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EMT Final Practice Fisdap | 100% Correct
Answers | Verified | Latest 2024 Version
A 4-Year-old female tracheostomy pt has pulled out her tracheostomy tube. The opening is partially obstructed with skin. You should A. Use a soft tip catheter and suction until clear B. Insert a nasal airway into stoma C. Wipe the area clean and perform mouth to stoma ventilation D. Cut the skin away from the stoma - ✔✔Use a soft tip catheter and suction until clear To protect yourself from injury when lifting a stretcher you should A. keep the weight as close to your body as possible B. use two additional ppl for the lift C. lean forward toward the stretcher - ✔✔keep the weight as close to your body as possible An unresponsive 10 year old male was hit by a car and is bleeding heavily from an open leg fracture. After securing his airway and manually stabilizing c-spine, you should: A. place the patient in Tredelenburg position B. perform a rapid trauma assessment C. control bleeding from the leg wound D. immobilize the extremity using a ladder splint - ✔✔control bleeding from the leg wound * The strongest portion of the heart that is responsible for circulating blood to the entire body is the A. Left atrium B. Right atrium C. Left ventricle D. Right ventricle - ✔✔Left ventricle
A 46 y/o female was involved in a bar fight and has an obvious open neck wound. You should dress this wound with a/ an A. Occlusive dressing B. Sterile gauze dressing C. Pressure dressing D. Moist gauze dressing - ✔✔Occlusive dressing * 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 - ✔✔contraction 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 - ✔✔Determine 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 - ✔✔Inadequate 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
A victim of smoke inhalation has developed difficulty breathing. He does not like the smell of the mask you are using to deliver O2. You should A. Switch to a NC set to deliver O2 @ 6 LPM B. Restrain the pt and continue administering O2 via NRB C. Explain that the mask is very important and continue its use D. Administer blow-by O2 via Simple mask - ✔✔Explain that the mask is very important and continue its use A 23 y/o construction worker twisted his foot climbing up a ladder. He has an obvious deformity on the right leg just below the knee. The lower leg and foot are cyanotic and pulseless. You should A. Apply an air splint and transport B. Apply spinal immobilization and elevate the leg C. Pull gentle traction and apply a splint D. Apply a traction splint and transport - ✔✔Pull gentle traction and apply a splint Which of the following is TRUE about the insertion of an OPA? A. the OPA is always rotated 360 degrees as it is inserted B. if properly inserted, the OPA will keep the tongue out of the way C. the OPA should be inserted until the flange rests below the patient's teeth - ✔✔the OPA should be inserted until the flange rests below the patient's teeth* While ventilating a near drowning pt, you suddenly feel increased resistance in the airway. You should A. Perform abdominal thrust B. Place pt in lateral recovery position C. Attempt to reposition the head D. Apply firm pressure to the abdomen - ✔✔Attempt to reposition the head A 28 y/o female who is 12 weeks pregnant has twisted her left knee while walking. She states the pain is 10/10 in severity. You should A. Apply a traction splint and immobilize with a long spine board
B. Transport on her left side and hold manual stabilization until she gets the hospital C. Splint with the stretcher and straps and transport her on her left side D. Splint using board splints and cravats and transport sitting - ✔✔Splint using board splints and cravats and transport sitting A 20 yr old female complains of severe abdominal pain. She is in the fetal position. After your primary assessment, you should A. transport immediately to hospital B. palpate all 4 quadrants of abdomen C. obtain baseline vital signs - ✔✔obtain baseline vital signs* An intoxicated 33 y/o female was fighting with police. You note some minor scrapes on the pt's leg and face. The pt is being verbally abusive to you. The police want your approval to take the pt to jail. You should A. Ask the officer to transport her to the hospital in a squad car for safety B. Request that the officers arrest the patient prior to transport C. If vital signs are within normal limits, release the pt to the police D. Restrain and transport the pt with police escort - ✔✔Restrain and transport the pt with police escort First responder has delivered a baby. The infant is blue and lethargic; the pulse is 90 you should A. Transport after placenta is delivered B. Dry, stimulate and apply oxygen C. Transport and administer CPR enroute D. Transport to closest hospital - ✔✔Dry, stimulate and apply oxygen A patient has been kicked in the chest. One section of ribs is moving separately during respirations. You should A. Transport emergently B. Listen for lung sounds C. Initiate PPV
