EMT Practice Exam 2
Terms in this set (120)
Which patients vital signs are not within normal limits
newborn: pulse 100; respiration, 30; PB 70-30
A 45 year old male is breathing at a rate of 32 times per minute with shallow respirations. He is altered, and his skin signs are cool cyanotic, and diaphoretic. You should
provide artificial ventilation with a gas valve mask and high-flow oxygen
You should assess skin color by examining an adult patients
a 45 year old female is breathing at a rat of 22 times per minute with adequate tidal volume. She is alert, but her skin signs are cool, pale, and diaphoretic. You should
provide oxygen at 12 L/min using a nonrebreather mask
You would locate a patients carotid pulse by first finding the adams apple and then
sliding two fingers toward one side of the neck
Your patients pupils react unequally to light. You should suspect the presence of
A 70 year old female s complaining of shortness of breath. She has a history of emphysema. You should
administer oxygen, because in most cases the hypoxic drive will not be a problem
Ecchymosis refers to an
bruising or discoloration
In which situations should you determine the patients blood pressure through palpation?
Your patients pulse is very weak and difficult to hear.
The correct way to select the proper size oropharyngeal airway (OPA) is to measure the distance from the
corner of the mouth to the tip of the earlobe
Which patient should receive only a focused physical exam and sample history?
5 year old female, responsive and in pain after falling from a standing position
Your patient is a 19 year old male who has been in a motorcycle accident and shows deformity and bleeding to the left leg. you would not perform a detailed physical exam if the patient
begins to spurt blood out of an open wound
Continuous monitoring of a patients mental status is best accomplished by
continuously interacting with the patient
You should assess the brachial pulse in patients who
are younger than 1 year old
Which patent is showing early signs of shock (decreased tissue perfusion)
a 23 year old female pulse, 104; respiration, 25/min; BP,118/78; Cool, clammy skin
which of the following is the most important sign of a diabetic emergency?
altered mental status
of the following diseases, which poses the most risk to EMT
your patient is a 45 year old homeless male who is suspected of having hypothermia. What is the most important question to ask him?
Do you know who you are and were you are?
The zygomatic bones are found
What is the most common cause of airway obstruction in an unconscious patient?
All of the following are reasons that infants and children are prone to respiratory difficulties EXCEPT that they
breathe faster than adults
Your patient is a newborn. You should consider the possibility of breathing difficulty if the respiratory rate is
When assessing your patients airway, you hear snoring sounds. You should suspect that
The patient is forcefully exhaling
how many vertebrae are there in the human spinal column
you hear gurgling in your patients airway. you should immediately
open and suction the airway
according to the American heart asso. at least ________ of air should be delivered to the patient when using an adult bag-valve mask.
The correct way to select the size of a nasopharyngeal airway is to measure
from the chin to the Adams apple
In what position should you place a child's head for ventilation
Your patient has a foreign-body airway obstruction. Three attempts to clear the airway have been unsuccessful. You should
transport and attempt to clear the airway en route.
After obtaining medical direction, you are helping your patient use a prescribed in haler. You should tell the patient to
inhale deeply and hold her breath
Your patient, a 78 year old male has no pulse and agonal respiration. You should
Begin CPR immediately
You have assisted a patient in administering a prescribed in haler. After one dose of the medication., the patients pulse rate increases and he reports feeling nauseated. you should
document and report the signs and symptoms
You should remove your patients dentures in order to provide ventilation when
they become dislodged
During the management of a cardiac arrest, the AED gives a "no shock indicated" message. Which of the following statements will most likely prompt this condition?
