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NCOEMS PRACTICE EXAM 1 EXAM QUESTIONS AND ANSWERS

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NCOEMS PRACTICE EXAM 1 EXAM QUESTIONS AND ANSWERS

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NCOEMS PRACTICE EXAM 1 EXAM
QUESTIONS AND ANSWERS
EMTsjnshouldjnwearjnhigh-
efficiencyjnparticulatejnairjn(HEPA)jnrespiratorsjnwhenjntheyjnarejninjncontactjnwithjnpatie
ntsjnwhojnhavejnwhichjnofjnthejnfollowing?
A.jnHIVjn(HumanjnImmunodeficiencyjnVirus)jnorjnAIDSjn(AcquiredjnImmunejnDeficiencyj
nSyndrome)
B.jnTuberculosisjn(TB)
C.jnOpenjnWounds
D.jnHepatitisjnBjn-jnANSWERS--B.

Youjnarejncalledjntojnassistjnajn60-year-
oldjnfemalejncomplainingjnofjnajnseverejnheadache.jnUponjnenteringjnthejnhome,jnyoujns
melljnajnstrongjnodorjnofjnnaturaljngas.jnWhatjnisjnyourjnfirstjnaction?
A.jnCheckjnthejnpatient'sjnairway,jnbreathing,jnandjncirculation.
B.jnInsertjnajnnasopharyngealjnairwayjnandjnassessjnvitaljnsigns.
C.jnRemovejnthejnpatientjnfromjnthejnhousejntojnyourjnambulance.
D.jnOpenjnalljnwindowsjnandjndeterminejnthejnsourcejnofjnthejngasjnleak.jn-jnANSWERS--
C.

Thejnmostjncommonjnelectricaljnrhythmjndisturbancejnthatjnresultsjninjnsuddenjncardiacjn
arrestjnisjncalled:
A.jnPulselessjnelectricaljnactivity
B.jnVentricularjnFibrillation
C.jnVentricularjnTachycardia
D.jnAsystolejn-jnANSWERS--B.

Ajnnon-
traumajnpatientjnwasjnpulselessjnandjnapneic.jnAssistedjnventilationjnwasjnattempted,jnb
utjnunsuccessful.jnIfjnthejnheadjnisjnrepositionedjnandjnajnrepeatjnventilationjnisjnunsucce
ssful,jnwhichjnofjnthejnfollowingjnisjnthejnnextjnmostjnappropriatejnstep?
A.jnCheckjnforjnanjnairwayjnobstruction.
B.jnContinuejnwithjnchestjncompressionsjnonly.
C.jnAttemptjnventilationsjnusingjnanjnalternativejnmethod.
D.jnContinuejntojnrepositionjnthejnheadjnuntiljnassistedjnventilationsjnarejnsuccessful.jn-
jnANSWERS--A.


Duringjnthejnmanagementjnofjnajncardiacjnarrest,jnthejnAEDjngivesjnajn'nojnshockjnadvise
d'jnmessage.jnWhichjnofjnthejnfollowingjnconditionsjnmostjnlikelyjnpromptedjnthisjnmessa
ge?
A.jnThejnpatientjnisjninjnVjntach.
B.jnThejnpatientjnisjnhypothermic.
C.jnThejnpatientjnisjninjnVjnfib.
D.jnThejnpatient'sjnrhythmjnisjnasystole.jn-jnANSWERS--D.

,ALSjnandjnEMSjnprovidersjnarejnpreparingjntojnhyperventilatejnajnpatientjnwhojnhasjnajns
uspectedjnbrainstemjnherniation.jnAsjncapnographyjnbecomesjnavailable,jnwhatjnshould
jnbejnthejntargetjnend-tidaljncarbon-dioxidejnleveljnduringjnhyperventilation?
A.jn20-25jnmmHg
B.jn60-70jnmmHg
C.jn30-35jnmmHg
D.jn40-45jnmmHgjn-jnANSWERS--C.

Whichjnofjnthejnfollowingjnisjnthejnhighestjnpriorityjnpatient?
A.jn57-year-oldjnmalejnwithjnchestjnpainjnandjnsystolicjnbloodjnpressurejnofjn80.
B.jn40-year-oldjnfemalejnwithjnmoderatejnpainjnfromjnajnlegjninjury.
C.jn75-year-oldjnmalejnwhojnappearsjnconfusedjnbutjnrespondsjntojncommands.
D.jn25-year-oldjnfemalejninjnlaborjnwithjncontractionsjnsixjnminutesjnapart.jn-
jnANSWERS--A.


Ofjnthejnfollowing,jnwhichjnbodyjnfluidjnhasjnthejnmostjnpotentialjntojntransmitjnblood-
bornejndiseases?
A.jnNasaljndischarge
B.jnVomitus
C.jnAmnioticjnfluid
D.jnFecesjn-jnANSWERS--C.

