JB LEARNING EMT FINAL EXAM 2023-
2024 ACTUAL EXAM 350 QUESTIONS
AND CORRECT DETAILED
ANSWERS|AGRADE
For which of the following patiens showing signs of severe respiratory distress should you limit the
amount of oxygen you provide?
Asthma Patient?
A patient with emphysema?
A patient with chronic bronchitis?
You should initially provide oxygen for any patient in distress? - ANSWER-You should initally provide
oxygen for any patient in distress
Reporting 3 Sets of vital signs to the nurses who receive your patient in the emergency department
would be most important because? - ANSWER-she will use the information to help predict a patient's
improvement or worsening
what 3 signs are commonly associated with the condition known as Cushing's Reflex? - ANSWER-
Bradycardia (Slow heart rate)
Respiratory Depression
Progressive Hypertension (High BP)
You are assisting the lead medic to care for a patient that is possibly having a heart attack. The patient
had chest pain for 15 minutes that goes up to the neck and out the left arm. The color is quite flushed,
pulse is rapid, and the patient indicates a shortness of breath. You have been taught that most heart
attack patients have pale or gray colored skin. This patient's red face is most likely due to? - ANSWER-an
additional problem
You have a 26 yr old arrest patient who has an advanced airway in place. Compressions are being
performed. According to the 2020 AHA Guidelines, what is the preferred ventilatory rate? - ANSWER-1
every 6 seconds
,You are called to a residence of a 36 year old who is alert, oriented to person only, and whose speech is
slurred. Which of the following should be the first on your list for a differential diagnosis? - ANSWER-
Hyperglycemia (High blood sugar)
One of the most common reasons for CPR to be unsuccessful is when: - ANSWER-Interruptions are too
frequent
You are assessing a 42 yr old who is breathing. How should you assess for the presence of a pulse? -
ANSWER-Carefully press on the carotid pulse.
Choose the preferred method for inserting an OPA into a 7 yr old patient - ANSWER-Use a bite stick or
tongue blade during insertion
Which of the following newborn conditions will most likely benefit from oxygen delivery early on? -
ANSWER-A newborn with a heart rate of 50 beats per minute
The most common cause of cardiogenic shock is - ANSWER-Pericarditis
Which of the following is one of the EARLIEST sign and/or symptoms a patient has inadequate
ventilations - ANSWER-Anxiety or decreased LOC
Which of the following would be your highest priority when assessing a patient complaining of difficulty
breathing who also has distended neck veins? - ANSWER-Lung Sounds
You are called to a scene of adult patient not breathing. Your assessment reveals that the patient has a
stoma. Select the necessary equipment needed to provide care for this patient. - ANSWER-Adult BVM
Peds Face Mask
Suction Unit
Oxygen tank and Regulator
Which condition is the most likely and gives us the greatest concern as a result of a lightning strike
injury? - ANSWER-Cardiac Involvement
,You are caring for a one-week old infant. The mother states the child choked on formula. You provided
oropharyngeal suction and now must complete the assessment. What is the most appropriate action? -
ANSWER-Ask the parents if they would like to hold the baby during the exam.
You are called to evaluate a 3 year old child that has a respiratory illness. The child is on his hands and
knees in bed. The mother says he has had a bad cough before but never like this. This cough, which
sounds like inspiratory stridor to you, came on suddenly tonight. You are aware of this child's position
but also that he is drooling, not swallowing, and has circumoral cyanosis. The mother says the child has
never used an inhaler and has no chronic problems. Your best action at this time is to: - ANSWER-
Prepare the patient for transport and give oxygen
BVM with a reservoir bag attached should be set at how many LMP? - ANSWER-15-25 LPM
Which of the following procedures MUST be performed when dealing with a patient found unresponsive
and face down in a pool? - ANSWER-Manual stabilization of the head
Your patient is an 85 year old male with long cardiac history. He has called the ambulance today because
he has had episodes of chest pain. The associated symptoms are classic for angina or an impending MI.
