EMERGENCY MEDICAL TECHNICIAN
READINESS EXAM 4: COMPLETE
QUESTIONS AND VERIFIED ANSWERS |
100% CORRECT
1. Question: A 58-year-old patient is found unresponsive. He has occasional
gasping respirations and no palpable pulse. What should the EMT do first?
o A. Insert an oropharyngeal airway
o B. Begin chest compressions
o C. Administer oxygen by nonrebreather mask
o D. Obtain a blood glucose level
o Correct Answer: B. Begin chest compressions
2. Question: Which airway maneuver is preferred for opening the airway of an
unresponsive trauma patient when a cervical spine injury is suspected?
o A. Head-tilt/chin-lift
o B. Jaw-thrust maneuver
o C. Finger sweep
o D. Recovery position
o Correct Answer: B. Jaw-thrust maneuver
3. Question: During the scene size-up, you should routinely determine all of the
following, EXCEPT:
o A. the mechanism of injury or nature of illness.
o B. the ratio of pediatric patients to adult patients.
o C. whether or not additional resources are needed.
o D. if there are any hazards that will jeopardize safety.
o Correct Answer: B. the ratio of pediatric patients to adult patients.
4. Question: A semiconscious patient pushes your hand away when you pinch
his earlobe. You should describe his level of consciousness as:
o A. alert.
o B. unresponsive.
o C. responsive to painful stimuli.
o D. responsive to verbal stimuli.
o Correct Answer: C. responsive to painful stimuli.
5. Question: By definition, a systemic poison causes harm to which of the
following?
o A. The respiratory system only
o B. The circulatory system only
, o C. Entire body
o D. The digestive system only
o Correct Answer: C. Entire body
6. Question: A 3-year-old female is sitting very still on her father's lap. She is
drooling and her father states that she will not eat or drink. What should you
suspect?
o A. Stridor
o B. Croup
o C. Epiglottitis
o D. Meningitis
o Correct Answer: C. Epiglottitis
7. Question: A 7-year-old male is in cardiac arrest after choking on a bite of
chicken. Upon your arrival, you note effective CPR is in progress. You should:
o A. immediately apply AED
o B. perform a finger sweep
o C. assist with abdominal thrusts
o D. prepare for transport
o Correct Answer: A. immediately apply AED
8. Question: Which of the following is a contraindication for nitroglycerin
administration?
o A. Chest pain
o B. Recent use of erectile dysfunction medication
o C. Systolic blood pressure greater than 100 mmHg
o D. A history of migraines
o Correct Answer: B. Recent use of erectile dysfunction medication
9. Question: What is the purpose of the AED?
o A. Diagnose heart disease
o B. Deliver electrical shock to restore rhythm
o C. Measure blood pressure
o D. Provide oxygen
o Correct Answer: B. Deliver electrical shock to restore rhythm
10. Question: The first step in the primary assessment is:
o A. Check blood pressure
o B. Form a general impression
o C. Obtain SAMPLE history
o D. Apply oxygen
o Correct Answer: B. Form a general impression
11. Question: A patient who is alert, oriented, and refuses transport after a minor
injury signs a refusal form. Later that night, the patient develops
complications. The EMT may be held liable if:
o A. The patient was not fully informed of risks
, o B. The patient signed the form
o C. The patient was oriented
o D. The EMT documented everything correctly
o Correct Answer: A. The patient was not fully informed of risks
12. Question: An EMT’s ethical obligation to a patient includes:
o A. Putting the patient’s well-being above the EMT’s own safety
o B. Refusing care to patients who cannot pay
o C. Respecting patient autonomy and confidentiality
o D. Following any patient request, regardless of risk
o Correct Answer: C. Respecting patient autonomy and
confidentiality
13. Question: Findings such as inadequate breathing or an altered level of
consciousness should be identified in the:
o A. primary assessment.
o B. focused assessment.
o C. secondary assessment.
o D. reassessment.
o Correct Answer: A. primary assessment.
14. Question: Which of the following would you NOT detect while determining
your initial general impression of a patient?
o A. Cyanosis
o B. Gurgling respirations
o C. Severe bleeding
o D. Rapid heart rate
o Correct Answer: D. Rapid heart rate
15. Question: A 20-year-old male complains of a sudden onset of shortness of
breath and chest pain. His lung sounds are diminished on the right side. He
denies trauma and past medical history. You should suspect:
o A. spontaneous pneumothorax
o B. congestive heart failure
o C. asthma exacerbation
o D. pulmonary embolism
o Correct Answer: A. spontaneous pneumothorax
16. Question: An unresponsive 19-year-old female is supine on a bed next to
several empty beer cans, and her 3-year-old son is running around the house.
