JB LEARNING EMT FINAL EXAM; Questions & Answers ; Latest Updated A+ score Solution

When assessing a conscious patient who overdosed on a drug, you should FIRST determine: A) the patient's weight in kg. B) the type of medication ingested. C) when the medication was ingested. D) if there is a history of prior overdose. (Ans- B While triaging patients at a mass-casualty incident, you encounter a 4-year-old child who is breathing at a rate of 54 breaths/min. What should you do? A) Apply high-flow oxygen B) Tag the child as immediate C) Assess for distal pulses D) Ventilate with a bag-mask device (Ans- B A prolapsed umbilical cord is dangerous because the: A) cord might pull the placenta from the uterine wall during delivery. B) mother may die of hypoxia due to compromised placental blood flow. C) cord may be wrapped around the baby's neck, causing strangulation. D) baby's head may compress the cord, cutting off its supply of oxygen. (Ans- D Your assessment of the newborn reveals that she has a patent airway, is breathing adequately, and has a heart rate of 130 beats/min. Her face and trunk are pink, but her hands and feet are cyanotic. You have clamped and cut the umbilical cord, but the placenta has not yet delivered. You should: A) massage the lower part of the mother's uterus until the placenta delivers. B) give the newborn high-flow oxygen via a nonrebreathing mask and transport. C) reassess the newborn every 5 minutes and transport after the placenta delivers. D) keep the newborn warm, give oxygen to the mother if needed, and transport. (Ans- D A patient overdosed on several drugs and is unresponsive with shallow breathing and facial cyanosis. As you continue your assessment, the patient suddenly vomits. You should: A) suction his oropharynx at once. B) turn the patient onto his side. C) insert an oropharyngeal airway. D) begin assisting his ventilations. (Ans- B A known diabetic female is found unresponsive. Her respirations are rapid and shallow; her skin is cool, clammy, and pale; and her pulse is rapid and weak. Which of the following would BEST explain the likely cause of her condition? A) Insulin overdose B) Excessive eating C) High blood sugar D) Failure to take insulin (Ans- A A 29-year-old pregnant female complains of a severe headache, blurred vision, and swelling of her hands and feet. Which of the following additional assessment findings would the EMT MOST likely encounter? A) Hypertension B) Hyperglycemia C) Abdominal pain D) Vaginal bleeding (Ans- A In which position would you expect a patient with severe dyspnea to be found? A) Prone B) Supine C) Fowler's D) Lateral recumbent (Ans- C You are caring for a man with terminal cancer when his caretaker presents you with a Physician Order for Life-Sustaining Treatment (POLST) form. The purpose of this form is to: A) advise medical providers that resuscitation is not to be attempted. B) describe acceptable patient interventions in the form of medical orders. C) enable the caretaker to make healthcare decisions on the patient's behalf. D) limit the treatment provided to the patient to basic life support care. (Ans- B A 69-year-old man complains of dyspnea that began two days ago and has gotten worse. Which of the following assessments would give you the MOST information regarding the possible cause of his dyspnea? A) Lung sounds B) Mental status C) Oxygen saturation D) Pulse rate and quality (Ans- A A 73-year-old male presents with confusion; cool, pale, clammy skin; absent radial pulses; and a blood pressure of 70/40 mm Hg. The patient's wife tells you that he has had abdominal pain for a week and began vomiting a coffee-ground substance yesterday. His past medical history includes hypertension and gastric ulcer disease. Your MOST immediate concern should be that: A) his blood glucose level is probably too high. B) he is bleeding from his gastrointestinal tract. C) he is in shock and requires prompt transport. D) his condition requires surgery within 2 hours. (Ans- C Which of the following is an abnormal finding? A) Heart rate of 80 beats/min in a 3-month-old infant B) Rapid, irregular breathing in a newly born infant C) Systolic BP of 100 mm Hg in a 10-year-old child D) Respiratory rate of 26 breaths/min in a 2-year-old child (Ans- A Unresponsiveness, shallow breathing, and constricted pupils are indicative of which type of drug overdose? A) Narcotic B) Marijuana C) Barbiturate D) Amphetamine (Ans- A Which of the following conditions would MOST likely cause flushed skin? A) Blood