Download EMT Exam 4: Chapters 19-23 (JBL) - 80 Questions with Correct Answers and more Quizzes Nursing in PDF only on Docsity!
EMT EXAM 4 CHAP 19-23 (JBL) 80
QUESTIONS WITH CORRECT ANSWERS
GUARANTEED PASS BRAND NEW!!
"The main function of the endocrine system is to _________. A) produce glandular secretions B) regulate glucose and calcium C) regulate blood flow
D) maintain homeostasis - CORRECT ANSWER=> D"
"The normal blood glucose level is between: A) 60 and 80 mg/dL. B) 80 and 120 mg/dL. C) 30 and 150 mg/dL.
D) 160 and 200 mg/dL. - CORRECT ANSWER=> B"
"A raised, swollen, well-defined area on the skin that is the result of an insect bite or sting is called: A) a pustule. B) purpura. C) urticaria.
D) a wheal. - CORRECT ANSWER=> D"
"Epinephrine is indicated for patients with an allergic reaction when: A) wheezing and hypotension are present. B) the patient is anxious and tachycardic. C) a paramedic is present at the scene.
D) the reaction produces severe urticarial. - CORRECT ANSWER=> A"
"Because the stinger of a honeybee remains in the wound following a sting: A) the stinger should quickly be removed with tweezers. B) the body's immune system deactivates the bee's venom. C) the toxicity of the venom decreases within 10 minutes.
D) it can continue to inject venom for up to 20 minutes. - CORRECT ANSWER=> D"
"Which of the following statements regarding epinephrine administration via the intramuscular (IM) route is correct? A) The 1:1000 concentration should be used. B) The preferred injection site is the upper arm. C) The IM route should not be used in children.
D) The maximum single adult dose is 0.15 mg. - CORRECT ANSWER=> A"
"After administering 0.3 mg of epinephrine via auto-injector to a 22-year-old female with an allergic reaction, you note improvement in her breathing and resolution of her hives. However, she is still anxious and tachycardic. You should: A) contact medical control and obtain authorization to administer another 0.3 mg of epinephrine. B) transport her rapidly, as it is obvious that she is having a severe reaction to the epinephrine. C) monitor her closely but recall that anxiety and tachycardia are side effects of epinephrine. D) consider administering 0.15 mg of epinephrine to completely resolve her allergic reaction. -
CORRECT ANSWER=> C"
"When administering epinephrine via auto-injector, you should hold the injector in place for: A) 5 seconds. B) 10 seconds. C) 15 seconds.
D) 20 seconds. - CORRECT ANSWER=> B"
"The stinger from a honeybee should be: A) left in place and covered. B) scraped away from the skin. C) squeezed with tweezers and removed.
D) irrigated with copious amounts of water. - CORRECT ANSWER=> B"
"When a foreign substance invades the body, the body will __________. A) protect itself B) go on alert C) attempt to inactivate the foreign substance
D) All of these answers are correct. - CORRECT ANSWER=> D"
"Anaphylaxis is MOST accurately defined as a(n): A) moderate allergic reaction that primarily affects the vasculature. B) extreme allergic reaction that may affect multiple body systems. C) severe allergic reaction that typically resolves without treatment.
D) allergic reaction that causes bronchodilation and vasoconstriction. - CORRECT ANSWER=> B"
"The effects of epinephrine are typically observed within _________ following administration. A) 30 seconds B) 1 minute C) 30 minutes
D) 1 hour - CORRECT ANSWER=> B"
"Anaphylaxis caused by stinging insects is typically an allergic reaction to ____________ rather than the bite or sting itself. A) injected poison
and is incontinent of urine. You quickly feel her pulse and note that it is very slow. Immediate management for this patient should include: A) thoroughly suctioning her oropharynx. B) assisted ventilation with a BVM. C) performing a rapid secondary assessment.