The patients vitals are; P: 82, BP: 138/86, R: 16. When the pain starts, you note that the patient's pulse
falls to 48. What would you expect to find as a result of slowing of the pulse? - ANSWER-Reduced
cardiac output
Identify which technique will work best for ventilating a non-breathing stoma patient. - ANSWER-Use a
BVM connected to a pediatric mask
Why are providers discouraged from checking a carotid pulse immediately after a shock to confirm
pulselessness? - ANSWER-It causes unnecessary delay and interruption of CPR
You are at a scene of an MVC where you are caring for a patient who most likely broke their neck when
thrown from the vehicle. The patient has no movement or sensation in the arms or legs. The patient is
conscious and alert when you arrived, but now is starting to be irritable and moving their head while you
are trying to stabilize the head and neck. The patient keeps saying "I need air, I need air" Because this
patient has no leg or arm movement. It is possible the patient is: - ANSWER-Experiencing some paralysis
of the rib muscles
, Your partner is ventilating your non-intubated, 1 yr old patient at a rate of 60 times per minute. Which
of the following is MOST likely to occur? - ANSWER-Gastric Distension
What is the most important reason for applying an AED as quickly as possible? - ANSWER-To improve
the chance of reversing Ventricular Fibrillation
You are dispatched to the residence of a 42 year old male observed sitting in a tripod position. Which of
the following would be the MOST critical sign regarding this? - ANSWER-Pulmonary Edema
Choose the MOST valuable reason for having paramedics assist you with a cardiac call. - ANSWER-ALS
may be able to provide some procedures to prevent cardiac arrest
Which of the following diagnostic devices would be most appropriate to use when trying to determine
the degree of respiratory compromise in a patient with the chief complaint of shortness of breath? -
ANSWER-Pulse oximeter
Which of the following is a common lower airway issue in the pediatric patient? - ANSWER-Bronchiolitis
You are dispatched to the local dialysis office and the nearest ALS unit is unavailable. The charge nurse
says the dialysis patient had some chest pain and suddenly became disoriented. The nurse discontinued
dialysis and wants the patient transported to the hospital. what are your interventions for this patient? -
ANSWER-Assess patient, avoid taking a blood pressure on the arm with the shunt, and provide high flow
oxygen
A patient with a pelvic ring fracture and a bilateral closed femur fracture should be predicted to have
lost how much blood? - ANSWER-3 liters
Other than cost what is the BEST reason for having an AED without a monitor screen on it? - ANSWER-A
screen is also an unnecessary distraction
While treating a 1 yr old patient for severe respiratory failure, you find him semi-responsive with
snoring-type breathing at 14 breaths per minute. What is your highest priority after you have
repositioned the patient's head? - ANSWER-Bag Valve Mask assistance.
2024 ACTUAL EXAM 350 QUESTIONS
AND CORRECT DETAILED
ANSWERS|AGRADE
For which of the following patiens showing signs of severe respiratory distress should you limit the
amount of oxygen you provide?
Asthma Patient?
A patient with emphysema?
A patient with chronic bronchitis?
You should initially provide oxygen for any patient in distress? - ANSWER-You should initally provide
oxygen for any patient in distress
Reporting 3 Sets of vital signs to the nurses who receive your patient in the emergency department
would be most important because? - ANSWER-she will use the information to help predict a patient's
improvement or worsening
what 3 signs are commonly associated with the condition known as Cushing's Reflex? - ANSWER-
Bradycardia (Slow heart rate)
Respiratory Depression
Progressive Hypertension (High BP)
You are assisting the lead medic to care for a patient that is possibly having a heart attack. The patient
had chest pain for 15 minutes that goes up to the neck and out the left arm. The color is quite flushed,
pulse is rapid, and the patient indicates a shortness of breath. You have been taught that most heart
attack patients have pale or gray colored skin. This patient's red face is most likely due to? - ANSWER-an
additional problem
You have a 26 yr old arrest patient who has an advanced airway in place. Compressions are being
performed. According to the 2020 AHA Guidelines, what is the preferred ventilatory rate? - ANSWER-1
every 6 seconds
,You are called to a residence of a 36 year old who is alert, oriented to person only, and whose speech is
slurred. Which of the following should be the first on your list for a differential diagnosis? - ANSWER-
Hyperglycemia (High blood sugar)
One of the most common reasons for CPR to be unsuccessful is when: - ANSWER-Interruptions are too
frequent
You are assessing a 42 yr old who is breathing. How should you assess for the presence of a pulse? -
ANSWER-Carefully press on the carotid pulse.
