ACTUAL EXAM 220 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (100%
CORRECT AND VERIFIED ANSWERS) |ALREADY GRADED
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1. Which statement strongly indicates syncope?
a. "I blacked out for a few seconds"
b. "I was lying in bed and felt myself drift off"
c."I think i may have had a seizure"
d."I have had a low grade fever for three days" - ANSWER: a. I blacked out for a few
seconds
2. When assessing the patient for arm drift, you should ask the patient to
a. grab your fingers and squeeze
b. slowly raise their arms to shoulder height
c. hold their arms out, looking at their fingers
d. hold their arms out palms up, eyes closed - ANSWER: d. hold their arms out palms
up, eyes closed
3. 68 yo patient reports abdominal pain, vomiting and a loss of appetite, as well as
black, tarry stools. you should suspect
a. upper gi bleed
b. fecal impaction
c. lower gi bleed
d. an ulcer disease - ANSWER: *c. lower gi blood
4. You are called to an outdoor garden center on a hot, humid day. Your patient is
pale, wheezing, and has hives. you should suspect
a. mild heat stroke
b. spider bite
c. bee sting
d. heat exhaustion - ANSWER: c. bee sting
5. you have been dispatched to a behavioral emergency. The police are on the scene
and have asked you to evaluate the patient. you should
a. search pt. for weapons and transport to jail
b. assess the pt. and transport to appropriate ER
c. restrain the pt. to your cot and transport to nearest hospital
d. inform the officer that they need to transport the pt. to the hospital - ANSWER: c.
6. a pt. was cleaning a bathroom when he came out gagging and coughing. his eyes
are red and watering and he is complaining of dyspnea. you should
a. locate the cleaning supplies used by the pt
b. flush the pt's eyes with a saline solution
, c. move the pt. to a well ventilated area
d. call dispatch for a hazardous materials team - ANSWER: c. move the pt to a well
ventilated area
7. 38 yo pt. has a history of hypothyroidism. she is hypertensive, tachycardic, and
hyperthermic. you find an empty bottle of synthroid nearby. You should
a. provide syrup of ipecac until the pt. vomits.
b. give up to 3 doses of activated charcoal
c. contact the poison center or medical command.
d. call the doctor that prescribed the medicine - ANSWER: c. contact the poison
center or medical command.
8. a pt's family member reports a glucometer reading of 57 mg/dL. how should you
interpret this reading?
a. high
b. low
c. normal
d. inaccurate - ANSWER: b. low
9. a worker at a fertilizer plant has spilled lye all over his upper body. you should
a. scrub with soap and copious amounts of water
b. neutralize the substance
c. flush with a large amount of water
d. brush the powder off the pt - ANSWER: d. brush the powder off the pt.
10. to assess a possible stroke pt for abnormal speech, you should
a. ask the pt to repeat a common phrase
b. write questions for the pt to read
c. ask family if the pt's speech has been normal
d. ask the pt to smile and abserve for symmetry - ANSWER: a. ask the pt to repeat a
common phrase
11.a pt was stung by a bee. you should
a. soak the affected area in sterile saline
b. flush with copious amounts of water
c. apply ice cold compress to the affected area
d. elevate the affected part above above the heart - ANSWER: *c. apply ice cold
compress to the affected area
12. 72 yo male has weak hand grips, blurred vision, and is unable to tell you the day
of the week. he is a type 2 diabetic. what should you do
a. assess additional motor functions
b. administer oral glucose
c. check his pupils for reactiveness
d. evaluate for for facial droop - ANSWER: d. evaluate for facial droop
13. which of the following meds helps the body transport sugar into the cells