The patients rhythm is asystole
Which patient is breathing adequately
43 year old female; respiratory rate 15/min, regular chest motions
All of the following are signs of difficult breathing except
you have delivered three shocks with the SAED. Your cardiac arrest patient has shallow, agonal respiration's with a pulse. What should you do next
Provide artificial ventilation with high concentration oxygen
a danger of using a rigid suction catheter with infants and young children is that stimulating the back of the throat can
cause changes in the heart rhythm
It is permissible to use the head-tilt/chin-lift on a trauma patient only if
There is no other way to open the airway
The function of the white blood cells is to
Angina differs from a heart attack because in an attack of angina, the
heart muscle is not permanently damaged
The following patients all have signs and symptoms of cardiac chest pain and have their own prescriptions of nitroglycerin. Which patient should you NOT assist with taking nitroglycerin
67 year old male : pulse, 90; respirations 26/min; BP, 98/72
When deciding whether to assist a patient in administering nitroglycerin, you should check the medicine for the patients name, the route of administration, the dose, and the
Your patient, a 67 year old male with history of cardiac disease, is unresponsive. After checking ABC's and finding no pulse, you begin CPR. the next thing you should do is
Attach the AED
Your patient is showing signs and symptoms of shock and has a tender abdomen. She reports vomiting material that looked like coffee grounds. you should suspect
Which patient is showing signs and symptoms of cardiac compromise
53 year old female: dull chest pains sudden sweating and difficulty breathing
which blood vessel carries oxygen poor blood
Central pulses may be palpated at the
carotid and femoral arteries
the diastolic blood pressure represents the pressure in the brachial artery when the
ventricles are are rest
Stridor is a sign of
upper airway obstruction
your patient is complaining of chest pain. Which question would you ask to assess the O part of the OPQRST algorithm
how long ago did the pain begin
All of the following are contraindictions for the administration of nitroglycerin EXCEPt
has taken a previous dose of nitroglycerin two minutes ago
a patient is in greater danger of severe internal bleeding from fracturing which bone?
why is an infant more likely to suffer an airway obstruction that an adult
the shape of the infants head will cause the neck to flex when the child is supine.
Which patient would be most likely to have a barrel chest?
58 year old male: history of emphysema and years of smoking
You have received medical control permission to apply the PASG to your patient who has severe bleeding caused by soft-tissue damage, below the knee on both legs. Which compartments of the PASG should you inflate
the abdominal compartment
The primary reason you auscultate both sides of the chest is to determine whether breath sounds are
present and equal
you should elevate a patients leg to control bleeding only if
there are no signs or symptoms of skeletal injury
Your patient is a 24 year old female with a history of asthma. She is wheezing and gasping for air and has a pulse rate of 88/min You may assist her in using an inhaler if
she has her own inhaler and you obtain medical direction
After assisting a patient to administer nitroglycerin, you should
reassess vital signs and chest pain
The AED is used to detect
electrical activity of the heart
Your patient, the victim of a car accident, has an obvious injury to her right leg. you should splint the injury before moving unless
life-threatening injuries are present
Your 18 month old patient is experiencing respiratory distress. Which of the following conditions is not a likely cause of the difficulty in breathing?
Chronic obstruction pulmonary disease
A seesaw pattern of breathing is a sign of
breathing difficulty in infants
which mechanism of injury suggests the likelihood of a spinal injury
restrained patient in a motor vehicle crash
a sign of early respiratory distress in the pediatric patient is
an increased heart rate
your patient is a 33 year old female with a suspected spinal cord injury. After you have immobilized her to a long board, she vomits, what should you do?
tilt the board to clear the airway
your patient is a 28 year old male who appears intoxicated. Bystanders report that the man seemed fine but suddenly began acting strange you should first suspect
which patient vital signs are within normal range
5 year old female pulse 90; respirations 24/min; BP, 90/50
Your patient is a 23 year old female who calmly tells you that her thoughts are controlling the weather. Her body language and speech are nonthreatening and gentle. you should
talk quietly to this patient and keep her calm
a 17 year old male patient is experiencing difficulty breathing and abdominal pain after being struck with a bat in his left lower quadrant. He is alert, cool and diaphoretic, with tachycardic heart rate. You should provide oxygen using a
nonrebreather mask at 15L/min
The last vital sign to change in a patient going into shock is
a decreased blood pressure
The central nervous system consists of the brain and the
Your male patient has climbed out of his car unassisted after a car crash, but he is now complaining of back pain. You should
immobilize him to a long spine board with a standing take-down
Your patient is 37 year old female who has been in a minor accident. The patient is alert and oriented, and baseline vital signs are pulse. 76 and regular; respiration, 16/min and unlabored; and BP 118/78. When you check her vital signs 15 minutes later you find that her pulse rate is now 92 and her respirations are now24//min and shallow
treat for shock and reassess every five minutes
which of he following signs or symptoms might you expect to see in a patient suffering from hypothermia?
With medical direction, you may administer epinephrine from a patients own auto-injector if the patient displays signs and symptoms of respiratory distress or
which set of vital signs suggest early hypothermia?
pulse, 92; respirations, 26/min, BP 118/76 flushed red skin; reactive pupils
A 2 year old female is in severe respiratory distress. Her skin is mottled, and she does not respond to verbal physical stimulus. You should
assist her ventilation's with a bag-valve mask and supplemental oxygen.
