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TEST BANK FOR Paramedic Care: Principles

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rogressively deeper, faster breathing alternating gradually with shallow, slower breathing is called: a. Cheyne-Stokes respirations b. Kussmaul's respirations c. agonal respirations d. Biot's respirations Correct answer- a. Cheyne-Stokes respirations The EMT shows that he is correctly using the flow-restricted, oxygen-powered ventilation device when he: a. increases pressure if the air enters the stomach instead of the lungs b. stops ventilating as soon as the patients' chest begins to rise c. administers each ventilation over a two to three second period d. ventilates the patient at a rate of 20 breaths per minute Correct answer- b. stops ventilating as soon as the patients' chest begins to rise You are assessing a patient with altered mental status. Which assessment finding contraindicates the use of a nonrebreather face mask? a. clear and equal breath sounds b. confusion c. respiratory rate of 24 breaths per minute d. respiratory rate of 18, with poor tidal volume Correct answer- d. respiratory rate of 18, with poor tidal volume The simplest airway management technique in a patient with a suspected cervical spine injury is the: a. use of an oral airway b. Sellick's maneuver c. modified jaw thrust maneuver d. head-tilt/chin-lift maneuver Correct answer- d. head-tilt/chin-lift maneuver The patient with COPD may benefit from oxygen delivery through a venturi mask because: a. it delivers intermittent positive pressure to the airway b. oxygen concentration is controlled more carefully c. it both protects the airway and delivers oxygen d. it delivers the highest oxygen concentration possible Correct answer- b. oxygen concentration is controlled more carefully When a bag-valve ventilation device is used without supplemental oxygen, it delivers an oxygen concentration of _________ percent.a. 21 b. 26 c. 60 d. 40 Correct answer- a. 21 You should be prepared to immediately intubate any patient with respiratory distress who is exhibiting: a. a heart rate over 100 b. a pulse oximetry reading of 90 percent or less c. wheezing d. altered mentation Correct answer- d. altered mentation In which of the following conditions is insertion of a nasogastric tube contraindicated? a. being awake and alert b. having a gag reflex c. facial fractures d. all of the above Correct answer- c. facial fractures In an adult, the narrowest part of the airway is the: a. larynx b. hypopharynx c. trachea d. cricoid cartilage Correct answer- a. larynx Which of the following factors is related to an increased likelihood of airway burns? a. unresponsiveness in the burning environment b. inhalation of hot steam c. screaming or yelling in a burning environment d. all of the above Correct answer- d. all of the above What percentage of oxygen is delivered by a simple face mask? a. 40-60 b. 60-80 c. 80-90 d. 95-100 Correct answer- a. 40-60 Applying posteriorly directed pressure on the cricoid cartilage to facilitate endotracheal intubation is called: a. retrograde intubation b. digital intubationc. Sellick's maneuver d. cricothyroidotomy Correct answer- c. Sellick's maneuver When monitoring a patient receiving oxygen through a nasal cannula, which one of the following observations warrants immediate intervention? a. tubing positioned over the ears and under the chin b. prongs in the nostrils curving posteriorly into the nose c. breathing normally with the nasal cannula in place d. oxygen flow rate of 15 lpm Correct answer- d. oxygen flow rate of 15 lpm You are artificially ventilating an adult male patient who is in respiratory arrest with a bag-valve mask. Which one of the following shows that you are ventilating the patient properly? a. clear and equal breath sounds b. ability to fully deflate the self-inflating bag c. adequate chest rise and fall d. ventilation rate of 20 breaths per minute Correct answer- c. adequate chest rise and fall A _____________ is an example of a dual lumen airway.

