COPR PCP ACTUAL FINALS ANSWERS AND
QUESTIONS SET A+
✔✔In the pediatric patient, which of the following sites provides the most accurate
temperature measurement?
a. Oral
b. Axilla
c. Rectal
d. Tympanic - ✔✔C
✔✔The paramedic has just delivered a baby and in the initial assessment note that the
infant is breathing, but appears cyanosis, with a brachial pulse of 70. What is the
paramedics next action?
a. Initiate CPR
b. Provide tactile stimulation
c. Positive pressure ventilatory assistance
d. Provide supplemental oxygen via blow by method - ✔✔B
✔✔The paramedic is called to a residence of a 55 year old male with end stage prostate
cancer. The patient is having trouble breathing. The paramedic ask the patients wife if
the patient has an advance directive or a DNR in place. The wife recalls that her
husband signed something once but says that they both want the paramedic to provide
help now. How should the paramedic respond?
a. Prepare the patient for transport to local hospital and let nurses and doctors deal with
the situation.
b. Assess the patient, and if he needs oxygen, administer 10LPM via NRB, and prepare
to transport
c. Explain to the wife that since the patient has a signed a document, nothing can be
done for him, and then offer to transport the patient to hospital
d. Assess the patient, explain to the wife that since her husband is near the end,
difficultly breathing is expected, and then leave the patient at home. - ✔✔B
, ✔✔An unconscious patient is lying in bed. The paramedic has eliminated the possibility
of cervical spine injury and notes that the patient has noisy, snoring respirations. Which
of the following actions should the paramedic perform next?
A. Auscultate chest
B. Assess carotid pulse
C. Reposition the patients head
D. Position patient lateral - ✔✔C
✔✔Use the following information to answer the next 6 questions
Age: 44 years old
Gender: male
C/c : altered level of consciousness
Past medical Hx: diabetes, alcoholism
Medications: insulin
1st vital signs: HR: 104, RR:12, BP:134/68, SpO2: 90% on room air
Physical findings: pale, cool, clammy skin, patients eyes are open
Other information: patient was found by his family at his home
The paramedic continues to treat the patients condition but after 10 minutes the patient
remains confused with only slight improvement to his speech. The patients BGL has
improved to 3.5 and transport to the nearest hospital is more than 15 minutes. Give
these circumstances, which of the following treatments is most appropriate ?
a. Administer oxygen and 180mg of ASA
b. administer oxygen with rapid transport
c. Administer oxygen and call medical control for direction
d. Administer oxygen and a tube of glucogel (oral glucose pa - ✔✔D
✔✔Given that the patient's BGL is 3.0, which of the following conditions is the most
likely diagnoses ?
a. Postictal
b. Hypoglycemia
c. Hyperglycemia
d. Cerebrovascular accident (CVA) - ✔✔B
✔✔The patients speech is quite slurred, he states he has been unwell for the past few
days and not eating well. He has been unable to take his medications and has been
drinking beer. On examination his BGL is 3.0. Which of the following treatments should
be provided to this patient?
a. Administer oral glucose
b. Administer 3mg glucagon IM
c. Provide oxygen via nasal cannula
QUESTIONS SET A+
✔✔In the pediatric patient, which of the following sites provides the most accurate
temperature measurement?
a. Oral
b. Axilla
c. Rectal
d. Tympanic - ✔✔C
✔✔The paramedic has just delivered a baby and in the initial assessment note that the
infant is breathing, but appears cyanosis, with a brachial pulse of 70. What is the
paramedics next action?
a. Initiate CPR
b. Provide tactile stimulation
c. Positive pressure ventilatory assistance
d. Provide supplemental oxygen via blow by method - ✔✔B
✔✔The paramedic is called to a residence of a 55 year old male with end stage prostate
cancer. The patient is having trouble breathing. The paramedic ask the patients wife if
the patient has an advance directive or a DNR in place. The wife recalls that her
husband signed something once but says that they both want the paramedic to provide
help now. How should the paramedic respond?
a. Prepare the patient for transport to local hospital and let nurses and doctors deal with
the situation.
b. Assess the patient, and if he needs oxygen, administer 10LPM via NRB, and prepare
to transport
c. Explain to the wife that since the patient has a signed a document, nothing can be
done for him, and then offer to transport the patient to hospital
d. Assess the patient, explain to the wife that since her husband is near the end,
difficultly breathing is expected, and then leave the patient at home. - ✔✔B
, ✔✔An unconscious patient is lying in bed. The paramedic has eliminated the possibility
of cervical spine injury and notes that the patient has noisy, snoring respirations. Which
of the following actions should the paramedic perform next?
A. Auscultate chest
B. Assess carotid pulse
C. Reposition the patients head
D. Position patient lateral - ✔✔C
✔✔Use the following information to answer the next 6 questions
Age: 44 years old
Gender: male
C/c : altered level of consciousness
Past medical Hx: diabetes, alcoholism
Medications: insulin
1st vital signs: HR: 104, RR:12, BP:134/68, SpO2: 90% on room air
Physical findings: pale, cool, clammy skin, patients eyes are open
Other information: patient was found by his family at his home
The paramedic continues to treat the patients condition but after 10 minutes the patient
remains confused with only slight improvement to his speech. The patients BGL has
improved to 3.5 and transport to the nearest hospital is more than 15 minutes. Give
these circumstances, which of the following treatments is most appropriate ?
a. Administer oxygen and 180mg of ASA
b. administer oxygen with rapid transport
c. Administer oxygen and call medical control for direction
d. Administer oxygen and a tube of glucogel (oral glucose pa - ✔✔D
✔✔Given that the patient's BGL is 3.0, which of the following conditions is the most
likely diagnoses ?
a. Postictal
b. Hypoglycemia
c. Hyperglycemia
d. Cerebrovascular accident (CVA) - ✔✔B
✔✔The patients speech is quite slurred, he states he has been unwell for the past few
days and not eating well. He has been unable to take his medications and has been
drinking beer. On examination his BGL is 3.0. Which of the following treatments should
be provided to this patient?
a. Administer oral glucose
b. Administer 3mg glucagon IM
c. Provide oxygen via nasal cannula
