PARAMEDIC FINAL EXAM 4 ACTUAL EXAM WITH COMPLETE 200+ QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)PLUS RATIONALES |
ALREADY GRADED A+
You respond to a shortness-of-breath call. Upon arrival, you find the first responders
placing a 70 y/o M patient on a NRB mask and running the oxygen flowmeter at 15 L.
Family members state that the patient came back from the store approx. 45 min ago
complaining of moderate respiratory distress. He has a history of "some sort of lung
disease," and he uses an inhaler. The family does not know what type of medication the
patient is taking. There is no hx of fever or recent illness. You observe that the patient is
cyanotic. The oxygen reservoir on the mask does not appear to collapse, even though the
liter flow is set correctly. Although he is sitting on the edge of the bed, his eyes are closed
and he responds to pain only.There is accessory muscle use with intercostal muscle
retractions.
His breath sounds are diminished in all fields and absent
1. Based on the information given, what might be a suspected assessment?
b. emphysema
You respond to a shortness-of-breath call. Upon arrival, you find the first responders
placing a 70 y/o M patient on a NRB mask and running the oxygen flowmeter at 15 L.
Family members state that the patient came back from the store approx. 45 min ago
complaining of moderate respiratory distress. He has a history of "some sort of lung
disease," and he uses an inhaler. The family does not know what type of medication the
patient is taking. There is no hx of fever or recent illness. You observe that the patient is
cyanotic. The oxygen reservoir on the mask does not appear to collapse, even though the
liter flow is set correctly. Although he is sitting on the edge of the bed, his eyes are closed
and he responds to pain only.There is accessory muscle use with intercostal muscle
retractions.
His breath sounds are diminished in all fields and absent
2. Of the following, what is your initial priority in managing the PT?
c. Instruct first responders to assist the patient's ventilations with a BVM and 100%
, 2
You respond to a shortness-of-breath call. Upon arrival, you find the first responders
placing a 70 y/o M patient on a NRB mask and running the oxygen flowmeter at 15 L.
Family members state that the patient came back from the store approx. 45 min ago
complaining of moderate respiratory distress. He has a history of "some sort of lung
disease," and he uses an inhaler. The family does not know what type of medication the
patient is taking. There is no hx of fever or recent illness. You observe that the patient is
cyanotic. The oxygen reservoir on the mask does not appear to collapse, even though the
liter flow is set correctly. Although he is sitting on the edge of the bed, his eyes are closed
and he responds to pain only.There is accessory muscle use with intercostal muscle
retractions.
His breath sounds are diminished in all fields and absent
3. What equipment might you consider first for ventilation?
c. CPAP
You respond to a shortness-of-breath call. Upon arrival, you find the first responders
placing a 70 y/o M patient on a NRB mask and running the oxygen flowmeter at 15 L.
Family members state that the patient came back from the store approx. 45 min ago
complaining of moderate respiratory distress. He has a history of "some sort of lung
disease," and he uses an inhaler. The family does not know what type of medication the
patient is taking. There is no hx of fever or recent illness. You observe that the patient is
cyanotic. The oxygen reservoir on the mask does not appear to collapse, even though the
liter flow is set correctly. Although he is sitting on the edge of the bed, his eyes are closed
and he responds to pain only.There is accessory muscle use with intercostal muscle
retractions.
His breath sounds are diminished in all fields and absent
4. Which of the following may be used in management of PT?
b. albuterol
5. When using the OPQRST mnemonic to assess a patient's pain, you would assess the R
portion of the mnemonic by asking which of the following questions?
, 3
a. "When did it start hurting you?"
b. "Does the pain move anywhere?"
c. "What makes it feel better?"
d. "Does the pain feel sharp or dull?"
b. "Does the pain move anywhere?"
6. Which set of signs and symptoms is characteristic of a patient in compensated shock?
a. lethargy, confusion, normal to slightly elevated pulse and blood pressure, cool skin, and
delayed capillary refill
b. coma; very low pulse and blood pressure; and pale, cold, and clammy skin with delayed
capillary refill time
c. lapsing into unconsciousness, moderately elevated pulse and blood pressure, mottling of
extremities, and cyanosis around lips
d. unconsciousness, bradycardia, dropping blood pressure, cold extremities, delayed
capillary refill, and absent radial pulses
, 4
a. lethargy, confusion, normal to slightly elevated pulse and blood pressure, cool skin,
and delayed capillary refill
7. A driver who follows a down-and-under pathway of injury after a collision is most likely
to have which type of injury?
a. fractured ribs
b. ruptured diaphragm
c. fractured femur
d. lacerated liver or spleen
c. fractured femur
8. The paper bag effect occurs when the occupant of a car takes a deep breath just before a
collision, resulting in which of the following injuries?
a. pneumothorax
b. pulmonary embolism
c. shearing of the aorta
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)PLUS RATIONALES |
ALREADY GRADED A+
You respond to a shortness-of-breath call. Upon arrival, you find the first responders
placing a 70 y/o M patient on a NRB mask and running the oxygen flowmeter at 15 L.