Yourjnpatientjnisjnanjn11-month-
oldjnfemale.jnHowjncanjnyoujndeterminejnifjnshejnhasjnajndecreasedjnmentaljnstatusjnandj
nisjnresponsivejntojnverbaljnstimuli?
A.jnShejnwilljnbejnupsetjnwhenjnyoujntakejnherjnfromjnherjnmother'sjnarms.
B.jnShejnwilljnbejnunablejntojntelljnyoujnhowjnoldjnshejnisjnifjnyoujnaskjnher.
C.jnShejnwilljnattemptjntojnlocatejnherjnparents'jnvoicesjnwhenjntheyjnspeak.
D.jnShejnwilljntryjntojnpulljnawayjnfromjnajnpainfuljnstimulusjnonjnherjntoe.jn-jnANSWERS--
C.

Whatjnisjnthejnbestjnmethodjntojnassesjncirculationjninjnanjninfant?
A.jnPalpatejnthejncarotidjnpulse.
B.jnPalpatejnthejnbrachialjnpulse.
C.jnPalpatejnthejnradialjnpulse.
D.jnObservejncapillaryjnrefilljntime.jn-jnANSWERS--B.

Ajn45-year-
oldjnmalejnisjnexperiencingjnchestjndiscomfort.jnAfterjnplacingjnhimjninjnhisjnpositionjnofjn
comfort,jnyourjnnextjnactionjnshouldjnbejnto:
A.jnVentilatejnthejnpatientjnwithjnajnnonrebreatherjnmaskjnatjn15jnL/min.
B.jnVentilatejnthejnpatientjnwithjnthejnbag-valvejnmaskjnatjn15jnL/min.
C.jnAdministerjnoxygenjnbyjnnonrebreatherjnmaskjnatjn15jnL/min.
D.jnAdministerjnoxygenjnbyjnthejnnasaljncannulajnatjn6jnL/min.jn-jnANSWERS--C.

Whichjnpatientjnshouldjnreceivejnajnrapidjntraumajnsurveyjntojndeterminejnhiddenjninjurie
s?jn
A.jnAlertjn2-year-oldjnchildjninjnajncarjnseatjnwhojnwasjninjnajnmedium-speedjncrash.jn
B.jnAlertjn20-year-oldjnmalejnwhojnfelljntenjnfeetjnandjnisjncomplainingjnofjnlegjnpain.jn

,C.jnAlertjn65-year-
oldjnfemalejnwhojnfelljninjnthejnbathtubjnandjnisjncomplainingjnofjnwristjnpain.jn
D.jnAlertjn11-year-oldjnfemalejnwhojntrippedjnwhilejnroller-
skatingjnandjnfelljndownjnthreejnsteps.jn-jnANSWERS--A.

Whichjnofjnthejnfollowingjnisjnajnsignjnofjnincreasedjnpressurejninjnthejncirculatoryjnsyste
m?
A.jnFlatjnneckjnveins.
B.jnPalpablejncarotidjnpulse.
C.jnDistendedjnjugularjnveins.
D.jnDecreasedjnradialjnpulsejn-jnANSWERS--C.

Anjnautomatedjnexternaljndefibrillatorjn(AED)jnwilljnshockjnwhichjnofjnthejnfollowingjnrhyt
hms?
A.jnSinusjnrhythm.
B.jnAsystole.
C.jnVentricularjnfibrillation.
D.jnPulselessjnelectricaljnactivityjn-jnANSWERS--C.

Tojnassessjnthejnmotorjnfunctionsjninjnthejnlowerjnextremitiesjnofjnajnresponsivejnpatient,j
nyoujnwould:
A.jnAskjnthejnpatientjntojnbendjnhisjnknees.
B.jnAskjnthejnpatientjntojnwigglejnhisjntoes.
C.jnCarefullyjnmovejnthejnpatient'sjnleg.
D.jnTouchjnthejnskinjnofjnthejnpatient'sjnfoot.jn-jnANSWERS--B.

Whichjnpatientjncanjnsafelyjnreceivejnonlyjnajnfocusedjnphysicaljnexaminationjnratherjnth
anjnajnrapidjntraumajnassessment?
A.jn10-year-
oldjnmalejnwithjnajndeformedjnrightjnlowerjnlegjnwhojnisjnresponsivejnafterjnfallingjnoffjnhisj
nbicycle.
B.jn20-year-
oldjnfemalejnwhojncomplainsjnofjnseverejnpainjninjnherjnanklejnafterjnsteppingjnoffjnajncur
b.
C.jn70-year-oldjnmalejnwhojncomplainsjnofjnneckjnpainjnafterjnajnmedium-
speedjncarjncollision.
D.jn30-year-
oldjnmalejnwhojnisjnunresponsivejnbutjnhasjnonlyjnminorjncutsjnonjnthejnextremities.jn-
jnANSWERS--B.


