EMT FISDAP READINESS EXAM 2
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES ||
100% GUARANTEED PASS!!
<LATEST VERSION>
1.
You respond to a 58-year-old male who is unresponsive with snoring respirations.
His respiratory rate is 8 breaths/min, and his pulse is strong. What is the most
appropriate initial airway intervention?
A. Insert a nasopharyngeal airway
B. Begin ventilations with a bag-valve mask
C. Perform a head-tilt–chin-lift maneuver
D. Apply high-flow oxygen via nonrebreather mask
Correct Answer: C
Rationale:
Snoring respirations indicate partial upper airway obstruction by the tongue. The
initial intervention is to open the airway using a manual maneuver. Once the
airway is opened, further airway adjuncts or ventilation may be required. Jumping
directly to BVM ventilation without first opening the airway may be ineffective.
,2.
A 4-year-old child presents with nasal flaring, intercostal retractions, and
inspiratory stridor. Which condition is most consistent with these findings?
A. Asthma
B. Croup
C. Bronchiolitis
D. Pneumonia
Correct Answer: B
Rationale:
Inspiratory stridor indicates upper airway obstruction, commonly seen in croup.
Asthma and bronchiolitis primarily affect the lower airways and produce
wheezing, not stridor.
3.
You are ventilating an apneic adult with a bag-valve mask attached to oxygen.
Which technique best ensures effective ventilation?
A. Rapid ventilations at 20 breaths/min
B. Using one hand to seal the mask
C. Delivering each breath over 1 second
D. Applying continuous positive airway pressure
Correct Answer: C
Rationale:
Effective BVM ventilation requires slow, controlled breaths delivered over 1
second to produce visible chest rise while minimizing gastric inflation and
barotrauma.
,4.
A patient with COPD is short of breath and has diminished breath sounds
bilaterally. His SpO₂ is 88% on room air. What is the most appropriate oxygen
therapy?
A. Nonrebreather mask at 15 L/min
B. Nasal cannula at 2–4 L/min
C. Bag-valve mask with oxygen
D. Venturi mask at 50% oxygen
Correct Answer: B
Rationale:
COPD patients rely partially on hypoxic drive. Low-flow oxygen via nasal cannula
is appropriate initially to improve oxygenation without suppressing respiratory
drive.
5.
During suctioning of an adult patient, which complication is most likely if
suctioning is prolonged?
A. Hypertension
B. Increased oxygen saturation
C. Hypoxia
D. Bronchodilation
Correct Answer: C
Rationale:
Prolonged suctioning removes oxygen from the airway, increasing the risk of
hypoxia. Suctioning should be limited to 15 seconds in adults.
, 6.
A patient with a tracheostomy becomes acutely short of breath and cyanotic. What
is the priority action?
A. Remove the tracheostomy tube
B. Apply oxygen over the mouth
C. Suction the tracheostomy
D. Insert an oropharyngeal airway
Correct Answer: C
Rationale:
Mucus plugging is a common cause of respiratory distress in tracheostomy
patients. Suctioning the tracheostomy is the priority intervention to restore
airflow.
7.
Which assessment finding best indicates adequate ventilation during BVM use?
A. Audible air movement
B. Visible chest rise
C. Oxygen saturation above 90%
D. Absence of gastric distention
Correct Answer: B
Rationale:
Visible chest rise confirms that air is entering the lungs. Other signs may be
delayed or unreliable indicators of ventilation effectiveness.
8.
A patient is breathing at 30 breaths/min with shallow respirations. What does this
most likely indicate?
A. Adequate ventilation
B. Respiratory alkalosis
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES ||
100% GUARANTEED PASS!!
<LATEST VERSION>
1.
You respond to a 58-year-old male who is unresponsive with snoring respirations.
His respiratory rate is 8 breaths/min, and his pulse is strong. What is the most
appropriate initial airway intervention?
A. Insert a nasopharyngeal airway
B. Begin ventilations with a bag-valve mask
C. Perform a head-tilt–chin-lift maneuver
D. Apply high-flow oxygen via nonrebreather mask
Correct Answer: C
Rationale:
Snoring respirations indicate partial upper airway obstruction by the tongue. The
initial intervention is to open the airway using a manual maneuver. Once the
airway is opened, further airway adjuncts or ventilation may be required. Jumping
directly to BVM ventilation without first opening the airway may be ineffective.
,2.
A 4-year-old child presents with nasal flaring, intercostal retractions, and
inspiratory stridor. Which condition is most consistent with these findings?
A. Asthma
B. Croup
C. Bronchiolitis
D. Pneumonia
Correct Answer: B
Rationale:
Inspiratory stridor indicates upper airway obstruction, commonly seen in croup.
Asthma and bronchiolitis primarily affect the lower airways and produce
wheezing, not stridor.
3.
You are ventilating an apneic adult with a bag-valve mask attached to oxygen.
Which technique best ensures effective ventilation?
A. Rapid ventilations at 20 breaths/min
B. Using one hand to seal the mask
C. Delivering each breath over 1 second
D. Applying continuous positive airway pressure
Correct Answer: C
Rationale:
Effective BVM ventilation requires slow, controlled breaths delivered over 1
second to produce visible chest rise while minimizing gastric inflation and
barotrauma.
,4.
A patient with COPD is short of breath and has diminished breath sounds
bilaterally. His SpO₂ is 88% on room air. What is the most appropriate oxygen
therapy?
A. Nonrebreather mask at 15 L/min
B. Nasal cannula at 2–4 L/min
C. Bag-valve mask with oxygen
D. Venturi mask at 50% oxygen
Correct Answer: B
Rationale:
COPD patients rely partially on hypoxic drive. Low-flow oxygen via nasal cannula
is appropriate initially to improve oxygenation without suppressing respiratory
drive.
5.
During suctioning of an adult patient, which complication is most likely if
suctioning is prolonged?
A. Hypertension
B. Increased oxygen saturation
C. Hypoxia
D. Bronchodilation
Correct Answer: C
Rationale:
Prolonged suctioning removes oxygen from the airway, increasing the risk of
hypoxia. Suctioning should be limited to 15 seconds in adults.
, 6.
A patient with a tracheostomy becomes acutely short of breath and cyanotic. What
is the priority action?
A. Remove the tracheostomy tube
B. Apply oxygen over the mouth
C. Suction the tracheostomy
D. Insert an oropharyngeal airway
Correct Answer: C
Rationale:
Mucus plugging is a common cause of respiratory distress in tracheostomy
patients. Suctioning the tracheostomy is the priority intervention to restore
airflow.
7.
Which assessment finding best indicates adequate ventilation during BVM use?
A. Audible air movement
B. Visible chest rise
C. Oxygen saturation above 90%
D. Absence of gastric distention
Correct Answer: B
Rationale:
Visible chest rise confirms that air is entering the lungs. Other signs may be
delayed or unreliable indicators of ventilation effectiveness.
8.
A patient is breathing at 30 breaths/min with shallow respirations. What does this
most likely indicate?
A. Adequate ventilation
B. Respiratory alkalosis