EMT READINESS EXAM 4 QUESTIONS AND
ANSWERS GRADED A+
92 uyear uold ufemale ucomplains uof ua uheadache uand utrouble ubreathing. uShe uis uon uhome uoxygen. uShe
uspeaks uin u2-3 uword usentences. uWhat uis uthe umost uimportant uquestion uyou ushould uask uher?
a. uHow umany uliters uof uhome uoxygen uare uyou unormally uon?
b. uwhich umedications udo uyou utake?
c. uare uyou uallergic uto uany umedications?
d. uwhen udid uyou ubecome ushort uof ubreath u- ud. uwhen udid uyou ubecome ushort uof ubreath
You uhave uattached uan uAED uto ua u42 uyear uold ufemale uwho uis uapneic uand upulseless. uThe uAED
uprompts uyou. u"No ushock uadvised." uYou ushould u- ustart uchest ucompressions
Which ucardiac urhythm uwill uan uAED umost ulikely uprompt uyou uto ushock?
a. uatrial ufibrillation
b. uasystole
c. upulseless uelectrical uactivity
d. uventricular utachycardia u- ud. uventricular utachycardia
A u22 uyear uold ufemale utells uyou ushe uis uweak uand ucomplains uof usteady uvaginal ubleeding uthat ustarted
u2 uhours uago. uShe udenies uany upain uand utells uyou uthat ushe uhad uher umenstrual ucycle u2 uweeks uago.
uVital usigns uare uBP u100/68, uP u110, uR u16, uand uskin uis uwarm uand udry. uYou ushould u- uplace ua usanitary
upad uover uthe uvaginal uopening
When usecuring ua upregnant upatient uto ua ulong uspine uboard, uyou ushould utilt uthe uboard uto uthe uleft uto
uprevent
a. uhypotension
b. uhypertension
c. ueclampsia
d. utoxemia u- ua. uhypotension
A u10 umonth uold ufemale uis uchoking. uYou ushould uperform u- u5 uback ublows
A u53 uyear uold umale ucomplains uof unausea uand ua uheadache. uWhich uof uthe ufollowing ustatements uis
umost usignificant? u- ujust uturned uthe ufurnace uon ulast unight."
,A u72 uyear uold ufemale's ufamily umember utells uyou uthat ushe uhad ua ubrief uperiod uof uslurred uspeech
uand uleft uarm uweakness uprior uto uEMS uarrival. uWhat uis uthe umost ulikely ucause?
a. unarcotic uoverdose
b. ustroke
c. uhypoglycemia
d. utransient uischemic uattack u- ud. utransient uischemic uattack
A u58 uyear uold umale ucomplains uof ugeneral uweakness uand utells uyou uthat uhe uhad usevere uchest upain
uand ushortness uof ubreath uthe uday ubefore. uYou uhear utakes uat uthe ubases uof uboth ulungs. uHis uskin uis
upale, ucool, uand uclammy. uVital usigns uare uBP u70/40, uP u110 uand uweak, uR u28. uYou ushould ususpect
a. ucardiogenic ushock
b. uhypovolemic ushock
c. uangina upectoris
d. upulmonary uembolism u- ua. ucardiogenic ushock
An uunresponsive u52 uyear uold ufemales uin urespiratory ufailure uafter ubeing ustruck uin uthe uchest uwith ua
umetal upipe. uWith ueach ubreath uonly uone uside uof uher uchest urises. uShe uhas usubcutaneous
uemphysema uand uabsent uradial upulses. uWhat ushould uyou udo?
a. ubegin uchest ucompressions
b. uapply ublow-by uoxygen
c. uapply ubulky udressings uto uthe uchest
d. uprovide upositive upressure uventilations u- ud. uprovide upositive upressure uventilations
A u48 uyear uold umale uwho uwas uinvolved uin ua ucar ucrash uis uslumped uover uthe usteering uwheel uand
uunresponsive uto uloud uverbal ustimuli. uYou usee usmoke uinside uthe uvehicle uand uthat uthe uairbag
udeployed. uYou ushould
a. uperform uan uemergency uextrication
b. uperform ua uprimary usurvey u
c. uadminister uhigh uflow uoxygen uby unonrebreather umask
d. utell uthe ufire udepartment uto ustand uby ufor uextrication u- ua. uperform uan uemergency uextrication
A u23 uyear uold ufemale uis u30 uweeks upregnant uand ucomplains uof uabdominal ucramps. uShe utells uyou
uthat ushe uhas uhad unormal uprenatal uhealth ucare uand uno uvaginal udischarge. uVital usigns uare uBP
u102/74, uP u112, uR u22 uand ulabored. uYou ushould u- uadminister uoxygen
Your uEMS ubase udisplays ua u" uFree uBlood uPressure uCheck" usign uon uthe uwindow. uThis uis uan uexample
uofa. ucommunity u- ucommunity urelations
,A u19 uyear uold ufemale uwas usexually uassaulted uand uis ubleeding ufrom uher uvagina. uYou ushould u- uplace
ua usanitary upad uover uthe uvaginal uopening
While uventilating ua u12 uyear uold ufemale uwith ua upocket umask, uyou uare uunable uto usee uchest urise. uYou
ushould
a. ustart uchest ucompressions
b. usuction uthe uairway
c. uperform ua ufinger usweep
d. ureopen uthe uairway u- ud. ureopen uthe uairway
A uconfused u22 uyear uold umale uhas ua uweak upulse uof u122 uand udistended uabdomen. uHis uskin uis upale,
ucool, uand uclammy. uWhat uis uthe umost ulikely ucause?
