EMT Readiness Exam 4 Questions With Verified Answers

92 year old female complains of a headache and trouble breathing. She is on home oxygen. She speaks in 2-3 word sentences. What is the most important question you should ask her? a. How many liters of home oxygen are you normally on? b. which medications do you take? c. are you allergic to any medications? d. when did you become short of breath - Answer d. when did you become short of breath You have attached an AED to a 42 year old female who is apneic and pulseless. The AED prompts you. "No shock advised." You should - Answer start chest compressions Which cardiac rhythm will an AED most likely prompt you to shock? a. atrial fibrillation b. asystole c. pulseless electrical activity d. ventricular tachycardia - Answer d. ventricular tachycardia A 22 year old female tells you she is weak and complains of steady vaginal bleeding that started 2 hours ago. She denies any pain and tells you that she had her menstrual cycle 2 weeks ago. Vital signs are BP 100/68, P 110, R 16, and skin is warm and dry. You should - Answer place a sanitary pad over the vaginal opening When securing a pregnant patient to a long spine board, you should tilt the board to the left to prevent a. hypotension b. hypertension c. eclampsia d. toxemia - Answer a. hypotension A 10 month old female is choking. You should perform - Answer 5 back blows A 53 year old male complains of nausea and a headache. Which of the following statements is most significant? - Answer just turned the furnace on last night." A 72 year old female's family member tells you that she had a brief period of slurred speech and left arm weakness prior to EMS arrival. What is the most likely cause? a. narcotic overdose b. stroke c. hypoglycemia d. transient ischemic attack - Answer d. transient ischemic attack A 58 year old male complains of general weakness and tells you that he had severe chest pain and shortness of breath the day before. You hear takes at the bases of both lungs. His skin is pale, cool, and clammy. Vital signs are BP 70/40, P 110 and weak, R 28. You should suspect a. cardiogenic shock b. hypovolemic shock c. angina pectoris d. pulmonary embolism - Answer a. cardiogenic shock An unresponsive 52 year old females in respiratory failure after being struck in the chest with a metal pipe. With each breath only one side of her chest rises. She has subcutaneous emphysema and absent radial pulses. What should you do? a. begin chest compressions b. apply blow-by oxygen c. apply bulky dressings to the chest d. provide positive pressure ventilations - Answer d. provide positive pressure ventilations A 48 year old male who was involved in a car crash is slumped over the steering wheel and unresponsive to loud verbal stimuli. You see smoke inside the vehicle and that the airbag deployed. You should a. perform an emergency extrication b. perform a primary survey c. administer high flow oxygen by nonrebreather mask d. tell the fire department to stand by for extrication - Answer a. perform an emergency extrication A 23 year old female is 30 weeks pregnant and complains of abdominal cramps. She tells you that she has had normal prenatal health care and no vaginal discharge. Vital signs are BP 102/74, P 112, R 22 and labored. You should - Answer administer oxygen Your EMS base displays a " Free Blood Pressure Check" sign on the window. This is an example ofa. community - Answer community relations A 19 year old female was sexually assaulted and is bleeding from her vagina. You should - Answer place a sanitary pad over the vaginal opening While ventilating a 12 year old female with a pocket mask, you are unable to see chest rise. You should a. start chest compressions b. suction the airway c. perform a finger sweep d. reopen the airway - Answer d. reopen the airway A confused 22 year old male has a weak pulse of 122 and distended abdomen. His skin is pale, cool, and clammy. What is the most likely cause? a. acute cholecystitis b. internal bleeding c. bowel obstruction d. insulin shock - Answer b. internal bleeding A 45 year old female is 34 weeks pregnant. She complains of a severe headache, sensitivity to light, and swollen feet. Vital signs are BP 130/88, P 104, R 24. What should you suspect? - Answer pre-eclampsia While triaging during a mass casualty incident you find an unresponsive and apenic female wiath an open head injury. What color triage tag should you assign her? a. black b. red c. green. d. yellow - Answer a. black A 15 day old female