EMT UCLA BLOCK 2 - Patient
Assessment, Airway Management,
Communication and Documentation:
Questions With Correct Answers ||
Verified EMT UCLA
\.Assessment findings for an alert and oriented patient complaining of shortness of breath
reveal an open airway, respiratory rate of 24, and strong radial pulse accompanied by skin that
is cool and diaphoretic. The depth of respirations is adequate and breath sounds include
wheezing throughout the lungs. Vital signs are a pulse of 124, respiratory rate of 24, and blood
pressure of 146/82 mmHg. He has a history of asthma for which he takes medications. How
would you administer oxygen to this patient? - Answer- Nonrebreather mask
\.A 50-year-old male presents with an altered mental status. His wife tells you that he had a
"small stroke" 3 years ago but has otherwise been in good health. The patient is responsive but
unable to follow commands. After administering oxygen, you should: - Answer- prepare for
immediate transport
\.A 43-year-old male has called 911 with the complaint of difficulty breathing. On scene, you
note him to be breathing at a rate of 18 breaths per minute. Additionally, he exhibits intercostal
retractions and nasal flaring. The EMT would document this breathing as: - Answer- Dyspneic
\.You have arrived by the side of a cyanotic patient who is responsive to painful stimuli and
exhibiting stridorous respirations. Which of the following would be most appropriate? - Answer-
Provide positive pressure ventilation with supplemental oxygen
,\.How does CPAP improve oxygenation and ventilation in patients with certain respiratory
problems? - Answer- It forces the alveoli open and pushes more oxygen across the alveolar
membrane
\.You are dispatched to the county jail for an inmate who is "sick." When you arrive, you find the
patient, a 33-year-old male, unresponsive. His airway is patent and his respirations are rapid and
shallow. Your initial action should be to: - Answer- provide assisted ventilation
\.When assessing a conscious trauma patient's circulation during the primary assessment, the
EMT's assessment would include: - Answer- Radial pulse, skin temperature, presence of
external bleeding
\.Family states that their 16-year-old daughter has a history of asthma and has been
complaining of shortness of breath for the past two days. She has been taking her metered dose
inhaler with some relief, but today, when she didn't get out of bed, they found her lethargic and
struggling to breath. Your assessment reveals her to be responsive to verbal stimuli with a
patent airway and respirations of 36 a minute and diminished tidal volume. Your immediate
action in caring for this patient would be - Answer- Positive pressure ventilation
\.A hazard that makes most scenes potentially dangerous to the EMT is - Answer- blood and
body fluids.
\.When ventilating an adult with a BVM device connected to oxygen, the volume delivered with
each breath should be approximately - Answer- 6 - 7 ml/kg
\.The main advantage of the Venturi mask is: - Answer- the use of its fine adjustment
capabilities in the long-term management of physiologically stable patients
, \.You are assessing a patient with congestive heart failure, and you determine that her failing
heart is causing fluid to collect and fill her alveoli. Based on this pathophysiology, which of the
following ventialtion / perfusion (V/Q) problems should the EMT assume and treat the patient
for? - Answer- Decreased gas exchange
\.When using a therapy regulator on the oxygen tank, which of the following can be readily
observed? - Answer- Flow rate of oxygen leaving the oxygen cylinder
\.For which of the following would CPAP be appropriate? - Answer- A patient with
emphysema and breathing is adequate but distressed.
\.A ventilation/perfusion (V/Q ratio) mismatch occurs when: - Answer- a disruption in blood
flow inhibits the exchange of oxygen and carbon dioxide in the lungs, even though the alveoli
are filled with fresh oxygen.
\.A 23-year-old male experienced severe head trauma after his motorcycle collided with an
oncoming truck. He is unconscious, has rapid and shallow breathing, and has copious bloody
secretions in his mouth. How should you manage his airway? - Answer- Alternate 15 seconds
of oral suctioning w/ 2 minutes of assisted ventilation
\.You are ventilating an apneic woman with a bag-mask device. She has dentures, which are
tight-fitting. Adequate chest rise is present with each ventilation, and the patient's oxygen
saturation reads 96%. When you reassess the patency of her airway, you note that her dentures
are now loose, although your ventilations are still producing adequate chest rise. You should: -
Answer- remove her dentures, resume ventilations, and assess for adequate chest rise.
