TEST BANK For Paramedic Care -
s s s s s
Principles and Practice, 6th Edition, Volume 1 -
s s s s s s s s
5 by Bledsoe,
s s s
Yousarrivesatsthesscenesofsasshootingsinsashousingsprojectsandsfindsaspatientslyingsonsthes
sidewalksinsaspoolsofsblood.sAnsobvious,slargesgapingsopenswoundstosthesuppersthighsiss
spurtingsblood.sThespatientsissstillsclutchingsaspistolswhilesthrashingsaroundsandsscreami
ng.sYoursfirstsactionsshouldsbesto:
a.simmediatelysapplysdirectspressurestosthesopensthighswound
b.srestrainsthespatientsandsattemptstoscontrolsthesweapon
c.sretreatsandsclearsbystanderssfromsaroundsthespatient
d.sattemptstosknocksthesgunsfromsthespatientsshands-
sANSWERsssc.sretreatsandsclearsbystanderssfromsaroundsthespatient
MedicalsdirectionsinsansEMSssystemsis:
a.sprovidedsbysassupervisingsnursesinsthesemergencysdepartment
b.sprovidedsbysemployingsthesagency'sstrainingsorseducationsstaff
c.sthesultimatesresponsibilitysofsasphysiciansmedicalsdirector
d.sprovidedsbysthesusesofswellsdefinedstreatmentsprotocolss-
sANSWERsssc.sthesultimatesresponsibilitysofsasphysiciansmedicalsdirector
Ansexamplesofsansunsafesonsscenesactivitysis:
a.swearingsreflectivesclothingsatsnight
b.susingslatexsgloves
c.swearingsprotectivesclothing
d.senteringsascrimesscenesquicklys-sANSWERsssd.senteringsascrimesscenesquickly
Thessinglesmostsimportantswaystospreventsthesspreadsofsinfectionsissby:
a.swearingslatexsgloves
b.swearingsasdisposablesfacesmask
c.svigorousshandswashing
d.susingsasepticswipess-sANSWERsssc.svigorousshandswashing
Thestermsbilateralsreferssto:
a.sbothslungs
b.sonesside
c.sfrontalsskull
d.sbothssidess-sANSWERsssd.sbothssides
Whichsofsthesfollowingsissnotsconsideredsassign?
,a.sabdominalspain
b.sretractions
c.sbleedingsfromsthesforehead
d.shotsskinstemperatures-sANSWERsssa.sabdominalspain
Thestracheasdividessintostwo:
a.scarina
b.sbronchi
c.salveoli
d.spharynxs-sANSWERsssb.sbronchi
Whichsbloodsvesselscarriessoxygenspoorsbloodstosthesheart?
a.svenascava
b.saorta
c.spulmonarysarteries
d.spulmonarysveins-sANSWERsssvenascava
Whensassubstancesenterssthesbodysthroughsthesgastrointestinalstract,sitshassaccessedst
hesbodysthrough:
a.sabsorption
b.singestion
c.sinhalation
d.sinjections-sANSWERsssb.singestion
Alcoholsissclassifiedsassa:
a.sanxiolytic
b.sdepressant
c.sstimulant
d.sserotoninsinhibitors-sANSWERsssb.sdepressant
Whichsofsthesfollowingsissashighlystoxic,sodorless,stastelesssgassthatsissasbysproductsofsin
completescombustion?
a.scarbonsdioxide
b.smethane
c.scyanide
d.scarbonsmonoxides-sANSWERsssd.scarbonsmonoxide
Whichspatientsissbreathingsadequately?
a.s8syearsoldsbreathings12stimessasminuteswithsshallowstidalsvolume
b.s3smonthsoldsbreathings40stimessasminuteswithsabdominalsmovement
c.s22syearsoldsbreathings26stimessasminuteswithsaccessorysmusclesuse
d.s61syearsoldsbreathings42stimessasminuteswithsashistorysofssmokings-
sANSWERsssb.s3smonthsoldsbreathingsats40stimessasminuteswithsabdominalsmovement
,Yousnotessnoringssoundssuponsassessmentsofsthesairwaysinsansunresponsivespatientsw
hosissfoundslyingsinsbed.sYousshould:
a.splacesthespatientsonsasnon-rebreathersmasksats15slpm
b.stiltsthesheadsbacksandsliftstheschinsforward
c.sbeginspositivespressuresventilationswithsaspocketsmask
d.sassessstosdeterminesifsascarotidspulsesisspresents-
sANSWERsssb.stiltsthesheadsbacksandsliftstheschinsforward
Aftersassistingsyouspatientswithsasmeteredsdosesinhalers(MDI),shesexperiencesstachycar
diasandsnervousness.sWhichsofsthesfollowingsisstruesregardingsthesesfindings?
