Assessment, Airway Management,
Communication and Documentation
Questions and Answers 100% Pass
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? - ✔✔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: -
✔✔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: - ✔✔Dyspneic
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,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? - ✔✔Provide positive pressure ventilation with supplemental oxygen
How does CPAP improve oxygenation and ventilation in patients with certain
respiratory problems? - ✔✔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: - ✔✔provide
assisted ventilation
When assessing a conscious trauma patient's circulation during the primary assessment,
the EMT's assessment would include: - ✔✔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 -
✔✔Positive pressure ventilation
A hazard that makes most scenes potentially dangerous to the EMT is - ✔✔blood and
body fluids.
When ventilating an adult with a BVM device connected to oxygen, the volume
delivered with each breath should be approximately - ✔✔6 - 7 ml/kg
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, The main advantage of the Venturi mask is: - ✔✔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? - ✔✔Decreased gas exchange
When using a therapy regulator on the oxygen tank, which of the following can be
readily observed? - ✔✔Flow rate of oxygen leaving the oxygen cylinder
For which of the following would CPAP be appropriate? - ✔✔A patient with
emphysema and breathing is adequate but distressed.
A ventilation/perfusion (V/Q ratio) mismatch occurs when: - ✔✔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? -
✔✔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: - ✔✔remove her dentures, resume ventilations, and assess for
adequate chest rise.
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