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EMT FINAL EXAM 2 JB-LEARNING 3 LATEST
VERSIONS 2024-2025 QUESTIONS AND CORRECT
ANSWERS TEST BANK
EMT FINAL EXAM JB-LEARNING
A 29-year-old pregnant female complains of a severe headache, blurred vision, and swelling of her hands and feet. Which of the following additional assessment findings would the EMT MOST likely encounter? A) Hypertension B) Hyperglycemia C) Abdominal pain D) Vaginal bleeding - ANSWER-A In which position would you expect a patient with severe dyspnea to be found? A) Prone B) Supine C) Fowler's D) Lateral recumbent - ANSWER-C
You are caring for a man with terminal cancer when his caretaker presents you with a Physician Order for Life-Sustaining Treatment (POLST) form. The purpose of this form is to: A) advise medical providers that resuscitation is not to be attempted. B) describe acceptable patient interventions in the form of medical orders. C) enable the caretaker to make healthcare decisions on the patient's behalf. D) limit the treatment provided to the patient to basic life support care. - ANSWER-B A 69-year-old man complains of dyspnea that began two days ago and has gotten worse. Which of the following assessments would give you the MOST information regarding the possible cause of his dyspnea? A) Lung sounds B) Mental status C) Oxygen saturation D) Pulse rate and quality - ANSWER-A A 73-year-old male presents with confusion; cool, pale, clammy skin; absent radial pulses; and a blood pressure of 70/40 mm Hg. The patient's wife tells you that he has had abdominal pain for a week and began vomiting a coffee-ground substance yesterday. His past medical history includes hypertension and gastric ulcer disease. Your MOST immediate concern should be that: A) his blood glucose level is probably too high.
B) Hypothermia C) Exposure to heat D) Low blood pressure - ANSWER-C A 46-year-old man presents with generalized weakness and shortness of breath after he was bitten on the leg by a rattlesnake. His blood pressure is 106/58 mm Hg and his pulse rate is 112 beats/min. Treatment for this patient should include: A) elevation of the affected part and ice packs. B) splinting and lowering of the affected part. C) ice packs to the wound and splinting. D) proximal arterial constricting band and splinting. - ANSWER-B Which of the following injury mechanisms is associated with hangings? A) Distraction B) Subluxation C) Axial loading D) Hyperextension - ANSWER-A Assessment of an injured man reveals that he opens his eyes when the EMT speaks to him and pulls his arm away when the EMT palpates it. He knows his name, but cannot remember what
happened and does not know what day it is. He should be assigned a Glasgow Coma Scale (GCS) score of: A) 9 B) 10 C) 11 D) 12 - ANSWER-C You are performing abdominal thrusts on a 19-year-old male with a severe airway obstruction when he becomes unresponsive. After lowering him to the ground and placing him in a supine position, you should: A) open his airway and look inside his mouth. B) begin CPR, starting with chest compressions. C) continue abdominal thrusts until ALS responders arrive. D) assess for a carotid pulse for up to 10 seconds. - ANSWER-B Sudden cardiac arrest in the adult population MOST often is the result of: A) myocardial infarction. B) respiratory failure. C) a cardiac dysrhythmia. D) accidental electrocution. - ANSWER-C
D) Decreased grip strength in the upper extremities - ANSWER-B When treating a patient with chest pain, pressure, or discomfort, you should FIRST: A) administer supplemental oxygen. B) place the patient in a position of comfort. C) request an ALS ambulance response to the scene. D) assess the blood pressure and give nitroglycerin. - ANSWER-B Upon assessing a newborn, you note that the infant is breathing spontaneously and has a heart rate of 80 beats/min. What should you do? A) Initiate positive-pressure ventilations B) Provide blow-by oxygen with oxygen tubing C) Assess the newborn's skin condition and color D) Start chest compressions and contact medical control - ANSWER-A When assessing a conscious patient who overdosed on a drug, you should FIRST determine: A) the patient's weight in kg. B) the type of medication ingested.
