EMT EXAM 1

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  1. When assessing a patient(s) in the field setting, what order would the EMT perform this task?

    A) Scene size-up; Detailed physical exam; Initial assessment

    B) Focused history and physical exam; Ongoing assessment; Documentation

    C) Detailed physical exam; SAMPLE history; Initial assessment

    D) Initial assessment; Detailed physical exam; Focused history and physical exam
    • Correct Answer
    • B) Focused history and physical exam; Ongoing assessment; Documentation



    .
  2. When stabilizing the cervical spine of a trauma victim while simultaneously opening the airway, the EMT would position the patient's head:A) Tilted slightly forward.

    B) Tilted slightly back.

    C) Neutral and in-line.

    D) In the position found.
    • Correct Answer
    • C) Neutral and in-line.
  3. A 62-year-old female was struck by a car traveling approximately 45 miles per hour. After being struck, she was thrown 15 feet onto the sidewalk, impacting the pavement with her head and chest. The initial assessment has been completed and life threats addressed. The patient's husband is by her side. When performing the focused assessment on this patient, which of the following would the EMT perform first?

    A) Examine the head and chest for other life-threatening injuries.
    B) Obtain a full set of vital signs including a pulse oximeter reading.
    C) Examine the patient from head to toe for additional injuries.
    D) Inquire from family if the patient has any past medical history.
    • Correct Answer
    • C) Examine the patient from head to toe for additional injuries.
  4. Dispatch has sent you to a residence for a female with a possible broken arm. On the scene, you find her seated in a chair holding her left arm, which appears deformed. She also has blood and bruises to her face. She states that a masked man, who she believes lives in her neighborhood, broke into her home and robbed her. Prior to fleeing, he beat her, leaving her with the injuries she has presently. Given this situation, your best course of action would be to:

    A) Leave the patient and scene immediately and wait in the ambulance until the police arrive.
    B) Determine the location of the neighbor and direct the police to that area.
    C) Assess the patient, provide basic care, and move to the ambulance for transport.
    D) Call for the police and avoid touching the patient to not alter any existing evidence.
    • Correct Answer
    • C) Assess the patient, provide basic care, and move to the ambulance for transport.
  5. A patient has been shot once in the left hand. After performing the initial assessment, and determining the patient is alert and stable, the EMT quickly focuses his attention on the left hand and begins a specific assessment of the injury. This would indicate that what type of assessment is being performed?

    A) Focused trauma exam
    B) Extremity trauma exam
    C) Rapid trauma exam
    D) Specific trauma exam
    • Correct Answer
    • A) Focused trauma exam
  6. The EMT is using the OPQRST mnemonic to gather information from a patient with abdominal pain. Which of the following statements provided by the patient indicates that the EMT has inquired about the letter "P" in this memory aid?

    A) "The pain started about two hours ago."
    B) "My pulse feels as though it is racing."
    C) "It hurts worse when I take a deep breath."
    D) "I have a past history of asthma."
    C) "It hurts worse when I take a deep breath."
    (this multiple choice question has been scrambled)
  7. As you enter the room of a 64-year-old female with shortness of breath, you hear snoring respirations. Your immediate action when you reach her side would be to:

    A) Apply oxygen through a nonrebreather face mask.
    B) Determine the chief complaint.
    C) Perform the head tilt-chin lift.
    D) Suction the mouth and airway.
    C) Perform the head tilt-chin lift.
    (this multiple choice question has been scrambled)
  8. A 31-year-old male is complaining of left-side flank pain that radiates into his groin. He is alert and oriented and the initial assessment reveals no life-threatening conditions. A nonrebreather face mask delivering 15 liters per minute of oxygen has been applied. Given the patient's status, your next step would be to:

    A) Complete the detailed physical exam.
    B) Gather medical information from the family.
    C) Obtain a SAMPLE history from the patient.
    D) Perform a rapid medical assessment.
    C) Obtain a SAMPLE history from the patient.
    (this multiple choice question has been scrambled)
  9. You have been dispatched to an apartment for an elderly male complaining of shortness of breath. When would you start the process of forming a general impression about this patient?