a.sTachycardiasandsnervousnesssarescommonssideseffectssofsthesdrug
b.sthespatientshassoverdosedsonsthesmedication
c.stachycardiasandsnervousnesssoccurredsbecausesthesmedicationsdoseswassincorrect
d.sthespatientsisshypersensitivestosthesdrugs-
sANSWERsssa.stachycardiasandsnervousnesssarescommonssideseffectssof sthesdrug
Assignsofsanaphylacticsshocksthatswouldsrequiresepinephrinesadministrationsis:
a.shypotension
b.stachycardia
c.shives
d.sflushedsskins-sANSWERsssa.shypotension
Thesstandardssforsprehospitalsemergencyscaresandsthesindividualswhosprovidesitsarestyp
icallysregulatedsbysthe:
a.sstatesofficesofsEMS
b.sregionalstraumascenter
c.sAmericansHeartsAssociation
d.sNationalsRegistrysofsEMTss-sANSWERsssa.sstatesofficesofsEMS
Firstsresponders,ssuchsassfirefighters,slawsenforcementsofficers,sandsparksrangers,sares
ansintegralspartsofsthesEMSssystemsbecause:
a.sthespresencesofsaspersonstrainedstosinitiatesBLSscarescannotsbesensured
b.stheysaresoftenstrainedstosassiststhesadvancedslevelsEMTswithsprocedures
c.sthesaveragesresponsestimesforsthesEMTscrewsissapproximatelys15sminutes
d.stheyscansinitiatescertainsadvancedslifessupportsproceduressbeforesEMSsarrivals-
sANSWERsssc.sthesaveragesresponsestimesforsthesEMTscrewsissapproximatelys15sminute
s
Ansappropriatesdemonstrationsofsprofessionalismswhensyourspatientsissfrightened,sdem
anding,sorsunpleasantsissto:
a.scontinuestosbesnonjudgmental,scompassionate,sandsrespectful
b.sdemandsthespatientstosbesquietsandscooperativesduringstransport
c.signoresthespatientssfeelingssandsfocussonstheirsmedicalscomplaint
, d.sreassuresyourspatientseverythingswillsbesalright,sevensifsitswillsnotsbe.s-
sANSWERsssa.scontinuestosbesnonjudgmental,scompassionate,sandsrespectful
ContinuingseducationsinsEMSsservessto:
a.sprovesresearchsandsstatisticalsfindingssinsprehospitalscare
b.smaintain,supdate,sandsexpandsyoursknowledgesandsskills
c.senforcesmandatorysattendancestosagency-specificstraining
d.sprovidesansongoingsreviewsandsauditsofsthesEMSssystems-
sANSWERsssb.smaintain,supdate,sandsexpandsyoursknowledgesandsskills
Whichsofsthesfollowingsstatementsswouldsnotsbesappropriatestossaystosthesfamilysofsasdyi
ngspatient?
a.s"Thingsswillsgetsbettersinstime"
b.s"Itsissokaystosbesangrysandssad"
c.s"Thissmustsbespainfulsforsyou"
d.s"Tellsmeshowsyousaresfeeling"s-sANSWERsssa.s"Thingsswillsgetsbettersinstime"
ImmediatesintubationsshouldsbesconsideredsforstraumaspatientsswithsasGlasgowsComas
Scalesscoresofs_________sorslower.
a.s2
b.s5
c.s8
d.s10s-sANSWERsssc.s8
Whatsis,sinslpm,stheshighestsflowsratesonsasdemandsvalvesdevice?