neonate is unresponsive. Vital signs are P 55 and R 58. You should - Answer chest compressions You are ventilating a 30 year old male with a BVM. After several minutes of ventilation, he becomes cyanotic and there is no chest rise. You should - Answer reposition the airway and ventilate again A 53 year old male with a history of coronary artery disease had a sudden onset of tearing abdominal pain that radiated to his back. he is ashen and diaphoretic. He states that he needs to use the toilet. Vital signs are BP 110/70, P 100, R 20. You should - Answer explain the need for immediate transport A newborn is apneic immediately after delivery. You should a. provide 5 back blows and 5 chest compressions b. start chest compressions c. stimulate the baby by rubbing vigorously with a dry towel d. assist ventilations - Answer c. stimulate the baby by rubbing vigorously with a dry towel An unresponsive42 year old male is not breathing. He has a medical alert bracelet that identifies him as diabetic. You should a. determine the blood glucose b. check for a pulse c. assess his airway d. administer oral glucose - Answer b. check for a pulse A 62 year old male with a history of COPD ran out of his home oxygen. He is short of breath and has a dry, nonreproductive cough with clear lung sounds. What should you suspect? a. emphysema b. chronic bronchitis c. pneumonia d. asthma attack - Answer a. emphysema A 19 year old female is postictal following a 10 minute tonic-clonic seizure. She has snoring respirations. What should you do ? a. insert an oropharyngeal airway b. obtain a detailed medications list c. palpate a carotid pulse d. perform a jaw-thrust maneuver - Answer a. insert an oropharyngeal airway Which of the following is a contraindication for nitroglycerin administration? - Answer recent use of erectile dysfunction medication A 62 year year old male is in cardiac arrest at a restaurant. After beginning chest compressions, his daughter tells you that he has terminal lung cancer, and she ask you to stop resuscitation efforts. What should you do? a. ask about a DNR while continuing resuscitation efforts b. tell the daughter she is interfering with patient care c. cease resuscitation efforts d. contact medical control immediately - Answer a. ask about a DNR while continuing resuscitation efforts A 7 year old male is in cardiac arrest after choking on a bite chicken. Upon your arrival, you note effective CPR is in progress. You should - Answer immediately apply AED A 3 year old female is sitting very still on her father's lap. She is drooling and her father states that she will not eat or drink. What should you suspect? a. stridor b. croup c. epiglottitis d. meningitis - Answer c. epiglottitis A 6 year old male has a deep laceration to his lower leg with dark red, oozing blood. Vital signs are BP 108/70, P 124,R 20. You should - Answer apply direct pressure A 450 lb patient has a 6-inch laceration two hands right upper arm and a fractured left ankle. He is on the third floor of in apartment building. You should - Answer apply a pressure dressing to the arm A 56 year old male complains of increasing shortness of breath. He is confused and speaking in 2 words sentences. He has pedal edema and jugular vein distention with a productive cough. Vital signs are BP 168/94, P 88 and irregular, R 28 with crackles, Spo2 76%. What should you do? - Answer apply high-flow oxygen by non-rebreather mask When using the ambulance siren, you should a. consider that motorists will not hear it b. use it only at intersections c. frequently change emergency tones d. use the horn when approaching traffic - Answer a. consider that motorists will not hear it An 88 year old female in hospice care is pulseless and apneic with dependent lividity. Her son says "She died 2 hours ago after I gave her a large dose of pain medication." What should you do? a. contact the hospice agency b. notify law enforcement c. start CPR d. ask if she had a DNR - Answer b. notify law enforcement While assisting in delivery of a newborn patient, you notice the amniotic sac is still intact. You should: a. assess for a nuchal cord b. immediately assess the fetal heartbeat c. coach the mother through the contraction d. tear the amniotic sac - Answer d. tear the amniotic sac While performing a primary assessment of a 32 year old female, she complains of a rapid heartbeat. What should you do? a. perform a secondary assessment b. obtain baseline signs c. assess her pulse d. place her on the stretcher and apply