ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
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Because obtaining an accurate blood pressure in very young children is difficult and often
inaccurate, EMTs should assess _________ as a measure of perfusion.
a. Respiratory rate
b. Capillary refill
c. Skin turgor
d. Patient irritability
b
The patient should not be touched while the AED is:
a. Analyzing the rhythm
b. Between shocks
c. Delivering a shock
d. Both choices A and C
d
You arrive on the scene and find a 65-year-old male patient who has complained of substernal
chest pain for the last 10 minutes. The patient has a history of cardiac problems and is
prescribed nitroglycerin. He is alert and oriented and states that he took three nitroglycerin
tablets with no relief. His vital signs are blood pressure, 124/90; heart rate, 90 beats/minute;
respirations, 18 and full; and skin is pale, cool, and clammy. His pulse oximeter reading is 97%
while he is on a nonrebreather mask at 15 L per minute. You should:
a. Administer up to two additional doses of nitroglycerin
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,b. Apply the AED
c. Conduct a detailed medical exam
d. Administer 325 mg of aspirin
d
In which of the following situations should the AED be applied prior to a full two minute cycle
CPR?
a. Three week old infant in respiratory arrest with a pulse
b. 69-year-old male who suffered cardiac arrest in front of the EMTs
c. 78-year-old female patient who suffered cardiac arrest five minutes prior to arrival
d. 30-year-old male with traumatic cardiac arrest, with rescuers needing 20 minutes to gain
access to the patient
b
The major difference between a semiautomatic and automatic defibrillator is that:
a. The semi automatic defibrillator provides a better "picture" of the heart
b. The automatic defibrillator requires more operator involvement
c. The automatic defibrillator requires constant contact with the patient during defibrillation
d. The semi automatic defibrillator requires the operator to push a button to deliver a shock
d
You respond to the scene of a high speed motor vehicle collision. Your patient was the driver of
a small pickup truck that struck the rear of the stopped tractor-trailer. The patient is awake but
trapped underneath the rear of the semi, and the extrication team is setting up hydraulic
extrication tools to free him. Because of the numerous engines and tools running nearby, the
best way to obtain this patient's blood pressure is most likely via:
a. Auscultation
b. Palpation
c. Estimation
d. Respiration
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,b
You are dispatched to a 55-year-old male patient, and you witness him have cardiac arrest right
after your arrival. You quickly assess his ABCs and find him to be apneic and pulseless. This
patient should have an AED applied and a shock be delivered:
a. After two minutes of chest compressions
b. After two rounds of ventilations and compressions
c. Immediately following intubation by a paramedic
d. Immediately if indicated by the AED
d
While the automated external defibrillator is analyzing the rhythm, you should:
a. Continue to ventilate the patient
b. Auscultated the breath sounds
c. Check for a carotid pulse
d. Remain clear of the patient
d
A patient with coronary artery disease is predisposed to what coronary event?
a. CVA
b. Tachycardia
c. Seizures
d. Myocardial infarction
d
A patient with cardiac-type complaints asks the EMTs why they are administering a nitro to him.
What would be an appropriate response?
a. "Nitro causes the heart to beat harder and raise blood pressure."
b. "Nitro makes it easier to breathe."
c. "Nitro makes the blood pressure drop."
d. "Nitro increases blood flow to your heart muscle."
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, d
Diffusion of excessive alveolar fluid back into the perialveolar capillary bed would be best
accomplished by what treatment intervention for the CHF patient?
a. Placing the patient supine
b. Providing high flow oxygen
c. Administration of sublingual nitroglycerin
d. Continuous positive airway pressure (CPAP)
d
The delivery of a defibrillation to a patient who is not in cardiac arrest can:
a. Cause a dangerous disruption of the heart's conduction system
b. Cause the patient to experience a stroke from the muscular contraction
c. Cause a dangerous increase in the patient's blood pressure
d. Improve the oxygen flow to the coronary arteries
a
Pediatric pads for an automated external defibrillator should be used in patients between the
ages of one and:
a. 14
b. 12
c. 10
d. 8
d
Of the following segments of the population, which is most likely to experience atypical
presentations of a myocardial infarction?
a. Asian males
b. Elderly females
c. Younger African Americans
d. American Indian Descendants
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