EMT Exam 4 Chap 19-23 (JBL) Review
Questions with Answers
1. Kussmaul respirations are an indication that the body is:
A) attempting to eliminate acids from the blood.
B) trying to generate energy by breathing deeply.
C) severely hypoxic and is eliminating excess CO2.
D) compensating for decreased blood glucose levels. ✅A
2. Common signs and symptoms of severe hyperglycemia include all of the following,
EXCEPT:
A) warm, dry skin.
B) cool, clammy skin.
C) rapid, thready pulse.
D) acetone breath odor. ✅B
3. When obtaining a SAMPLE history from a patient with diabetes, it would be MOST
important to determine:
A) if he or she has had any recent illnesses or excessive stress.
B) approximately how much water the patient drank that day.
C) if there is a family history of diabetes or related conditions.
D) the name of the physician who prescribed his or her insulin. ✅A
4. To which of the following diabetic patients should you administer oral glucose?
A) An unconscious 33-year-old male with cool, clammy skin
B) A conscious 37-year-old female with nausea and vomiting
C) A semiconscious 40-year-old female without a gag reflex
D) A confused 55-year-old male with tachycardia and pallor ✅D
5. You are treating a 40-year-old male with a documented blood sugar reading of 480
mg/dL. The patient is semiconscious and breathing shallowly, and is receiving assisted
ventilation from your partner. You should recognize that definitive treatment for this
patient includes:
A) oxygen.
B) glucagon.
C) insulin.
D) dextrose. ✅C
6. A man finds his 59-year-old wife unconscious on the couch. He states that she takes
medications for type 2 diabetes. He further tells you that his wife has been ill recently
and has not eaten for the past 24 hours. Your assessment reveals that the patient is
unresponsive. You should:
A) assess for the presence of a medical identification tag.
, B) administer 100% oxygen via a nonrebreathing mask.
C) open and maintain her airway and assess breathing.
D) administer oral glucose between her cheek and gum. ✅C
7. A patient with hypoglycemia will often present with which of the following
signs/symptoms?
A) Hypertension
B) Pale, cool, and clammy skin
C) Warm, red, and dry skin
D) Deep, rapid respirations ✅B
8. Which of the following conditions is the diabetic patient at an increased risk of
developing?
A) Blindness
B) Depression
C) Alcoholism
D) Hepatitis B ✅A
9. Classic signs and symptoms of hypoglycemia include:
A) warm, dry skin; irritability; bradycardia; and rapid respirations.
B) cool, clammy skin; weakness; tachycardia; and rapid respirations.
C) warm, dry skin; hunger; abdominal pain; and deep, slow respirations.
D) cold, clammy skin; bradycardia; hunger; and deep, rapid respirations. ✅B
10. A patient with an altered mental status; high blood glucose levels; and deep, rapid
breathing may have a condition known as __________.
A) hyperosmolar hyperglycemic nonketotic coma
B) diabetic ketoacidosis
C) hypoglycemic crisis
D) hyperglycemic crisis ✅B
11. A 75-year-old male with type 1 diabetes presents with chest pain and a general
feeling of weakness. He tells you that he took his insulin today and ate a regular meal
approximately 2 hours ago. You should treat this patient as though he is experiencing:
A) hypoglycemia.
B) an acute stroke.
C) hyperglycemia.
D) a heart attack. ✅D
12. The EMT should assess for hypoglycemia in small children with a severe illness or
injury because:
A) a child's cells do not uptake glucose as rapidly as adults' do.
B) children cannot store excess glucose as effectively as adults.
C) illness or injury causes the pancreas to produce less insulin.
D) children overproduce insulin during severe illness or injury. ✅B
Questions with Answers
1. Kussmaul respirations are an indication that the body is:
A) attempting to eliminate acids from the blood.
B) trying to generate energy by breathing deeply.
C) severely hypoxic and is eliminating excess CO2.
D) compensating for decreased blood glucose levels. ✅A
2. Common signs and symptoms of severe hyperglycemia include all of the following,
EXCEPT:
A) warm, dry skin.
B) cool, clammy skin.
C) rapid, thready pulse.
D) acetone breath odor. ✅B
3. When obtaining a SAMPLE history from a patient with diabetes, it would be MOST
important to determine:
A) if he or she has had any recent illnesses or excessive stress.
B) approximately how much water the patient drank that day.
C) if there is a family history of diabetes or related conditions.
D) the name of the physician who prescribed his or her insulin. ✅A
4. To which of the following diabetic patients should you administer oral glucose?
A) An unconscious 33-year-old male with cool, clammy skin
B) A conscious 37-year-old female with nausea and vomiting
C) A semiconscious 40-year-old female without a gag reflex
D) A confused 55-year-old male with tachycardia and pallor ✅D
5. You are treating a 40-year-old male with a documented blood sugar reading of 480
mg/dL. The patient is semiconscious and breathing shallowly, and is receiving assisted
ventilation from your partner. You should recognize that definitive treatment for this
patient includes:
A) oxygen.
B) glucagon.
C) insulin.
D) dextrose. ✅C
6. A man finds his 59-year-old wife unconscious on the couch. He states that she takes
medications for type 2 diabetes. He further tells you that his wife has been ill recently
and has not eaten for the past 24 hours. Your assessment reveals that the patient is
unresponsive. You should:
A) assess for the presence of a medical identification tag.
, B) administer 100% oxygen via a nonrebreathing mask.
C) open and maintain her airway and assess breathing.
D) administer oral glucose between her cheek and gum. ✅C
7. A patient with hypoglycemia will often present with which of the following
signs/symptoms?
A) Hypertension
B) Pale, cool, and clammy skin
C) Warm, red, and dry skin
D) Deep, rapid respirations ✅B
8. Which of the following conditions is the diabetic patient at an increased risk of
developing?
A) Blindness
B) Depression
C) Alcoholism
D) Hepatitis B ✅A
9. Classic signs and symptoms of hypoglycemia include:
A) warm, dry skin; irritability; bradycardia; and rapid respirations.
B) cool, clammy skin; weakness; tachycardia; and rapid respirations.
C) warm, dry skin; hunger; abdominal pain; and deep, slow respirations.
D) cold, clammy skin; bradycardia; hunger; and deep, rapid respirations. ✅B
10. A patient with an altered mental status; high blood glucose levels; and deep, rapid
breathing may have a condition known as __________.
A) hyperosmolar hyperglycemic nonketotic coma
B) diabetic ketoacidosis
C) hypoglycemic crisis
D) hyperglycemic crisis ✅B
11. A 75-year-old male with type 1 diabetes presents with chest pain and a general
feeling of weakness. He tells you that he took his insulin today and ate a regular meal
approximately 2 hours ago. You should treat this patient as though he is experiencing:
A) hypoglycemia.
B) an acute stroke.
C) hyperglycemia.
D) a heart attack. ✅D
12. The EMT should assess for hypoglycemia in small children with a severe illness or
injury because:
A) a child's cells do not uptake glucose as rapidly as adults' do.
B) children cannot store excess glucose as effectively as adults.
C) illness or injury causes the pancreas to produce less insulin.
D) children overproduce insulin during severe illness or injury. ✅B