D) requesting a paramedic to give her atropine. - CORRECT ANSWER=> A"
"Your paramedic partner administers atropine to a 49-year-old male with bradycardia. Which of the following side effects would you expect the patient to experience? A) Pupillary constriction B) Excessive lacrimation C) A fall in blood pressure
D) Dry mucous membranes - CORRECT ANSWER=> D"
"A 25-year-old man overdosed on heroin and is unresponsive. His breathing is slow and shallow and he is bradycardic. He has track marks on both arms. The EMT should: A) administer naloxone via the intranasal route. B) insert a nasal airway and ventilate with a BVM. C) position the patient on his side and transport.
D) administer naloxone via the intramuscular route. - CORRECT ANSWER=> B"
"Your priority in caring for a patient with a surface contact poisoning is to: A) move the patient to a safe area. B) avoid contaminating yourself. C) decontaminate the patient's skin.
D) obtain and maintain a patent airway. - CORRECT ANSWER=> B"
"The poison control center will be able to provide you with the most information regarding the appropriate treatment for a patient with a drug overdose if the center: A) knows the location of the closest hospital. B) is aware of the patient's age and gender. C) is aware of the substance that is involved.
D) knows why the patient overdosed on the drug. - CORRECT ANSWER=> C"
"In general, injected poisons are impossible to dilute or remove because they: A) are usually absorbed quickly into the body. B) are usually fatal within 30 minutes of exposure. C) absorb slowly into the body, despite their potency.
D) react with the blood, which increases their toxicity. - CORRECT ANSWER=> A"
"A person who routinely misuses a substance and requires increasing amounts to achieve the same effect is experiencing: A) addiction. B) dependence.
C) withdrawal.
D) tolerance. - CORRECT ANSWER=> D"
"38. Which of the following sets of vital signs would the EMT MOST likely encounter in a patient with acute cocaine overdose? A) BP, 60/40 mm Hg; pulse, 140 beats/min B) BP, 190/90 mm Hg; pulse, 40 beats/min C) BP, 200/100 mm Hg; pulse, 150 beats/min
D) BP, 180/100 mm Hg; pulse, 50 beats/min - CORRECT ANSWER=> C"
"39. If the victim of a toxicologic emergency vomits, an EMT should _________. A) use appropriate personal protective equipment and examine the vomitus for pill fragments or other clues for patient care. B) have the patient enclose the vomitus in a container and take it to the emergency department. C) safely dispose of the vomitus as soon as possible and decontaminate the vehicle as necessary.
D) not approach the vomitus. - CORRECT ANSWER=> A"
"40. Activated charcoal is given to patients who have ingested certain substances because it: A) induces vomiting and empties the stomach. B) binds to the substance and prevents absorption. C) decreases absorption of poisons into the lungs.
D) is a direct antidote for many toxic substances. - CORRECT ANSWER=> B"
"41. Hypotension, hypoventilation, and pinpoint pupils would be expected following an overdose of: A) ecstasy. B) oxycodone (Percocet). C) amphetamine sulfate (Benzedrine).
D) crack cocaine. - CORRECT ANSWER=> B"
"42. Most poisonings occur via the __________ route. A) ingestion B) injection C) inhalation
D) absorption - CORRECT ANSWER=> A"
"43. As you enter the residence of a patient who has possibly overdosed, you should: A) be alert for personal hazards. B) look for drug paraphernalia. C) observe the scene for drug bottles.
D) quickly gain access to the patient. - CORRECT ANSWER=> A"
"44. A 49-year-old male presents with confusion, sweating, and visual hallucinations. The patient's wife tells you that he is a heavy drinker and she thinks he had a seizure shortly before your arrival. This patient is MOST likely experiencing:
A) married males older than 30 years. B) those with a recent diagnosis of a serious illness. C) children with parents addicted to alcohol.