Choose the preferred method for inserting an OPA into a 7 yr old patient - ANSWER-Use a bite stick or
tongue blade during insertion
Which of the following newborn conditions will most likely benefit from oxygen delivery early on? -
ANSWER-A newborn with a heart rate of 50 beats per minute
The most common cause of cardiogenic shock is - ANSWER-Pericarditis
Which of the following is one of the EARLIEST sign and/or symptoms a patient has inadequate
ventilations - ANSWER-Anxiety or decreased LOC
Which of the following would be your highest priority when assessing a patient complaining of difficulty
breathing who also has distended neck veins? - ANSWER-Lung Sounds
You are called to a scene of adult patient not breathing. Your assessment reveals that the patient has a
stoma. Select the necessary equipment needed to provide care for this patient. - ANSWER-Adult BVM
Peds Face Mask
Suction Unit
Oxygen tank and Regulator
Which condition is the most likely and gives us the greatest concern as a result of a lightning strike
injury? - ANSWER-Cardiac Involvement
,You are caring for a one-week old infant. The mother states the child choked on formula. You provided
oropharyngeal suction and now must complete the assessment. What is the most appropriate action? -
ANSWER-Ask the parents if they would like to hold the baby during the exam.
You are called to evaluate a 3 year old child that has a respiratory illness. The child is on his hands and
knees in bed. The mother says he has had a bad cough before but never like this. This cough, which
sounds like inspiratory stridor to you, came on suddenly tonight. You are aware of this child's position
but also that he is drooling, not swallowing, and has circumoral cyanosis. The mother says the child has
never used an inhaler and has no chronic problems. Your best action at this time is to: - ANSWER-
Prepare the patient for transport and give oxygen
BVM with a reservoir bag attached should be set at how many LMP? - ANSWER-15-25 LPM
Which of the following procedures MUST be performed when dealing with a patient found unresponsive
and face down in a pool? - ANSWER-Manual stabilization of the head
Your patient is an 85 year old male with long cardiac history. He has called the ambulance today because
he has had episodes of chest pain. The associated symptoms are classic for angina or an impending MI.
The patients vitals are; P: 82, BP: 138/86, R: 16. When the pain starts, you note that the patient's pulse
falls to 48. What would you expect to find as a result of slowing of the pulse? - ANSWER-Reduced
cardiac output
Identify which technique will work best for ventilating a non-breathing stoma patient. - ANSWER-Use a
BVM connected to a pediatric mask
Why are providers discouraged from checking a carotid pulse immediately after a shock to confirm
pulselessness? - ANSWER-It causes unnecessary delay and interruption of CPR
You are at a scene of an MVC where you are caring for a patient who most likely broke their neck when
thrown from the vehicle. The patient has no movement or sensation in the arms or legs. The patient is
conscious and alert when you arrived, but now is starting to be irritable and moving their head while you
are trying to stabilize the head and neck. The patient keeps saying "I need air, I need air" Because this
patient has no leg or arm movement. It is possible the patient is: - ANSWER-Experiencing some paralysis
of the rib muscles
, Your partner is ventilating your non-intubated, 1 yr old patient at a rate of 60 times per minute. Which
of the following is MOST likely to occur? - ANSWER-Gastric Distension
What is the most important reason for applying an AED as quickly as possible? - ANSWER-To improve
the chance of reversing Ventricular Fibrillation
You are dispatched to the residence of a 42 year old male observed sitting in a tripod position. Which of
the following would be the MOST critical sign regarding this? - ANSWER-Pulmonary Edema
Choose the MOST valuable reason for having paramedics assist you with a cardiac call. - ANSWER-ALS
may be able to provide some procedures to prevent cardiac arrest
Which of the following diagnostic devices would be most appropriate to use when trying to determine
the degree of respiratory compromise in a patient with the chief complaint of shortness of breath? -
ANSWER-Pulse oximeter
Which of the following is a common lower airway issue in the pediatric patient? - ANSWER-Bronchiolitis
You are dispatched to the local dialysis office and the nearest ALS unit is unavailable. The charge nurse
says the dialysis patient had some chest pain and suddenly became disoriented. The nurse discontinued
dialysis and wants the patient transported to the hospital. what are your interventions for this patient? -
ANSWER-Assess patient, avoid taking a blood pressure on the arm with the shunt, and provide high flow
oxygen
A patient with a pelvic ring fracture and a bilateral closed femur fracture should be predicted to have
lost how much blood? - ANSWER-3 liters
Other than cost what is the BEST reason for having an AED without a monitor screen on it? - ANSWER-A
screen is also an unnecessary distraction
While treating a 1 yr old patient for severe respiratory failure, you find him semi-responsive with
snoring-type breathing at 14 breaths per minute. What is your highest priority after you have
repositioned the patient's head? - ANSWER-Bag Valve Mask assistance.
