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EMT Readiness Exam 4 Questions & 100%
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92 year old female complains of a headache and trouble breathing. She is on home oxygen. She speaks in 2-3 word sentences. What is the most important question you should ask her? a. How many liters of home oxygen are you normally on? b. which medications do you take? c. are you allergic to any medications? d. when did you become short of breath 🗸🗸🗸 : d. when did you become short of breath You have attached an AED to a 42 year old female who is apneic and pulseless. The AED prompts you. "No shock advised." You should 🗸🗸🗸 : start chest compressions Which cardiac rhythm will an AED most likely prompt you to shock? a. atrial fibrillation b. asystole c. pulseless electrical activity d. ventricular tachycardia 🗸🗸🗸 : d. ventricular tachycardia
A 22 year old female tells you she is weak and complains of steady vaginal bleeding that started 2 hours ago. She denies any pain and tells you that she had her menstrual cycle 2 weeks ago. Vital signs are BP 100/68, P 110, R 16, and skin is warm and dry. You should 🗸🗸🗸 : place a sanitary pad over the vaginal opening When securing a pregnant patient to a long spine board, you should tilt the board to the left to prevent a. hypotension b. hypertension c. eclampsia d. toxemia 🗸🗸🗸 : a. hypotension A 10 month old female is choking. You should perform 🗸🗸🗸 : 5 back blows A 53 year old male complains of nausea and a headache. Which of the following statements is most significant? 🗸🗸🗸 : just turned the furnace on last night."
c. apply bulky dressings to the chest d. provide positive pressure ventilations 🗸🗸🗸 : d. provide positive pressure ventilations A 48 year old male who was involved in a car crash is slumped over the steering wheel and unresponsive to loud verbal stimuli. You see smoke inside the vehicle and that the airbag deployed. You should a. perform an emergency extrication b. perform a primary survey c. administer high flow oxygen by nonrebreather mask d. tell the fire department to stand by for extrication 🗸🗸🗸 : a. perform an emergency extrication A 23 year old female is 30 weeks pregnant and complains of abdominal cramps. She tells you that she has had normal prenatal health care and no vaginal discharge. Vital signs are BP 102/74, P 112, R 22 and labored. You should 🗸🗸🗸 : administer oxygen Your EMS base displays a " Free Blood Pressure Check" sign on the window. This is an example ofa. community 🗸🗸🗸 : community relations
A 19 year old female was sexually assaulted and is bleeding from her vagina. You should 🗸🗸🗸 : place a sanitary pad over the vaginal opening While ventilating a 12 year old female with a pocket mask, you are unable to see chest rise. You should a. start chest compressions b. suction the airway c. perform a finger sweep d. reopen the airway 🗸🗸🗸 : d. reopen the airway A confused 22 year old male has a weak pulse of 122 and distended abdomen. His skin is pale, cool, and clammy. What is the most likely cause? a. acute cholecystitis b. internal bleeding c. bowel obstruction d. insulin shock 🗸🗸🗸 : b. internal bleeding A 45 year old female is 34 weeks pregnant. She complains of a severe headache, sensitivity to light, and swollen feet. Vital signs are BP 130/88, P 104, R 24. What should you suspect?
