113 terms



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A 72-year-old female complains of shortness of breath. She is responsive but can only speak in 2 to 3 word sentences. Vital signs are P 118, R 26, SpO2 68%. Her skin is pale with cyanosis around the lips and nailbeds. She is on home oxygen at 2 lpm by cannula. You should

C. Apply a non-rebreather mask
Which of the following signs would you expect in a patient with a stab wound on the right side of the chest?

C. Spontaneous pneumothorax
An 80-year-old male complains of shortness of breath. Vital signs are BP 156/88, P 132, R 24, with crackles, SpO2 93%. You should

C. Administer oxygen by non-rebreather mask
D. Respiratory problems
Which of the following is the leading cause of death in infants and children?
A. Apply oxygen
A newborn is limp, cyanotic, and breathing slowly. She does not respond to suctioning, drying, and stimulation. You should
C. Unresponsive 25 year old with a suspected spinal injury
For which of the following patients would an oropharyngeal airway be MOST appropriate?
D. A 45 year old woman whose pelvis and legs were pinned by a fallen tree for 30 minutes
Which of the following patients is most likely to be treated with a pneumatic anti-shock garment (PASG)?
D. Ask if she knows what the substance is
A patient has a black substance around her mouth, but says that she has not been exposed to any burning materials. After your initial assessment, you should
B. A spinal injury
Signs and symptoms of a nontraumatic brain injury may be similar to those of
A. Instruct the patient to remove his clothing
A patient was covered with a diluted bleach solution while washing the walls of the school gymnasium. You should
D. "What happened just before you fell?"
An 86 year old male has a laceration on his forehead and complains of chest pain. He states that he fell and hit his head. Which of the following questions should you ask?
D. Chest
An occlusive dressing should be used to quickly seal any open wound to the
D. Reassess the volume and rate of ventilation's.
While ventilating a patient you see abdominal distension. What should you do?
D. Hyperventilation
A 27 year old female with a history of asthma complains of difficulty breathing. She has used her prescribed inhaler multiple times in the last nine hours. She has been in an argument with her boyfriend and is quite upset. Vital signs are P 140, R 60, SpO2 100%, breath sounds clear with no wheezing. You should suspect
A. Dilates blood vessels
Which of the following is a beneficial effect of nitroglycerin?
B. Ventilate using the bag valve mask
A 25 year old male asthmatic is short of breath. He has audible wheezes. Vital signs are BP 132/80, P 132, R 24, SpO2 96%. You should
B. Vital signs
A belted patient was involved in a rollover vehicle crash. She is responsive to pain. Vital signs are BP 95/70, P 60, R 23 and an uninjured passenger tells you that she "had her appendix taken out" 3 months ago. Which of the following should MOST lead you to suspect internal bleeding?
A. Manually reposition the airway
Your partner is performing mouth-to-mask ventilation when you notice the presence of increasing gastric distention. You should
B. Retreat to safe area
You are on the scene of a stabbing where an unresponsive 25 year old male is bleeding severely. The assailant returns to the scene and is holding a knife. You should
B. Ask your partner to pull over
You are transporting a 44 year old male complaining of chest pain when he becomes pulseless and apneic. You should
B. It can cause significant lung injury when used improperly
Which of the following is TRUE regarding the use of the flow-restricted, oxygen-powered ventilation device?
B. Let go of the mask and not touch the patient
You are providing artificial ventilation's with a bag-valve mask. Your partner says, "clear." You should
D. Disinfect your stretcher and replace the linen
You have just transported a patient who is HIV positive. The dispatcher orders you to clear rapidly because another call is waiting. Before taking that call, you should
C. Begin chest compressions
An adult is suffering a cardiac arrest. What should you do to restore circulation?
B. Open and inspect the airway
A patient becomes unresponsive after administration of oral glucose. You should
D. Arm pain
Which of the following is a SYMPTOM that is often associated with a heart attack?
C. Begin treatment on scene
A man, sitting outside, was stung by a bee while drinking a soda. When you arrive, he is pale and complains of abdominal pain. Vital signs are BP 90/60, P 110, R 24 and wheezing. You should
C. Continue ventilations with oxygen and transport
You have delivered two shocks with the defibrillator. Your patient now has a pulse and a blood pressure of 80/40. He remains apneic. What should you do?