oxygen - Answer b. obtain baseline signs A 12 year old male is prone in a shallow bathtub the water. He is pulseless and apneic. What should you do? - Answer start chest compressions You arrive at a factory and see lots of people coughing as we evacuate the building. You should a. establish a triage site and begin to sort the patients by the severity of their complaint b. park the ambulance 100 yards away and wait for trained personnel to arrive c. call for additional resources and look for a triage site that is upwind from the factory d. designate yourself incident commander and direct your partner to being treating patients - Answer c. call for additional resources and look for a triage site that is upwind from the factory A 33 year old female has been "down" for an unknown period of time and is pulseless after contact with a portable welder. You should a. begin compressions b. apply oxygen c. check for exit wounds d. attach an AED - Answer a. begin compressions A 52 year old female complains of severe abdominal pain, distention, and black stools. Vital signs are BP 92/40, P 115, R 20. What should you suspect? - Answer upper intestinal bleeding A 46 year old female complains of swollen feet, orthopnea, and shortness of breath with exertion for the last 2 days. What is the most likely cause? - Answer heart failure An unconscious 42 year old male is apneic. Bystanders tell you that the patient suddenly grabbed his throat while eating and then collapsed to the ground. You should - Answer start chest compressions A 78 year old male tells you, " I feel sick and can't walk." His bed is dirty with urine and feces. He requests that you transport him to the hospitol, but his daughter does not want him transported. You should - Answer transport him to the hospital Immediately after the delivery of a vigorous newborn, you should: a. suction the oropharynx with a bulb syringe b. perform a fundal massage to prevent postpartum bleeding c. administer blow-by oxygen d. place the newborn level with the placenta - Answer a. suction the oropharynx with a bulb syringe A 56 year old female complains of shortness of breath with a cough producing thick mucus. She is in tripod position and has a barrel chest. Her lung sounds are diminished with respiratory rate of 24. What should you suspect? a. asthma b. pulmonary embolism c. congestive heart failure d. chronic bronchitis - Answer d. chronic bronchitis A 4 year old was the restrained front seat passenger in a car crash with air deployment. He has chemical burns to his face and is having trouble breathing. You should - Answer perform rapid extracation An 18 year old male overdosed on an unknown medicaton and has a respiratory rate of 8. You insertes an OPA, and he had gag reflex. You should - Answer insert a NPA An unresponsive 22 year old male is breathing 6 times per minute after crashing his motorcycle a highway speeds. You should: a. apply a nonrebreather mask attached to high flow oxygen b. perform a secondary survey c. begin ventilating him a bag valve mask d. immobilize him on a long backboard - Answer c. begin ventilating him a bag valve mask A 55 year old female fell and struck her head. She now complains of a headache. Which statement is most concerning? a. "I ate about 3 hours ago" b. "I think I blacked out" c. "I am on daily blood thinners" d. "I have type 2 diabetes" - Answer b. "I think I blacked out" A 23 year old female is 38 weeks pregnant with her third child. Her contractions are 2 minutes apart and 1 minute each. She tells you that she needs to go to the bathroom. You should a. prepare for immediate delivery b. assist her in getting to the bathroom c. assess for fetal movement d. rapidly transport the patient - Answer a. prepare for immediate delivery A 29 year old female has just delivered a newborn and she is still bleeding heavily. You should a. place her on her left side b. pull on the umbilical cord until the placenta is delivered c. gently pack the vagina with sterile gauze d. massage the fundus - Answer d. massage the fundus What is appropriate to say to a suicidal patient? a. "think about how your family would miss you" b. "I understand how you must be feeling right now" c. "let's bring you to the hospital" d. "don't worry. everything will work out" - Answer c. "let's bring you to the hospital" A 51 year old male is unresponsive with agonal respirations. You should a. start CPR b. attach the AED c. apply oxygen by nonrebreather mask d. check for a pulse - Answer d. check for a pulse