    A) As soon as you obtain his chief complaint
    B) As you and your partner approach him
    C) Following the completion of vital signs
    D) After completing the initial assessment
    B) As you and your partner approach him
    (this multiple choice question has been scrambled)
  10. When performing the scene size-up, which of the following will the EMT address?

    A) The best route to get to the call
    B) The patient's level of consciousness
    C) The status of the airway and breathing
    D) The need for additional personnel
    D) The need for additional personnel
    (this multiple choice question has been scrambled)
  11. A patient who was shoveling snow developed chest pain and immediately sat down in a nearby bus shelter and called 911. Prior to moving him into the ambulance, your partner performs an initial assessment and reports that the patient's capillary refill is 5 seconds. Which of the following statements made by you would be most appropriate?

    A) "The cold temperature may cause the capillary refill to be 5 seconds; we should assess further."
    B) "That seemingly indicates that he has lost blood and it is not perfusing the skin adequately."
    C) "That is a significant finding. We really need to get him on oxygen and moving to the hospital."
    D) "If his skin is also warm and moist, then he is most likely in shock."
    A) "The cold temperature may cause the capillary refill to be 5 seconds; we should assess further."
    (this multiple choice question has been scrambled)
  12. Which of the following statements made by your partner indicates that he understands assessment of a patient's breathing?

    A) "To determine if a patient is adequately breathing, the EMT must get a full set of vital signs."
    B) "If the respiratory rate is normal, the patient is breathing adequately and getting enough oxygen."
    C) "As long as the patient is breathing over 20 times a minute, they are getting enough oxygen in their body."
    D) "A rate less than 12 may allow adequate breathing, but requires further assessment by the EMT."
    D) "A rate less than 12 may allow adequate breathing, but requires further assessment by the EMT."
    (this multiple choice question has been scrambled)
  13. You determine a patient's heart rate to be 48 beats per minute. When alerting the receiving hospital, you would inform them that the patient's heart rate is:

    A) Bradycardic.
    B) Tachypneic.
    C) Tachycardic.
    D) Normal.
    A) Bradycardic.
    (this multiple choice question has been scrambled)
  14. Trends in a patient's condition are best noted during what phase of patient assessment?

    A) Initial assessment
    B) Rapid trauma assessment
    C) Focused history and physical exam
    D) Ongoing assessment
    D) Ongoing assessment
    (this multiple choice question has been scrambled)
  15. When assessing the breath sounds of a critical trauma patient, it is best to auscultate in at least how many places?

    A) 8
    B) 2
    C) 6
    D) 4
    D) 4
    (this multiple choice question has been scrambled)
  16. Which statement made by the EMT indicates an appropriate understanding of palpating a blood pressure?

    A) "It is best to determine a palpated blood pressure using a stethoscope and pulse oximeter."
    B) "A palpated blood pressure should only be assessed on stable patients"
    C) "Palpated blood pressures are the technique of choice when the patient has a cardiac complaint."
    D) "A palpated blood pressure is recorded when the brachial pulse returns as the BP cuff is deflated."
    D) "A palpated blood pressure is recorded when the brachial pulse returns as the BP cuff is deflated."
    (this multiple choice question has been scrambled)
  17. A patient presents with extremely pale skin. Family states that this is not his normal skin color. Which of the following medical conditions would make sense given this finding?
    A) Gastrointestinal hemorrhage
    B) Chest pain accompanied by a bounding pulse
    C) Respiratory infection
    D) Body temperature of 102.5°F
    B) Chest pain accompanied by a bounding pulse
    (this multiple choice question has been scrambled)
  18. When you are caring for a patient with either a medical complaint or traumatic injury, you would typically perform the detailed physical exam:

    A) Immediately following the initial assessment.
    B) When a life-threatening condition is found.
    C) Before the focused history and physical exam.
    D) While transporting the patient to the hospital.
    D) While transporting the patient to the hospital.
    (this multiple choice question has been scrambled)
  19. You have determined that your patient is unresponsive. Your next action would be to:

    A) Check for a pulse.
    B) Immediate transport.
    C) Determine the past medical history.
    D) Open the airway.
    D) Open the airway.
    (this multiple choice question has been scrambled)
  20. A 26-year-old male has been ejected from a car after it rolled several times in the median of the interstate. As you arrive by the side of the patient, you find him supine with gurgling respirations. Your immediate action would be to:

    A) Place an oral airway.
    B) Perform the head tilt-chin lift.
    C) Log-roll him onto his side.
    D) Apply a cervical collar.
    C) Log-roll him onto his side.
    (this multiple choice question has been scrambled)
  21. For which of the following conditions would the EMT most likely get an inaccurate pulse oximeter reading despite proper application of the sensor?