C. Foreign body obstruction
Your patient was eating when he suddenly grasped his throat. He cannot speak or cough. You should suspect
C. Exercise good hand washing technique
The most effective way to control the spread of infectious disease is to
C. Apply heat packs and handle gently
A 91 year old male was found lying on the floor in his home. He is staring blankly and is rigid and cool to the touch. Vital signs are BP 100/74, P 54, R 18, Temp 88F, and SpO2 93%. As you prepare for emergent transport, you should
B. Perform a prehospital stroke scale
Your patient complains of a headache. You notice his right cheek is sagging and his left arm is hanging limp at his side. What should you do?
B. Ventilate the patient through the tracheostomy via bag valve mask
A CPR patient has a complete tracheostomy. You should
B. Should come to a complete stop prior to proceeding.
You are entering a controlled intersection with emergency lights and siren activated. This signal light is red. Your emergency vehicle
C. Listen to lung sounds, transport patient sitting up, and contact medical control
A 64 year old patient is pale, complains of shortness of breath, and has pedal edema. You should
A. Remove the patch
What should you do before defibrillating a patient who has a nitroglycerin patch?
D. Consult medical direction for permission to give another dose
A 23 year old patient is in respiratory arrest following a severe asthma attack. He has an asthma inhaler in his hand and bystanders say he gave himself two doses when the attack started. You should
D. Reposition the airway and ventilate again
Your efforts to ventilate a patient with a bag valve mask are not effective. You should
B. Perform CPR as with any other patient
A 64 year old man suddenly became pulseless and apneic while watching television. His wife informs you that he recently had bypass surgery. You should
C. Administer oxygen via non rebreather mask
A 17 year old female is anxious after breaking up with her boyfriend. She says she is dizzy and has numbness in tingling around her mouth. She is tachypneic and tachycardic. You should
D. Ventilate via bag valve mask
A 50 year old patient has slow, shallow respiration's with cool, clammy skin and cyanosis around her mouth. You should
D. Hyperglycemia
A 23 year old has been getting gradually more disoriented and nauseous. He is thirsty and complaining of abdominal pain. Vital signs are BP 130/90, P 110, R 24. You should suspect
D. Assist respiration's via bag valve mask
Your patient is in cardiac arrest. After administering a shock and two minutes of CPR, you detect a faint pulse. Vital signs are BP 90/50, P 58, R 6, SpO2 88%. What should you do?
D. Administer the shock
You are treating a patient in cardiac arrest at a loud outdoor concert. You are awaiting transport and have shocked your patient five times. The AED is recommending another shock. You should
C. "How would you describe your pain?"
A patient complains of abdominal pain. Which of the following questions should you ask?
D. Perform abdominal thrusts
A man in a diner suddenly began gasping and coughing violently while eating. He is now silent and his lips appear blue. You should
A. Strap the patient in the supine position to the cot using cravats
Which method would be most appropriate when restraining a violent patient?
A. Monitor vital signs and transport in a position of comfort
A 54 year old female is complaining of chest pain. The patient would like you to assist her in taking one of her husbands nitroglycerin tablets. Vital signs are BP 140/100, P 96, R 18. What should you do?
B. Cover the bowel with moist dressings
A 23 year old male was in a motor vehicle crash and has an open abdominal injury with a protruding bowel. You should
D. The helmet is preventing you from assessing his face
A motorcyclist is conscious after being struck by an automobile. His full face helmet is still in place. Which of the following is an indication for removing the helmet?
C. Reassure the child that you can relieve his pain
An 11 year old male has been injured. He is crying, sucking his thumb, and acting fearful. You should
D. Request law enforcement for assistance
You are dispatched to the scene of a domestic dispute. You have been called to the same residence three prior times without incident. You should
A. Applying the pads improperly
What is the most common error made while using an AED?