A pulseless and apneic 68 year old male has an implanted pacemaker in his right shoulder Without delaying defibrillation, where should you apply the AED pads? A. anterior chest and back (between shoulder blades) B. nipple line under the left and right armpits C. left shoulder (to avoid pacemaker) and lower right chest D. right shoulder (directly over the pacemaker) and the left lower chest - ✔✔anterior chest and back (between shoulder blades) You are transporting a patient who has been restrained due to hostile behavior. He is complaining that he has no feeling in his hands and is threatening to sue you if you don't remove the restraints. You should: A. place padding between the restraint and the patient's skin B. loosen the restraints C. assess the patient's distal circulation frequently D. remove the restraints - ✔✔assess the patient's distal circulation frequently* During a birth the baby's head was delivered. You should: A. suction the mouth and nose with a bulb syringe B. insert a Delee suction catheter in the mouth C. suction the mouth only with a bulb syringe D. suction for 15 seconds with a pediatric suction device - ✔✔suction the mouth and nose with a bulb syringe* 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 > B. Heart rate < C. SBP > D. SBP <100 - ✔✔SBP < What are the two manual methods of opening a patient's airway?
A. head tilt-chin lift and jaw thrust B. head tilt-chin lift and nasopharyngeal airway C. jaw thrust and finger sweep D. head tilt-chin lift and oropharyngeal airway - ✔✔head tilt-chin lift and jaw thrust Your patient is in labor. As the baby's head delivers, you notice the amniotic sac has not broken. You should: A. use your gloved finger to puncture the membrane B. place mom on her knees to take the pressure off the sac C. place mom on O2 to prevent fetal distress D. have mom pant - ✔✔use your gloved finger to puncture the membrane A conscious 7 year old patient has chemical burns around her mouth from ingesting drain cleaner. Her breathing is adequate. You should: A. evaluate the patient's airway B. flush burns with water C. contact medical control D. administer activated charcoal - ✔✔Contact medical control Your patient is allergic to bee stings. She suddenly began having watery eyes and itching in her arms. She does not remember being stung. Vital signs: BP 130/80, P 110, R 16. You should: A. apply O2 and transport B. monitor airway, encourage family to transport C. attempt to find the stinger and remove it immediately D. assist the patient in self-administering her Epi-pen - ✔✔apply O2 and transport* A 45 year old male farmer has been working with dry lime. The patient has large amounts of this powder on both legs. You should: A. gently brush off excess powder and transport B. use vinegar to dilute and transport
A patient with chest discomfort becomes unresponsive during transportation to the hospital. What is the most appropriate action? A. start CPR while you assess for pulselessness and apnea, then apply AED and shock if necessary B. stop vehicle, confirm pulselessness and apnea, apply an AED, and shock if necessary C. confirm pulselessness, apply an AED, and advise partner to drive vehicle emergently D. confirm pulselessness, initiate CPR, stop the vehicle and apply an AED - ✔✔confirm pulselessness, initiate CPR, stop the vehicle and apply an AED** Which of the following statements regarding suctioning of an adult is true? A. you should insert the suction catheter only as far as you can visualize B. you should start ventilations if suction cannot clear the airway C. you should only suction for a maximum of 30 seconds D. you should remove the suction catheter with the suction machine turned off - ✔✔You should insert the suction catheter only as far as you can visualize When driving an ambulance, operators must drive with the safety of others in mind. This is known as driving: A. defensively B. with privileges C. with due regard D. offensively - ✔✔with due regard A patient is in respiratory distress after eating soup brought by her neighbor. Her neighbor states "She was eating and suddenly her throat got tight." She is sitting bolt upright in a tripod position. You should suspect A. Anaphylaxis B. Choking C. Emphysema D. Asthma - ✔✔Anaphylaxis
