EMT Readiness Final Test Questions With Correct Answers

A female is unresponsive due to being hit in the head with a board. She has a large hematoma on her forehead. You should Assess her airway Check for a pulse Obtain consent to treat Manually stabilize the spine - Answer Manually stabilize the spine Which is the BEST way to assess breathing in an unconscious patient? Watch for chest rise Apply a pulse oximeter Check for capillary refill Examine the skin color - Answer Watch for chest rise A 10 month old pt has a partial foreign body obstruction due to a piece of hot dog. She is cyanotic and has minimal air movement. Your treatment should include Ventilations by bvm and oxygen A blind finger sweep Highly concentrated oxygen blow-by Back blows and abdominal thrusts - Answer Back blows and abdominal thrusts A 54 year old female is complaining of chest pain. The patient would like you to assist her in taking one of her husband's nitro tablets. Vital signs are BP 140/100, P 96, R 18. What should you do? Monitor vital signs and transport in position of comfort Assist the pt in self administering nitroglycerin Administer oxygen and contact the pt physician Check the expiration date on the nitroglycerine and comply with the patients request - Answer Monitor vital signs and transport in position of comfort The most common electrical disturbance the result in cardiac arrest in adults is Ventricular tachycardia Ventricular fibrillation Asystole Pulseless electrical activity - Answer Ventricular fibrillation A 35 year old female claims to have fallen. As you assess her injuries, her husband enters the room tells you to leave. He is holding a baseball bat. You should Remove the pt from the house as quickly as possible Continue caring for the pt while reasoning with the husband Leave the scene and request police assistance Tell the husband to drop the bat - Answer Leave the scene and request police assistance A 91 year old male was found lying on the floor in his home. He is staring blankly and is rigid and cool to the touch. Vital signs are BP 100/74, Temp 88F, and SPo2 93%. As you prepare for transport, you should Handle the pt gently Apply heat packs and massage extremities Massage his extremities Apply heat packs and handle gently - Answer Apply heat packs and handle gently A pt complains of abdominal pain. Which of the following questions should you ask? "Have you had recent constipation" "Does the pain change when you take a deep breath" "Is your pain sharp" "How would you describe your pain" - Answer "How would you describe your pain" A 90 year old female complains of shortness of breath which has been ongoing for the past few days. It gets worse at night when she lies down. Vital signs BP 180/100. P 106, R24. breath sounds reveal crackles bilaterally. Her most likely problem is Acute respiratory distress syndrome (ARDS) Pulseless electrical activity (PEA) Chronic obstructive pulmonary disease (COPD) Congestive heart failure (CHF) - Answer Congestive heart failure (CHF) A 7 year old child was struck by an automobile. You note a contusion to the right chest and right lower arm fracture with arterial bleeding. Your treatment should include Gathering info from the driver, applying a c-collar, and performing a detailed physical exam Administering oxygen, splinting to the right arm, and obtaining parental consent Stabilizing the vehicle, inserting a nasal cannula, and listening to lung sounds Applying direct pressure to the arm, applying a long backboard, and administering oxygen - Answer Applying direct pressure to the arm, applying a long backboard, and administering oxygen Your are called to an office building for a pt with an altered mental status. When you arrive, several people in the parking lot tell you that a few of their coworkers began to feel ill with headaches, nausea, and vomiting. Concerned, they left the building but think that there may still be a dozen people inside. You should Request a hazmat team on scene Clear the building of all people Begin triaging patients in the parking lot Set up a decontamination area - Answer Clear the building of all people A 79 year old pt is in cardiac arrest. No one has started CPR. you should Apply and AED and analyze the rhythm Call the hospital for medial direction Perform several quick rescue breaths - Answer Begin CPR A pt has a black substance around her mouth, but says that she has not been exposed to any burning material. After initial assessment, you should Take a sample of the substance Ask if she knows what the substance is Apply an N95 mask to the pt Take the pt blood pressure - Answer Ask if she knows what the substance is Which of the following signs would you expect in a pt with a stab wound on the right side of the chest Increased respiratory effort Spontaneous pneumothorax Decreased heart rate Paradoxical chest movement - Answer Increased respiratory effort A seven year old boy was struck by a car. He is unresponsive and apneic, bleeding from the head, nose, and mouth, with obvious deformity to his right mid-femur. You should Apply direct pressure to the wound Perform rapid sweep of the mouth Administer high flow oxygen Open the airway and suction - Answer Open the airway and suction A 68 year old pt complains of chest pain. Vital signs are BP 146/90, P 92, R 20. You should Provide supplemental oxygen via BVM Administer oxygen via nasal cannula at 