Exam 2 EMS 131 Questions with Complete
Solutions
You are transporting a 44-year-old female with chest pain and sudden respiratory distress. She is
agitated, anxious, and refuses to have a nonrebreather mask applied. Which of the following is
the best option?
A) Use a nasal cannula instead.
B) Have her breathe into a paper bag to control her hyperventilation.
C) Do not make further attempts to administer oxygen as it will only agitate the patient further.
D) Consult with medical control about restraining the patient. A) Use a nasal cannula
instead
While ventilating an intubated patient with a bag-valve-mask-unit, you notice increased
resistance to the ventilations. This may indicate that:
A) the patient is becoming more alert and is breathing independently.
B) air is escaping through a hole in the lung and filling the pleural space.
C) the gag reflex is returning.
D) cardiac arrest is imminent.
,The paramedic is intubating a patient and asks you to assist by gently pressing your thumb and
index finger to either side of the throat just over the patient's Adam's apple. As you press, you
gently direct the throat upward and to the patient's right. What is the purpose of this maneuver?
A) It prevents the tube from entering the right mainstem bronchus.
B) It lessens the patient's gag reflex and eases tube insertion.
C) It pushes the patient's vocal cords into the paramedic's view.
D) It keeps the tube from becoming displaced and entering the esophagus. C) It pushes the
patient's vocal cords into the paramedic's view.
At what point is the scene size-up complete?
A) When crashed vehicles have been stabilized
B) At the end of the call
C) Upon stabilization of the c-spine
D) When the number of patients has been determined B) At the end of the call
You are called to a motor vehicle collision where the car is on fire. You should ensure safety by:
A) borrowing turnout gear from the fire department.
B) remaining a safe distance from the car until the fire is out.
C) putting your unit back in service and leaving the scene.
,D) using your fire extinguisher to put out the fire. B) remaining a safe distance from the
car until the fire is out.
At the scene of a vehicle collision in which there are no apparent hazards, which of the following
guidelines should be followed for establishing a danger zone?
A) The danger zone should be 50 feet in all directions.
B) The danger zone should be 150 feet in all directions.
C) The danger zone should be 15 feet in all directions.
D) There is no need to establish a danger zone when there are no apparent hazards. A) The
danger zone should be 50 feet in all directions.
As you are assessing a 32-year-old asthmatic woman who has called EMS due to difficulty
breathing, her husband enters the home through a back door and shouts, "Get your hands off her;
she doesn't need your help. She needs to be taught a lesson about her smart mouth." Which of the
following is the best course of action?
A) Attempt to remove the patient from the home and continue treatment en route to the hospital.
B) Continue assessment and respond that the patient is sick and needs medical attention.
C) Leave the scene and the patient, and then notify police.
D) Let the husband know that his behavior is inappropriate, and if it continues you will call for
the police. C) Leave the scene and the patient, and then notify police.
, Your patient, a 29-year-old female, was the front seat passenger in a vehicle that was struck in
the passenger's side door by another vehicle that ran a red light. Which of the following is most
likely to have occurred?
A) The patient impacted the steering wheel with her chest, causing a fracture of the sternum.
B) The patient took the down-and-under pathway, causing trauma to her lower extremities.
C) The patient's body was pushed forcefully out from under her head, causing injury to the
cervical spine.
D) The patient took the up-and-over pathway, striking her head on the windshield. C) The
patient's body was pushed forcefully out from under her head, causing injury to the cervical
spine.
An injury caused by an object that passes through the skin or other body tissue is known as
which of the following?
A) Cavitating trauma
B) Puncturing trauma
C) Penetrating trauma
D) Impaling trauma C) Penetrating trauma
Solutions
You are transporting a 44-year-old female with chest pain and sudden respiratory distress. She is
agitated, anxious, and refuses to have a nonrebreather mask applied. Which of the following is
the best option?
A) Use a nasal cannula instead.
B) Have her breathe into a paper bag to control her hyperventilation.
C) Do not make further attempts to administer oxygen as it will only agitate the patient further.
D) Consult with medical control about restraining the patient. A) Use a nasal cannula
instead
While ventilating an intubated patient with a bag-valve-mask-unit, you notice increased
resistance to the ventilations. This may indicate that:
A) the patient is becoming more alert and is breathing independently.
B) air is escaping through a hole in the lung and filling the pleural space.
C) the gag reflex is returning.
D) cardiac arrest is imminent.
,The paramedic is intubating a patient and asks you to assist by gently pressing your thumb and
index finger to either side of the throat just over the patient's Adam's apple. As you press, you
gently direct the throat upward and to the patient's right. What is the purpose of this maneuver?
A) It prevents the tube from entering the right mainstem bronchus.
B) It lessens the patient's gag reflex and eases tube insertion.
C) It pushes the patient's vocal cords into the paramedic's view.
D) It keeps the tube from becoming displaced and entering the esophagus. C) It pushes the
patient's vocal cords into the paramedic's view.
At what point is the scene size-up complete?
A) When crashed vehicles have been stabilized
B) At the end of the call
C) Upon stabilization of the c-spine
D) When the number of patients has been determined B) At the end of the call
You are called to a motor vehicle collision where the car is on fire. You should ensure safety by:
A) borrowing turnout gear from the fire department.
B) remaining a safe distance from the car until the fire is out.
C) putting your unit back in service and leaving the scene.
,D) using your fire extinguisher to put out the fire. B) remaining a safe distance from the
car until the fire is out.
At the scene of a vehicle collision in which there are no apparent hazards, which of the following
guidelines should be followed for establishing a danger zone?
A) The danger zone should be 50 feet in all directions.
B) The danger zone should be 150 feet in all directions.
C) The danger zone should be 15 feet in all directions.
D) There is no need to establish a danger zone when there are no apparent hazards. A) The
danger zone should be 50 feet in all directions.
As you are assessing a 32-year-old asthmatic woman who has called EMS due to difficulty
breathing, her husband enters the home through a back door and shouts, "Get your hands off her;
she doesn't need your help. She needs to be taught a lesson about her smart mouth." Which of the
following is the best course of action?
A) Attempt to remove the patient from the home and continue treatment en route to the hospital.
B) Continue assessment and respond that the patient is sick and needs medical attention.
C) Leave the scene and the patient, and then notify police.
D) Let the husband know that his behavior is inappropriate, and if it continues you will call for
the police. C) Leave the scene and the patient, and then notify police.
, Your patient, a 29-year-old female, was the front seat passenger in a vehicle that was struck in
the passenger's side door by another vehicle that ran a red light. Which of the following is most
likely to have occurred?
A) The patient impacted the steering wheel with her chest, causing a fracture of the sternum.
B) The patient took the down-and-under pathway, causing trauma to her lower extremities.
C) The patient's body was pushed forcefully out from under her head, causing injury to the
cervical spine.
D) The patient took the up-and-over pathway, striking her head on the windshield. C) The
patient's body was pushed forcefully out from under her head, causing injury to the cervical
spine.
An injury caused by an object that passes through the skin or other body tissue is known as
which of the following?
A) Cavitating trauma
B) Puncturing trauma
C) Penetrating trauma
D) Impaling trauma C) Penetrating trauma