loss B) Hypothermia C) Exposure to heat D) Low blood pressure (Ans- C A 46-year-old man presents with generalized weakness and shortness of breath after he was bitten on the leg by a rattlesnake. His blood pressure is 106/58 mm Hg and his pulse rate is 112 beats/min. Treatment for this patient should include: A) elevation of the affected part and ice packs. B) splinting and lowering of the affected part. C) ice packs to the wound and splinting. D) proximal arterial constricting band and splinting. (Ans- B Which of the following injury mechanisms is associated with hangings? A) Distraction B) Subluxation C) Axial loading D) Hyperextension (Ans- A Assessment of an injured man reveals that he opens his eyes when the EMT speaks to him and pulls his arm away when the EMT palpates it. He knows his name, but cannot remember what happened and does not know what day it is. He should be assigned a Glasgow Coma Scale (GCS) score of: A) 9 B) 10 C) 11 D) 12 (Ans- C You are performing abdominal thrusts on a 19-year-old male with a severe airway obstruction when he becomes unresponsive. After lowering him to the ground and placing him in a supine position, you should: A) open his airway and look inside his mouth. B) begin CPR, starting with chest compressions. C) continue abdominal thrusts until ALS responders arrive. D) assess for a carotid pulse for up to 10 seconds. (Ans- B Sudden cardiac arrest in the adult population MOST often is the result of: A) myocardial infarction. B) respiratory failure. C) a cardiac dysrhythmia. D) accidental electrocution. (Ans- C A 31-year-old man presents with uncontrolled twitching of his left arm that began shortly after he experienced an odd taste in his mouth. He denies loss of consciousness and states that this has happened to him before. What should you suspect? A) Absence seizure B) Generalized seizure C) Simple partial seizure D) Complex partial seizure Feedback : Seizures are classified as being generalized or partial. Generalized seizures are further classified as being tonic-clonic (formerly called grand mal) or absence (formerly called petit mal) seizures. Generalized tonic-clonic seizures result from abnormal electrical discharges from large areas of the brain, usually involving both hemispheres. They are characterized by unconsciousness and generalized severe twitching of the body's muscles; they last several minutes or longer. Absence seizures are characterized by a brief lapse of consciousness in which the patient seems to stare and does not respond to anyone. Absence seizures do not involve any changes in motor activity. Partial (focal) seizures begin in one part of the brain and are classified as simple and complex. In a simple partial seizure, no change occurs in the patient's level of consciousness. Patients may report numbness, weakness, or dizziness. The senses may also be involved; the patient may report visual changes and unusual smells or tastes. A simple partial seizure may also cause twitching of the extremity muscles that spreads slowly from one part of the body to another. In a complex partial seizure, the patient has an altered mental status and does not interact normally with his or her environment. This type of seizure results from abnormal discharges from the temporal lobe of the brain. Other signs may include lip smacking, eye blinking, and isolated convulsions or jerking of the body or one part of the body, such as the arm. The patient may experience unpleasant smells and visual hallucinations, exhibit uncontrollable fear, or exhibit repetitive physical behavior such as constant sitting or standing. (Ans- C Which of the following is the MOST reliable indicator of a fractured spinal vertebra? A) Lack of pain at the site of the injury B) Palpable pain at the site of the injury C) Decreased movement on one side of the body D) Decreased grip strength in the upper extremities (Ans- B When treating a patient with chest pain, pressure, or discomfort, you should FIRST: A) administer supplemental oxygen. B) place the patient in a position of comfort. C) request an ALS ambulance response to the scene. D) assess the blood pressure and give nitroglycerin. (Ans- B Upon assessing a newborn, you note that the infant is breathing spontaneously and has a heart rate of 80 beats/min. What should you do? A) Initiate positive-pressure ventilations B) Provide blow-by oxygen with oxygen tubing C) Assess the newborn's skin condition and color D) Start chest compressions and contact medical control (Ans- A