• NUR 2755 MDC4 09/11/2026
Final Exam
Full TEST BANK 5 — Emergency Care and
Transportation of the Sick and Injured (12th
Edition, AAOS) — Complete EMT-Level
Instructor Question Bank With Correct Answers,
Deep Rationales & All 41 Chapters | Updated
2026 Version
You are dispatched to a residence for a 20-year-old male with respiratory distress. When you arrive, you find that
the patient has a tracheostomy tube and is ventilator dependent. His mother tells you that he was doing fine,
but then suddenly began experiencing breathing difficulty. You should:
• A:detach the ventilator, suction the tracheostomy tube, and reassess the patient.
P 1
, • NUR 2755 MDC4 09/11/2026
Final Exam
• B:remove the ventilator tubing and place an oxygen mask over the tracheostomy tube.
• C:remove him from the mechanical ventilator and ventilate him manually.
• D:check the settings on the ventilator to ensure that it is functioning properly. - Correct Answer :you selected
C; This is correct!
Reason:If a ventilator-dependent patient experiences a sudden onset of respiratory distress, you should first
remove him or her from the mechanical ventilator and begin manual ventilation with a bag-mask device; if the
patient improves, you will know that the problem was a malfunction with the mechanical ventilator. If the
patient does not improve, the tracheostomy tube is likely plugged with thick mucus secretions and requires
suctioning. Unless you are familiar with the mechanical ventilator (most EMTs are not), do not attempt to
troubleshoot the device by checking the settings; this only wastes time.
A middle-aged man was found floating facedown in a small pond. When you arrive at the scene, bystanders are
present, but nobody has removed him from the water because they thought he was dead. After reaching the
victim, you should:
• A:float a buoyant backboard under him, remove him from the pond, and begin rescue breathing.
• B:move him to a supine position by rotating the entire upper half of his body as a single unit.
• C:stabilize his head as you remove it from the water and open his airway by tilting his head back.
• D:grab him by his clothing, remove him from the pond, and assess for breathing and a pulse. - Correct Answer
:The correct answer is B;
Reason:After safely reaching a drowning victim, you should first turn him to a supine position by rotating the
entire upper half of the body as a single unit; protect the cervical spine as you do this because a spinal injury
cannot be ruled out. Open the patient's airway, without manipulating the neck, and begin rescue breathing while
still in the water. Float a buoyant backboard under the patient, secure him to it, and remove him from the water.
After removing the victim from the water, assess for a pulse. If the victim is pulseless, begin CPR, dry him off, and
apply the AED as soon as possible.
Which of the following patients with diabetes is the BEST candidate for oral glucose?
• A:A confused patient who has cool, clammy skin
• B:A semiconscious patient with pale, clammy skin
• C:An unresponsive patient who took too much insulin
• D:A confused patient with suspected hyperglycemia - Correct Answer :You selected A; This is correct!
P 2
, • NUR 2755 MDC4 09/11/2026
Final Exam
Reason:Oral glucose is indicated for patients with diabetes who are in insulin shock (hypoglycemic crisis), or for
any patient with symptomatic hypoglycemia (as documented by glucometer). The patient must be conscious
and alert enough to be able to swallow the glucose, which comes in a tube of gel. If the patient is unresponsive
or otherwise unable to swallow the glucose, you should provide rapid transport, providing the appropriate
airway management en route, and consider an ALS intercept.
A 40-year-old woman presents with widespread hives that she noticed about 45 minutes after taking penicillin.
She is conscious and alert and denies difficulty breathing. Her breath sounds are clear to auscultation bilaterally,
her vital signs are stable, and her oxygen saturation is 94%. She tells you she is allergic to wasps and has an
epinephrine auto-injector. You should:
• A:assist her in administering epinephrine via her auto-injector.
• B:give high-flow oxygen and administer 100 mg of Benadryl.
• C:give supplemental oxygen and transport her to the hospital.
• D:advise her that she can probably drive herself to the hospital. - Correct Answer :You selected C; This is
correct!
Reason:The patient is experiencing an allergic reaction, but she is not in anaphylactic shock. Urticaria (hives) is
common to all allergic reactions, regardless of severity; however, wheezing and hypotension, which she does
not have, are specific to anaphylaxis. Although she carries an epinephrine auto-injector for her allergy to wasps,
she was not stung by a wasp. Furthermore, the absence of wheezing and hypotension negates epinephrine
administration. Give supplemental oxygen (in a concentration sufficient to maintain an SpO2 of greater than
94%) and transport her to the hospital. Because it can take up to an hour for signs of a severe allergic reaction to
manifest, the patient should not drive herself. Diphenhydramine (Benadryl), an antihistamine, is an appropriate
drug based on her presentation; however, it is not typically carried on a BLS unit. Furthermore, the correct dose
is 25 to 50 mg.