a. uacute ucholecystitis
b. uinternal ubleeding
c. ubowel uobstruction
d. uinsulin ushock u- ub. uinternal ubleeding
A u45 uyear uold ufemale uis u34 uweeks upregnant. uShe ucomplains uof ua usevere uheadache, usensitivity uto
ulight, uand uswollen ufeet. uVital usigns uare uBP u130/88, uP u104, uR u24. uWhat ushould uyou ususpect? u- upre-
eclampsia
While utriaging uduring ua umass ucasualty uincident uyou ufind uan uunresponsive uand uapenic ufemale uwiath
uan uopen uhead uinjury. uWhat ucolor utriage utag ushould uyou uassign uher?
a. ublack
b. ured
c. ugreen.
d. uyellow u- ua. ublack
A u15 uday uold ufemale uneonate uis uunresponsive. uVital usigns uare uP u55 uand uR u58. uYou ushould u- uchest
ucompressions
You uare uventilating ua u30 uyear uold umale uwith ua uBVM. uAfter useveral uminutes uof uventilation, uhe
ubecomes ucyanotic uand uthere uis uno uchest urise. uYou ushould u- ureposition uthe uairway uand uventilate
uagain
A u53 uyear uold umale uwith ua uhistory uof ucoronary uartery udisease uhad ua usudden uonset uof utearing
uabdominal upain uthat uradiated uto uhis uback. uhe uis uashen uand udiaphoretic. uHe ustates uthat uhe uneeds
uto uuse uthe utoilet. uVital usigns uare uBP u110/70, uP u100, uR u20. uYou ushould u- uexplain uthe uneed ufor
uimmediate utransport
A unewborn uis uapneic uimmediately uafter udelivery. uYou ushould
, a. uprovide u5 uback ublows uand u5 uchest ucompressions
b. ustart uchest ucompressions
c. ustimulate uthe ubaby uby urubbing uvigorously uwith ua udry utowel
d. uassist uventilations u- uc. ustimulate uthe ubaby uby urubbing uvigorously uwith ua udry utowel
An uunresponsive42 uyear uold umale uis unot ubreathing. uHe uhas ua umedical ualert ubracelet uthat uidentifies
uhim uas udiabetic. uYou ushould
a. udetermine uthe ublood uglucose
b. ucheck ufor ua upulse
c. uassess uhis uairway
d. uadminister uoral uglucose u- ub. ucheck ufor ua upulse
A u62 uyear uold umale uwith ua uhistory uof uCOPD uran uout uof uhis uhome uoxygen. uHe uis ushort uof ubreath
uand uhas ua udry, unonreproductive ucough uwith uclear ulung usounds. uWhat ushould uyou ususpect?
a. uemphysema
b. uchronic ubronchitis
c. upneumonia
d. uasthma uattack u- ua. uemphysema
A u19 uyear uold ufemale uis upostictal ufollowing ua u10 uminute utonic-clonic useizure. uShe uhas usnoring
urespirations. uWhat ushould uyou udo u?
a. uinsert uan uoropharyngeal uairway
b. uobtain ua udetailed umedications ulist
c. upalpate ua ucarotid upulse
d. uperform ua ujaw-thrust umaneuver u- ua. uinsert uan uoropharyngeal uairway
Which uof uthe ufollowing uis ua ucontraindication ufor unitroglycerin uadministration? u- urecent uuse uof
uerectile udysfunction umedication
A u62 uyear uyear uold umale uis uin ucardiac uarrest uat ua urestaurant. uAfter ubeginning uchest ucompressions,
uhis udaughter utells uyou uthat uhe uhas uterminal ulung ucancer, uand ushe uask uyou uto ustop uresuscitation
uefforts. uWhat ushould uyou udo?