a.s20
b.s40
c.s30
d.s15s-sANSWERsssb.s40
Progressivelysdeeper,sfastersbreathingsalternatingsgraduallyswithsshallow,sslowersbreat
hingsisscalled:
a.sCheyne-Stokessrespirations
b.sKussmaul'ssrespirations
c.sagonalsrespirations
d.sBiot'ssrespirationss-sANSWERsssa.sCheyne-Stokessrespirations
ThesEMTsshowssthatshesisscorrectlysusingsthesflow-restricted,soxygen-
poweredsventilationsdeviceswhenshe:
a.sincreasesspressuresifsthesairsenterssthesstomachsinsteadsofstheslungs
b.sstopssventilatingsasssoonsassthespatients'schestsbeginsstosrise
c.sadministersseachsventilationsoversastwostosthreessecondsperiod
d.sventilatessthespatientsatsasratesofs20sbreathsspersminutes-
sANSWERsssb.sstopssventilatingsasssoonsassthespatients'schestsbeginsstosrise
s s s s s
Principles and Practice, 6th Edition, Volume 1 -
s s s s s s s s
5 by Bledsoe,
s s s
Yousarrivesatsthesscenesofsasshootingsinsashousingsprojectsandsfindsaspatientslyingsonsthes
sidewalksinsaspoolsofsblood.sAnsobvious,slargesgapingsopenswoundstosthesuppersthighsiss
spurtingsblood.sThespatientsissstillsclutchingsaspistolswhilesthrashingsaroundsandsscreami
ng.sYoursfirstsactionsshouldsbesto:
a.simmediatelysapplysdirectspressurestosthesopensthighswound
b.srestrainsthespatientsandsattemptstoscontrolsthesweapon
c.sretreatsandsclearsbystanderssfromsaroundsthespatient
d.sattemptstosknocksthesgunsfromsthespatientsshands-
sANSWERsssc.sretreatsandsclearsbystanderssfromsaroundsthespatient
MedicalsdirectionsinsansEMSssystemsis:
a.sprovidedsbysassupervisingsnursesinsthesemergencysdepartment
b.sprovidedsbysemployingsthesagency'sstrainingsorseducationsstaff
c.sthesultimatesresponsibilitysofsasphysiciansmedicalsdirector
d.sprovidedsbysthesusesofswellsdefinedstreatmentsprotocolss-
sANSWERsssc.sthesultimatesresponsibilitysofsasphysiciansmedicalsdirector
Ansexamplesofsansunsafesonsscenesactivitysis:
a.swearingsreflectivesclothingsatsnight
b.susingslatexsgloves
c.swearingsprotectivesclothing
d.senteringsascrimesscenesquicklys-sANSWERsssd.senteringsascrimesscenesquickly
Thessinglesmostsimportantswaystospreventsthesspreadsofsinfectionsissby:
a.swearingslatexsgloves
b.swearingsasdisposablesfacesmask
c.svigorousshandswashing
d.susingsasepticswipess-sANSWERsssc.svigorousshandswashing
Thestermsbilateralsreferssto:
a.sbothslungs
b.sonesside
c.sfrontalsskull
d.sbothssidess-sANSWERsssd.sbothssides
Whichsofsthesfollowingsissnotsconsideredsassign?
,a.sabdominalspain
b.sretractions
c.sbleedingsfromsthesforehead
d.shotsskinstemperatures-sANSWERsssa.sabdominalspain
Thestracheasdividessintostwo:
a.scarina
b.sbronchi
c.salveoli
d.spharynxs-sANSWERsssb.sbronchi
Whichsbloodsvesselscarriessoxygenspoorsbloodstosthesheart?
a.svenascava
b.saorta
c.spulmonarysarteries
d.spulmonarysveins-sANSWERsssvenascava
Whensassubstancesenterssthesbodysthroughsthesgastrointestinalstract,sitshassaccessedst
hesbodysthrough:
a.sabsorption
b.singestion
c.sinhalation
d.sinjections-sANSWERsssb.singestion
Alcoholsissclassifiedsassa:
a.sanxiolytic
b.sdepressant
c.sstimulant
d.sserotoninsinhibitors-sANSWERsssb.sdepressant
Whichsofsthesfollowingsissashighlystoxic,sodorless,stastelesssgassthatsissasbysproductsofsin
completescombustion?
a.scarbonsdioxide
b.smethane
c.scyanide
d.scarbonsmonoxides-sANSWERsssd.scarbonsmonoxide
Whichspatientsissbreathingsadequately?
a.s8syearsoldsbreathings12stimessasminuteswithsshallowstidalsvolume
b.s3smonthsoldsbreathings40stimessasminuteswithsabdominalsmovement
c.s22syearsoldsbreathings26stimessasminuteswithsaccessorysmusclesuse
d.s61syearsoldsbreathings42stimessasminuteswithsashistorysofssmokings-
sANSWERsssb.s3smonthsoldsbreathingsats40stimessasminuteswithsabdominalsmovement
,Yousnotessnoringssoundssuponsassessmentsofsthesairwaysinsansunresponsivespatientsw
hosissfoundslyingsinsbed.sYousshould:
a.splacesthespatientsonsasnon-rebreathersmasksats15slpm
b.stiltsthesheadsbacksandsliftstheschinsforward
c.sbeginspositivespressuresventilationswithsaspocketsmask
d.sassessstosdeterminesifsascarotidspulsesisspresents-
sANSWERsssb.stiltsthesheadsbacksandsliftstheschinsforward
Aftersassistingsyouspatientswithsasmeteredsdosesinhalers(MDI),shesexperiencesstachycar
diasandsnervousness.sWhichsofsthesfollowingsisstruesregardingsthesesfindings?