Immediately following a generalized motor seizure, most patients are:
• A:hyperactive.
• B:confused.
• C:apneic.
• D:awake and alert. - Correct Answer :You selected B; This is correct!
P 3
, • NUR 2755 MDC4 09/11/2026
Final Exam
Reason:After a generalized (grand mal) motor seizure, the patient typically will be confused, sleepy, or in some
cases, combative. This is referred to as the postictal phase. The patient's level of consciousness typically
improves within 30 minutes. In many cases, the patient's respirations will be fast (tachypnea) following a seizure;
this is the body's attempt to eliminate excess carbon dioxide that accumulated in the blood during the seizure.
When assessing a conscious patient who overdosed on a drug, you should FIRST determine:
• A:if there is a history of prior overdose.
• B:the patient's weight in kilograms.
• C:the type of medication ingested.
• D:when the medication was ingested. - Correct Answer :You selected C; This is correct!
Reason: When assessing a patient who has overdosed on a drug, you should first determine what was ingested,
which will provide you with immediate information about whether or not the substance is toxic. You should then
find out when the medication was ingested. This information will provide medical control (or poison control)
with the information needed to direct the most appropriate treatment. The patient's weight also should be
estimated in kilograms in the event that an antidote is required. Information regarding prior drug overdoses
would normally be obtained during the SAMPLE history.
Which of the following actions should be carried out during the primary assessment of an unresponsive patient?
• A:Assessing the skin
• B:Obtaining a blood pressure
• C:Palpating the cranium
• D:Auscultating the lungs - Correct Answer :You selected A; This is correct!
Reason:Components of the primary assessment for both responsive and unresponsive patients include
assessing and managing the airway and assessing and managing circulation, which includes controlling any major
bleeding; assessing the rate, regularity, and quality of the pulse; and assessing the color, condition, and
temperature of the skin.
When restraining a violent patient, you should make sure that:
• A:the patient is restrained using maximal force.
P 4
Final Exam
Full TEST BANK 5 — Emergency Care and
Transportation of the Sick and Injured (12th
Edition, AAOS) — Complete EMT-Level
Instructor Question Bank With Correct Answers,
Deep Rationales & All 41 Chapters | Updated
2026 Version
You are dispatched to a residence for a 20-year-old male with respiratory distress. When you arrive, you find that
the patient has a tracheostomy tube and is ventilator dependent. His mother tells you that he was doing fine,
but then suddenly began experiencing breathing difficulty. You should:
• A:detach the ventilator, suction the tracheostomy tube, and reassess the patient.
P 1
, • NUR 2755 MDC4 09/11/2026
Final Exam
• B:remove the ventilator tubing and place an oxygen mask over the tracheostomy tube.
• C:remove him from the mechanical ventilator and ventilate him manually.
• D:check the settings on the ventilator to ensure that it is functioning properly. - Correct Answer :you selected
C; This is correct!
Reason:If a ventilator-dependent patient experiences a sudden onset of respiratory distress, you should first
remove him or her from the mechanical ventilator and begin manual ventilation with a bag-mask device; if the
patient improves, you will know that the problem was a malfunction with the mechanical ventilator. If the
patient does not improve, the tracheostomy tube is likely plugged with thick mucus secretions and requires
suctioning. Unless you are familiar with the mechanical ventilator (most EMTs are not), do not attempt to
troubleshoot the device by checking the settings; this only wastes time.
A middle-aged man was found floating facedown in a small pond. When you arrive at the scene, bystanders are
present, but nobody has removed him from the water because they thought he was dead. After reaching the
victim, you should:
• A:float a buoyant backboard under him, remove him from the pond, and begin rescue breathing.
• B:move him to a supine position by rotating the entire upper half of his body as a single unit.
• C:stabilize his head as you remove it from the water and open his airway by tilting his head back.
• D:grab him by his clothing, remove him from the pond, and assess for breathing and a pulse. - Correct Answer
:The correct answer is B;
Reason:After safely reaching a drowning victim, you should first turn him to a supine position by rotating the
entire upper half of the body as a single unit; protect the cervical spine as you do this because a spinal injury
cannot be ruled out. Open the patient's airway, without manipulating the neck, and begin rescue breathing while
still in the water. Float a buoyant backboard under the patient, secure him to it, and remove him from the water.
