LC Ready, EMT Review Plus Exam 1, Complete Solution

LC Ready, EMT Review Plus Exam 1, Complete Solution A 16-year-old male has been struck by a car. He is confused and complains of abdominal pain. His vital signs are pulse 120, respiration 30, and blood pressure 100/72. When should you conduct a detailed assessment? Only after transport has been initiated. What does a closed soft-tissue injury imply? The soft tissue has not been broken or penetrated. You respond to a 74-year-old patient with a history of COPD who complains of difficulty breathing. She has an increased respiratory rate and cyanosis around her lips. After ensuring an open airway and adequate breathing, what should you do? You should administer high-concentration oxygen via a nonrebreather mask. You are called to evaluate a two-year-old female who has fallen. When you arrive, the child begins to cry and refuses to speak to you. What does this behavior likely indicate? This behavior is expected in a two-year-old and most likely indicates a normal mental status. You are responding to a 17-year-old male complaining of lower quadrant abdominal pain. How should you properly assess his abdomen? You should palpate four quadrants and the affected area last. You respond to a severe motor vehicle crash that requires technical extrication. Rescue crews have begun readying to use power tools. A rescue team member asks you to climb in the car and hold manual cervical immobilization while they extricate the patient, but you do not have proper protective equipment. What should you do? You should tell him you cannot enter the car because you are not properly equipped. You are dispatched for a patient that has been assaulted. On arrival, you note a crowd gathered around two men fighting. One of the men has blood on his shirt. What should you do? You should stage a safe distance away and await law enforcement. A 32-year-old male presents with an altered mental status. He is babbling and speaking incoherently. His family states he has a history of psychiatric problems. After ensuring scene safety, what should you do next? You should complete a primary and secondary assessment to rule out the medical causes of altered mental status. A 31-year-old female has been found unconscious by the side of the road. Bystanders state that they do not know what happened. The patient does not appear to be breathing. After ensuring scene safety, what should you do next? You should check her carotid pulse. A 20-year-old female has been involved in a minor motor vehicle crash. She is ambulatory on arrival and complains of difficulty breathing. She is alert; her vitals are pulse 110, respiration 40, and blood pressure 122/80. Her skin is flushed. Considering her respiratory status, what should you do? You should apply a non-rebreather mask. A 15-year-old male has been stabbed in the abdomen. As you examine the patient's abdomen, you see a small loop of intestine protruding from the wound. After completing your patient assessment, what is the next thing you should do? You should initiate rapid transport. A 71-year-old female presents with a new onset of right-sided facial droop and a lethargic mental status. As you load her onto a stair chair for extrication, she exhibits snoring respirations. What should you do? You should stop movement and reposition her airway. A four-year-old sustained an accidental impact to the chest and is conscious but has respiratory distress. While performing the physical assessment, you observe bruising on the chest. When palpating the chest bilaterally, no deformity is felt. Auscultation identifies diminished sound on one side. Based on the information from the assessment, which one of the following is most likely to have occurred? Hemothorax A 26-year-old, 36-week pregnant female has been involved in a car crash. She complains of tearing, steady abdominal pain, and vaginal bleeding. She is alert; her vital signs are pulse 116, respiration 24, and blood pressure 100/68. Given this presentation, what is her most likely problem? Abruptio placentae A 66-year-old male patient with a stoma is found in respiratory arrest. Which one of the following would be the most appropriate method for delivering positive pressure ventilations to this patient? Use a pediatric mask to ventilate the stoma directly. A 17-year-old male has been stabbed in the groin. He presents with bright red, spurting blood. This bleeding is most likely from a(n): Artery When should you begin multi-casualty procedures? When the demands of the event overwhelm your available resources. A 12-year-old male is having an asthma attack. He appears tired and pale. During your primary assessment, you note his respiratory rate to be 40. However, you have difficulty hearing his lung sounds. What is the most likely reason for the difficulty hearing lung sounds? There is little air moving. A 69-year-old female patient complains of difficulty speaking and an inability to move her right arm. She notes the symptoms came on about two hours ago but have since subsided. She is most likely suffering from a(n): Transient ischemic event A patient with a history of oral and laryngeal cancer had his laryngeal structures surgically removed as part of the cancer treatment. In its place, a stoma tube has been inserted into the airway on the neck. This patient's breathing is currently inadequate, as evidenced by minimal chest excursion and no basal breath sounds. Given their history and presentation, what would be the best way to assure adequate ventilation? Provide positive pressure ventilation with a pediatric mask and adult bag over the stoma opening.