What is the goal of emergency care for a hypothermic patient with a reduced level of consciousness?
to prevent further heat loss
Your patient is a 26 year old male, he has a suspected broken ankle sustained while playing tennis. His vital signs are pulse, 58; repirations, 12;BP, 108/70; pupils are normal and reactive; skins warn and dry. After recording these vital signs, you should
ask the patient what his normal pulse and blood pressure are.
What does the presence of abdominal breathing signify in infants and small children
While providing artificial ventilation to a 14 year old near drowning patient, you feel resistance in the airway. The possible cause of the resistances is that
there is water in the stomach
The correct rate for providing artificial ventilation's to infants and children is
20 breaths per minute
Care for an unresponsive infant with a complete airway obstruction includes
giving back blows, chest thrusts and ventilation
It is important to recognize signs of early respiratory distress in a child. A sign of early respiratory distress includes
a common side effect of high fever in infants
Your patient ins an 8 month old infant with recent history of vomiting and diarrhea. Which signs should alert you to the possibility of shock?
dry diaper and the absence of tears while crying
an 11 month old crying female has swallowed a piece of hot dog. She is coughing, and you can hear high pitched sounds coming from her throat. you should
provide high concentration oxygen by blow by mask
your patient is a 26 year old male who has been in a motor vehicle accident. The patients radial pulse is weak while the carotid pulse is strong. you should
treat for signs and symptoms of shock
The sniffing position refers to the
placement of a child's head for the head-life/chin/tilt maneuver
Diastolic pressure is a measure of the
force exerted against the walls of the blood vessels when the heart contracts.
A five year old male is experiencing severe respiratory distress. He is altered with poor skin signs. You should
assist ventilation's with a pediatric bag valve mask and supplemental oxygen
fontanels are the
soft spots located on the infants head
Where does blood travel when it leaves the right ventricle of the heart
to the pulmonary arteries, then to the lungs
The third stage of labor consists of the
delivery and placenta
you have just assisted in the delivery f a newborn who has good color, a strong pulse, and is not yet breathing. You should
massage the babys back gently
amniotic fluid with a yellow or brownish color means a high likelihood of
Your patient is a 68 year old male who is complaining of chest pain. You focused assessment findings include a pulse rate of 92 BP of 140/90 and some difficulty breathing. After administering oxygen, you should focus your questioning to determine if the patient has a history of
Your patient is a 24 year old female who tells you that she is three months pregnant she is experiencing profuse vaginal bleeding and severe cramping. After administering oxygen, you should
be alert for signs and symptoms of shock. and transport quickly
Your patient is a 28 year old pregnant female who has just been in a minor car accident. Which set a vital signs wold be normal for this patient?
pulse, 80; respirations, 14 BP, 108/72
Which of the following signs and symptoms may indicate shock in children?
cool, clammy skin
As an EMT-basic, you are acting as a patient advocate when you
treat patience with dignity and respect
what are the earliest signs of shock
anxiety and tachycardia
the following are all effective techniques for stress reduction Except
working extra hours
It is necessary to wear a mask and eye protection when
suctioning a patient
which statement about disposable gloves is correct
gloves protect both you and the patient from the transmission of infectious diseases
Which of the following situations illustrates implied consent
you provide life support to a man who was found unconscious by bystanders who called EMS
placing a patient in the recovery position allows
secretions to drain more easily
During the scene size-up you should determine whether the scene is safe to enter and whether
you need any additional help
which of the following is not part of the standard medical report you give to the receiving facility?
you are splinting the injured leg of a five year old male. What should you say
After I strap your leg to this board it wont hurt so much
why is it important to maintain body heat in a patient with shock
shivering wastes vital oxygen and energy
which of the following is an example of a subjective statement that could be included in a prehospital-care report
patient is unsure of the reason for the call
Your patient has a wound on her anterior left lower leg that is spurting large amounts of blood. Direct pressure alone is ineffective. Where should u apply indirect pressure
on the left side of the groin
Your patient is a 84 year old female who is complaining of severe abdominal pain. he abdomen is rigid and tender. What should you suspect
which of the following is an example of care that would be provided by the EMT performing triage at a mass casualty incident
opening an airway
which of the following describes an emergency patient move?
because of danger, there is no time to immobilize the spine
Your patient is a 6 year old male who is having a severe nosebleed. No trauma is suspected how should you treat this child
pinch his nostrils together and transport him sitting upright leaning forward
how does cardiac pain differ from respiratory pain?
cardiac pain does not change with movement or palpitation
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