©THEBRIGHT EXAM SOLUTIONS
11/06/2024 10:41 AM
EMT STATE EXAM NC STUDY GUIDE.
FIRST STAGE OF LABOR - answer✔The first stage occurs from onset of true labor contractions
till dilation and effacement of the uterus.
2nd stage of labor - answer✔The hallmark finding in the second stage of labor is the complete
delivery of the baby.
3rd stage of labor - answer✔The third stage occurs when the placenta delivers.
Ligaments connect.... - answer✔Bone to Bone
Tendons connect - answer✔Bone to Muscle
START Triage 1st Step - answer✔START triage begins by asking patients to get up and walk to a
collection point
START Triage 2nd step - answer✔respirations are assessed
START Triage 3rd Step - answer✔if the patient is not breathing, the airway is opened.
START Triage 4th Step - answer✔Pulse is then assessed
START Triage 5th Step - answer✔Check mental status.
Rule of 9's:Child:BACK - answer✔child's back represents 18% of his body surface area
Rule of 9's:Child: Both Legs (Front & Back) - answer✔the front and back of both legs each
represent 7%
Rule of 9's:Child:Torso (Front & Back) - answer✔child's anterior and posterior torso would
represent 36%
Primary blast stage - answer✔also known as the pressure wave), damages hollow, gas
containing organs of the body such as the lungs, GI system, inner ears, and sinuses.
Secondary blast - answer✔The secondary phase causes cause blunt and penetration injuries
from flying debris.
, ©THEBRIGHT EXAM SOLUTIONS
11/06/2024 10:41 AM
Tertiary phase of blast - answer✔tertiary phase are injuries sustained from the patient being
thrown back and impacting something (wall, ground, etc.).
A 71-year-old female has fallen and complains of left hip pain. On examination you note her left
foot is rotated laterally. This finding most likely indicates a - answer✔femur fracture
"5 Rights" of medication administration. - answer✔right patient, right medication, right route,
right dose, and right time.
If you are responsible for establishing the landing zone for the helicopter, what is the minimum
size of the LZ you should prepare assuming the rescue efforts are occurring at night? -
answer✔The minimum size of the landing zone at night is 100' by 100'. During daylight, the
minimum LZ zone is 60' by 60'. In either situation the LZ should be square, with a marker
indicating the direction of wind travel
Which one of the following is a sign of Cushing's triad (Cushing's reflex) that occurs with
traumatic brain injury? - answer✔The vital signs are an increased blood pressure, slowing pulse
rate, and irregular respirations (classically seen as Cheyne-Stokes).
Classes of hemorrhage - answer✔A Class III hemorrhage is said to occur when the patient has
lost 30-40% of their circulating blood volume. This is a significant bleed due to the fact that the
body's compensatory mechanisms are maximized, and any additional blood loss will now create
significant disturbances in hemodynamic stability. In Class I and II hemorrhage, blood pressure
remains acceptable, in Class IV hemorrhage the blood pressure drops dangerously low.
APGAR SCORE - answer✔Appearance: 0=blue/pale; 1=blue & pink; 2=no cyanosis-all pink
Pulse Rate: 0=Absent; 1=<100; 2=>100
Reflex: 0=no response to stimuli; 1=grimace; 2=cry or pull away
Activity: 0=None; 1=some flexion,2=flexed arms/legs resisting extension
Respiratory: 0=Absent; 1=weak, irregular; 2=strong, lusty cry
Organs in Upper Right Quadrant of Abs - answer✔The liver is found primarily within the
boundaries of the upper right quadrant.
, ©THEBRIGHT EXAM SOLUTIONS
11/06/2024 10:41 AM
Organs in Upper Left Quadrant of Abs - answer✔The stomach and spleen are typically found in
the upper left quadrant.
Bladder location - answer✔The bladder is found on the midline between the lower two
quadrants.
Communication "Reflection" - answer✔Reflection is a technique where you paraphrase the
patient's words to encourage more information and to build trust
Minimum safe residual pressure in oxygen tank is? - answer✔The minimum safe residual
pressure in an oxygen tank is 200 psi.
