BRANDNEW!!//GRADED A+
Your 55 year old patient complains of chest pain radiating to the left arm. You should first
A. perform a head-to-toe assessment
B. administer the prescribed nitroglycerin
C. place the patient on O2
D. complete a SAMPLE history - answer-complete a SAMPLE history*
One of the most problematic side effects of nitroglycerin is
A. bradycardia
B. dyspnea
C. hypotension - answer-hypotension
A 84-year-old female is anxious and complaining of SOB. She has been a smoke for most of her life.
Upon examination, you find she has pedal edema. She is coughing up pink frothy sputum. You should
suspect
A. Complication of emphysema
B. Congestive heart failure
C. Chronic bronchitis
D. Acute myocardial infarction - answer-Congestive heart failure
Which strap should you place first when securing a patient onto a long spine board?
A. Chest strap
B. Abdominal strap
C. Head straps
D. Leg straps - answer-chest strap
Early signs and symptoms of hypoperfusion can include
A. Unresponsiveness
B. Anxiousness
,C. Bradycardia
D. Decreased BP - answer-Anxiousness
You are transporting a 68- year old female from a nursing home to a hospital. She has a valid DNR.
During transportation, she begins to have trouble breathing. You should:
A. return the patient to the nursing home
B. ventilate the patient with a BVM
C. provide O2 and position the patient for comfort
D. provide supportive reassurance only - answer-provide O2 and position the patient for comfort
provide supportive reassurance only ** second time
You have assisted a 56 y/o patient in taking 1 nitroglycerin tablet. He continues to complain of chest
pain. Vital signs are: BP 94/64, P 120, R 14, SaO2 98%. You should
A. Reassess his BP
B. Assist him with a 2nd nitro tablet
C. Transport him to the hospital
D. Assess lung sounds and have pt self-administer his inhaler - answer-Transport him to the hospital
You are called to the scene of a motor vehicle crash, where you find a three-year-old female sitting in an
unsecured car seat. She has abrasions to her forehead and right arm. She is alert to voice, her skin is
pink and dry, and she appears to breathing normally. You should
A. Rapidly extricate the child and place her in a supine positon
B. Place a short back board behind the child and gently extricate her from the car seat.
C. Remove the child from the car seat and place her on a long spine
D. Secure the child in the car seat using towels and tape to immobilize her head and chest - answer-
Secure the child in the car seat using towels and tape to immobilize her head and chest
A patient becomes unresponsive. You find she is apneic and pulseless. You should
A. apply the AED and analyze
,B. apply O2 via BVM and apply AED
C. start CPR and apply the AED
D. request advanced life support and begin CPR - answer-start CPR and apply the AED
A 40-year-old his just been struck by lightning. There are no visible wounds. You should suspect
A. Spinal fracture
B. Significant internal bleeding
C. Permanent memory loss
D. Deep tissue damage - answer-Deep tissue damage
Your pt is nine months pregnant with her first child. Her contractions are 10 minutes apart, lasting for 20
seconds. She tells you that she is "having this baby now". You should
A. Coach her to calm down and have her husband transport
B. Prepare for an imminent on scene delivery
C. Transport the patient on her left side and monitor
D. Transport pt in supine position and monitor - answer-Transport the patient on her left side and
monitor
Albuterol is an example of a (an)
A. Vasodilator medication
B. Vasoconstrictor medication
C. Antihypertensive medication
D. Beta-agonist medication - answer-Beta-agonist medication
Your pt is unresponsive and is wearing a medic alert bracelet stating he is a diabetic. You should
A. Establish and maintain an airway
B. Check for a regular carotid pulse
C. Administer one tube of oral glucose
D. Ventilate with a BVM - answer-Establish and maintain an airway
, An AED has advised no shock to be delivered to a 60 y/o pulseless and apneic pt. You should
A. Leave the AED pads in place and begin CPR
B. Reposition the airway and perform a finger sweep
C. Turn off the AED and begin CPR immediately
D. Reposition the AED pads and attempt to defibrillate - answer-Leave the AED pads in place and begin
CPR
A 2-year-old boy has a circumferential burn to his hand up to the wrist. The mother tells you a pot of
boiling water spilled onto the boy. You should
A. Reassure the mother and treat the burn with moist dressing
B. Transport and inform the ER that you suspect abuse
C. Talk to the boy separately and ask if he is being abused
D. Confront the boy's mother about possible abuse - answer-Transport and inform the ER that you
suspect abuse
Your 26-year-old female pt was involved in 30 MPH head-on collision. She complains of slight stiffness in
her neck. She is 36 weeks pregnant. What action should you take?
A. Perform a complete physical exam, obtain hx to ensure lack of other injuries and advise pt to consult
with primary doctor
B. Provide c-spine stabilization, O2 c-collar, long spine board and transport with pt in right lateral
recumbent position
C. Provide c-spine stabilization, O2 c-collar, long spine board and transport with pt in left lateral
recumbent position
D. Evaluate the patient, c-collar assist onto stretcher and transport in left lateral recumbent position -
answer-Provide c-spine stabilization, O2 c-collar, long spine board and transport with pt in left lateral
recumbent position
Your 25-year-old male pt has sustained a painful, deformed shoulder, injured while playing baseball. This
has happened to him before and he wants to "pop it back in" you should
A. Assist the pt in realigning his shoulder
B. Apply an ice pack and check vitals