TEST BANK For Paramedic Care - Principles and
Practice, 6th Edition, Volume 5 by Bledsoe
You arrive at the scene of a shooting in a housing project and find a patient lying on
the sidewalk in a pool of blood. An obvious, large gaping open wound to the upper
thigh is spurting blood. The patient is still clutching a pistol while thrashing around
and screaming. Your first action should be to:
a. immediately apply direct pressure to the open thigh wound
b. restrain the patient and attempt to control the weapon
c. retreat and clear bystanders from around the patient
d. attempt to knock the gun from the patients hand - ANSWER:c. retreat and clear
bystanders from around the patient
Medical direction in an EMS system is:
a. provided by a supervising nurse in the emergency department
b. provided by employing the agency's training or education staff
c. the ultimate responsibility of a physician medical director
d. provided by the use of well defined treatment protocols - ANSWER:c. the ultimate
responsibility of a physician medical director
An example of an unsafe on scene activity is:
a. wearing reflective clothing at night
b. using latex gloves
c. wearing protective clothing
d. entering a crime scene quickly - ANSWER:d. entering a crime scene quickly
The single most important way to prevent the spread of infection is by:
a. wearing latex gloves
b. wearing a disposable face mask
c. vigorous hand washing
d. using aseptic wipes - ANSWER:c. vigorous hand washing
The term bilateral refers to:
a. both lungs
b. one side
c. frontal skull
,d. both sides - ANSWER:d. both sides
Which of the following is not considered a sign?
a. abdominal pain
b. retractions
c. bleeding from the forehead
d. hot skin temperature - ANSWER:a. abdominal pain
The trachea divides into two:
a. carina
b. bronchi
c. alveoli
d. pharynx - ANSWER:b. bronchi
Which blood vessel carries oxygen poor blood to the heart?
a. vena cava
b. aorta
c. pulmonary arteries
d. pulmonary vein - ANSWER:vena cava
When a substance enters the body through the gastrointestinal tract, it has accessed
the body through:
a. absorption
b. ingestion
c. inhalation
d. injection - ANSWER:b. ingestion
Alcohol is classified as a:
a. anxiolytic
b. depressant
c. stimulant
d. serotonin inhibitor - ANSWER:b. depressant
Which of the following is a highly toxic, odorless, tasteless gas that is a by product of
incomplete combustion?
a. carbon dioxide
b. methane
c. cyanide
d. carbon monoxide - ANSWER:d. carbon monoxide
Which patient is breathing adequately?
,a. 8 year old breathing 12 times a minute with shallow tidal volume
b. 3 month old breathing 40 times a minute with abdominal movement
c. 22 year old breathing 26 times a minute with accessory muscle use
d. 61 year old breathing 42 times a minute with a history of smoking - ANSWER:b. 3
month old breathing at 40 times a minute with abdominal movement
You note snoring sounds upon assessment of the airway in an unresponsive patient
who is found lying in bed. You should:
a. place the patient on a non-rebreather mask at 15 lpm
b. tilt the head back and lift the chin forward
c. begin positive pressure ventilation with a pocket mask
d. assess to determine if a carotid pulse is present - ANSWER:b. tilt the head back
and lift the chin forward
After assisting you patient with a metered dose inhaler (MDI), he experiences
tachycardia and nervousness. Which of the following is true regarding these
findings?
a. Tachycardia and nervousness are common side effects of the drug
b. the patient has overdosed on the medication
c. tachycardia and nervousness occurred because the medication dose was incorrect
d. the patient is hypersensitive to the drug - ANSWER:a. tachycardia and nervousness
are common side effects of the drug
A sign of anaphylactic shock that would require epinephrine administration is:
a. hypotension
b. tachycardia
c. hives
d. flushed skin - ANSWER:a. hypotension
The standards for prehospital emergency care and the individual who provide it are
typically regulated by the:
a. state office of EMS
b. regional trauma center
c. American Heart Association
d. National Registry of EMTs - ANSWER:a. state office of EMS
First responders, such as firefighters, law enforcement officers, and park rangers, are
an integral part of the EMS system because:
a. the presence of a person trained to initiate BLS care cannot be ensured
b. they are often trained to assist the advanced level EMT with procedures
c. the average response time for the EMT crew is approximately 15 minutes
, d. they can initiate certain advanced life support procedures before EMS arrival -
ANSWER:c. the average response time for the EMT crew is approximately 15 minutes
An appropriate demonstration of professionalism when your patient is frightened,
demanding, or unpleasant is to:
a. continue to be nonjudgmental, compassionate, and respectful
b. demand the patient to be quiet and cooperative during transport
c. ignore the patients feelings and focus on their medical complaint
d. reassure your patient everything will be alright, even if it will not be. - ANSWER:a.
continue to be nonjudgmental, compassionate, and respectful
Continuing education in EMS serves to:
a. prove research and statistical findings in prehospital care
b. maintain, update, and expand your knowledge and skills
c. enforce mandatory attendance to agency-specific training
d. provide an ongoing review and audit of the EMS system - ANSWER:b. maintain,
update, and expand your knowledge and skills
Which of the following statements would not be appropriate to say to the family of a
dying patient?
a. "Things will get better in time"
b. "It is okay to be angry and sad"
c. "This must be painful for you"
d. "Tell me how you are feeling" - ANSWER:a. "Things will get better in time"
Immediate intubation should be considered for trauma patients with a Glasgow
Coma Scale score of _________ or lower.
a. 2
b. 5
c. 8
d. 10 - ANSWER:c. 8
What is, in lpm, the highest flow rate on a demand valve device?