Nasal cannula oxygen flow rate - answer✔1 to 6L/min
Nasal cannula oxygen concentration - answer✔24% to 44%
NRB Flow rate - answer✔12 to 15L/min
NRB oxygen delivered - answer✔90% to 100%
Venturi mask oxygen delivery - answer✔24, 28, 35, 40 percent
BVM flow rate and oxygen delivery - answer✔15L /min and nearly 100%
Cheyne-Stokes Respirations - answer✔Shows irregular respirations followed by a period of
apnea
Ataxic Respirations - answer✔irregular, ineffective respirations that may or may not have an
identifiable pattern.
ICP (intracranial Pressure) Signs/symptoms - answer✔decreased pulse (Bradycardia), increased
B/P (Hypertension), irregular respirations.
ICP Defined - answer✔Accumulations of blood within the skull or swelling of the brain.
Triad of signs (Cushing's Reflex) are: (Usually seen with ICP) - answer✔1. Increased systolic B/P
2. Decreased pulse rate
3. Irregular respirations.
Glascow Comas Scale (GCS) Components; - answer✔Eye opening,
Verbal Response
Motor Response
, ©THEBRIGHT EXAM SOLUTIONS
11/06/2024 10:41 AM
GCS (Eye Opening) Ratings - answer✔Spontaneous-4
Verbal response-3
Response to pain-2
None-1
GCS (Verbal Response) Ratings - answer✔Oriented Conversation-5
Confused Conversation-4
Inappropriate Words-3
Incomprehensible sounds-2
None-1
GCS (Best Motor Response) - answer✔Obeys Commands-6
Localizes Pain-5
Withdraws Pain-4
Abnormal Flexion-3
Abnormal Extension-2
None-1
GCS Scores Total Ratings: - answer✔13-15: mild dysfunction; 15 is considered a person with no
neurologic disabilities
A oxygen tank which holds 350 liters - answer✔D Cylinder (portable)
D Tank (PSI): - answer✔2000 psi
Severe allergic reaction signs: - answer✔urticaria, bronchosphasm, swelling of lips
Order of assessing a patient after scene size up: - answer✔1. Initial assessment
2. Focused Assessment
3. Complete assessment
4. Ongoing Assessment
Ethics: - answer✔Philosophy of right and wrong, of moral duties,
11/06/2024 10:41 AM
EMT STATE EXAM NC STUDY GUIDE.
FIRST STAGE OF LABOR - answer✔The first stage occurs from onset of true labor contractions
till dilation and effacement of the uterus.
2nd stage of labor - answer✔The hallmark finding in the second stage of labor is the complete
delivery of the baby.
3rd stage of labor - answer✔The third stage occurs when the placenta delivers.
Ligaments connect.... - answer✔Bone to Bone
Tendons connect - answer✔Bone to Muscle
START Triage 1st Step - answer✔START triage begins by asking patients to get up and walk to a
collection point
START Triage 2nd step - answer✔respirations are assessed
START Triage 3rd Step - answer✔if the patient is not breathing, the airway is opened.
START Triage 4th Step - answer✔Pulse is then assessed
START Triage 5th Step - answer✔Check mental status.
Rule of 9's:Child:BACK - answer✔child's back represents 18% of his body surface area
Rule of 9's:Child: Both Legs (Front & Back) - answer✔the front and back of both legs each
represent 7%
Rule of 9's:Child:Torso (Front & Back) - answer✔child's anterior and posterior torso would
represent 36%
Primary blast stage - answer✔also known as the pressure wave), damages hollow, gas
containing organs of the body such as the lungs, GI system, inner ears, and sinuses.
Secondary blast - answer✔The secondary phase causes cause blunt and penetration injuries
from flying debris.
, ©THEBRIGHT EXAM SOLUTIONS
11/06/2024 10:41 AM
Tertiary phase of blast - answer✔tertiary phase are injuries sustained from the patient being
thrown back and impacting something (wall, ground, etc.).
A 71-year-old female has fallen and complains of left hip pain. On examination you note her left
foot is rotated laterally. This finding most likely indicates a - answer✔femur fracture
"5 Rights" of medication administration. - answer✔right patient, right medication, right route,
right dose, and right time.
