer hypoglycemia 23 year old male was in an motor vehicle crash and has an open abdominal injury with a protruding bowel. You should. Apply the PASG Apply a three-sided occlusive dressing Cover the bowel with moist dressings Cover the bowel with dry sterile gauze - Correct answer Cover the bowel with moist dressings An unresponsive child with facial trauma requires airway management. You should. Insert a nasal cannula Suction the airway Apply cervical collar Insert an oropharyngeal airway - Correct answer Suction the airway There are 12 survivors from a bridge collapse. They are ready for transportation to the hospital. Who will notify hospitals and coordinate patient allocations to those facilities? Transport officer Incident commander Staging officer Triage officer - Correct answer Incident commander A 64 year old diabetic is hypotensive during dialysis treatment. The most likely cause of his condition is Hypoglycemia Fluid loss Septic shock Heart failure - Correct answer Fluid loss A 24 year old female has large blisters on her forearm from exposure to drain cleaner. This burn would be classified as a Partial thickness burn Thermal burn Superficial burn Third degree burn - Correct answer Partial thickness burn A 24 year old was found apneic and pulseless in a parking lot. You should Insert an airway adjunct Apply high flow oxygen Defibrillate Begin chest compressions - Correct answer Begin chest compressions A patient is unresponsive. There are several empty beer bottles and insulin syringes nearby. You should Ensure scene safety and induce vomiting Ask if anyone saw what happened Ensure and maintain an open airway Hypoperfusion A spike in temperature An epileptic seizure - Correct answer And epileptic seizure Which of the following marks the difference between preeclampsia and eclampsia? A head ache The onset of seizure Peripheral edema A bp of 220/140 - Correct answer The onset of seizure A 25 year old prisoner complains of difficulty breathing, chills, and cough. You should suspect Influenza Pneumonia Hiv Tuberculosis - Correct answer Pneumonia You have assisted a pt in self administering her epinephrine auto injector. You should expect Decreases heart rate Increased mucus production Decreased blood pressure Increased respiratory depth - Correct answer Decreased blood pressure A 55 year old male has just self administered his epipen. He now complains of chest tightness and shortness of breath. He believes that his tongue is swelling. Vital signs are BP 136/80, p 130, r 22. What should you do Transport rapidly and monitor vital signs Reassess skin and temp in five min Assist him in administering a second epi Obtain a complete history and physical exam - Correct answer Transport rapidly and monitor vital signs A man inhaled poison. After opening his airway, you should Administer activated charcoal Transport him to the nearest hospital Apply high concentrated oxygen Contact medical control - Correct answer Apply high concentrated oxygen A 16 year old male walked up to you after falling while rollerblading. He is agitated and states his hands and tongue are tingling. He takes fluoxetine. The most likely cause of his symptoms is Hypoxia An anxiety disorder A traumatic brain injury A spinal cord - Correct answer An anxiety disorder A 64 year old man suddenly became pulseless and apneic while watching tv. His wife informs you that he recently had bypass surgery. You should Perform CPR as with any other pt Perform CPR without chest compressions Call medical control before conducting CPR Contact the operating surgeon immediately - Correct answer Perform CPR as with any other pt A 45 year old male weighing 130 kg is having chest pain. He is on the fifth floor of an apartment building and the elevator is too small for your stretcher. You should move the pt by Performing a fore-and-aft carry Using a Bradford cot Having the pt walk Using the stair chair - Correct answer Using the stair chair A patient has hives, watering eyes, and mild wheezing. Vital signs are BP 102/60 P 110 and r 22. Which treatment should you provide during the initial assessment? Elevate the pt legs Administer high flow oxygen via bvm Manage the patient's airway Assist with the patients epinephrine auto injector - Correct answer Assist with the patients epinephrine auto injector A 57 year old male is hemorrhaging after cutting off three fingers eit a power saw. A fourth finger was partially detached. You should Apply immediate pressure to the brachial artery Realign the partially detached fourth finger Approach the pt from behind and instruct him not to move Stand in front of the pt and instruct him not to move Approach a side window and instruct him not to move Stand by until you have gained access - Correct answer Stand in front of the pt and instruct him not to move Your pt has cancer is obviously near death. A valid DNR is present. You should Immediately notify the medical examiner Attempt resuscitation if the pt appears to be visible Not withhold oxygen or other supportive care Ask the next of kin if they are sure about the decision not to resuscitate - Correct