2024-2025 UPDATED ACTUAL LC FINAL EXAM 2 MOSTLY TESTED
QUESTIONS AND ANSWERS GRADED A+
A 19 year old man was beaten with a blunt object and his ribs are fractured in his right lower
chest. He says it's hard to breathe. His vital signs are BP 106/82, P 106 and R 18. You should -
(ANSWER)administer oxygen by non-rebreather mask.
An 86 year old man in an extended care facility is combative, anxious and short of breath. He has
a history of Alzheimer's disease. When you attempt to provide oxygen he takes a punch at you.
You are able to obtain an SpO2 reading of 84% on room air but the pulse oximeter was attached
to his toe. You should suspect his combative behavior is due to - (ANSWER)cerebral hypoxia.
At a high school football game an assistant coach calls you because a player "has a knee injury."
When you arrive he is on the bench with ice on the affected knee. The player says he is afraid to
stand on it. How should you assess his knee? - (ANSWER)Palpate around his knee to feel for
any edema or crepitation.
You've delivered a newborn boy. After 1 minute his pulse remains 56 and his respiration rate is
10. You should first - (ANSWER)ventilate him.
When you are lifting a patient on a long board from the ground you will decrease the likelihood
of an injury by using your - (ANSWER)leg muscles.
,The wife of a depressed man tells you he has locked himself in an upstairs bedroom with a gun
and is going to commit suicide. You should first - (ANSWER)leave the scene.
When you arrive you find an unconscious male with facial injuries. You see blood in his mouth.
You should - (ANSWER)place a tonsil tip catheter in his mouth then suction him.
A 46 year old man drove his car across the US to attend to a family emergency. The next day
family members call you because he became suddenly short of breath and cyanotic. His initial
vital signs are BP 96/72, P 114, R 20 and his SpO2 is 86% on room air. You should suspe -
(ANSWER)pulmonary embolism.
An 82 year old female awoke with right sided paralysis. Her husband states she had a stroke one
year ago but she was able to walk yesterday. You should report her onset of symptoms to be the
time - (ANSWER)she fell asleep
An 86 year old man with a history of stroke is bedridden at home. When you arrive you find an
indwelling Foley catheter with cloudy urine in the bag. He has a fever and is unable to answer
your questions. His vital signs are BP 96/84, P 108, R 22 and his SpO2 is 88% on room air. You
should suspect - (ANSWER)septic shock.
, A woman who is 34 weeks pregnant has been having painless vaginal bleeding for two days. She
says she expected this late in pregnancy but the amount of bleeding has her scared. Her vital
signs are BP 138/88, P 88, R 22 and her SpO2 is 98% on room air. You should suspect -
(ANSWER)placenta previa
Which of the following cardiac rhythms will cause an AED to deliver a shock? -
(ANSWER)Ventricular tachycardia
A 4 year old boy fell in the backyard on broken glass and lacerated his left upper leg. His mother
wrapped the leg in a towel which is now dripping with blood. The boy is pale, quiet and has a
rapid, thready pulse. You suspect - (ANSWER)hypovolemic shock.
A 48 year old man is complaining of substernal chest pain that he describes as pressure in his
chest. His vital signs are BP 118/82, P 86 and irregular and R 18. His SpO2 is 96% on room air.
You auscultate crackles in both lower lobes. You should first - (ANSWER)prepare to transport to
a STEMI center.
A 5 year old boy has a hoarse voice and a fever reported to be 102.5 F. He is sitting in a tripod
position leaning forward. You should first - (ANSWER)administer oxygen by non-rebreather
mask.
QUESTIONS AND ANSWERS GRADED A+
A 19 year old man was beaten with a blunt object and his ribs are fractured in his right lower
chest. He says it's hard to breathe. His vital signs are BP 106/82, P 106 and R 18. You should -
(ANSWER)administer oxygen by non-rebreather mask.
An 86 year old man in an extended care facility is combative, anxious and short of breath. He has
a history of Alzheimer's disease. When you attempt to provide oxygen he takes a punch at you.
You are able to obtain an SpO2 reading of 84% on room air but the pulse oximeter was attached
to his toe. You should suspect his combative behavior is due to - (ANSWER)cerebral hypoxia.
At a high school football game an assistant coach calls you because a player "has a knee injury."
When you arrive he is on the bench with ice on the affected knee. The player says he is afraid to
stand on it. How should you assess his knee? - (ANSWER)Palpate around his knee to feel for
any edema or crepitation.
You've delivered a newborn boy. After 1 minute his pulse remains 56 and his respiration rate is
10. You should first - (ANSWER)ventilate him.
When you are lifting a patient on a long board from the ground you will decrease the likelihood
of an injury by using your - (ANSWER)leg muscles.
,The wife of a depressed man tells you he has locked himself in an upstairs bedroom with a gun
and is going to commit suicide. You should first - (ANSWER)leave the scene.
When you arrive you find an unconscious male with facial injuries. You see blood in his mouth.
You should - (ANSWER)place a tonsil tip catheter in his mouth then suction him.
A 46 year old man drove his car across the US to attend to a family emergency. The next day
family members call you because he became suddenly short of breath and cyanotic. His initial
vital signs are BP 96/72, P 114, R 20 and his SpO2 is 86% on room air. You should suspe -
(ANSWER)pulmonary embolism.
An 82 year old female awoke with right sided paralysis. Her husband states she had a stroke one
year ago but she was able to walk yesterday. You should report her onset of symptoms to be the
time - (ANSWER)she fell asleep
An 86 year old man with a history of stroke is bedridden at home. When you arrive you find an
indwelling Foley catheter with cloudy urine in the bag. He has a fever and is unable to answer
your questions. His vital signs are BP 96/84, P 108, R 22 and his SpO2 is 88% on room air. You
should suspect - (ANSWER)septic shock.
, A woman who is 34 weeks pregnant has been having painless vaginal bleeding for two days. She
says she expected this late in pregnancy but the amount of bleeding has her scared. Her vital
signs are BP 138/88, P 88, R 22 and her SpO2 is 98% on room air. You should suspect -
(ANSWER)placenta previa
Which of the following cardiac rhythms will cause an AED to deliver a shock? -
(ANSWER)Ventricular tachycardia
A 4 year old boy fell in the backyard on broken glass and lacerated his left upper leg. His mother
wrapped the leg in a towel which is now dripping with blood. The boy is pale, quiet and has a
rapid, thready pulse. You suspect - (ANSWER)hypovolemic shock.
A 48 year old man is complaining of substernal chest pain that he describes as pressure in his
chest. His vital signs are BP 118/82, P 86 and irregular and R 18. His SpO2 is 96% on room air.
You auscultate crackles in both lower lobes. You should first - (ANSWER)prepare to transport to
a STEMI center.
A 5 year old boy has a hoarse voice and a fever reported to be 102.5 F. He is sitting in a tripod
position leaning forward. You should first - (ANSWER)administer oxygen by non-rebreather
mask.
