WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS| BRAND NEW VERSION
Your patient is a 62-year-old male with a history of heart disease. He is experiencing chest pain. Your
first action should be to...
A. Place the pads for the AED on his chest.
B. Begin CPR while preparing the AED.
C. Ask him if he has taken his nitroglycerin, and if not, offer to assist him.
D. Place him in a comfortable position and administer high-flow oxygen. - Correct Answer-D. Place him
in a comfortable position and administer high-flow oxygen.
Your first action would be to administer oxygen and place the patient in a comfortable position; next, if
not contraindicated, you would request permission to administer nitroglycerin. You should first obtain a
set of vital signs to ensure he is not in cardiogenic shock. Never put defibrillator pads onto a conscious
patient with a pulse; this procedure is contraindicated. AED pads are not serving the same function as
the electrodes used by ALS providers to monitor the heart rhythm.
The EMT-Basic should request the prehospital ACLS for the care of the cardiac arrest patient because...
A. ACLS intervention provides higher survival rates.
B. EMT-Basics must have prehospital ACLS present to perform defibrillation.
C. Only paramedics can transport cardiac arrest patients.
D. The EMT-Basic is not adequately trained to manage cardiac arrest. - Correct Answer-A. ACLS
intervention provides higher survival rates.
Prehospital ACLS provides additional medications and other therapies that may help either terminate
the cardiac arrest state or help prevent the patient who has regained a pulse from going back into
cardiac arrest.
You patient is a 29-year-old who has fallen off a ladder. He is bleeding profusely from a wound on his
right forearm and has severe pain in his left thigh. Which of the following is an appropriate initial
treatment for this patient?
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,A. Perform a quick initial assessment to assess his ABCs.
B. Stop the bleeding by applying a tourniquet near the elbow.
C. Maintain an open airway and ventilate the patient with a gas-valve mask.
D. Elevate the patient's legs 20-30 cm to treat him for shock. - Correct Answer-A. Perform a quick initial
assessment to assess his ABCs.
Although you note several injuries, you still need to perform a rapid initial assessment to determine if
any problems with the ABCs that you have not noted may be more life-threatening than what you can
obviously see. Stop the bleeding (do not use a tourniquet) and treat the patient for shock, but do not
elevate the patient's legs if there is an injury to the legs, pelvis, head, neck, chest, abdomen, or spine.
There is no indication that this patient needs ventilation at this time.
Touching the patient when the semiautomatic external defibrillator (SAED) is analyzing the rhythm...
A. is acceptable with today's modern defibrillators.
B. is indicated to maintain cardiac compressions.
C. is indicated to maintain artificial ventilation.
D. Can cause the SAED to misinterpret a rhythm. - Correct Answer-D. Can cause the SAED to misinterpret
a rhythm.
When the SAED is attempting to analyze the patient's electrical rhythm, any movement of the patient or
the unit could cause the machine to misinterpret the signal.
What should you do the for cardiac arrest patient found in the rain?
A. Perform one rapid defibrillation then move the patient inside.
B. Defibrillate 3 times then move the patient inside.
C. Move the patient inside away from the rain.
D. Perform one rapid defibrillation, then start CPR if pulseless. - Correct Answer-C. Move the patient
inside away from the rain.
Safety is critical when performing defibrillation. Any defibrillation attempt in the rain may possibly harm
anyone near the patient during the discharge of the unit.
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,Your patient is bleeding profusely from a wound on her right forearm. Where is the pressure point for
this injury?
A. Carotid artery
B. Ulnar artery
C. Brachial artery
D. Femoral artery - Correct Answer-C. Brachial artery
The pressure point for wounds of the forearm is the brachial artery.
Kinetic energy is described as the...
A. energy an object has while in motion.
B. measure of matter.
C. capacity to do work.
D. tendency for an object to stay in motion. - Correct Answer-A. Energy an object has while in motion.
Kinetic energy is the energy an object has while in motion. Choice B describes mass, choice C describes
energy, and choice D describes inertia.
A bystander is performing CPR when you arrive. You evaluate the scene, practice body substance
isolation, and begin your initial assessment by having the bystander...
A. verify pulselessness
B. continue CPR
C. stop CPR
D. provide a history of cardiac aresst. - Correct Answer-C Stop CPR.
Having the bystander stop CPR will allow you to reassess the patient's ventilatory and circulatory status.
This will tell you whether you need to continue CPR or whether the patient has regained a pulse or is
breathing.
Your patient is bleeding from a wound to the forearm. The blood flows in a steady, dark-red stream.
what type of bleeding should you suspect?
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, A. Venous
B. Arterial
C. Capillary
D. Internal - Correct Answer-A. Venous
Venous bleeding flows in a steady, dark-red stream. Arterial bleeding is bright red and spurts from the
wound, while capillary bleeding oozes. Internal bleeding may or may not be present externally
recognizable sign or symptoms.
Your patient is restless, anxious, and complaining of thirst. She exhibits increased heart rate and pale,
clammy skin. You should do all the following EXCEPT...
A. Maintain an open airway and provide oxygen.
B. Evaluate her legs if not contraindicated.
C. Cover the patient with a blanket to keep her warm.
D. Give the patient small amounts of liquid to drink. - Correct Answer-D. Give the patient small amounts
of liquid to drink.
This patient has the classic signs and symptoms of shock. Do not offer anything to eat or drink to a
patient you suspect of being in shock, since surgery may be necessary later.
If a person was hit by an object described in the following, which would have the potential to cause the
most damage?
A. 1 pound object traveling at 10 mph.
B. 2 pound object traveling at 20 mph.
C. 1 pound object traveling at 30 mph.
D. 1 pound object traveling at 20 mph. - Correct Answer-C. 1 pound object traveling at 30 mph.
Speed is squared in the calculation of kinetic energy. A one-pound object traveling at 30 mph is nine
times more injurious than a one-pound object traveling at 10 mph.
Which heart rhythm often converts o ventricular fibrillation?
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