YoujnarejnusingjnthejnOPQRSTjnacronymjntojnassessjnajnresponsivejnmedicaljnpatient.jn
WhatjnquestionjnwouldjnyoujnaskjntojnassessjnthejnPjncomponent?
A.jnWhatjnwerejnyoujndoingjnwhenjnthejnpainjnstarted?
B.jnCanjnyoujndescribejnthejncharacterjnofjnthejnpainjnforjnme?
C.jnWhatjnmakesjnthejnpainjnfeeljnworsejnorjnbetter?
D.jnOnjnajnscalejnofjn1jntojn10,jnhowjnwouldjnyoujnrtejnthejnpain?jn-jnANSWERS--C.

Whatjnisjnthejnfirstjnstepjninjnthejnphysicaljnassessmentjnofjnanjnunresponsivejnmedicaljn
patient?
A.jnPerformjnthejninitialjnassessment.

, B.jnAssessjnajncompletejnsetjnofjnvitaljnsigns.
C.jnPositionjnthejnpatientjntojnprotectjnthejnairway.
D.jnObtainjnSAMPLEjnhistoryjnfromjnajnfamilyjnmember.jn-jnANSWERS--A.

Whichjnpatientjnneedsjnajndetailedjnphysicaljnexamination?
A.jn48-year-
oldjnmalejnwithjnajnhistoryjnofjnheartjndiseasejnwhojnisjncomplainingjnofjnchestjnpain.
B.jn35-year-oldjnfemalejnwhojnhasjnbeenjninjnajnsingle-
carjncollisionjnandjnwhojnbrieflyjnlostjnconsciousness.
C.jn28-year-oldjnfull-
termjnpregnantjnfemalejnwhosejnwaterjnhasjnbrokenjnandjnwhojnisjnhavingjncontractionsj
neveryjntwojnminutes.
D.jn53-year-
oldjnfemalejnwithjnajnhistoryjnofjnsmokingjnwhojnisjndistressedjnandjnshortjnofjnbreath.jn-
jnANSWERS--B.


Wherejnisjnajndetailedjnphysicaljnexamjntypicallyjnperformed?
A.jnAtjnthejnscenejnofjnthejnaccidentjnorjninjury.
B.jnInjnthejnhospitaljnemergencyjndepartment.
C.jnInjnthejnambulancejnduringjntransport.
D.jnInjnthejntriagejnareajnofjnthejntraumajncenter.jn-jnANSWERS--C.

Thejnpurposejnofjnthejnongoingjnassessmentjnisjntojnre-
evaluatejnthejnpatient'sjnconditionjnandjnto:
A.jnFindjnanyjninjuriesjnmissedjnduringjnthejninitialjnassessment.
B.jnReassurejnthejnpatientjnthatjnyoujnarejnstilljncaringjnforjnhimjnorjnher.
C.jnCheckjnthejnadequacyjnofjneachjninterventionjnperformed.
D.jnProtectjnthejnEMTjnagainstjnliabilityjnfromjnmalpractice.jn-jnANSWERS--C.

ImmediatelyjnafterjndeliveringjnajnshockjnwithjnanjnAEDjntojnajnpatientjninjncardiacjnarrest
,jnyoujnshould:
A.jnCheckjnforjnajnpulse.
B.jnCheckjnbreathingjnandjnprovidejnrescuejnbreathsjnasjnnecessary.
C.jnAnalyzejnwithjnthejnAEDjnandjnshockjnagainjnifjnindicated.
D.jnDojnCPR.jn-jnANSWERS--D.

YoujnshouldjnapplyjnanjnAEDjnto:
A.jnAdultjnpatientsjnexperiencingjnchestjndiscomfort.
B.jnAdultjnpatientsjnwithjnsignificantjntraumaticjninjuries.
C.jnAdultjnpatientsjnwithoutjnrespirationsjnorjnajnpulse.
D.jnAdultjnpatientsjnwithjnlowjnbloodjnpressure.jn-jnANSWERS--C.

Injnwhichjnofjnthejnfollowingjnsituationsjnshouldjnyoujncalljnforjnimmediatejnassistance?
A.jnYoujnmustjncarejnforjntwojncriticaljnpatientjnwithjngunshotjnwounds.
B.jnYourjnpatientjnisjnajn26-year-oldjnfemalejninjnactivejnlabor.
C.jnYourjnpatientjnisjnajnchildjnwithjnfeverjnwhojnhasjnhadjnajnbriefjnseizure.
D.jnYourjnpartnerjnisjnneededjntojnstabilizejnthejncervicaljnspine.jn-jnANSWERS--A.

Whatjnisjnthejnstructurejnthatjnpreventsjnfoodjnandjnliquidjnfromjnenteringjnthejntracheajnd
uringjnswallowing?
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