A newborn is apneic immediately after delivery. You should a. provide 5 back blows and 5 chest compressions b. start chest compressions c. stimulate the baby by rubbing vigorously with a dry towel d. assist ventilations 🗸🗸🗸 : c. stimulate the baby by rubbing vigorously with a dry towel An unresponsive42 year old male is not breathing. He has a medical alert bracelet that identifies him as diabetic. You should a. determine the blood glucose b. check for a pulse c. assess his airway d. administer oral glucose 🗸🗸🗸 : b. check for a pulse A 62 year old male with a history of COPD ran out of his home oxygen. He is short of breath and has a dry, nonreproductive cough with clear lung sounds. What should you suspect? a. emphysema b. chronic bronchitis c. pneumonia d. asthma attack 🗸🗸🗸 : a. emphysema
A 19 year old female is postictal following a 10 minute tonic-clonic seizure. She has snoring respirations. What should you do? a. insert an oropharyngeal airway b. obtain a detailed medications list c. palpate a carotid pulse d. perform a jaw-thrust maneuver 🗸🗸🗸 : a. insert an oropharyngeal airway Which of the following is a contraindication for nitroglycerin administration? 🗸🗸🗸 : recent use of erectile dysfunction medication A 62 year year old male is in cardiac arrest at a restaurant. After beginning chest compressions, his daughter tells you that he has terminal lung cancer, and she ask you to stop resuscitation efforts. What should you do? a. ask about a DNR while continuing resuscitation efforts b. tell the daughter she is interfering with patient care c. cease resuscitation efforts d. contact medical control immediately 🗸🗸🗸 : a. ask about a DNR while continuing resuscitation efforts A 7 year old male is in cardiac arrest after choking on a bite chicken. Upon your arrival, you note effective CPR is in progress. You should
When using the ambulance siren, you should a. consider that motorists will not hear it b. use it only at intersections c. frequently change emergency tones d. use the horn when approaching traffic 🗸🗸🗸 : a. consider that motorists will not hear it An 88 year old female in hospice care is pulseless and apneic with dependent lividity. Her son says "She died 2 hours ago after I gave her a large dose of pain medication." What should you do? a. contact the hospice agency b. notify law enforcement c. start CPR d. ask if she had a DNR 🗸🗸🗸 : b. notify law enforcement While assisting in delivery of a newborn patient, you notice the amniotic sac is still intact. You should: a. assess for a nuchal cord b. immediately assess the fetal heartbeat c. coach the mother through the contraction d. tear the amniotic sac
🗸🗸🗸 : d. tear the amniotic sac While performing a primary assessment of a 32 year old female, she complains of a rapid heartbeat. What should you do? a. perform a secondary assessment b. obtain baseline signs c. assess her pulse d. place her on the stretcher and apply oxygen 🗸🗸🗸 : b. obtain baseline signs A 12 year old male is prone in a shallow bathtub the water. He is pulseless and apneic. What should you do? 🗸🗸🗸 : start chest compressions You arrive at a factory and see lots of people coughing as we evacuate the building. You should a. establish a triage site and begin to sort the patients by the severity of their complaint b. park the ambulance 100 yards away and wait for trained personnel to arrive c. call for additional resources and look for a triage site that is upwind from the factory d. designate yourself incident commander and direct your partner to being treating patients 🗸🗸🗸 : c. call for additional resources and look for a triage site that is upwind from the factory
A 78 year old male tells you, " I feel sick and can't walk." His bed is dirty with urine and feces. He requests that you transport him to the hospitol, but his daughter does not want him transported. You should 🗸🗸🗸 : transport him to the hospital Immediately after the delivery of a vigorous newborn, you should: a. suction the oropharynx with a bulb syringe b. perform a fundal massage to prevent postpartum bleeding c. administer blow-by oxygen d. place the newborn level with the placenta 🗸🗸🗸 : a. suction the oropharynx with a bulb syringe A 56 year old female complains of shortness of breath with a cough producing thick mucus. She is in tripod position and has a barrel chest. Her lung sounds are diminished with respiratory rate of 24. What should you suspect? a. asthma b. pulmonary embolism c. congestive heart failure d. chronic bronchitis 🗸🗸🗸 : d. chronic bronchitis A 4 year old was the restrained front seat passenger in a car crash with air deployment. He has chemical burns to his face and is having trouble breathing. You should
