EMT Final Exam Questions with Correct Solutions Latest Version () Rated A+

EMT Final Exam Questions with Correct Solutions Latest Version () Rated A+ Which of the following skills or interventions is included at every level of prehospital emergency training? - Answers Automatic external defibrillation Which of the following statements regarding the EMS medical director and an EMT's scope of practice is correct? - Answers An EMT's scope of practice may be expanded by the medical director after proper training and state approval Which of the following statements regarding the different stages of the grieving process is correct? - Answers the stages of the grieving process may occur simultaneously. Your partner, a veteran EMT whom you have worked with regularly for the past 4 years, seems unusually agitated during a call involving an elderly patient. Upon arrival back at your station, you note the obvious smell of alcohol on his breath. What should you do? - Answers discreetly report your suspicions to your supervisor You have been working at the scene of a major building collapse for 8 hours. Many injured people are still being removed, and everyone is becoming frustrated and losing focus. This situation is MOST effectively managed by: - Answers requesting CISM team to provide an on-scene peer support If you are exposed to a patient's blood or other bodily fluid, your first action should be to: - Answers transfer care of the patient to another EMS provider When faced with a situation in which a patient is in cardiac arrest, and a valid living will or DNR order cannot be located you should: - Answers begin resuscitation at once Your BEST protection against legal liability when a competent patient refuses EMS care and transport is to: - Answers thoroughly document the entire event Which of the following scenarios is an example of informed consent? - Answers an EMT advises a patient of the risks of receiving treatment Typical components of an oral patient report include all of the following, EXCEPT: - Answers the set of baseline vital signs taken at the scene Calming and reassuring an anxious patient can be facilitated by: - Answers maintaining eye contact with the patient whenever possible A 60-year-old man complains of chest pain. He is conscious and alert and denies shortness of breath. Which of the following questions would be the MOST appropriate to ask him? - Answers "Do you have any heart problems or take any medication?" Enlargement of the liver is called: - Answers hepatomegaly The areas of the spinal column, in descending order, are: - Answers cervical, thoracic, lumbar, sacral, coccyx Which of the following statements regarding smooth muscle is correct? - Answers A person has no voluntary control over smooth muscle Relative to an adult's airway anatomy, the child's: - Answers pharynx is smaller and less deeply curved When assessing an 80-year-old patient in shock, it is important to remember that: - Answers age-related changes in the cardiovascular system may make the patient less able to compensate for decreased perfusion Infants are often referred to as "belly breathers" because: - Answers their rib cage is less rigid and the ribs sit horizontally You have two patients who were involved in a motor vehicle crash when their SUV struck a tree- one with neck and back pain, and the other with a deformed left femur. The patient with the deformed femur states that he does not want to be placed on a hard board, nor does he want a collar around his neck. What is the MOST appropriate and practical method of securing these patients and placing them into the ambulance? - Answers Immobilize the patient with neck and back pain on a long backboard and place him on the wheeled stretcher; place the patient with the deformed femur on a folding stretcher secured to the squad bench Which of the following steps is NOT proper procedure when performing an emergency move? - Answers lifting the patient by the belt to move him or her When the shoulder girdle is aligned over the pelvis during lifting: - Answers the weight is exerted straight down the vertebrae You respond to the scene of a motor vehicle collision. Upon arrival, you ifnd the driver, a young female, sitting on the curb. She is confused; is in obvious respiratory distress; and has pale, moist skin. As your partner manually stabilizes, her head, you perform a primary assessment. After performing any immediate life-saving treatment, you should: - Answers perform a detailed head-to-toe exam and prepare for immediate transport External bleeding from an extremity can usually be controlled initially by: - Answers applying direct pressure Observations made when forming a general impression of a patient would include all of the following, EXCEPT: - Answers pulse strength What is the alveolar minute volume of a patient with a tidal volume of 500 mL, a dead space volume of 150 mL, and a respiratory rate of 16 breaths/min? - Answers 5,600 mL A 71-year-old male is semiconscious following a sudden, severe headache. There is vomitus on his face and his respirations are slow and shallow. The EMT must