Family members state that the patient came back from the store approx. 45 min ago
complaining of moderate respiratory distress. He has a history of "some sort of lung
disease," and he uses an inhaler. The family does not know what type of medication the
patient is taking. There is no hx of fever or recent illness. You observe that the patient is
cyanotic. The oxygen reservoir on the mask does not appear to collapse, even though the
liter flow is set correctly. Although he is sitting on the edge of the bed, his eyes are closed
and he responds to pain only.There is accessory muscle use with intercostal muscle
retractions.
His breath sounds are diminished in all fields and absent
1. Based on the information given, what might be a suspected assessment?
b. emphysema
You respond to a shortness-of-breath call. Upon arrival, you find the first responders
placing a 70 y/o M patient on a NRB mask and running the oxygen flowmeter at 15 L.
Family members state that the patient came back from the store approx. 45 min ago
complaining of moderate respiratory distress. He has a history of "some sort of lung
disease," and he uses an inhaler. The family does not know what type of medication the
patient is taking. There is no hx of fever or recent illness. You observe that the patient is
cyanotic. The oxygen reservoir on the mask does not appear to collapse, even though the
liter flow is set correctly. Although he is sitting on the edge of the bed, his eyes are closed
and he responds to pain only.There is accessory muscle use with intercostal muscle
retractions.
His breath sounds are diminished in all fields and absent
2. Of the following, what is your initial priority in managing the PT?
c. Instruct first responders to assist the patient's ventilations with a BVM and 100%
, 2
You respond to a shortness-of-breath call. Upon arrival, you find the first responders
placing a 70 y/o M patient on a NRB mask and running the oxygen flowmeter at 15 L.
Family members state that the patient came back from the store approx. 45 min ago
complaining of moderate respiratory distress. He has a history of "some sort of lung
disease," and he uses an inhaler. The family does not know what type of medication the
patient is taking. There is no hx of fever or recent illness. You observe that the patient is
cyanotic. The oxygen reservoir on the mask does not appear to collapse, even though the
liter flow is set correctly. Although he is sitting on the edge of the bed, his eyes are closed
and he responds to pain only.There is accessory muscle use with intercostal muscle
retractions.
His breath sounds are diminished in all fields and absent
3. What equipment might you consider first for ventilation?
c. CPAP
You respond to a shortness-of-breath call. Upon arrival, you find the first responders
placing a 70 y/o M patient on a NRB mask and running the oxygen flowmeter at 15 L.
Family members state that the patient came back from the store approx. 45 min ago
complaining of moderate respiratory distress. He has a history of "some sort of lung
disease," and he uses an inhaler. The family does not know what type of medication the
patient is taking. There is no hx of fever or recent illness. You observe that the patient is
cyanotic. The oxygen reservoir on the mask does not appear to collapse, even though the
liter flow is set correctly. Although he is sitting on the edge of the bed, his eyes are closed
and he responds to pain only.There is accessory muscle use with intercostal muscle
retractions.
His breath sounds are diminished in all fields and absent
4. Which of the following may be used in management of PT?
b. albuterol
5. When using the OPQRST mnemonic to assess a patient's pain, you would assess the R
portion of the mnemonic by asking which of the following questions?
, 3
a. "When did it start hurting you?"
b. "Does the pain move anywhere?"
c. "What makes it feel better?"
d. "Does the pain feel sharp or dull?"
b. "Does the pain move anywhere?"
6. Which set of signs and symptoms is characteristic of a patient in compensated shock?
a. lethargy, confusion, normal to slightly elevated pulse and blood pressure, cool skin, and
delayed capillary refill
b. coma; very low pulse and blood pressure; and pale, cold, and clammy skin with delayed
capillary refill time
c. lapsing into unconsciousness, moderately elevated pulse and blood pressure, mottling of
extremities, and cyanosis around lips
d. unconsciousness, bradycardia, dropping blood pressure, cold extremities, delayed
capillary refill, and absent radial pulses
, 4
a. lethargy, confusion, normal to slightly elevated pulse and blood pressure, cool skin,
and delayed capillary refill
7. A driver who follows a down-and-under pathway of injury after a collision is most likely
to have which type of injury?
a. fractured ribs
b. ruptured diaphragm
c. fractured femur
d. lacerated liver or spleen
c. fractured femur
8. The paper bag effect occurs when the occupant of a car takes a deep breath just before a
collision, resulting in which of the following injuries?
a. pneumothorax
b. pulmonary embolism
c. shearing of the aorta
