JB LEARNING PARAMEDIC CORRECT FINAL EXAM
QUESTIONS AND ANSWERS SURE A+
✔✔Signs and symptoms of marijuana use include all of the following, EXCEPT? -
✔✔Decreased appetite
✔✔The most significant fall occurs from a height greater than: - ✔✔15 feet
✔✔When determining whether a patient is sick, your MOST effective tool is often: -
✔✔A quick visual assessment based on the chief complaint, respiration's, pulse, mental
status, and skin signs and color.
✔✔You are dispatched to a residence for a 50-year-old woman with respiratory distress.
While you are assessing the patient, she tells you that she began experiencing flu-like
symptoms 4 days ago, shortly after delivering mail on the rural mail route for which she
is responsible. Due to her illness, she has been unable to return to work. Her blood
pressure is 90/50 mmHg, pulse rate is 120 beats/min, and respirations are 26
breaths/min and labored. Auscultation of her breath sounds reveals the presence of
coarse crackles. This patient has MOST likely been exposed to: - ✔✔anthrax
✔✔You arrive at the scene of an injured person. As you and your partner approach the
patient, you see that he is bleeding profusely from a large laceration to his neck. As you
are about to begin care, a man walks up and states, "I cut him!" You should? -
✔✔retreat from the scene to a safe area and immediately notify law enforcement
✔✔___ is the process in which individual units or different organizations make
independent decisions about the next appropriate action. - ✔✔freelancing
✔✔A person wishes to be an organ donor. He or she must? - ✔✔have witnessed
informed consent, usually in writing
✔✔Approximately one third of the body's platelets: - ✔✔are stored in the spleen.
,✔✔During an explosion, secondary blast injuries occur when: - ✔✔the patient is struck
by flying debris, such as shrapnel
✔✔Hypertensive emergencies in the geriatric population: - ✔✔require a controlled
decline in blood pressure that often cannot be achieved in the prehospital setting.
✔✔Q. An elderly woman with COPD presents with peripheral edema. The patient is
conscious but agitated. She is breathing with slight difficulty but has adequate tidal
volume. During your assessment, you note that her jugular veins engorge when you
apply pressure to her right upper abdominal quadrant. She tells you that she takes a
"water pill" and Vasotec for high blood pressure. You should: - ✔✔suspect acute right
heart failure and administer oxygen
✔✔Regardless of what a patient asks, the paramedic should? - ✔✔immediately
acknowledge what the patient asked
✔✔Which of the following clinical findings is LEAST suggestive of a peripheral vascular
disorder? - ✔✔An S3 sound during auscultation of the heart.
✔✔Which of the following medications would MOST likely be used in the prehospital
setting to treat some women with severe premenstrual syndrome? - ✔✔glucose and
fentanyl
✔✔You are in the BEST position to decide what, if any, care needs to be provided at
the scene versus en route to the hospital once you: - ✔✔Have qualified whether your
patient is sick or not sick, and then you must quantify how sick the patient is.
✔✔A do not resuscitate (DNR) order is MOST accurately defined as a? - ✔✔written
order designed to tell health care providers when resuscitation is or is not appropriate
✔✔Elderly patients experience a slower physiologic response to hypoxemia and
hypercarbia because of: - ✔✔decreased sensitivity to changes in arterial blood content
✔✔Q. Digital intubation is absolutely contraindicated if the patient: - ✔✔is unconscious
but breathing
✔✔Which of the following general statements regarding trauma is MOST correct? -
✔✔Blunt trauma is difficult to diagnose by paramedics in the field and is often more
lethal than penetrating trauma
✔✔Which of the following statements regarding growth spurts in adolescents is most
correct? - ✔✔boys generally experience this stage of growth later in life than girls do
,✔✔Which of the following statements regarding the use of vasopressin in cardiac arrest
is MOST correct? - ✔✔A one-time dose of 40 units of vasopressin may be given to
replace the first or second dose of epinephrine.
✔✔Which of the following would be of LEAST value when trying to determine the type
of hazardous material a commercial tanker truck is carrying? - ✔✔waybill
✔✔With hyperbaric oxygen therapy, carbon monoxide is typically eliminated from the
body within: - ✔✔15 to 20 minutes
✔✔You are assessing a 36-year-old woman who is in the 33rd week of her pregnancy.
The patient complains of bright red vaginal bleeding, but denies abdominal pain or
cramping. She tells you that she felt her baby move about 5 or 10 minutes ago. Fetal
heart tones are audible at a rate of 130 beats/min. Gentle palpation of her abdomen
reveals that it is soft and nontender. Which of your assessment findings is MOST
suggestive of placenta previa? - ✔✔absence of abdominal pain
✔✔You will MOST likely make your field diagnosis of a patient based on the: -
✔✔Patients history and chief complaint.
✔✔* Touching a conscious elderly patient in a nursing home without his or her
permission? - ✔✔is nonverbally communicating, "You are not important enough or
mentally competent enough to be asked for permission."