You should:
o A. call and wait for law enforcement
o B. transport the woman and her son to the hospital
o C. call and wait for child services
o D. document your findings
, o Correct Answer: B. transport the woman and her son to the
hospital
17. Question: A 56-year-old female complains of chest pain that is unrelieved
with 3 of her own nitroglycerin tablets. She is having trouble breathing and is
speaking in only 2-3 word sentences. You should:
o A. transfer the patient to the stretcher
o B. provide supplemental oxygen
o C. check a blood pressure and oxygen saturation
o D. administer 325 mg aspirin
o Correct Answer: B. provide supplemental oxygen
18. Question: The most reliable indicator of cardiac arrest is:
o A. Unresponsiveness
o B. No breathing and no pulse
o C. Cyanosis
o D. Agonal gasps
o Correct Answer: B. No breathing and no pulse
19. Question: A 62-year-old male is in cardiac arrest at a restaurant. After
beginning chest compressions, his daughter tells you that he has terminal
lung cancer, and she asks you to stop resuscitation efforts. You should:
o A. ask about a DNR while continuing resuscitation efforts
o B. tell the daughter she is interfering with patient care
o C. cease resuscitation efforts
o D. contact medical control immediately
o Correct Answer: A. ask about a DNR while continuing resuscitation
efforts
20. Question: While assisting in the delivery of a newborn patient, you notice the
amniotic sac is still intact. You should:
o A. assess for a nuchal cord
o B. immediately assess the fetal heartbeat
o C. coach the mother through the contraction
o D. tear the amniotic sac
o Correct Answer: D. tear the amniotic sac
21. Question: Which of the following groups of signs and symptoms most
correctly suggests an opioid overdose?
o A. Tachycardia, hypertension, and dilated pupils
o B. Hypoventilation, pinpoint pupils, and hypotension
o C. Hyperventilation, dilated pupils, and hypertension
o D. Bradycardia, hypotension, and dilated pupils
o Correct Answer: B. hypoventilation, pinpoint pupils, and
hypotension
22. Question: Which of the following is an example of expressed consent?
READINESS EXAM 4: COMPLETE
QUESTIONS AND VERIFIED ANSWERS |
100% CORRECT
1. Question: A 58-year-old patient is found unresponsive. He has occasional
gasping respirations and no palpable pulse. What should the EMT do first?
o A. Insert an oropharyngeal airway
o B. Begin chest compressions
o C. Administer oxygen by nonrebreather mask
o D. Obtain a blood glucose level
o Correct Answer: B. Begin chest compressions
2. Question: Which airway maneuver is preferred for opening the airway of an
unresponsive trauma patient when a cervical spine injury is suspected?
o A. Head-tilt/chin-lift
o B. Jaw-thrust maneuver
o C. Finger sweep
o D. Recovery position
o Correct Answer: B. Jaw-thrust maneuver
3. Question: During the scene size-up, you should routinely determine all of the
following, EXCEPT:
o A. the mechanism of injury or nature of illness.
o B. the ratio of pediatric patients to adult patients.
o C. whether or not additional resources are needed.
o D. if there are any hazards that will jeopardize safety.
o Correct Answer: B. the ratio of pediatric patients to adult patients.
4. Question: A semiconscious patient pushes your hand away when you pinch
his earlobe. You should describe his level of consciousness as:
o A. alert.
o B. unresponsive.
o C. responsive to painful stimuli.
o D. responsive to verbal stimuli.
o Correct Answer: C. responsive to painful stimuli.
5. Question: By definition, a systemic poison causes harm to which of the
following?
o A. The respiratory system only
o B. The circulatory system only
, o C. Entire body
o D. The digestive system only
o Correct Answer: C. Entire body
6. Question: A 3-year-old female is sitting very still on her father's lap. She is
drooling and her father states that she will not eat or drink. What should you
suspect?
o A. Stridor
o B. Croup
o C. Epiglottitis
o D. Meningitis
o Correct Answer: C. Epiglottitis
7. Question: A 7-year-old male is in cardiac arrest after choking on a bite of
chicken. Upon your arrival, you note effective CPR is in progress. You should:
o A. immediately apply AED
o B. perform a finger sweep
o C. assist with abdominal thrusts
o D. prepare for transport
o Correct Answer: A. immediately apply AED
8. Question: Which of the following is a contraindication for nitroglycerin
administration?