immediately: - Answers perform oropharyngeal suctioning You are dispatched to a residence where a middle-aged man was found unconscious in his front yard. There are no witnesses who can tell you what happened. You find him in a prone position; his eyes are closed and he is not moving. Your FIRST action should be to: - Answers log roll him as a unit to a supine position You are treating a middle-aged man with chest discomfort. He has a history of three previous heart attacks and takes nitroglycerin as needed for chest pain. You have standing orders to administer aspirin to patients with suspected cardiac-related chest pain or discomfort. While your partner is preparing to give oxygen to the patient, you should: - Answers confirm that the patient is not allergic to aspirin, give him the appropriate dose of aspirin, and document the time and dose given Which of the following medication routes has the slowest rate of absorption? - Answers oral When gathering a patient's medications, you find the following: Isordil, Lasix, Nexium, and digoxin. Which of these medications can be obtained over-the-counter (OTC)? - Answers Nexium Which of the following clinical signs is unique to anaphylactic shock? - Answers Wheezing A 70-year-old female was recently discharged from the hospital following a total hip replacement. Today, she presents with restlessness, tachycardia, and a blood pressure of 100/64 mm Hg. Her skin is hot and moist. You should be MOST suspicious that she is experiencing: - Answers septic shock Abdominal thrusts in a conscious child or adult with a severe upper airway obstruction are performed: - Answers until he or she loses consciousness Which of the following statements regarding ventricular fibrillation (V-fib) is correct? - Answers V-fib results in an absence of forward blood flow Which of the following is NOT a BLS intervention? - Answers cardiac monitoring Which of the following statements regarding hepatitis A is correct? - Answers Hepatitis A can only be transmitted by a patient who has an acute infection A 58-year-old man complains of chest discomfort and nausea. He is conscious and alert; his blood pressure is 140/90 mm Hg, his pulse is 104 beats/min, and his respirations are 16 breaths/min. Your partner has applied supplemental oxygen. Prior to assisting the patient with one of his prescribed nitroglycerin tablets, you ask him if he takes medication to treat erectile dysfunction (ED) and he tells you that he does. You should: - Answers ask him what he takes, how much, and when he last took it When assessing for fluid collection in the lungs during auscultation of lung sounds, you should: - Answers start at the lower lung fields and determine at which level you start hearing clear breath sounds You are dispatched to a residence for a 67-year-old female who was awakened by shortness of breath and sharp chest pain. Her husband tells you that she as recently discharged from the hospital after having hip surgery. Your assessment reveals dried blood around her mouth, facial cyanosis, and an oxygen saturation of 88%. You should suspect: - Answers acute pulmonary embolism The left ventricle has the thickest walls because it: - Answers pumps blood into the aorta and systemic circulation Prompt transport of a patient with a suspected AMI is important because: - Answers the patient may be eligible to receive thrombolytic therapy An absence seizure is also referred to as a: - Answers petit mal seizure You are assessing a 49-year-old man who, according to his wife, experienced a sudden, severe headache and then passed out. He is unresponsive and has slow, irregular breathing. His blood pressure is 190/94 mm Hg and his pulse rate is 50 beats/min. His wife tells you that he has hypertension and diabetes. He has MOST likely experienced: - Answers a ruptured cerebral artery Which of the following statements regarding gastrointestinal bleeding is correct? - Answers Bleeding within the gastrointestinal tract is a symptom of another disease, not a disease itself. Erosion of the protective layer of the stomach or duodenum secondary to overactivity of digestive juices results in: - Answers an ulcer Patients with uncontrolled diabetes experience polyuria because: - Answers excess glucose in the blood is excreted by the kidneys A 50-year-old man with diabetes has an altered mental status and is unable to tell you when he last ate or took his insulin. Your glucometer keeps malfunctioning and you are unable to determine his blood glucose level. Which of the following clinical signs would MOST likely lead you to the correct diagnosis? - Answers deep and rapid breathing Common signs and symptoms of an allergic reaction include all of the following, EXCEPT: - Answers drying of the eyes A 73-year-old man presents with a generalized rash, which he thinks may have been caused by an antibiotic that he recently began taking. He has a history of coronary artery disease, hypertension, and emphysema. He is conscious and alert, his blood pressure is 144/94 mm Hg, and his pulse is 64 beats/min and regular. You auscultate his breath sounds and hear scattered