D) substance abusers. - CORRECT ANSWER=> A"
"51. You are assessing a conscious 55-year-old male with a sudden change in behavior. Which of the following clinical findings would be MOST suggestive of dysfunction of this patient's central nervous system? A) An irregular pulse B) Rapid eye movement C) Excessive tearing or crying
D) Consistent eye contact - CORRECT ANSWER=> B"
"52. Which of the following conditions or factors would be the LEAST likely to result in a change in behavior? A) Low blood glucose levels B) Antihypertensive medications C) Exposure to excess heat or cold
D) Inadequate blood flow to the brain - CORRECT ANSWER=> B"
"53. A functional disorder is a: A) psychological disorder caused by a structural abnormality. B) physiological disorder in the absence of a structural abnormality. C) psychological disorder in the absence of a structural abnormality.
D) physiological disorder caused by a structural abnormality. - CORRECT ANSWER=> B"
"54. General guidelines for managing a patient with a behavioral emergency include: A) firmly identifying yourself as an EMS provider. B) placing the patient between yourself and an exit. C) allowing the patient to be alone if he or she wishes.
D) being prepared to spend extra time with the patient. - CORRECT ANSWER=> D"
"55. The single most significant factor that contributes to suicide is: A) depression. B) drug abuse. C) advanced age.
D) a chronic illness. - CORRECT ANSWER=> A"
"56. You are assessing a 45-year-old female who is severely depressed. She states that it seems as though her entire world is crashing down around her. She further states that she has had frequent thoughts of suicide, but is not sure if she can actually go through with it. How should you manage this situation? A) Ask the patient if she has developed a suicidal plan. B) Leave the scene and have a neighbor check in on her.
C) Have law enforcement place her in protective custody.
D) Encourage the patient to remain quiet during transport. - CORRECT ANSWER=> A"
"57. Which of the following terms applies to a state of delusion in which the patient is out of touch with reality? A) Agitated delirium B) Schizophrenia C) Suicidal
D) Psychosis - CORRECT ANSWER=> D"
"58. A general impression of the patient is formed by an EMT: A) when the patient is in the ambulance. B) at a distance when the patient is first seen. C) speaking with family members or bystanders first.
D) speaking privately with the patient. - CORRECT ANSWER=> B"
"59. A 38-year-old male with a history of schizophrenia is reported by neighbors to be screaming and throwing things in his house. You are familiar with the patient and have cared for him in the past for unrelated problems. Law enforcement officers escort you into the residence when you arrive. The patient tells you that he sees vampires and is attempting to ward them off by screaming and throwing things at them. He has several large lacerations to his forearms that are actively bleeding. The MOST appropriate way to manage this situation is to: A) try to gain the patient's trust by telling him that you see the vampires too. B) request that the police officers arrest him and take him to the hospital. C) restrain the patient with appropriate force in order to treat his injuries.
D) approach the patient and calm him by placing your hand on his shoulder. - CORRECT ANSWER=> C"
"60. When caring for a patient experiencing excited delirium, the EMT should remember that: A) sudden death can occur if the patient's violence is not controlled. B) lights and siren are effective in redirecting the patient's behavior. C) most patients will have low blood pressure and hyperglycemia.
D) excited delirium is worsened by nervous system depressant drugs. - CORRECT ANSWER=> A"
"61. Which of the following is an example of a psychiatric emergency? A) A person going on a week-long "bender" after losing a job B) A person violently attacking family members C) A person who is depressed and no longer caring for himself
D) A person who is experiencing a panic attack - CORRECT ANSWER=> B"
"62. When a psychiatric emergency arises, a patient is most likely to exhibit which of the following behaviors? A) Disruptions to activities of daily living B) Any behaviors unacceptable to the patient, family, or community C) Any behaviors that are a violent threat to the patient, EMTs, or others
A) Left lower quadrant pain, referred pain to the left shoulder, and fever B) Pain around the umbilicus, low-grade fever, and generalized weakness C) Upper abdominal cramping, severe headache, and heavy vaginal bleeding
D) Lower abdominal pain, fever, general malaise, and foul-smelling vaginal discharge - CORRECT
ANSWER=> D"
"70. If a woman with vaginal bleeding reports syncope, the EMT should assume that she: A) is pregnant. B) is in shock. C) has an infection.
D) has an ectopic pregnancy. - CORRECT ANSWER=> B"
"71. The physical examination of a sexual assault victim should be: A) limited to a brief survey for life-threatening injuries. B) performed in the presence of at least two police officers. C) as detailed as possible so all injuries can be documented.