A. Tuberculosis
A 25 year old prisoner complains of difficulty breathing, chills, and a cough. You should suspect
C. Remove the poison from the skin
The best treatment for a patient exposed to an absorbed poison is to
D. Angina pectoris
A 40 year old male is sweating and complaining of a mild chest discomfort and shortness of breath fifteen minutes after exercising. You should suspect
C. Allow her to cry and let her family comfort her
You inform a Hispanic mother that her four month old son has died. You suspect SIDS. The mother begins crying uncontrollably and pounding her fists on the floor. You should
D. Anxiousness
Signs and symptoms of early hypoperfusion can include
A. Apply direct pressure over the injured fingers
A 57 year old male is hemorrhaging after cutting off three fingers with a power saw. A fourth finger was partially detached. You should
B. Report suspected abuse to the hospital
A 6 year old female reportedly fell off her bed. You note burns to the girls back and bruises of different colors on her legs. You should
A. Expressed
When informing an 18 year old of a treatment that is needed and the associated risks, what type of consent are you seeking?
C. Heat exhaustion
A 40 year old male was found confused and wandering around. Vital signs are BP 90/60, P 140, R 30 and shallow, skin is hot and dry. You should suspect
D. Place items in a large paper bag
How should you preserve potential crime scene evidence on clothing that is removed from a patient?
A. Applying direct pressure to the arm, applying a long backboard, and administering oxygen
A seven year old child was struck by an automobile. You note a contusion to the right chest and a right lower arm fracture with arterial bleeding. Your treatment should include
A. Respond to the call and complete report later
You have just completed an emergency call and transferred care to the hospital. You are still writing the patient care report when your dispatcher asks you to respond to a medical emergency. You should
B. Turn the patient on his side
An intoxicated patient responds to voice by moaning. You note vomit in his mouth. You should
B. Transport the patient with lights and sirens
You are treating a patient for heat exposure. She is sweating profusely and complaining of abdominal cramps. En route to the hospital, she begins to shiver. You should
B. Apply high concentration oxygen and transport rapidly
A three year old patient has been sick for several days. Her mother tells you that she has been vomiting and has had diarrhea. The child appears tired but withdraws from you during your exam. She is breathing quickly and looks pale. Vital signs are BP 90/50, P 133, R 36. You should
A. Insert an oropharyngeal airway
An unresponsive child with facial trauma requires airway management. You should
B. Universal precautions
You are a transport unit at an MCI. The fire department brings a patient to your ambulance. What is your first priority?
A. Use a nasal cannula
A 45 year old female complains of chest pain. She is attempting to pull off the non rebreather mask that emergency medical responders placed on her. Vital signs are BP 130/80, P 118, R 24, SpO2 92%. What should you do?
A. Turn the long spine board on its side
An immobilized trauma patient starts vomiting en route to hospital. You should
C. Hypoperfusion
An unconscious patient was found lying supine in a parking lot. You should note a large bruise on his upper-right abdominal quadrant. You should carefully monitor your patient for signs of
D. Stop vehicle, confirm pulselessness, apply an AED and shock if necessary
You are transporting a patient with chest discomfort. En route he becomes unresponsive. What is the most appropriate action?
B. Apply high concentration oxygen
A man has inhaled poison. After opening his airway, you should
A. Remove her clothing and transport
A ten month old female presents with a temperature of 105 F. You should
B. Staging officer
There are 12 survivors from a bridge collapse. They are ready for transportation to the hospital. Who will notify hospitals in coordinate patient allocation to those facilities?
B. Ventilate the patient via bag valve mask
An adult is breathing at a rate of 6 breaths per minute. You should
C. Enter the back seat of the vehicle to stabilize c-spine
A 29-year-old male complains of neck pain after being rear ended at an intersection. There is no damage to the vehicle, and the driver of the second vehicle says her speedometer read 2 miles an hour at the moment of impact. You should
B. Ensure and maintain an open airway
A patient is unresponsive. There are several empty beer bottles and insulin syringes nearby. You should
A. Assist the patient with his prescribed nitroglycerin
A 73-year-old male is experiencing chest pain and peripheral cyanosis. You should
B. Reposition his head and reattempt ventilations
A 4 year old male with a complete foreign body airway obstruction becomes unconscious as you are treating him. You place him supine on the ground and attempt ventilations, but the child's chest does not rise. You should
A. Perform a series of abdominal thrusts
You are called to a restaurant where and 62-year-old male patient is clutching his chest. When asked if you can breathe, he shakes his head "no."What should you do?