a. 20
b. 40
c. 30
d. 15 - ANSWER:b. 40
Progressively deeper, faster breathing alternating gradually with shallow, slower
breathing is called:
a. Cheyne-Stokes respirations
Practice, 6th Edition, Volume 5 by Bledsoe
You arrive at the scene of a shooting in a housing project and find a patient lying on
the sidewalk in a pool of blood. An obvious, large gaping open wound to the upper
thigh is spurting blood. The patient is still clutching a pistol while thrashing around
and screaming. Your first action should be to:
a. immediately apply direct pressure to the open thigh wound
b. restrain the patient and attempt to control the weapon
c. retreat and clear bystanders from around the patient
d. attempt to knock the gun from the patients hand - ANSWER:c. retreat and clear
bystanders from around the patient
Medical direction in an EMS system is:
a. provided by a supervising nurse in the emergency department
b. provided by employing the agency's training or education staff
c. the ultimate responsibility of a physician medical director
d. provided by the use of well defined treatment protocols - ANSWER:c. the ultimate
responsibility of a physician medical director
An example of an unsafe on scene activity is:
a. wearing reflective clothing at night
b. using latex gloves
c. wearing protective clothing
d. entering a crime scene quickly - ANSWER:d. entering a crime scene quickly
The single most important way to prevent the spread of infection is by:
a. wearing latex gloves
b. wearing a disposable face mask
c. vigorous hand washing
d. using aseptic wipes - ANSWER:c. vigorous hand washing
The term bilateral refers to:
a. both lungs
b. one side
c. frontal skull
,d. both sides - ANSWER:d. both sides
Which of the following is not considered a sign?
a. abdominal pain
b. retractions
c. bleeding from the forehead
d. hot skin temperature - ANSWER:a. abdominal pain
The trachea divides into two:
a. carina
b. bronchi
c. alveoli
d. pharynx - ANSWER:b. bronchi
Which blood vessel carries oxygen poor blood to the heart?
a. vena cava
b. aorta
c. pulmonary arteries
d. pulmonary vein - ANSWER:vena cava
When a substance enters the body through the gastrointestinal tract, it has accessed
the body through:
a. absorption
b. ingestion
c. inhalation
d. injection - ANSWER:b. ingestion
Alcohol is classified as a:
a. anxiolytic
b. depressant
c. stimulant
d. serotonin inhibitor - ANSWER:b. depressant
Which of the following is a highly toxic, odorless, tasteless gas that is a by product of
incomplete combustion?
a. carbon dioxide
b. methane
c. cyanide
d. carbon monoxide - ANSWER:d. carbon monoxide
Which patient is breathing adequately?
,a. 8 year old breathing 12 times a minute with shallow tidal volume
b. 3 month old breathing 40 times a minute with abdominal movement
c. 22 year old breathing 26 times a minute with accessory muscle use
d. 61 year old breathing 42 times a minute with a history of smoking - ANSWER:b. 3
month old breathing at 40 times a minute with abdominal movement
You note snoring sounds upon assessment of the airway in an unresponsive patient
who is found lying in bed. You should:
a. place the patient on a non-rebreather mask at 15 lpm
b. tilt the head back and lift the chin forward
c. begin positive pressure ventilation with a pocket mask
d. assess to determine if a carotid pulse is present - ANSWER:b. tilt the head back
and lift the chin forward
After assisting you patient with a metered dose inhaler (MDI), he experiences
tachycardia and nervousness. Which of the following is true regarding these
findings?
a. Tachycardia and nervousness are common side effects of the drug
b. the patient has overdosed on the medication
c. tachycardia and nervousness occurred because the medication dose was incorrect
d. the patient is hypersensitive to the drug - ANSWER:a. tachycardia and nervousness
are common side effects of the drug
A sign of anaphylactic shock that would require epinephrine administration is:
a. hypotension
b. tachycardia
c. hives
d. flushed skin - ANSWER:a. hypotension
The standards for prehospital emergency care and the individual who provide it are
typically regulated by the:
a. state office of EMS
b. regional trauma center
c. American Heart Association
d. National Registry of EMTs - ANSWER:a. state office of EMS
First responders, such as firefighters, law enforcement officers, and park rangers, are
an integral part of the EMS system because:
a. the presence of a person trained to initiate BLS care cannot be ensured
b. they are often trained to assist the advanced level EMT with procedures
c. the average response time for the EMT crew is approximately 15 minutes
, d. they can initiate certain advanced life support procedures before EMS arrival -
ANSWER:c. the average response time for the EMT crew is approximately 15 minutes
An appropriate demonstration of professionalism when your patient is frightened,
demanding, or unpleasant is to:
a. continue to be nonjudgmental, compassionate, and respectful
b. demand the patient to be quiet and cooperative during transport
c. ignore the patients feelings and focus on their medical complaint
d. reassure your patient everything will be alright, even if it will not be. - ANSWER:a.
continue to be nonjudgmental, compassionate, and respectful
Continuing education in EMS serves to:
a. prove research and statistical findings in prehospital care
b. maintain, update, and expand your knowledge and skills
c. enforce mandatory attendance to agency-specific training
d. provide an ongoing review and audit of the EMS system - ANSWER:b. maintain,
update, and expand your knowledge and skills
Which of the following statements would not be appropriate to say to the family of a
dying patient?
a. "Things will get better in time"
b. "It is okay to be angry and sad"
c. "This must be painful for you"
d. "Tell me how you are feeling" - ANSWER:a. "Things will get better in time"
Immediate intubation should be considered for trauma patients with a Glasgow
Coma Scale score of _________ or lower.
a. 2
b. 5
c. 8
d. 10 - ANSWER:c. 8
What is, in lpm, the highest flow rate on a demand valve device?
a. 20
b. 40
c. 30
d. 15 - ANSWER:b. 40
Progressively deeper, faster breathing alternating gradually with shallow, slower
breathing is called:
a. Cheyne-Stokes respirations