a.sTachycardiasandsnervousnesssarescommonssideseffectssofsthesdrug
b.sthespatientshassoverdosedsonsthesmedication
c.stachycardiasandsnervousnesssoccurredsbecausesthesmedicationsdoseswassincorrect
d.sthespatientsisshypersensitivestosthesdrugs-
sANSWERsssa.stachycardiasandsnervousnesssarescommonssideseffectssof sthesdrug
Assignsofsanaphylacticsshocksthatswouldsrequiresepinephrinesadministrationsis:
a.shypotension
b.stachycardia
c.shives
d.sflushedsskins-sANSWERsssa.shypotension
Thesstandardssforsprehospitalsemergencyscaresandsthesindividualswhosprovidesitsarestyp
icallysregulatedsbysthe:
a.sstatesofficesofsEMS
b.sregionalstraumascenter
c.sAmericansHeartsAssociation
d.sNationalsRegistrysofsEMTss-sANSWERsssa.sstatesofficesofsEMS
Firstsresponders,ssuchsassfirefighters,slawsenforcementsofficers,sandsparksrangers,sares
ansintegralspartsofsthesEMSssystemsbecause:
a.sthespresencesofsaspersonstrainedstosinitiatesBLSscarescannotsbesensured
b.stheysaresoftenstrainedstosassiststhesadvancedslevelsEMTswithsprocedures
c.sthesaveragesresponsestimesforsthesEMTscrewsissapproximatelys15sminutes
d.stheyscansinitiatescertainsadvancedslifessupportsproceduressbeforesEMSsarrivals-
sANSWERsssc.sthesaveragesresponsestimesforsthesEMTscrewsissapproximatelys15sminute
s
Ansappropriatesdemonstrationsofsprofessionalismswhensyourspatientsissfrightened,sdem
anding,sorsunpleasantsissto:
a.scontinuestosbesnonjudgmental,scompassionate,sandsrespectful
b.sdemandsthespatientstosbesquietsandscooperativesduringstransport
c.signoresthespatientssfeelingssandsfocussonstheirsmedicalscomplaint
, d.sreassuresyourspatientseverythingswillsbesalright,sevensifsitswillsnotsbe.s-
sANSWERsssa.scontinuestosbesnonjudgmental,scompassionate,sandsrespectful
ContinuingseducationsinsEMSsservessto:
a.sprovesresearchsandsstatisticalsfindingssinsprehospitalscare
b.smaintain,supdate,sandsexpandsyoursknowledgesandsskills
c.senforcesmandatorysattendancestosagency-specificstraining
d.sprovidesansongoingsreviewsandsauditsofsthesEMSssystems-
sANSWERsssb.smaintain,supdate,sandsexpandsyoursknowledgesandsskills
Whichsofsthesfollowingsstatementsswouldsnotsbesappropriatestossaystosthesfamilysofsasdyi
ngspatient?
a.s"Thingsswillsgetsbettersinstime"
b.s"Itsissokaystosbesangrysandssad"
c.s"Thissmustsbespainfulsforsyou"
d.s"Tellsmeshowsyousaresfeeling"s-sANSWERsssa.s"Thingsswillsgetsbettersinstime"
ImmediatesintubationsshouldsbesconsideredsforstraumaspatientsswithsasGlasgowsComas
Scalesscoresofs_________sorslower.
a.s2
b.s5
c.s8
d.s10s-sANSWERsssc.s8
Whatsis,sinslpm,stheshighestsflowsratesonsasdemandsvalvesdevice?
a.s20
b.s40
c.s30
d.s15s-sANSWERsssb.s40
Progressivelysdeeper,sfastersbreathingsalternatingsgraduallyswithsshallow,sslowersbreat
hingsisscalled:
a.sCheyne-Stokessrespirations
b.sKussmaul'ssrespirations
c.sagonalsrespirations
d.sBiot'ssrespirationss-sANSWERsssa.sCheyne-Stokessrespirations
ThesEMTsshowssthatshesisscorrectlysusingsthesflow-restricted,soxygen-
poweredsventilationsdeviceswhenshe:
a.sincreasesspressuresifsthesairsenterssthesstomachsinsteadsofstheslungs
b.sstopssventilatingsasssoonsassthespatients'schestsbeginsstosrise
c.sadministersseachsventilationsoversastwostosthreessecondsperiod
d.sventilatessthespatientsatsasratesofs20sbreathsspersminutes-
sANSWERsssb.sstopssventilatingsasssoonsassthespatients'schestsbeginsstosrise