If you are responsible for establishing the landing zone for the helicopter, what is the minimum
size of the LZ you should prepare assuming the rescue efforts are occurring at night? -
answer✔The minimum size of the landing zone at night is 100' by 100'. During daylight, the
minimum LZ zone is 60' by 60'. In either situation the LZ should be square, with a marker
indicating the direction of wind travel
Which one of the following is a sign of Cushing's triad (Cushing's reflex) that occurs with
traumatic brain injury? - answer✔The vital signs are an increased blood pressure, slowing pulse
rate, and irregular respirations (classically seen as Cheyne-Stokes).
Classes of hemorrhage - answer✔A Class III hemorrhage is said to occur when the patient has
lost 30-40% of their circulating blood volume. This is a significant bleed due to the fact that the
body's compensatory mechanisms are maximized, and any additional blood loss will now create
significant disturbances in hemodynamic stability. In Class I and II hemorrhage, blood pressure
remains acceptable, in Class IV hemorrhage the blood pressure drops dangerously low.
APGAR SCORE - answer✔Appearance: 0=blue/pale; 1=blue & pink; 2=no cyanosis-all pink
Pulse Rate: 0=Absent; 1=<100; 2=>100
Reflex: 0=no response to stimuli; 1=grimace; 2=cry or pull away
Activity: 0=None; 1=some flexion,2=flexed arms/legs resisting extension
Respiratory: 0=Absent; 1=weak, irregular; 2=strong, lusty cry
Organs in Upper Right Quadrant of Abs - answer✔The liver is found primarily within the
boundaries of the upper right quadrant.
, ©THEBRIGHT EXAM SOLUTIONS
11/06/2024 10:41 AM
Organs in Upper Left Quadrant of Abs - answer✔The stomach and spleen are typically found in
the upper left quadrant.
Bladder location - answer✔The bladder is found on the midline between the lower two
quadrants.
Communication "Reflection" - answer✔Reflection is a technique where you paraphrase the
patient's words to encourage more information and to build trust
Minimum safe residual pressure in oxygen tank is? - answer✔The minimum safe residual
pressure in an oxygen tank is 200 psi.
Nasal cannula oxygen flow rate - answer✔1 to 6L/min
Nasal cannula oxygen concentration - answer✔24% to 44%
NRB Flow rate - answer✔12 to 15L/min
NRB oxygen delivered - answer✔90% to 100%
Venturi mask oxygen delivery - answer✔24, 28, 35, 40 percent
BVM flow rate and oxygen delivery - answer✔15L /min and nearly 100%
Cheyne-Stokes Respirations - answer✔Shows irregular respirations followed by a period of
apnea
Ataxic Respirations - answer✔irregular, ineffective respirations that may or may not have an
identifiable pattern.
ICP (intracranial Pressure) Signs/symptoms - answer✔decreased pulse (Bradycardia), increased
B/P (Hypertension), irregular respirations.
ICP Defined - answer✔Accumulations of blood within the skull or swelling of the brain.
Triad of signs (Cushing's Reflex) are: (Usually seen with ICP) - answer✔1. Increased systolic B/P
2. Decreased pulse rate
3. Irregular respirations.
Glascow Comas Scale (GCS) Components; - answer✔Eye opening,
Verbal Response
Motor Response
, ©THEBRIGHT EXAM SOLUTIONS
11/06/2024 10:41 AM
GCS (Eye Opening) Ratings - answer✔Spontaneous-4
Verbal response-3
Response to pain-2
None-1
GCS (Verbal Response) Ratings - answer✔Oriented Conversation-5
Confused Conversation-4
Inappropriate Words-3
Incomprehensible sounds-2
None-1
GCS (Best Motor Response) - answer✔Obeys Commands-6
Localizes Pain-5
Withdraws Pain-4
Abnormal Flexion-3
Abnormal Extension-2
None-1
GCS Scores Total Ratings: - answer✔13-15: mild dysfunction; 15 is considered a person with no
neurologic disabilities
A oxygen tank which holds 350 liters - answer✔D Cylinder (portable)
D Tank (PSI): - answer✔2000 psi
Severe allergic reaction signs: - answer✔urticaria, bronchosphasm, swelling of lips
Order of assessing a patient after scene size up: - answer✔1. Initial assessment
2. Focused Assessment
3. Complete assessment
4. Ongoing Assessment
Ethics: - answer✔Philosophy of right and wrong, of moral duties,