a. uask uabout ua uDNR uwhile ucontinuing uresuscitation uefforts
b. utell uthe udaughter ushe uis uinterfering uwith upatient ucare
c. ucease uresuscitation uefforts
d. ucontact umedical ucontrol uimmediately u- ua. uask uabout ua uDNR uwhile ucontinuing uresuscitation uefforts
ANSWERS GRADED A+
92 uyear uold ufemale ucomplains uof ua uheadache uand utrouble ubreathing. uShe uis uon uhome uoxygen. uShe
uspeaks uin u2-3 uword usentences. uWhat uis uthe umost uimportant uquestion uyou ushould uask uher?
a. uHow umany uliters uof uhome uoxygen uare uyou unormally uon?
b. uwhich umedications udo uyou utake?
c. uare uyou uallergic uto uany umedications?
d. uwhen udid uyou ubecome ushort uof ubreath u- ud. uwhen udid uyou ubecome ushort uof ubreath
You uhave uattached uan uAED uto ua u42 uyear uold ufemale uwho uis uapneic uand upulseless. uThe uAED
uprompts uyou. u"No ushock uadvised." uYou ushould u- ustart uchest ucompressions
Which ucardiac urhythm uwill uan uAED umost ulikely uprompt uyou uto ushock?
a. uatrial ufibrillation
b. uasystole
c. upulseless uelectrical uactivity
d. uventricular utachycardia u- ud. uventricular utachycardia
A u22 uyear uold ufemale utells uyou ushe uis uweak uand ucomplains uof usteady uvaginal ubleeding uthat ustarted
u2 uhours uago. uShe udenies uany upain uand utells uyou uthat ushe uhad uher umenstrual ucycle u2 uweeks uago.
uVital usigns uare uBP u100/68, uP u110, uR u16, uand uskin uis uwarm uand udry. uYou ushould u- uplace ua usanitary
upad uover uthe uvaginal uopening
When usecuring ua upregnant upatient uto ua ulong uspine uboard, uyou ushould utilt uthe uboard uto uthe uleft uto
uprevent
a. uhypotension
b. uhypertension
c. ueclampsia
d. utoxemia u- ua. uhypotension
A u10 umonth uold ufemale uis uchoking. uYou ushould uperform u- u5 uback ublows
A u53 uyear uold umale ucomplains uof unausea uand ua uheadache. uWhich uof uthe ufollowing ustatements uis
umost usignificant? u- ujust uturned uthe ufurnace uon ulast unight."
,A u72 uyear uold ufemale's ufamily umember utells uyou uthat ushe uhad ua ubrief uperiod uof uslurred uspeech
uand uleft uarm uweakness uprior uto uEMS uarrival. uWhat uis uthe umost ulikely ucause?
a. unarcotic uoverdose
b. ustroke
c. uhypoglycemia
d. utransient uischemic uattack u- ud. utransient uischemic uattack
A u58 uyear uold umale ucomplains uof ugeneral uweakness uand utells uyou uthat uhe uhad usevere uchest upain
uand ushortness uof ubreath uthe uday ubefore. uYou uhear utakes uat uthe ubases uof uboth ulungs. uHis uskin uis
upale, ucool, uand uclammy. uVital usigns uare uBP u70/40, uP u110 uand uweak, uR u28. uYou ushould ususpect
a. ucardiogenic ushock
b. uhypovolemic ushock
c. uangina upectoris
d. upulmonary uembolism u- ua. ucardiogenic ushock
An uunresponsive u52 uyear uold ufemales uin urespiratory ufailure uafter ubeing ustruck uin uthe uchest uwith ua
umetal upipe. uWith ueach ubreath uonly uone uside uof uher uchest urises. uShe uhas usubcutaneous
uemphysema uand uabsent uradial upulses. uWhat ushould uyou udo?
a. ubegin uchest ucompressions
b. uapply ublow-by uoxygen
c. uapply ubulky udressings uto uthe uchest
d. uprovide upositive upressure uventilations u- ud. uprovide upositive upressure uventilations
A u48 uyear uold umale uwho uwas uinvolved uin ua ucar ucrash uis uslumped uover uthe usteering uwheel uand
uunresponsive uto uloud uverbal ustimuli. uYou usee usmoke uinside uthe uvehicle uand uthat uthe uairbag
udeployed. uYou ushould
a. uperform uan uemergency uextrication
b. uperform ua uprimary usurvey u
c. uadminister uhigh uflow uoxygen uby unonrebreather umask
d. utell uthe ufire udepartment uto ustand uby ufor uextrication u- ua. uperform uan uemergency uextrication
A u23 uyear uold ufemale uis u30 uweeks upregnant uand ucomplains uof uabdominal ucramps. uShe utells uyou
uthat ushe uhas uhad unormal uprenatal uhealth ucare uand uno uvaginal udischarge. uVital usigns uare uBP
u102/74, uP u112, uR u22 uand ulabored. uYou ushould u- uadminister uoxygen
Your uEMS ubase udisplays ua u" uFree uBlood uPressure uCheck" usign uon uthe uwindow. uThis uis uan uexample
uofa. ucommunity u- ucommunity urelations
,A u19 uyear uold ufemale uwas usexually uassaulted uand uis ubleeding ufrom uher uvagina. uYou ushould u- uplace
ua usanitary upad uover uthe uvaginal uopening
While uventilating ua u12 uyear uold ufemale uwith ua upocket umask, uyou uare uunable uto usee uchest urise. uYou
ushould
a. ustart uchest ucompressions
b. usuction uthe uairway
c. uperform ua ufinger usweep
d. ureopen uthe uairway u- ud. ureopen uthe uairway
A uconfused u22 uyear uold umale uhas ua uweak upulse uof u122 uand udistended uabdomen. uHis uskin uis upale,
ucool, uand uclammy. uWhat uis uthe umost ulikely ucause?