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TEST BANK FOR PARAMEDIC CARE,
PRINCIPLES AND PRACTICES

QUESTIONS AND ANSWERS
ULTIMATE GUIDE 2023|2024

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You arrive at the scene of a shooting in a housing project and find a patient lying on the
sidewalk in a pool of blood. An obvious, large gaping open wound to the upper thigh is
spurting blood. The patient is still clutching a pistol while thrashing around and
screaming. Your first action should be to:

a. immediately apply direct pressure to the open thigh wound
b. restrain the patient and attempt to control the weapon
c. retreat and clear bystanders from around the patient
d. attempt to knock the gun from the patients hand Correct answer- c. retreat and clear
bystanders from around the patient

Medical direction in an EMS system is:

a. provided by a supervising nurse in the emergency department
b. provided by employing the agency's training or education staff
c. the ultimate responsibility of a physician medical director
d. provided by the use of well defined treatment protocols Correct answer- c. the
ultimate responsibility of a physician medical director

An example of an unsafe on scene activity is:

a. wearing reflective clothing at night
b. using latex gloves
c. wearing protective clothing
d. entering a crime scene quickly Correct answer- d. entering a crime scene quickly

The single most important way to prevent the spread of infection is by:

a. wearing latex gloves
b. wearing a disposable face mask
c. vigorous hand washing
d. using aseptic wipes Correct answer- c. vigorous hand washing

The term bilateral refers to:

a. both lungs
b. one side

,c. frontal skull
d. both sides Correct answer- d. both sides

Which of the following is not considered a sign?

a. abdominal pain
b. retractions
c. bleeding from the forehead
d. hot skin temperature Correct answer- a. abdominal pain

The trachea divides into two:

a. carina
b. bronchi
c. alveoli
d. pharynx Correct answer- b. bronchi

Which blood vessel carries oxygen poor blood to the heart?

a. vena cava
b. aorta
c. pulmonary arteries
d. pulmonary vein Correct answer- vena cava

When a substance enters the body through the gastrointestinal tract, it has accessed
the body through:

a. absorption
b. ingestion
c. inhalation
d. injection Correct answer- b. ingestion

Alcohol is classified as a:

a. anxiolytic
b. depressant
c. stimulant
d. serotonin inhibitor Correct answer- b. depressant

Which of the following is a highly toxic, odorless, tasteless gas that is a by product of
incomplete combustion?

a. carbon dioxide
b. methane
c. cyanide
d. carbon monoxide Correct answer- d. carbon monoxide

, Which patient is breathing adequately?

a. 8 year old breathing 12 times a minute with shallow tidal volume
b. 3 month old breathing 40 times a minute with abdominal movement
c. 22 year old breathing 26 times a minute with accessory muscle use
d. 61 year old breathing 42 times a minute with a history of smoking Correct answer- b.
3 month old breathing at 40 times a minute with abdominal movement

You note snoring sounds upon assessment of the airway in an unresponsive patient
who is found lying in bed. You should:

a. place the patient on a non-rebreather mask at 15 lpm
b. tilt the head back and lift the chin forward
c. begin positive pressure ventilation with a pocket mask
d. assess to determine if a carotid pulse is present Correct answer- b. tilt the head back
and lift the chin forward

After assisting you patient with a metered dose inhaler (MDI), he experiences
tachycardia and nervousness. Which of the following is true regarding these findings?

a. Tachycardia and nervousness are common side effects of the drug
b. the patient has overdosed on the medication
c. tachycardia and nervousness occurred because the medication dose was incorrect
d. the patient is hypersensitive to the drug Correct answer- a. tachycardia and
nervousness are common side effects of the drug

A sign of anaphylactic shock that would require epinephrine administration is:

a. hypotension
b. tachycardia
c. hives
d. flushed skin Correct answer- a. hypotension

The standards for prehospital emergency care and the individual who provide it are
typically regulated by the:

a. state office of EMS
b. regional trauma center
c. American Heart Association
d. National Registry of EMTs Correct answer- a. state office of EMS

First responders, such as firefighters, law enforcement officers, and park rangers, are
an integral part of the EMS system because:

a. the presence of a person trained to initiate BLS care cannot be ensured

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