6 lpm Administer oxygen via non-rebreather mask at 6lpm Use flow restricted oxygen powered ventilation device - Answer Administer oxygen via nasal cannula at 6 lpm Your motorcycle accident victim is anxious, short of breath and tachycardic, with unequal chest expansion. There are no wounds present. Your administration of high flow oxygen does not seem to be helping. You suspect, A pleural rub Neurogenic shock An open pneumothorax A flail chest - Answer A flail chest You arrive at a campsite where there has been an explosion. Your patients clothing is still burning, and she is gasping for air. You should Extinguish burning clothing Open the pts airway Ventilation via bag-valve mask Begin to administer oxygen - Answer Extinguish burning clothing You have just assisted in the delivery of a healthy newborn girl. Which of the following is the most important? Wrap the newborn in a blanket to keep her warm Note the exact time and location of birth Give the newborn high concentrated oxygen via non rebreather mask Give the newborn to her mother to begin binding - Answer Wrap the newborn in a blanket to keep her warm A 20 year old male collapsed while eating a hot dog. He appears cyanotic. You should Begin abdominal thrusts Open his airway Begin chest compressions Check responsiveness - Answer Check responsiveness Your patient is unconscious. The nurse on scene states : " the pt is bradycardic, please attach your AED and transport." what should you do? Explain that use of an AED is not appropriate at this time Assess the pts breathing and pulse Obtain vital signs and request the nurses order in writing Apply the AED and transport immediately - Answer Assess the pts breathing and pulse A pt has sustained multiple traumatic injuries. In a "load and go: situation, the fastest, most appropriate method of splinting would be securing The entire body to a spine board The injured limb to an uninjured limb Pulse oximetry readings after splinting A KED - Answer The injured limb to an uninjured limb When giving the hospital a radio report, you should Provide a complete medical history Speak quickly and be brief Only report life threatening conditions Maintain a clear and steady tone - Answer Maintain a clear and steady tone A three year old pt has been sick for several days. Her mother tells you that she has been vomiting and has diarrhea. The child appears tired but withdraws from you during your exam. She is breathing quickly and looks pale. Vital signs are 90/50, P 133, R36. you should Encourage active rehydration Observe the pt and transport routine to the hospital Apply high concentration oxygen and transport rapidly Ask if she could have ingested a poison - Answer Apply high concentration oxygen and transport rapidly A semi- conscious trauma pt with a suspected cervical spine injury has a significant amount of blood in her mouth. You should Perform jaw thrust Fully immobilize the pt Suction using a rigid catheter Insert an OPA - Answer Suction using a rigid catheter The best treatment for a pt exposed to an absorbed poison is to Remove the poison from the skin Administer activated charcoal "Neutralize" the poison with vinegar Apply a tourniquet - Answer Remove the poison from the skin Signs and symptoms of early hypoperfusion can include Decreased blood pressure Bradycardia Anxiousness Unresponsiveness - Answer Decreased blood pressure The following pts are all complaining of shortness of breath. Which of the following pts is MOST likely to be hypoxic 68 year old male with a history of emphysema: SpO2 of 95% 23 year old asthmatic female exposed to cold temperature: SpO2 90% 12 year old female exposed to cold temperatures : SpO2 of 88% 35 year old male assaulted in the chest: SpO2 of 96% - Answer 23 year old asthmatic female exposed to cold temperature: SpO2 90% A 27 year old female with a history of asthma complains of difficulty breathing. She has used her prescribed inhaler multiple times in the last nine hours. She has been in an argument with her boyfriend and is quite upset. Vital signs are P 140, R 60, SpO2 100%, breath sounds clear with no wheezing. You should suspect COPD An acute asthma attack Hyperventilation A medication overdose - Answer Hyperventilation You just assisted a mother delivering a baby who is blue and flaccid. You should Position and warm him Apply blow by oxygen Perform tactile stimulation Ventilate by BVM - Answer Ventilate by BVM A pt is pulseless and apneic. You should Contact medical control for permission to assist nitroglycerine Begin chest compressions and apply the automated external defibrillator Immediately apply the automated external defibrillator Open the airway, insert an OPA, begin ventilations - Answer Begin chest compressions and apply the automated external defibrillator Which of the following diabetic patients should receive oral glucose? A 73 year old male who is unresponsive A 25 year old female who is acting inappropriately A 12 year old male who responds to pain by moaning A 34 year old female who is alert and complains of abdominal pain - Answer A 25 year old female who is acting inappropriately A 28 year old female pt with a history of asthma has stopped breathing. You initiate positive pressure ventilations with BVM mask. Which ventilation rate would be most appropriate? 24 breaths per min 10 breaths per min 20 breaths per min 30 breaths per min - Answer 10 breaths per min