After removing the victim from the water, assess for a pulse. If the victim is pulseless, begin CPR, dry him off, and
apply the AED as soon as possible.
Which of the following patients with diabetes is the BEST candidate for oral glucose?
• A:A confused patient who has cool, clammy skin
• B:A semiconscious patient with pale, clammy skin
• C:An unresponsive patient who took too much insulin
• D:A confused patient with suspected hyperglycemia - Correct Answer :You selected A; This is correct!
P 2
, • NUR 2755 MDC4 09/11/2026
Final Exam
Reason:Oral glucose is indicated for patients with diabetes who are in insulin shock (hypoglycemic crisis), or for
any patient with symptomatic hypoglycemia (as documented by glucometer). The patient must be conscious
and alert enough to be able to swallow the glucose, which comes in a tube of gel. If the patient is unresponsive
or otherwise unable to swallow the glucose, you should provide rapid transport, providing the appropriate
airway management en route, and consider an ALS intercept.
A 40-year-old woman presents with widespread hives that she noticed about 45 minutes after taking penicillin.
She is conscious and alert and denies difficulty breathing. Her breath sounds are clear to auscultation bilaterally,
her vital signs are stable, and her oxygen saturation is 94%. She tells you she is allergic to wasps and has an
epinephrine auto-injector. You should:
• A:assist her in administering epinephrine via her auto-injector.
• B:give high-flow oxygen and administer 100 mg of Benadryl.
• C:give supplemental oxygen and transport her to the hospital.
• D:advise her that she can probably drive herself to the hospital. - Correct Answer :You selected C; This is
correct!
Reason:The patient is experiencing an allergic reaction, but she is not in anaphylactic shock. Urticaria (hives) is
common to all allergic reactions, regardless of severity; however, wheezing and hypotension, which she does
not have, are specific to anaphylaxis. Although she carries an epinephrine auto-injector for her allergy to wasps,
she was not stung by a wasp. Furthermore, the absence of wheezing and hypotension negates epinephrine
administration. Give supplemental oxygen (in a concentration sufficient to maintain an SpO2 of greater than
94%) and transport her to the hospital. Because it can take up to an hour for signs of a severe allergic reaction to
manifest, the patient should not drive herself. Diphenhydramine (Benadryl), an antihistamine, is an appropriate
drug based on her presentation; however, it is not typically carried on a BLS unit. Furthermore, the correct dose
is 25 to 50 mg.
Immediately following a generalized motor seizure, most patients are:
• A:hyperactive.
• B:confused.
• C:apneic.
• D:awake and alert. - Correct Answer :You selected B; This is correct!
P 3
, • NUR 2755 MDC4 09/11/2026
Final Exam
Reason:After a generalized (grand mal) motor seizure, the patient typically will be confused, sleepy, or in some
cases, combative. This is referred to as the postictal phase. The patient's level of consciousness typically
improves within 30 minutes. In many cases, the patient's respirations will be fast (tachypnea) following a seizure;
this is the body's attempt to eliminate excess carbon dioxide that accumulated in the blood during the seizure.
When assessing a conscious patient who overdosed on a drug, you should FIRST determine:
• A:if there is a history of prior overdose.
• B:the patient's weight in kilograms.
• C:the type of medication ingested.
• D:when the medication was ingested. - Correct Answer :You selected C; This is correct!
Reason: When assessing a patient who has overdosed on a drug, you should first determine what was ingested,
which will provide you with immediate information about whether or not the substance is toxic. You should then
find out when the medication was ingested. This information will provide medical control (or poison control)
with the information needed to direct the most appropriate treatment. The patient's weight also should be
estimated in kilograms in the event that an antidote is required. Information regarding prior drug overdoses
would normally be obtained during the SAMPLE history.
Which of the following actions should be carried out during the primary assessment of an unresponsive patient?
• A:Assessing the skin
• B:Obtaining a blood pressure
• C:Palpating the cranium
• D:Auscultating the lungs - Correct Answer :You selected A; This is correct!
Reason:Components of the primary assessment for both responsive and unresponsive patients include
assessing and managing the airway and assessing and managing circulation, which includes controlling any major
bleeding; assessing the rate, regularity, and quality of the pulse; and assessing the color, condition, and
temperature of the skin.
When restraining a violent patient, you should make sure that:
• A:the patient is restrained using maximal force.
P 4