a. uacute ucholecystitis
b. uinternal ubleeding
c. ubowel uobstruction
d. uinsulin ushock u- ub. uinternal ubleeding
A u45 uyear uold ufemale uis u34 uweeks upregnant. uShe ucomplains uof ua usevere uheadache, usensitivity uto
ulight, uand uswollen ufeet. uVital usigns uare uBP u130/88, uP u104, uR u24. uWhat ushould uyou ususpect? u- upre-
eclampsia
While utriaging uduring ua umass ucasualty uincident uyou ufind uan uunresponsive uand uapenic ufemale uwiath
uan uopen uhead uinjury. uWhat ucolor utriage utag ushould uyou uassign uher?
a. ublack
b. ured
c. ugreen.
d. uyellow u- ua. ublack
A u15 uday uold ufemale uneonate uis uunresponsive. uVital usigns uare uP u55 uand uR u58. uYou ushould u- uchest
ucompressions
You uare uventilating ua u30 uyear uold umale uwith ua uBVM. uAfter useveral uminutes uof uventilation, uhe
ubecomes ucyanotic uand uthere uis uno uchest urise. uYou ushould u- ureposition uthe uairway uand uventilate
uagain
A u53 uyear uold umale uwith ua uhistory uof ucoronary uartery udisease uhad ua usudden uonset uof utearing
uabdominal upain uthat uradiated uto uhis uback. uhe uis uashen uand udiaphoretic. uHe ustates uthat uhe uneeds
uto uuse uthe utoilet. uVital usigns uare uBP u110/70, uP u100, uR u20. uYou ushould u- uexplain uthe uneed ufor
uimmediate utransport
A unewborn uis uapneic uimmediately uafter udelivery. uYou ushould
, a. uprovide u5 uback ublows uand u5 uchest ucompressions
b. ustart uchest ucompressions
c. ustimulate uthe ubaby uby urubbing uvigorously uwith ua udry utowel
d. uassist uventilations u- uc. ustimulate uthe ubaby uby urubbing uvigorously uwith ua udry utowel
An uunresponsive42 uyear uold umale uis unot ubreathing. uHe uhas ua umedical ualert ubracelet uthat uidentifies
uhim uas udiabetic. uYou ushould
a. udetermine uthe ublood uglucose
b. ucheck ufor ua upulse
c. uassess uhis uairway
d. uadminister uoral uglucose u- ub. ucheck ufor ua upulse
A u62 uyear uold umale uwith ua uhistory uof uCOPD uran uout uof uhis uhome uoxygen. uHe uis ushort uof ubreath
uand uhas ua udry, unonreproductive ucough uwith uclear ulung usounds. uWhat ushould uyou ususpect?
a. uemphysema
b. uchronic ubronchitis
c. upneumonia
d. uasthma uattack u- ua. uemphysema
A u19 uyear uold ufemale uis upostictal ufollowing ua u10 uminute utonic-clonic useizure. uShe uhas usnoring
urespirations. uWhat ushould uyou udo u?
a. uinsert uan uoropharyngeal uairway
b. uobtain ua udetailed umedications ulist
c. upalpate ua ucarotid upulse
d. uperform ua ujaw-thrust umaneuver u- ua. uinsert uan uoropharyngeal uairway
Which uof uthe ufollowing uis ua ucontraindication ufor unitroglycerin uadministration? u- urecent uuse uof
uerectile udysfunction umedication
A u62 uyear uyear uold umale uis uin ucardiac uarrest uat ua urestaurant. uAfter ubeginning uchest ucompressions,
uhis udaughter utells uyou uthat uhe uhas uterminal ulung ucancer, uand ushe uask uyou uto ustop uresuscitation
uefforts. uWhat ushould uyou udo?
a. uask uabout ua uDNR uwhile ucontinuing uresuscitation uefforts
b. utell uthe udaughter ushe uis uinterfering uwith upatient ucare
c. ucease uresuscitation uefforts
d. ucontact umedical ucontrol uimmediately u- ua. uask uabout ua uDNR uwhile ucontinuing uresuscitation uefforts