C. Apply a tourniquet
A 24-year-old trauma patient is holding pressure on a laceration to his right leg. He keeps complaining: "I just can't get it to stop." His respiration's are 10 times per minute, and he has no radial pulses. You should
C. Rapidly extricate with a cervical collar
A 52-year-old male is unconscious after rolling has tractor. You notice an open knee fracture. His vital signs are BP 118/66, P 96, R 20. You should
A. Clamp the cord in two places, and cut the cord between the clamps
You are unable to loosen or slip the umbilical cord from around a baby's neck. You should
A. Assess the patients breathing and pulse
You're patient is unconscious. The nurse on scene states: "the patient is bradycardia, please attach your AED and transport rapidly." What should you do?
B. Determine if the dyspnea worsens with the palpation
While you are palpating the abdomen of a patient with abdominal pain, he tells you that he cannot breathe. What should you do?
B. Perform a rapid trauma assessment
A seven year old child has been ejected from a vehicle. You should
B. Begin chest compressions
A 20 year old male collapsed while eating a hot dog. He appears cyanosis. You should
B. Rapidly extricate the patient
A patient was involved in a motor vehicle crash. She is still in her care when you arrive and complains of neck stiffness. Your partner tells you that he notices a clear, colorless liquid pooling beneath the vehicle and smoke. You should
D. Take the patient to the closest hospital
A 28 year old patient complains of back pain after falling 20 feet from a balcony. First responders placed a c-collar and splinted bilateral fractured femurs with padded board splints. You should
B. Ventilate via bag valve mask at 20 breaths per minute
A newborn is breathing at 48 times per minute, P 130, and peripheral cyanosis. You should
C. Cardiac arrest
A two year old child is in respiratory arrest. You should be prepared for
B. Diabetic emergency
An unresponsive male has a weak, rapid pulse with deep, rapid respiration's. His skin is warm and dry and his breath smells like nail polish remover. What should you suspect?
A. Remove her clothing and transport
A ten month old female presents with a temperature of 105 F. You should
A. Numbness to lower extremities and abdominal respiration's.
You should rapidly extricate a motor vehicle collision patient who is awake and complaining of
D. Try speaking clearly so he can watch your lips
A 23 year old deaf man called for an ambulance. You need to determine why. You should
D. Respiratory distress
A parent hands you a lethargic 22 month old male and states "he's had a congested cough." He has sterna retractions and his belly and chest move in opposite directions with each breath. He is breathing at a rate of 64. You should suspect
A. Maintain a clear and steady tone
When giving the hospital a radio report, you should
C. Respiratory distress
A 14 year old female is making grunting sounds. These sounds are indicative of
C. 12 year old female exposed to cold temperatures; SpO2 of 88%
The following patients are all complaining of shortness of breath. Which of the following patients is MOST likely to be hypoxic?
C. Ventilate using the bag valve mask connected to high flow oxygen
Immediately after delivery, your newborn patient is not breathing. You should
C. A spike in temperature
A three-year-old child developed a fever today. His mother states that he started shaking and turned blue for a short period of time. He is currently lethargic. You should suspect
A. Not withhold oxygen or other supportive care
Your patient has cancer and is obviously near death. A valid DNR is present. You should
B. Manage the patients airway
A patient has hives, watering eyes, and mild wheezing. Vital signs are BP 102/60, P 110, and R 22. Which treatment should you provide during initial assessment
B. Increased intracranial pressure
A patient has a closed head injury with the following signs and symptoms: altered mental status, increasing blood pressure, decreased pulse and unequal pupils. These symptoms are consistent with
C. Bowel obstruction
A confused 22-year-old male has a weak pulse of 122 and a distended abdomen. His skin is pale, cool, and clammy. What is the most likely cause?
A. Suction and remove the obstructing tissue
You are treating an unresponsive victim with facial trauma. He has an abused cheek that it interfering with the airway and has gurgling respiration's. You should
D. Open his airway with a jaw trust
An unresponsive patient is lying on the ground next to a ladder. You notice a bone sticking out of his left arm. You should
C. Transport immediately
A three year old exhibits inspiratory stridor, fever, and agitation. You should
B. Cold and clammy
A patient who is suffering from hypoglycemia would have skin that is
C. The entire body to a spine board
A patient has sustained multiple traumatic injuries. In a "load and go" situation, the fastest, most appropriate method of splinting would be securing