Defensive Driving Course Final Exam | Questions and Verified Answers (2022/2023)

Defensive Driving Course Final Exam | Questions and Verified Answers (2022/2023) When assessing a pulse, you are feeling the: A. relaxation of the atria B. contraction of the left ventricle C. contraction of the left atrium D. relaxation of both ventricles - anscontraction of the left ventricle* A 60 y/o female has chest pain. She has not taken her prescribed nitro you should A. Determine what type of cardiac problem the pt has, and assist her with taking the nitro B. Immediately attached the AED and begin transport to hospital C. Administer aspirin only and withhold the nitro D. Consult medical direction with regard to assisting the pt in taking the nitro - ansDetermine what type of cardiac problem the pt has, and assist her with taking the nitro Which of the following is the best definition of hypoperfusion? A. Less blood reaching capillary beds B. Inadequate oxygen delivery to cells C. Lowered heart rate and BP D. Blood vessel dilation causing distal pooling - ansInadequate oxygen delivery to cells You are ventilating an apneic asthmatic patient with a BVM, but notice there is inadequate chest rise. What should you do? A. reassess the airway for an obstruction B. increase the ventilation pressure C. switch to an O2 powered ventilation device D. increase the rate of the ventilations - ansreassess the airway for an obstruction * The use of a traction splint for femur fractures is important in order to A. Prevent tissue swelling B. Facilitate easy transfer of pt to the hospital C. Decrease pain by preventing bone movement D. Reduce further nerve and blood vessel damage - ansReduce further nerve and blood vessel damage A 40 y/o male complains of abdominal pain after being assaulted. His abdomen is rigid and tender on assessment. Vital signs are BP 108/68, P 116, R 26. You should suspect A. Compensated shock B. A ruptured diaphragm C. Decompensated shock D. Pneumothorax - ansCompensated shock Your patient complains of itching and difficulty breathing after a bee sting. He reports no known allergies. His vitals are: BP 136/86, P 118, R 20. You should A. administer O2 via nasal cannula and transport immediately B. administer O2 via NRM and transport immediately C. recommend the patient take an oral antihistamine and contact his physician - ansadminister O2 via NRM and transport immediately * Which of the following is an anatomical difference between an adult and an infant airway? A. The infants trachea is more rigid B. The infants trachea is softer C. The adults tongue is proportionally larger D. The adults mouth is proportionally smaller - ansThe infants trachea is softer Your 36 y/o pt is unresponsive upon attempting to insert an OPA, the patient gags, You should A. Insert a nasal airway B. Suction the oropharynx C. Reattempt using a smaller oral adjunct D. Insert a dual lumen airway - ansInsert a nasal airway A 16 y/o football player received a blow to his left femur. You can see deformity and the patient is in extreme pain. He does not remember how the injury happened. You should. A. Apply a board splint B. Immediately stabilize the C-spine C. Apply a long spine board and rapidly transport D. Apply a traction splint to injured leg - ansImmediately stabilize the C-spine You respond to a conscious thirty-four y/o male burned in a fire with full thickness burns to both hands and forearms and partial thickness burns to his chest. You should A. Apply cool water to burned areas B. Soak the burned areas in saline and wrap with sterile dressing C. Apply an antiseptic ointment to the burned areas D. Carefully wrap the burned areas with dry sterile dressing - ansCarefully wrap the burned areas with dry sterile dressing A 24 year old female has been stabbed and the police state she is deceased. You note blood all over her clothing. You should A. do not disturb the crime scene B. assess the airway and check for a pulse C. remove her clothing and determine the extent of the wounds - ansassess the airway and check for a pulse * You are called to an elderly male who is having trouble breathing. Respirations are at a rate of 24 and labored and the pt is cyanotic. Your pt is conscious but unable to speak in full sentences. Enroute to the hospital your pt goes into respiratory arrest. You should. A. use a pocket mask and begin chest compressions B. Assist ventilations with BVM and room air. C. Assist ventilations with BVM and 100% O2 D. Start oxygen at 15 LPM via NRB - ansAssist ventilations with BVM and 100% O2 A 22-year-old male was hit in the head with a shovel. He has the following signs and symptoms: altered mental status, increasing BP, decreased pulse and unequal pupils. What should you suspect? A. Increased intracranial pressure B. Blowout orbital fracture C. Decompensated hemorrhagic shock D. Basilar skull fracture - ansIncreased intracranial pressure Which of the following pt is MOST at risk for hypovolemic shock? A. A hemophilia pt with a nosebleed B. A leukemia pt with a fracture left arm C. A TB pt with fractured tibia D. An HIV pt with a UTI - ansA hemophilia pt with a nosebleed A 72 y/o female pt is unresponsive following an ejection from a car accident. She has an open jaw fracture and a dialated right pupil. What is the best way to open this pt's airway? A. Insert an OPA B. Perform a modified head-tilt chin lift C. Insert a NPA D. Perform jaw thrust - anshead-tilt* Your pregnant patient has a history of asthma. She started having difficulty breathing 15 minutes prior to calling 911. She has used her inhaler three times with no relief. You should A. Encourage her to use her inhaler until she feels relief B. Start O2 therapy at high flow, transport and contact medical control for orders to administer a nebulizer C. Start O2 therapy at high flow and transport D. Start O2 therapy at high flow, administer a nebulizer, reassess to determine if transport is required - ansStart O2 therapy at high flow, transport and contact medical control for orders to administer a nebulizer You respond to a 22 y/o male with altered mental status. His skin is warm and diaphoretic and has a known seizure history. It is likely your pt is A. Postictal B. Clonic C. Hypovolemic D. Hypothermic - ansPostictal A 2 y/o pt who has been sick all day, now has a barking cough. You should suspect A. Epiglottitis B. Asthma C. Croup D. Chronic laryngospasm - ansCroup A 67 y/o female just had a syncopal episode while using the toilet. Vitals are BP 100/6-. P 110 irregular, R 12. She is weak and dizzy. You should suspect a A. gastrointestinal obstruction B. vertebral vascular accident C. cardiac rhythm disturbance D. acute myocardial infarction C. cardiac rhythm disturbance - anscardiac rhythm disturbance Which of the following is most likely to be life-threatening? A. Femur fracture B. Humerus fracture C. Clavicle fracture D. Lumbar fracture - ansFemur fracture For which of the following patients would an OPA be most appropriate? A. A 19 y/o with a mandible fracture who is only responsive to pain B. Unresponsive 25 y/o with a suspected spinal injury C. Unresponsive five-year-old with a suspected airway obstruction D. Semiconscious 76 y.o old who is gasping for air - ansUnresponsive 25 y/o with a suspected spinal injury Your patient is pale, diaphoretic, and complains of chest pressure. Her vitals are R 18 P 58, and BP 88/50. You should suspect A. Unstable angina B. A thoracic aneurysm C. Cardiogenic shock D. Pulmonary embolism - ansCardiogenic shock Your patient is a 65 year old male complaining of chest pain. Which of the following would be a contraindication for assisting with the administration of sublingual nitroglycerin? A. Heart rate >100 B. Heart rate <100 C. SBP >100 D. SBP <100 - ansSBP <100