Download EMT Fisdap Final Exam (180 Questions and Answers) 2024 UPDATE BEST GRADED A+ and more Exams Nursing in PDF only on Docsity!
EMT Fisdap Final Exam (180 Questions and Answers)
2024 UPDATE BEST GRADED A+
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 - SOLUTION 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 - SOLUTION 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 - SOLUTION 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 - SOLUTION 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 - SOLUTION 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 - SOLUTION 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 - SOLUTION 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 - SOLUTION Inadequate oxygen delivery to cells You are ventilating an apneic asthmatic patient with a BVM, but notice there is inadequate chest rise. What should you do? A. reassess the airway for an obstruction B. increase the ventilation pressure C. switch to an O2 powered ventilation device D. increase the rate of the ventilations - SOLUTION reassess the airway for an obstruction * For which of the following patients would an OPA be most appropriate? A. A 19 y/o with a mandible fracture who is only responsive to pain B. Unresponsive 25 y/o with a suspected spinal injury C. Unresponsive five-year-old with a suspected airway obstruction
D. Apply a traction splint and transport - SOLUTION Pull gentle traction and apply a splint Which of the following is TRUE about the insertion of an OPA? A. the OPA is always rotated 360 degrees as it is inserted B. if properly inserted, the OPA will keep the tongue out of the way C. the OPA should be inserted until the flange rests below the patient's teeth - SOLUTION the OPA should be inserted until the flange rests below the patient's teeth* While ventilating a near drowning pt, you suddenly feel increased resistance in the airway. You should A. Perform abdominal thrust B. Place pt in lateral recovery position C. Attempt to reposition the head D. Apply firm pressure to the abdomen - SOLUTION 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 - SOLUTION 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 - SOLUTION 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 - SOLUTION 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 - SOLUTION 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 - SOLUTION 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 O 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 - SOLUTION 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 - SOLUTION 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
C. SBP >
D. SBP <100 - SOLUTION SBP <
What are the two manual methods of opening a patient's airway? A. head tilt-chin lift and jaw thrust B. head tilt-chin lift and nasopharyngeal airway C. jaw thrust and finger sweep D. head tilt-chin lift and oropharyngeal airway - SOLUTION head tilt-chin lift and jaw thrust Your patient is in labor. As the baby's head delivers, you notice the amniotic sac has not broken. You should: A. use your gloved finger to puncture the membrane B. place mom on her knees to take the pressure off the sac C. place mom on O2 to prevent fetal distress D. have mom pant - SOLUTION use your gloved finger to puncture the membrane A conscious 7 year old patient has chemical burns around her mouth from ingesting drain cleaner. Her breathing is adequate. You should: A. evaluate the patient's airway B. flush burns with water C. contact medical control D. administer activated charcoal - SOLUTION Contact medical control Your patient is allergic to bee stings. She suddenly began having watery eyes and itching in her arms. She does not remember being stung. Vital signs: BP 130/80, P 110, R 16. You should: A. apply O2 and transport B. monitor airway, encourage family to transport C. attempt to find the stinger and remove it immediately D. assist the patient in self-administering her Epi-pen - SOLUTION apply O2 and transport* A 45 year old male farmer has been working with dry lime. The patient has large amounts of this powder on both legs. You should: A. gently brush off excess powder and transport B. use vinegar to dilute and transport C. wash off the powder with water and transport
D. use milk to dilute - SOLUTION gently brush off excess powder and transport An unbelted driver struck a tree with his vehicle. Upon examination of the chest you see bruising to the right side. Your initial vitals are BP 88/76, P 128, R 20. You should suspect: A. liver laceration B. cardiac tamponade C. neurogenic shock D. multiple rib fractures - SOLUTION 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 - SOLUTION 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 - SOLUTION 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 - SOLUTION 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
B. rapidly transport and monitor vital signs C. ventilate with BVM and transport rapidly D. transport rapidly and apply wet towels enroute - SOLUTION 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 - SOLUTION assess vital signs and begin transport You should ventilate a newborn once every: A. 4 seconds B. 2 seconds C. 3 seconds D. 5 seconds - SOLUTION 3 seconds What is the amount of air moved with one normal breath called? A. minute volume B. tidal volume - SOLUTION tidal volume Which of the following is the most appropriate way to measure for an oropharyngeal airway adjunct? A. From the patient's earlobe to angle of the jaw B. From the center of pt's mouth to earlobe C. From the corner of the pt's mouth to the earlobe D. From the tip of pt's nose to earlobe - SOLUTION From the corner of the pt's mouth to the earlobe Your patient has spilled a dilute alkali solution into his eyes. You should first A. irrigate with clean water B. cover both eyes and transport C. cover the affected eye and transport D. irrigate with dilute ammonia - SOLUTION irrigate with clean water * Your patient has a fork impaled into his cheek. He is having trouble breathing. You should