✔✔A 22-year-old man experienced an acid chemical burn to his left forearm. He
complains of intense pain and tingling in his fingers. He is conscious and alert, and
denies any other symptoms. You should: - ✔✔begin immediate irrigation with water
✔✔In contrast to stress incontinence, urge incontinence is triggered by: - ✔✔cold fluids
✔✔Mittelschmerz is MOST accurately defined as? - ✔✔unilateral abdominal pain and
cramping that occurs during the ovulatory process
✔✔Normally, the S-T segment should be? - ✔✔At the level of the isoelectric line.
✔✔Q. Apneustic breathing is characterized by: - ✔✔short, brisk inhalations with a long
pause before exhalation
✔✔The motor oil level of the ambulance: - ✔✔should be checked prior to starting the
engine
, ✔✔The paramedic must make a field diagnosis in order to: - ✔✔Get the info needed to
make the best decisions for your patient.
✔✔When returning your unit to service following a call, the responsibility of ensuring
that the unit is restocked and ready for another call rests with? - ✔✔everyone on the
EMS team
✔✔Which of the following will be of MOST benefit in helping the paramedic predict the
type of injuries that a patient experienced? - ✔✔Mechanism of injury
✔✔Decreased elasticity of the lungs and calcification of the costochondral cartilage
results in: - ✔✔an increase in residual lung volume
✔✔Gestational diabetes is caused by? - ✔✔increased insulin production and decreased
cellular sensitivity to insulin
✔✔In sinus bradycardia, the? - ✔✔Pacemaker site is the SA node.
✔✔Lithium is MOST commonly used to treat patients with: - ✔✔bipolar disorder
✔✔Q. Patients with pneumonia often experience a coughing fit when they roll from one
side to the other because: - ✔✔pnuemonia often occurs in the lung bases, typically on
only one side
✔✔The preferred initial method for disentangling a patient who is trapped between the
seat and steering wheel involves: - ✔✔trying to slide the seat back on its track
✔✔The shock wave velocity from an explosion is slower and its duration is longer if a
person is: - ✔✔farther from the explosion
✔✔What instructions or guidance would an emergency medical dispatcher (EMD)
MOST likely provide to a caller? - ✔✔controlling bleeding and performing CPR
✔✔Which of the following statements regarding renal function in older adults is most
correct? - ✔✔aging kidneys respond less efficiently to hemodynamic stress
✔✔Which of the following statements regarding the patient assessment process is
correct? - ✔✔(all correct) Ask questions relevant to the patients chief complaint. Think
of the assessment as a "fluid process". As the patient interview unfolds, you need to be
able to change the sequence of your questioning as the situation or patients condition
dictates.
✔✔A properly worn motorcycle helmet will: - ✔✔not protect the cervical spine
QUESTIONS AND ANSWERS SURE A+
✔✔Signs and symptoms of marijuana use include all of the following, EXCEPT? -
✔✔Decreased appetite
✔✔The most significant fall occurs from a height greater than: - ✔✔15 feet
✔✔When determining whether a patient is sick, your MOST effective tool is often: -
✔✔A quick visual assessment based on the chief complaint, respiration's, pulse, mental
status, and skin signs and color.
✔✔You are dispatched to a residence for a 50-year-old woman with respiratory distress.
While you are assessing the patient, she tells you that she began experiencing flu-like
symptoms 4 days ago, shortly after delivering mail on the rural mail route for which she
is responsible. Due to her illness, she has been unable to return to work. Her blood
pressure is 90/50 mmHg, pulse rate is 120 beats/min, and respirations are 26
breaths/min and labored. Auscultation of her breath sounds reveals the presence of
coarse crackles. This patient has MOST likely been exposed to: - ✔✔anthrax
✔✔You arrive at the scene of an injured person. As you and your partner approach the
patient, you see that he is bleeding profusely from a large laceration to his neck. As you
are about to begin care, a man walks up and states, "I cut him!" You should? -
✔✔retreat from the scene to a safe area and immediately notify law enforcement
✔✔___ is the process in which individual units or different organizations make
independent decisions about the next appropriate action. - ✔✔freelancing
✔✔A person wishes to be an organ donor. He or she must? - ✔✔have witnessed
informed consent, usually in writing
✔✔Approximately one third of the body's platelets: - ✔✔are stored in the spleen.
,✔✔During an explosion, secondary blast injuries occur when: - ✔✔the patient is struck
by flying debris, such as shrapnel
✔✔Hypertensive emergencies in the geriatric population: - ✔✔require a controlled
decline in blood pressure that often cannot be achieved in the prehospital setting.
✔✔Q. An elderly woman with COPD presents with peripheral edema. The patient is
conscious but agitated. She is breathing with slight difficulty but has adequate tidal
volume. During your assessment, you note that her jugular veins engorge when you
apply pressure to her right upper abdominal quadrant. She tells you that she takes a
"water pill" and Vasotec for high blood pressure. You should: - ✔✔suspect acute right
heart failure and administer oxygen
✔✔Regardless of what a patient asks, the paramedic should? - ✔✔immediately
acknowledge what the patient asked
✔✔Which of the following clinical findings is LEAST suggestive of a peripheral vascular
disorder? - ✔✔An S3 sound during auscultation of the heart.