A 23 y/o patient is lethargic. The patient just finished mowing the lawn. He is drooling and sweating profusely. You should suspect A. Hyperglycemia B. Hypoglycemia C. Heat stroke D. Intoxication - ✔✔hypoglycemia Your 18-mo. old pt has pale cool skin, decreased mental status, and delayed cap refill. The mother tells you that the child's diaper has been dry for most of the day. First responders have applied oxygen. You should A. position the child on his side and transport B. rapidly transport and monitor vital signs C. ventilate with BVM and transport rapidly D. transport rapidly and apply wet towels enroute - ✔✔rapidly transport and monitor vital signs After delivering a shock with an AED the patient begins to move and speak. You should A. begin BVM ventilations B. immediately remove AED pads to avoid accidental shock C. perform a sternal rub to assess LOC D. assess vital signs and begin transport - ✔✔assess vital signs and begin transport You should ventilate a newborn once every: A. 4 seconds B. 2 seconds C. 3 seconds D. 5 seconds - ✔✔3 seconds What is the amount of air moved with one normal breath called? A. minute volume
Your 23 year old male patient is acting erratically. Which of the following would be most important to relay to the ER? A. medications B. last doctor visit C. allergies - ✔✔medications * 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 - ✔✔administer 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 - ✔✔The 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 - ✔✔Insert a nasal airway An alert and oriented patient is complaining of severe chest pain, but he refuses transportation against medical advice. You should A. insist that he be transported by ambulance B. accept his right to refuse care and leave the scene
C. contact law enforcement for assistance D. contact law enforcement for assistance - ✔✔accept his right to refuse care and leave the scene * You respond to car accident on a busy city street. You are the first emergency vehicle on scene. Which of the following best describes where you should park the ambulance? A. directly in front of the wreckage to have quick access to medical supplies B. downhill or downwind from the wreckage so you can smell any hazards C. in front of the wreckage to warn oncoming vehicles - ✔✔in front of the wreckage to warn oncoming vehicles* Your 90 year old nursing home patient is pulseless and apneic. The nurse shows you a note in the patient's chart stating "Do not resuscitate". The note is signed by a doctor. You should A. call the patient' doctor to confirm the order B. call on-line medical control C. consult with the family - ✔✔call on-line medical control* Your patient has been submerged underwater for an unknown period and is in cardiac arrest. After taking c-spine precautions, you should A. begin CPR immediately B. apply pressure to the abdomen C. dry the patient off D. ventilate the patient - ✔✔begin CPR How should you ventilate an apneic adult patient? A. ventilate with a flow restricted positive pressure ventilator at 12-20 breaths per minute B. ventilate once every 3 seconds with a BVM C. ventilate once every 5-6 seconds with a BVM - ✔✔ventilate once every 5-6 seconds with a BVM You are inserting an oropharyngeal airway into a 4 year old patient. You should A. insert with the tip pointing toward the roof of the mouth
A. Rapidly cool the patient with ice packs everywhere B. Pour water on the patient and fan vigorously C. Cover with wet blankets to prevent rapid cooling - ✔✔Rapidly cool the patient with ice packs everywhere An unresponsive 82 year old patient is lying supine. Their airway is most likely to be obstructed by A. The tongue B. Swelling of the epiglottis C. Secretions D. Loose dentures - ✔✔The tongue Which patient would benefit the MOST from helicopter transport? A. 30 y/o male pulseless and apneic with a history of asthma B. 38 y/o male burn patient with 1st degree burns to 55% of his body C. 15 y/o female motor vehicle crash victim still trapped BP 78/42 - ✔✔38 y/o male burn patient with 1st degree burns to 55% of his body * An infant is choking on a piece of candy. You are unable to see chest rise after numerous attempts to ventilate. You should A. perform abdominal thrusts B. insert an oral airway and reattempt C. administer chest compressions - ✔✔administer chest compressions * Your patient was on a third floor balcony which collapsed. The patient is semi-conscious, has an impaled piece of wood in the lower right quadrant of the abdomen, an obvious femur fracture and multiple cuts. You should A. Establish c-spine protection, open the airway and assess breathing B. Apply O2 and prepare pt for rapid transport to a trauma center C. Stabilize impaled object with bulky dressing and establish c-spine protection D. Assist ventilations with BVM, and splint femur fracture - ✔✔Establish c-spine protection, open the airway and assess breathing