o A. Chest pain
o B. Recent use of erectile dysfunction medication
o C. Systolic blood pressure greater than 100 mmHg
o D. A history of migraines
o Correct Answer: B. Recent use of erectile dysfunction medication
9. Question: What is the purpose of the AED?
o A. Diagnose heart disease
o B. Deliver electrical shock to restore rhythm
o C. Measure blood pressure
o D. Provide oxygen
o Correct Answer: B. Deliver electrical shock to restore rhythm
10. Question: The first step in the primary assessment is:
o A. Check blood pressure
o B. Form a general impression
o C. Obtain SAMPLE history
o D. Apply oxygen
o Correct Answer: B. Form a general impression
11. Question: A patient who is alert, oriented, and refuses transport after a minor
injury signs a refusal form. Later that night, the patient develops
complications. The EMT may be held liable if:
o A. The patient was not fully informed of risks
, o B. The patient signed the form
o C. The patient was oriented
o D. The EMT documented everything correctly
o Correct Answer: A. The patient was not fully informed of risks
12. Question: An EMT’s ethical obligation to a patient includes:
o A. Putting the patient’s well-being above the EMT’s own safety
o B. Refusing care to patients who cannot pay
o C. Respecting patient autonomy and confidentiality
o D. Following any patient request, regardless of risk
o Correct Answer: C. Respecting patient autonomy and
confidentiality
13. Question: Findings such as inadequate breathing or an altered level of
consciousness should be identified in the:
o A. primary assessment.
o B. focused assessment.
o C. secondary assessment.
o D. reassessment.
o Correct Answer: A. primary assessment.
14. Question: Which of the following would you NOT detect while determining
your initial general impression of a patient?
o A. Cyanosis
o B. Gurgling respirations
o C. Severe bleeding
o D. Rapid heart rate
o Correct Answer: D. Rapid heart rate
15. Question: A 20-year-old male complains of a sudden onset of shortness of
breath and chest pain. His lung sounds are diminished on the right side. He
denies trauma and past medical history. You should suspect:
o A. spontaneous pneumothorax
o B. congestive heart failure
o C. asthma exacerbation
o D. pulmonary embolism
o Correct Answer: A. spontaneous pneumothorax
16. Question: An unresponsive 19-year-old female is supine on a bed next to
several empty beer cans, and her 3-year-old son is running around the house.
You should:
o A. call and wait for law enforcement
o B. transport the woman and her son to the hospital
o C. call and wait for child services
o D. document your findings
, o Correct Answer: B. transport the woman and her son to the
hospital
17. Question: A 56-year-old female complains of chest pain that is unrelieved
with 3 of her own nitroglycerin tablets. She is having trouble breathing and is
speaking in only 2-3 word sentences. You should:
o A. transfer the patient to the stretcher
o B. provide supplemental oxygen
o C. check a blood pressure and oxygen saturation
o D. administer 325 mg aspirin
o Correct Answer: B. provide supplemental oxygen
18. Question: The most reliable indicator of cardiac arrest is:
o A. Unresponsiveness
o B. No breathing and no pulse
o C. Cyanosis
o D. Agonal gasps
o Correct Answer: B. No breathing and no pulse
19. Question: A 62-year-old male is in cardiac arrest at a restaurant. After
beginning chest compressions, his daughter tells you that he has terminal
lung cancer, and she asks you to stop resuscitation efforts. You should:
o A. ask about a DNR while continuing resuscitation efforts
o B. tell the daughter she is interfering with patient care
o C. cease resuscitation efforts
o D. contact medical control immediately
o Correct Answer: A. ask about a DNR while continuing resuscitation
efforts
20. Question: While assisting in the delivery of a newborn patient, you notice the
amniotic sac is still intact. You should:
o A. assess for a nuchal cord
o B. immediately assess the fetal heartbeat
o C. coach the mother through the contraction
o D. tear the amniotic sac
o Correct Answer: D. tear the amniotic sac
21. Question: Which of the following groups of signs and symptoms most
correctly suggests an opioid overdose?
o A. Tachycardia, hypertension, and dilated pupils
o B. Hypoventilation, pinpoint pupils, and hypotension
o C. Hyperventilation, dilated pupils, and hypertension
o D. Bradycardia, hypotension, and dilated pupils
o Correct Answer: B. hypoventilation, pinpoint pupils, and
hypotension
22. Question: Which of the following is an example of expressed consent?