\.Which of the following statements regarding positive-pressure ventilation is correct? - Answer-
With positive-pressure ventilation, more volume is required to have the same effects as
normal breathing
Assessment, Airway Management,
Communication and Documentation:
Questions With Correct Answers ||
Verified EMT UCLA
\.Assessment findings for an alert and oriented patient complaining of shortness of breath
reveal an open airway, respiratory rate of 24, and strong radial pulse accompanied by skin that
is cool and diaphoretic. The depth of respirations is adequate and breath sounds include
wheezing throughout the lungs. Vital signs are a pulse of 124, respiratory rate of 24, and blood
pressure of 146/82 mmHg. He has a history of asthma for which he takes medications. How
would you administer oxygen to this patient? - Answer- Nonrebreather mask
\.A 50-year-old male presents with an altered mental status. His wife tells you that he had a
"small stroke" 3 years ago but has otherwise been in good health. The patient is responsive but
unable to follow commands. After administering oxygen, you should: - Answer- prepare for
immediate transport
\.A 43-year-old male has called 911 with the complaint of difficulty breathing. On scene, you
note him to be breathing at a rate of 18 breaths per minute. Additionally, he exhibits intercostal
retractions and nasal flaring. The EMT would document this breathing as: - Answer- Dyspneic
\.You have arrived by the side of a cyanotic patient who is responsive to painful stimuli and
exhibiting stridorous respirations. Which of the following would be most appropriate? - Answer-
Provide positive pressure ventilation with supplemental oxygen
,\.How does CPAP improve oxygenation and ventilation in patients with certain respiratory
problems? - Answer- It forces the alveoli open and pushes more oxygen across the alveolar
membrane
\.You are dispatched to the county jail for an inmate who is "sick." When you arrive, you find the
patient, a 33-year-old male, unresponsive. His airway is patent and his respirations are rapid and
shallow. Your initial action should be to: - Answer- provide assisted ventilation
\.When assessing a conscious trauma patient's circulation during the primary assessment, the
EMT's assessment would include: - Answer- Radial pulse, skin temperature, presence of
external bleeding
\.Family states that their 16-year-old daughter has a history of asthma and has been
complaining of shortness of breath for the past two days. She has been taking her metered dose
inhaler with some relief, but today, when she didn't get out of bed, they found her lethargic and
struggling to breath. Your assessment reveals her to be responsive to verbal stimuli with a
patent airway and respirations of 36 a minute and diminished tidal volume. Your immediate
action in caring for this patient would be - Answer- Positive pressure ventilation
\.A hazard that makes most scenes potentially dangerous to the EMT is - Answer- blood and
body fluids.
\.When ventilating an adult with a BVM device connected to oxygen, the volume delivered with
each breath should be approximately - Answer- 6 - 7 ml/kg
\.The main advantage of the Venturi mask is: - Answer- the use of its fine adjustment
capabilities in the long-term management of physiologically stable patients
, \.You are assessing a patient with congestive heart failure, and you determine that her failing
heart is causing fluid to collect and fill her alveoli. Based on this pathophysiology, which of the
following ventialtion / perfusion (V/Q) problems should the EMT assume and treat the patient
for? - Answer- Decreased gas exchange
\.When using a therapy regulator on the oxygen tank, which of the following can be readily
observed? - Answer- Flow rate of oxygen leaving the oxygen cylinder
\.For which of the following would CPAP be appropriate? - Answer- A patient with
emphysema and breathing is adequate but distressed.
\.A ventilation/perfusion (V/Q ratio) mismatch occurs when: - Answer- a disruption in blood
flow inhibits the exchange of oxygen and carbon dioxide in the lungs, even though the alveoli
are filled with fresh oxygen.
\.A 23-year-old male experienced severe head trauma after his motorcycle collided with an
oncoming truck. He is unconscious, has rapid and shallow breathing, and has copious bloody
secretions in his mouth. How should you manage his airway? - Answer- Alternate 15 seconds
of oral suctioning w/ 2 minutes of assisted ventilation
\.You are ventilating an apneic woman with a bag-mask device. She has dentures, which are
tight-fitting. Adequate chest rise is present with each ventilation, and the patient's oxygen
saturation reads 96%. When you reassess the patency of her airway, you note that her dentures
are now loose, although your ventilations are still producing adequate chest rise. You should: -
Answer- remove her dentures, resume ventilations, and assess for adequate chest rise.
\.Which of the following statements regarding positive-pressure ventilation is correct? - Answer-
With positive-pressure ventilation, more volume is required to have the same effects as
normal breathing