A 72 year old patient is suddenly unable to speak and begins staring off towards the right. You should first A. administer oral glucose B. note the time and apply oxygen C. transport the patient in the supine position - ✔✔note the time and apply oxygen* a 11 year old male has crashed his bicycle. The patient's baby sitter is requesting to know the extent of his injuries. You should reply A. "You will have to wait and talk with his parents" B. "I cannot tell you, this would be a violation of patient privacy and confidentiality" C. "His leg appears to be broken, do you have a phone number for his parents?" - ✔✔"You will have to wait and talk with his parents" ** An 18 year old male has become increasingly shaky several minutes after administration of a prescribed bronchodilator. You should A. document the patient's response to the medication B. continue to reassess the patient every 5 minutes C. contact medical control to report the patient's response - ✔✔continue to reassess the patient every 5 minutes ** You are conducting a physical exam on a responsive female toddler. You should A. examine the girl upright as her parents hold her B. use a head-to-toe approach C. use a toes-to-head approach - ✔✔use a toes-to-head approach You are dispatched to a 68 y/o female complaining of discomfort in her upper back. She is nauseous and appears to be sweaty. Based on these symptoms, which of the possible causes is most life-threatening. A. Stroke B. Diabetic reaction C. Cardiac compromise
Which of the following is an essential component of your oral report? A. the EMT assessment of the chief complaint B. history related to the current illness - ✔✔history related to the current illness Your pt was exposed to an unknown chemical that has soaked their clothing. You should immediately A. Have the pt remove all clothing B. Administer O2 via NRB C. Flush pt's body with large amount of water D. Contact the poison control center - ✔✔Have the pt remove all clothing A 62 y/o female who has been drinking alcoholic beverages is feeling dizzy. She cannot walk and she complains of severe headache. You should suspect A. Delirium tremens B. Severe migraine C. Hemorrhagic stroke D. Acute alcohol intoxication - ✔✔hemorrhagic stroke A 75 y/o female pt has partial thickness, thermal burn on her right forearm. You should A. Place a dry sterile dressing or sheet over the burn B. Pour water over the burn to cool site C. Place the pt on O2 NC 2 LPM D. Place a moist dressing over the burn - ✔✔Place a moist dressing over the burn You are treating an unconscious 50 year old diabetic patient. You should A. Transport the pt as soon as possible B. Immediately administer oral glucose C. Assist a family member in administering insulin D. Insert a dual lumen airway adjunct - ✔✔Transport the pt as soon as possible
Your pt is a 56 y/o male who collapses while mowing the lawn. He is apneic and pulseless immediately following collapse. What is the patient most likely experiencing? A. Heart attack B. Cardiac Arrest C. Angina D. Stroke - ✔✔Cardiac Arrest You are ventilating an apneic infant. His pulse is 54. You are currently ventilating with a BVM with supplemental oxygen. You should A. obtain a complete set of vital signs B. begin chest compressions C. continue ventilations and transport - ✔✔begin chest compressions * A 72-year-old with heart problems fell out of bed. He is confused and has pale and sweaty skin. You should A. Perform a detailed physical examination B. Check vitals and apply an AED C. Interview the neighbors to get a detailed history D. Take spinal precautions and rapidly transport - ✔✔Take spinal precautions and rapidly transport You have an unconscious pt with blood in the airway. You should A. use a suction unit to immediately clear the airway B. place the pt in recovery position C. use artificial ventilations in an attempt to clear the airway D. perform a finger sweep to remove the blockage - ✔✔use a suction unit to immediately clear the airway A 5 year old female with asthma is having intercostal retractions. She cannot hold her head up to talk. You should A. contact medical control before assisting her with prescribed inhaler