🗸🗸🗸 : perform rapid extracation An 18 year old male overdosed on an unknown medicaton and has a respiratory rate of
- You insertes an OPA, and he had gag reflex. You should 🗸🗸🗸 : insert a NPA An unresponsive 22 year old male is breathing 6 times per minute after crashing his motorcycle a highway speeds. You should: a. apply a nonrebreather mask attached to high flow oxygen b. perform a secondary survey c. begin ventilating him a bag valve mask d. immobilize him on a long backboard 🗸🗸🗸 : c. begin ventilating him a bag valve mask A 55 year old female fell and struck her head. She now complains of a headache. Which statement is most concerning? a. "I ate about 3 hours ago" b. "I think I blacked out" c. "I am on daily blood thinners" d. "I have type 2 diabetes" 🗸🗸🗸 : b. "I think I blacked out"
A 51 year old male is unresponsive with agonal respirations. You should a. start CPR b. attach the AED c. apply oxygen by nonrebreather mask d. check for a pulse 🗸🗸🗸 : d. check for a pulse A 59 year old male complains of dizziness and crushing chest pain. He is pale and cool. You should 🗸🗸🗸 : assist him in self-adiminstering his prescribed nirtoglycerin Which of the following patients has the right to refuse treatment and transport? a. an 86 year old male with dyspnea and confusion b. a 14 year old female with dyspnea and a history of asthma c. a 22 year old female who had a syncopal episode and smells like alcohol d. a 52 year old male with tightness in his chest and wheezes 🗸🗸🗸 : d. a 52 year old male with tightness in his chest and wheezes A 19 year old female is found by her friend staring blankly at the wall. She is awake, but slow to answer questions. What is the most likely cause? 🗸🗸🗸 : seizure
A 58 year old female has a fever with chills. Lung sounds reveal rales and rhonchi in the lower right lung field. What should you suspect? 🗸🗸🗸 : pneumonia A 66 year old female has regained a pulse after one shock with an AED. She is moving her extremities and has a respiratory rate of 8. The AED propmts you. "Shock advised." You should 🗸🗸🗸 : assist vent A 68 year old male was found unresponsive 5 minutes ago. There is no spontaneous respiratory effort. You should 🗸🗸🗸 : perform a carotid pulse check for 5 - 10 second A 19 year old female is unresponsive after overdosing on heroin. She is supine on the ground with gurguling respiration and vomit next to her head. You should a. ventilate her with BVM b. open her mouth and suction her airway c. begin CPR and attach the AED d. check her pulse 🗸🗸🗸 : open her mouth and suction her airway Which of the following should cause you to suspect pulmonary edema? a. wheezing
A 15 year old male was struck in the face by falling tree branch. He was knocked to the ground, and is now alert and repeatedly complains of a headache when lying down. Vital signs are BP 140/90, P 100, R 16. You should: a. assist ventilations with 100% oxygen b. transport the patient in a sitting position c. begin spinal immobilization d. attempt to insert a nasal airway 🗸🗸🗸 : c. begin spinal immobilization A 36 year old male complains of nausea, vomiting, and abdominal pain. He is homeless and admits to chronic alcohol use. Vital signs are BP 92/54, P 122, R 18. You should suspect a. peptic ulcer disease b. pancreatitis c. food poisoning d. renal failure 🗸🗸🗸 : b. pancreatitis An unresponsive 19 year old female is supine on a bed next to several empty beer cans, and her 3 year old son is running around the house. Vital signs are BP 80/40, P 110, R 6 and shallow. You should a. call and wait for law enforcement b. transport the woman and her son to the hospital
c. call and wait for child services d. document your findings 🗸🗸🗸 : b. transport the woman and her son to the hospital Which of the following groups of signs and symptoms most correctly suggests an opioid overdose? 🗸🗸🗸 : hypoventilation, pinpoint pupils, and hypotension An 87 year old male has methicillin-resistant staphylococcus aureus and he has several open lesions on his chest. His lungs are clear to auscultation but he coughs regularly. What should you do to prevent the spread of this infection? a. report the exposure to your supervisor b. place a HEPA respiratory on the patient c. clean your stethoscope with a germicidal agent d. be sure you have been vaccinated against MRSA 🗸🗸🗸 : a. report the exposure to your supervisor What is a system of internal and external reviews called? 🗸🗸🗸 : quality improvement A 23 year old female had a seizure prior to your arrival. During your primary survey, she starts to have another seizure. You should: a. apply soft restraints to prevent injury