✔✔Which of the following medications would MOST likely be used in the prehospital
setting to treat some women with severe premenstrual syndrome? - ✔✔glucose and
fentanyl
✔✔You are in the BEST position to decide what, if any, care needs to be provided at
the scene versus en route to the hospital once you: - ✔✔Have qualified whether your
patient is sick or not sick, and then you must quantify how sick the patient is.
✔✔A do not resuscitate (DNR) order is MOST accurately defined as a? - ✔✔written
order designed to tell health care providers when resuscitation is or is not appropriate
✔✔Elderly patients experience a slower physiologic response to hypoxemia and
hypercarbia because of: - ✔✔decreased sensitivity to changes in arterial blood content
✔✔Q. Digital intubation is absolutely contraindicated if the patient: - ✔✔is unconscious
but breathing
✔✔Which of the following general statements regarding trauma is MOST correct? -
✔✔Blunt trauma is difficult to diagnose by paramedics in the field and is often more
lethal than penetrating trauma
✔✔Which of the following statements regarding growth spurts in adolescents is most
correct? - ✔✔boys generally experience this stage of growth later in life than girls do
,✔✔Which of the following statements regarding the use of vasopressin in cardiac arrest
is MOST correct? - ✔✔A one-time dose of 40 units of vasopressin may be given to
replace the first or second dose of epinephrine.
✔✔Which of the following would be of LEAST value when trying to determine the type
of hazardous material a commercial tanker truck is carrying? - ✔✔waybill
✔✔With hyperbaric oxygen therapy, carbon monoxide is typically eliminated from the
body within: - ✔✔15 to 20 minutes
✔✔You are assessing a 36-year-old woman who is in the 33rd week of her pregnancy.
The patient complains of bright red vaginal bleeding, but denies abdominal pain or
cramping. She tells you that she felt her baby move about 5 or 10 minutes ago. Fetal
heart tones are audible at a rate of 130 beats/min. Gentle palpation of her abdomen
reveals that it is soft and nontender. Which of your assessment findings is MOST
suggestive of placenta previa? - ✔✔absence of abdominal pain
✔✔You will MOST likely make your field diagnosis of a patient based on the: -
✔✔Patients history and chief complaint.
✔✔* Touching a conscious elderly patient in a nursing home without his or her
permission? - ✔✔is nonverbally communicating, "You are not important enough or
mentally competent enough to be asked for permission."
✔✔A 22-year-old man experienced an acid chemical burn to his left forearm. He
complains of intense pain and tingling in his fingers. He is conscious and alert, and
denies any other symptoms. You should: - ✔✔begin immediate irrigation with water
✔✔In contrast to stress incontinence, urge incontinence is triggered by: - ✔✔cold fluids
✔✔Mittelschmerz is MOST accurately defined as? - ✔✔unilateral abdominal pain and
cramping that occurs during the ovulatory process
✔✔Normally, the S-T segment should be? - ✔✔At the level of the isoelectric line.
✔✔Q. Apneustic breathing is characterized by: - ✔✔short, brisk inhalations with a long
pause before exhalation
✔✔The motor oil level of the ambulance: - ✔✔should be checked prior to starting the
engine
, ✔✔The paramedic must make a field diagnosis in order to: - ✔✔Get the info needed to
make the best decisions for your patient.
✔✔When returning your unit to service following a call, the responsibility of ensuring
that the unit is restocked and ready for another call rests with? - ✔✔everyone on the
EMS team
✔✔Which of the following will be of MOST benefit in helping the paramedic predict the
type of injuries that a patient experienced? - ✔✔Mechanism of injury
✔✔Decreased elasticity of the lungs and calcification of the costochondral cartilage
results in: - ✔✔an increase in residual lung volume
✔✔Gestational diabetes is caused by? - ✔✔increased insulin production and decreased
cellular sensitivity to insulin
✔✔In sinus bradycardia, the? - ✔✔Pacemaker site is the SA node.
✔✔Lithium is MOST commonly used to treat patients with: - ✔✔bipolar disorder
✔✔Q. Patients with pneumonia often experience a coughing fit when they roll from one
side to the other because: - ✔✔pnuemonia often occurs in the lung bases, typically on
only one side
✔✔The preferred initial method for disentangling a patient who is trapped between the
seat and steering wheel involves: - ✔✔trying to slide the seat back on its track
✔✔The shock wave velocity from an explosion is slower and its duration is longer if a
person is: - ✔✔farther from the explosion
✔✔What instructions or guidance would an emergency medical dispatcher (EMD)
MOST likely provide to a caller? - ✔✔controlling bleeding and performing CPR
✔✔Which of the following statements regarding renal function in older adults is most
correct? - ✔✔aging kidneys respond less efficiently to hemodynamic stress
✔✔Which of the following statements regarding the patient assessment process is
correct? - ✔✔(all correct) Ask questions relevant to the patients chief complaint. Think
of the assessment as a "fluid process". As the patient interview unfolds, you need to be
able to change the sequence of your questioning as the situation or patients condition
dictates.
✔✔A properly worn motorcycle helmet will: - ✔✔not protect the cervical spine
