Paramedic semester 1 final exam study guide Correct 100%

1) A scene size up is performed for all of the following reasons EXCEPT - ANSWER to assess a baseline mental status. 2) Which of the following senses should a paramedic use to recognize hazards at the scene of an emergency - ANSWER Smell, hearing , sight 3) Which of the following is most likely to result in life threatening hemorrhage? - ANSWER Lacerated femoral artery. 4) When responding to calls involving two vehicle collisions, you must always suspect - ANSWER Multiple patients 5) Components of a scene size up include all of the following EXCEPT - ANSWER Donning personal protective gear. 6) When responding to a domestic dispute, you should: - ANSWER Call for law enforcement. 7) Your patient is a 75 year old man who is alert and responds to your questions. Which of the following is the best source of information about this patient? - ANSWER The patient 9) As the first unit on the scene of a mass casualty incident, you and your partner should: - ANSWER Split up, one assumes command role, the other assume triage. 8) Which of the following factors may influence your index of suspicion of a patient's condition? Select the letter choice with the best combination of the following factors 1. Age 2. Gender 3. Race - ANSWER 4. Forces involved with the mechanism of injury 10) You find an adult patient lying supine on the sidewalk after being struck by a vehicle traveling at 10 mph. The patient is alert with stable vital signs. The mechanism of injury and initial patient presentation are most consistent with suspected: - ANSWER Lower extremity trauma 11) Which of the following is usually the best source of information about an alert and oriented patient - ANSWER the patient. 12) Which of the following best describes why you should call for additional assistance when dealing with multiple patients? - ANSWER you cannot safely and effectively treat all the patients. 13) When approaching a potential crime scene, you should: - ANSWER Park away from the scene until the police arrive and secure the scene 15) What does the "U" in A V P U stand for? - ANSWER Unresponsive. 16) A patient with skin described as "clammy" has ________ skin. - ANSWER Cool and moist 14) At the scene of a multiple vehicle collision, which of the following actions should you take first? - ANSWER Quickly scan the scene to count patients. 17) You are examining a patient's peripheral vasculature when you note that he has no radial pulse. Your next step would be to: - ANSWER Palpate carotid pulse 18) According to the 2015 AHA guidelines/recommendations, a patient who appears to be unresponsive and not breathing or breathing ineffectively should be assessed using which mnemonic memory aid? - ANSWER CAB 19) Your patient does not respond to you when you call his name. What should you do next? - ANSWER Apply Painful stimulus 20) All of the following are signs of inadequate breathing in an infant EXCEPT: - ANSWER A respiratory rate of 32 breaths per minute. 21) While performing a primary assessment on a trauma patient who has fallen from a roof, you discover absent lung sounds on the right side. Which of the following actions should you take next? - ANSWER Assess for signs of tension pneumothorax. 22) When assessing the chest, you should cover any open wounds you locate with a(n) ________ dressing. - ANSWER Occlusive 23) In an infant, the heart rate is best detected by either palpating the brachial artery or: - ANSWER Auscultating apical pulse 24) The sound of gurgling associated with breathing usually indicates: - ANSWER fluid in the upper airway. 25) Medical patients with altered mental status are assessed in a manner similar to that that is appropriate for: - ANSWER Critical trauma patients 26) Which of the following statements about airway management is TRUE? - ANSWER Nasopharyngeal airways are contraindicated with possible basilar skull fracture. 27) Which of the following establishes the foundation for good patient care? - ANSWER Eliciting a good history 30) You have overheard a hospital technician in the emergency department talking with a patient who has pancreatic cancer. The technician said, "Don't worry; everything will be all right." This is an example of: - ANSWER False reassurance. 31) "Social distance" is a distance of ________ feet between people. - ANSWER 4-12 ft 32) All of the following actions can help make taking a history on a sensitive subject easier EXCEPT: - ANSWER using euphemisms and metaphors to ask embarrassing questions. 28) You are caring for a sick five year old child in the emergency department. The ED physician has ordered some intravenous medication to stop the child from vomiting. Which of the following is the best way to approach the child with the issue of starting an IV? - ANSWER I'm going to give you some medicine to help you stop throwing up, but this medicine has to go through a tube in your arm. So its going to feel like you're getting a shot, but it will only take a second.