answer Not withhold oxygen or other supportive care A patient who is suffering from hypoglycemia would have skin that is Cold and clammy Warm and dry Warm and moist Cold and dry - Correct answer Cold and clammy A 50 year old pt has slow, shallow respirations with cool and clammy skin and cyanosis around her mouth. You should Assist her with prescribed bronchodilator Administer oxygen via nasal cannula Administer oxygen via non rebreather mask Ventilate via bvm - Correct answer Ventilate via bvm A 22 year old male with a history of asthma is experiencing shortness of breath, wheezing and chest tightness. Which o f the following is the MOST indicated Aspirin Epinephrine Nitro Albuterol - Correct answer Albuterol A 23 year old deaf man called for an ambulance. You need to determine why. You should Try speaking clearly so he can watch your lips Locate someone who knows sign language Perform a physical examination Request that an interpreter meet you at the hospital - Correct answer Perform a physical examination A 40 year old male is sweating and complains of mild chest discomfort and shortness of breath fifteen min after exercising. You should suspect Angina pectoris Exercise induced asthma Acute MI Chronic obstructive pulmonary disease - Correct answer Angina pectoris A 34 year old female is found unconscious on a bathroom floor. She is apneic, has pinpoint pupils, and has a fresh puncture to her right forearm. She had multiple scars that form bluish streaks over the veins of the backs of both hands. You should suspect Domestic abuse Repeated suicide attempts A narcotic overdose A seizure disorder - Correct answer A narcotic overdose Your efforts to ventilate a pt with a bvm are not effective. You should Provide mouth to mouth ventilations Continue your efforts to ventilate the pt Switch to a non rebreather mask with supplemental oxygen Reposition the airway and ventilate again - Correct answer Reposition the airway and ventilate again Which of the following patients is most likely to be treated with a pneumatic anti-shock garment (PASG)? A 45 year old woman whose pelvis and legs were pinned by a fallen tree for 30 min A 14 year old girl in cardiac arrest with multisystem trauma 18 year old man who struck his head while driving into a pool 53 year old man who was kicked in the chest by a horse and complains od dyspnea - Correct answer A 45 year old woman whose pelvis and legs were pinned by a fallen tree for 30 min An alert and oriented adult complaining of chest pain refuses transport against medical advice. You should Accept his right to refuse care and leave the scene An 80 year old male complains of shortness of breath. Vitals signs are BP 156/88, P 132, R 24, with crackles, Spo2 93%. You should Obtain a complete SAMPLE history Perform a detailed assessment of the chest Assis the patient with his prescribed inhaler Administer oxygen by non-rebreather mask - Correct answer Obtain a complete SAMPLE history A two year old child is in respiratory arrest. You should be prepared for Cyanosis Cardiac arrest Bronchospasms Seizures - Correct answer Cyanosis You are a transport unit at an MCI. The Fire department brings a patient to your ambulance. What is your first priority? Baseline vital signs Airway Universal precations Breathing - Correct answer Airway A 92 year old female fell in the bathroom. She has large hematomas on the bridge of her nose and the side of her head. First responders report vital signs of BP 90/43, P 62, R 12. She is alert and denies neck pain or tenderness. Before transport, you should Obtain vital signs and review important finding with first responders Suction the airway and assist ventilations with oxygen via BVM Immobilize the patient with a C-collar and long spine board Perform a detailed physical exam and bandage her head - Correct answer Immobilize the patient with a C-collar and long spine board When you palpate a pulse you are feeling the Relaxation of both ventricles Relaxation of the atria Contraction of the left atrium Contraction of the left ventricle - Correct answer Contraction of the left ventricle In case of bee stings, you should Carefully cleanse the site of the sting Remove the stinger using tweezers Remove the stingers by gently scraping with the edge of a card Call medical control for orders to administer benadryl - Correct answer Remove the stingers by gently scraping with the edge of a card A patient was covered with a diluted bleach solution while washing the walls of the school gym. You should Rapidly transport and begin decontamination Instruct the patient to remove his clothing Leave the scene and return with protective equipment Have your partner call the hazmat team - Correct answer Instruct the patient to remove his clothing A man, sitting outside, was stung by a bee while drinking a soda. When you arrive, he is pale and complains of abdominal pain. Vital signs are BP 90/60, P110, R24 and wheezing. You should Begin treatment on-scene Move the patient indoors for treatment Call for air medical transport Take the patient to your ambulance - Correct answer Take the patient to your ambulance