D) deferred until the patient can be evaluated by a physician. - CORRECT ANSWER=> A"
"72. The __________ and _________ are folds of tissue that surround the urethral and vaginal openings. A) labia majora; labia minora B) perineum; anus C) vagina; cervix
D) fallopian tubes; uterus - CORRECT ANSWER=> A"
"73. While the ages can vary, women typically experience menstruation from approximately _________ to ____________ years of age. A) 10; 40 B) 11; 50 C) 20; 60
D) 10; 70 - CORRECT ANSWER=> B"
"74. A patient with pelvic inflammatory disease will typically complain of _________. A) abdominal pain associated with menstruation B) nausea and vomiting associated with intercourse C) aches and fever associated with urination
D) bleeding associated with stress - CORRECT ANSWER=> A"
"75. In anticipation of receiving a fertilized ovum, the lining of the uterine wall: A) thins and begins to separate. B) becomes engorged with blood. C) diverts blood flow to the vagina.
D) sheds and is expelled externally. - CORRECT ANSWER=> B"
"76. Patient complaints of pain during intercourse, lower abdominal discomfort, and nausea may be indicative of which of the following? A) Pelvic inflammatory disease B) Chlamydia C) Bacterial vaginosis
D) Gonorrhea - CORRECT ANSWER=> A"
"77. In cases of sexual assault, it is important to ensure that you do which of the following? A) Immediately write down your observations of the scene before assessing the patient. B) Call for a female EMT or ALS care provider. C) Discuss with law enforcement any suspicions that you may have about the perpetrator.
D) All of these answers are correct. - CORRECT ANSWER=> D"
"78. Which of the following infections, when left untreated, may lead to infection of the blood and brain? A) Pelvic inflammatory disease B) Chlamydia C) Bacterial vaginosis
D) Gonorrhea - CORRECT ANSWER=> D"
"79. Causes of vaginal bleeding include which of the following? A) Ectopic pregnancy B) Vaginal trauma C) Spontaneous abortion
D) All of these answers are correct. - CORRECT ANSWER=> D"
"80. The _____________ connect(s) each ovary with the uterus. A) egg B) fallopian tubes C) abdomen
D) cervix - CORRECT ANSWER=> B"
āKussmaul respirations are an indication that the body is: A) attempting to eliminate acids from the blood. B) trying to generate energy by breathing deeply. C) severely hypoxic and is eliminating excess CO2.
D) compensating for decreased blood glucose levels. - CORRECT ANSWER=> A"
"Common signs and symptoms of severe hyperglycemia include all of the following, EXCEPT: A) warm, dry skin. B) cool, clammy skin. C) rapid, thready pulse.
D) acetone breath odor. - CORRECT ANSWER=> B"
C) warm, dry skin; hunger; abdominal pain; and deep, slow respirations.
D) cold, clammy skin; bradycardia; hunger; and deep, rapid respirations. - CORRECT ANSWER=> B"
"A patient with an altered mental status; high blood glucose levels; and deep, rapid breathing may have a condition known as __________. A) hyperosmolar hyperglycemic nonketotic coma B) diabetic ketoacidosis C) hypoglycemic crisis
D) hyperglycemic crisis - CORRECT ANSWER=> B"
"A 75-year-old male with type 1 diabetes presents with chest pain and a general feeling of weakness. He tells you that he took his insulin today and ate a regular meal approximately 2 hours ago. You should treat this patient as though he is experiencing: A) hypoglycemia. B) an acute stroke. C) hyperglycemia.
D) a heart attack. - CORRECT ANSWER=> D"
"The EMT should assess for hypoglycemia in small children with a severe illness or injury because: A) a child's cells do not uptake glucose as rapidly as adults' do. B) children cannot store excess glucose as effectively as adults. C) illness or injury causes the pancreas to produce less insulin.
D) children overproduce insulin during severe illness or injury. - CORRECT ANSWER=> B"