A. carefully remove the fork from his cheek B. insert a nasal airway and apply oxygen C. stabilize the fork with bulky dressings - SOLUTION carefully remove the fork from his cheek * Which of the following BEST describes a bipolar patient? A. They often have hallucinations B. They do not have a history of manic-depressive disorder C. They appear psychotic during manic phases - SOLUTION They appear psychotic during manic phases A 2 year old conscious and alert patient has ingested an unknown quantity of aspirin. You call medical control and may be advised to A. administer activated charcoal by mouth B. administer syrup of ipecac by mouth C. perform several abdominal thrusts - SOLUTION administer activated charcoal by mouth * Your 23 year old male patient is acting erratically. Which of the following would be most important to relay to the ER? A. medications B. last doctor visit C. allergies - SOLUTION medications * Your patient complains of itching and difficulty breathing after a bee sting. He reports no known allergies. His vitals are: BP 136/86, P 118, R 20. You should A. administer O2 via nasal cannula and transport immediately B. administer O2 via NRM and transport immediately C. recommend the patient take an oral antihistamine and contact his physician - SOLUTION 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 - SOLUTION The infants trachea is softer
B. ventilate once every 3 seconds with a BVM C. ventilate once every 5-6 seconds with a BVM - SOLUTION 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 - SOLUTION 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 - SOLUTION 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 - SOLUTION 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 - SOLUTION 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. Increase early, then decrease significantly - SOLUTION Increase early, then decrease significantly**
A four year old patient has hot, dry skin after being inside a car with the windows rolled up on a hot day. You should A. Rapidly cool the patient with ice packs everywhere B. Pour water on the patient and fan vigorously C. Cover with wet blankets to prevent rapid cooling - SOLUTION Rapidly cool the patient with ice packs everywhere An unresponsive 82 year old patient is lying supine. Their airway is most likely to be obstructed by A. The tongue B. Swelling of the epiglottis C. Secretions D. Loose dentures - SOLUTION The tongue Which patient would benefit the MOST from helicopter transport? A. 30 y/o male pulseless and apneic with a history of asthma B. 38 y/o male burn patient with 1st degree burns to 55% of his body C. 15 y/o female motor vehicle crash victim still trapped BP 78/42 - SOLUTION 38 y/o male burn patient with 1st degree burns to 55% of his body * An infant is choking on a piece of candy. You are unable to see chest rise after numerous attempts to ventilate. You should A. perform abdominal thrusts B. insert an oral airway and reattempt C. administer chest compressions - SOLUTION administer chest compressions * Your patient was on a third floor balcony which collapsed. The patient is semi-conscious, has an impaled piece of wood in the lower right quadrant of the abdomen, an obvious femur fracture and multiple cuts. You should A. Establish c-spine protection, open the airway and assess breathing B. Apply O2 and prepare pt for rapid transport to a trauma center C. Stabilize impaled object with bulky dressing and establish c-spine protection D. Assist ventilations with BVM, and splint femur fracture - SOLUTION Establish c-spine protection, open the airway and assess breathing A 72 year old patient is suddenly unable to speak and begins staring off towards the right. You should first
C. discount these findings because your patient may not have been the driver - SOLUTION 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 - SOLUTION 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 - SOLUTION 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 - SOLUTION 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 - SOLUTION 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 - SOLUTION 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 - SOLUTION 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 - SOLUTION 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 - SOLUTION Transport the pt as soon as possible Your pt is a 56 y/o male who collapses while mowing the lawn. He is apneic and pulseless immediately following collapse. What is the patient most likely experiencing? A. Heart attack B. Cardiac Arrest C. Angina D. Stroke - SOLUTION Cardiac Arrest You are ventilating an apneic infant. His pulse is 54. You are currently ventilating with a BVM with supplemental oxygen. You should A. obtain a complete set of vital signs B. begin chest compressions C. continue ventilations and transport - SOLUTION begin chest compressions * A 72-year-old with heart problems fell out of bed. He is confused and has pale and sweaty skin. You should
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 - SOLUTION 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 O D. complete a SAMPLE history - SOLUTION complete a SAMPLE history* One of the most problematic side effects of nitroglycerin is A. bradycardia B. dyspnea C. hypotension - SOLUTION 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 - SOLUTION 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 - SOLUTION chest strap Early signs and symptoms of hypoperfusion can include A. Unresponsiveness B. Anxiousness
C. Bradycardia D. Decreased BP - SOLUTION Anxiousness You are transporting a 68- year old female from a nursing home to a hospital. She has a valid DNR. During transportation, she begins to have trouble breathing. You should: A. return the patient to the nursing home B. ventilate the patient with a BVM C. provide O2 and position the patient for comfort D. provide supportive reassurance only - SOLUTION provide O2 and position the patient for comfort provide supportive reassurance only ** second time You have assisted a 56 y/o patient in taking 1 nitroglycerin tablet. He continues to complain of chest pain. Vital signs are: BP 94/64, P 120, R 14, SaO2 98%. You should A. Reassess his BP B. Assist him with a 2nd nitro tablet C. Transport him to the hospital D. Assess lung sounds and have pt self-administer his inhaler - SOLUTION Transport him to the hospital You are called to the scene of a motor vehicle crash, where you find a three-year-old female sitting in an unsecured car seat. She has abrasions to her forehead and right arm. She is alert to voice, her skin is pink and dry, and she appears to breathing normally. You should A. Rapidly extricate the child and place her in a supine positon B. Place a short back board behind the child and gently extricate her from the car seat. C. Remove the child from the car seat and place her on a long spine D. Secure the child in the car seat using towels and tape to immobilize her head and chest - SOLUTION Secure the child in the car seat using towels and tape to immobilize her head and chest A patient becomes unresponsive. You find she is apneic and pulseless. You should A. apply the AED and analyze B. apply O2 via BVM and apply AED C. start CPR and apply the AED