C) when the medication was ingested. D) if there is a history of prior overdose. - ANSWER-B While triaging patients at a mass-casualty incident, you encounter a 4-year-old child who is breathing at a rate of 54 breaths/min. What should you do? A) Apply high-flow oxygen B) Tag the child as immediate C) Assess for distal pulses D) Ventilate with a bag-mask device - ANSWER-B A prolapsed umbilical cord is dangerous because the: A) cord might pull the placenta from the uterine wall during delivery. B) mother may die of hypoxia due to compromised placental blood flow. C) cord may be wrapped around the baby's neck, causing strangulation. D) baby's head may compress the cord, cutting off its supply of oxygen. - ANSWER-D Your assessment of the newborn reveals that she has a patent airway, is breathing adequately, and has a heart rate of 130 beats/min. Her face and trunk are pink, but her hands and feet are cyanotic. You have clamped and cut the umbilical cord, but the placenta has not yet delivered. You should:
Which of the following structures is the primary pacemaker, which sets the normal rate for the heart? A) Bundle of His B) Purkinje fibers C) Sinoatrial node D) Atrioventricular node - ANSWER-C The coronary arteries fill with blood when the: A) aortic valve closes. B) left ventricle contracts. C) aortic valve opens. D) right ventricle contracts. - ANSWER-A What type of injury occurs when a joint is twisted or stretched beyond its normal range of motion, resulting in swelling but no deformity? A) Sprain B) Strain C) Fracture
D) Dislocation - ANSWER-A Which of the following is considered a severe burn in a pediatric patient? A) Partial thickness burns to 15% of the body surface area B) Any full-thickness burn, regardless of body surface coverage C) Any partial-thickness burn that involves the lower extremities D) Superficial burns that cover 5% to 10% of the body surface area - ANSWER-B Which of the following patients would MOST likely present with vague or unusual symptoms of an acute myocardial infarction? A) 55-year-old obese female B) 66-year-old male with angina C) 72-year-old female with diabetes D) 75-year-old male with hypertension Feedback : Not all patients experiencing acute myocardial infarction (AMI) present with the classic signs and symptoms one would expect. Middle-aged men often minimize their symptoms and attribute their chest pain or discomfort to indigestion. Some patients, however, do not experience any pain. In particular, elderly women with diabetes may present with vague, unusual, or atypical symptoms of AMI; their only presenting complaint may be fatigue or syncope. Do not rule out a cardiac problem just because a patient is not experiencing chest
A) peritoneum. B) epigastrium. C) mediastinum. D) retroperitoneum. - ANSWER-B Failure of the EMT to obtain consent from a responsive patient before taking his or her blood pressure may constitute: A) battery. B) negligence. C) abandonment. D) assault. - ANSWER-A Which of the following devices is contraindicated in patients with blunt thoracic trauma? A) Oral airway B) Nasal airway C) Bag-valve-mask device D) Oxygen-powered ventilator - ANSWER-D Chest compression effectiveness is MOST effectively assessed by:
A) listening for a heartbeat with each compression. B) carefully measuring the depth of each compression. C) palpating for a carotid pulse with each compression. D) measuring the systolic blood pressure during compressions. - ANSWER-C A 57-year-old male presents with flu-like symptoms. He is conscious and alert; his skin is pink, warm, and dry; and he denies chest pain or respiratory distress. During your assessment, you cannot feel radial or carotid pulses, and are unable to obtain a blood pressure. Which of the following would MOST likely explain this? A) He is in the advanced stages of shock B) He has a left ventricular assist device C) He has a dissecting aortic aneurysm D) He recently had a coronary artery bypass - ANSWER-B In most states, the EMT is required to report which of the following occurrences? A) Animal bite B) Drug overdose C) Injury to a minor D) Motor-vehicle crash - ANSWER-A
Which of the following structures stimulates the ventricles and causes them to contract? A) Sinus node B) Sinoatrial node C) Purkinje fibers D) Atrioventricular node - ANSWER-C In which of the following circumstances would external bleeding be the LEAST difficult to control? A) Lacerated brachial artery; BP of 140/90 mm Hg B) Lacerated jugular vein; BP of 100/60 mm Hg C) Lacerated carotid artery; BP of 90/50 mm Hg D) Lacerated femoral vein; BP of 70/40 mm Hg - ANSWER-D A 29-year-old man with abdominal pain tells the EMT that he has hemophilia A. This means that: A) his red blood cells break down rapidly. B) he will lose blood at a much faster rate. C) his risk for a pulmonary embolism is high. D) he will bleed for a longer period of time. - ANSWER-D
The chest pain associated with an acute coronary syndrome is often described as: A) sharp. B) stabbing. C) pressure. D) cramping. - ANSWER-C A young woman reports significant weight loss over the last month, persistent fever, and night sweats. When you assess her, you note the presence of dark purple lesions covering her trunk and upper extremities. You should suspect: A) HIV infection. B) tuberculosis. C) rheumatic fever. D) end-stage cancer. - ANSWER-A A 7-year-old child has an altered mental status, high fever, and a generalized rash. You perform your assessment and administer supplemental oxygen. En route to the hospital, you should be MOST alert for: A) hypotension. B) convulsions.
A) 9%
B) 18%
C) 27%
D) 36% - ANSWER-B
A 44-year-old male complains of dizziness and lightheadedness. His BP is 88/62 mm Hg; his heart rate is 190 beats/min and weak; and his skin is cool, clammy, and pale. Which of the following would BEST explain why his BP is low? A) Widespread systemic vasoconstriction B) Decreased ventricular filling time C) Increased ventricular stroke volume D) Decreased myocardial oxygen demand - ANSWER-B Which of the following signs or symptoms would you MOST likely encounter in a patient with an inflamed gallbladder? A) Vomiting dark red blood B) Pain in the right shoulder C) Bruising around the umbilicus D) Pain to the right lower quadrant - ANSWER-B
Assessment of a 40-year-old patient reveals respiratory distress, tachycardia, audible expiratory wheezing, and an oxygen saturation of 88%. The EMT should suspect: A) fluid in the lower airways. B) diffuse bronchoconstriction. C) swelling in the laryngeal area. D) infection of the lower airway. - ANSWER-B The bite of a brown recluse spider is characterized by: A) immediate pain, swelling at the site, and painful muscle spasms. B) delayed onset of pain, swelling, and blister formation at the site. C) two small puncture marks, swelling, and delayed onset of pain. D) rapid swelling within 30 minutes and a decline in mental status. - ANSWER-B With regard to the ECG, what is artifact? A) significant abnormality discovered by the paramedic B) The complete absence of electrical activity on the ECG C) Electrical interference that can make diagnosis difficult D) Improper lead placement, resulting in misdiagnosis - ANSWER-C