    A) Elevated body temperature
    B) Unresponsiveness
    C) Low blood pressure
    D) Increased heart rate
    C) Low blood pressure
    (this multiple choice question has been scrambled)
  22. A 41-year-old male patient reacts to painful stimuli by moaning. You shine a light at his right pupil. Which of the following reactions would be normal?

    A) Dilation of the left pupil
    B) Closure of both eyelids
    C) Dilation of the right pupil
    D) Constriction of the left pupil
    D) Constriction of the left pupil
    (this multiple choice question has been scrambled)
  23. At a nursing home, you find a patient extremely short of breath. To best determine if the patient is cyanotic, you would:

    A) Inspect the skin on the fingers and nail beds.
    B) Look at and feel the skin on the back of the hand.
    C) Examine the lining of the lips and mouth.
    D) Press and release the skin on the palm.
    C) Examine the lining of the lips and mouth.
    (this multiple choice question has been scrambled)
  24. Of the four patients listed, on which of the following would the EMT perform a rapid trauma assessment, as opposed to a focused trauma assessment?

    A) 46-year-old roofer complaining of a burn to his left lower leg after being splashed with hot tar.
    B) 24-year-old male who is alert and oriented and is complaining of arm pain secondary to a motor vehicle collision in which the passenger was killed.
    C) 22-year-old male who is alert and oriented with a deformed ankle that occurred when he tripped playing basketball.
    D) 36-year-old construction worker who was shot in the hand with a nail gun. The nail remains impaled in his hand.
    B) 24-year-old male who is alert and oriented and is complaining of arm pain secondary to a motor vehicle collision in which the passenger was killed.
    (this multiple choice question has been scrambled)
  25. You have arrived by the side of a cyanotic patient who is responsive to painful stimuli and exhibiting stridorous respirations. Which of the following would be most appropriate?

    A) Provide positive pressure ventilation with supplemental oxygen.
    B) Contact medical direction for instructions on how to manage the patient.
    C) Prepare and apply the pulse oximeter before administering oxygen.
    D) Obtain a full set of vital signs excluding the patient's temperature.
    A) Provide positive pressure ventilation with supplemental oxygen.
    (this multiple choice question has been scrambled)
  26. Which of the following statements made by the EMT indicates an accurate understanding of checking a patient's skin temperature?

    A) "Checking the skin temperature is not precise, but a good estimate of abnormally high or low body temperatures."
    B) "To properly evaluate a patient's skin temperature during the initial assessment, the EMT needs a thermometer."
    C) "The experienced EMT can precisely determine a patient's body temperature by feeling the skin."
    D) "It is important to remember that flushed skin always indicated a high body temperature."
    A) "Checking the skin temperature is not precise, but a good estimate of abnormally high or low body temperatures."
    (this multiple choice question has been scrambled)
  27. Friends called 911 for a 37-year-old female who intentionally overdosed on a narcotic drug. Which of the following eye findings would reinforce that the patient did indeed take a narcotic?

    A) Bloodshot eyes with large pupils
    B) Non-reactive pupils that are unequal
    C) Pupils that constrict to light
    D) Pupils that are constricted before shining a light in them
    D) Pupils that are constricted before shining a light in them
    (this multiple choice question has been scrambled)
  28. Family states that their 16-year-old daughter has a history of asthma and has been complaining of shortness of breath for the past two days. She has been taking her metered dose inhaler with some relief, but today, when she didn't get out of bed, they found her lethargic and struggling to breath. Your assessment reveals her to be responsive to verbal stimuli with a patent airway and shallow respirations of 36 a minute. When listening with your stethoscope, you hear wheezing in the upper lobes, and the lung bases are quiet. Your immediate action in caring for this patient would be:

    A) To position her on her side.
    B) Insertion of an oral airway.
    C) Application of a nonrebreather mask.
    D) Positive pressure ventilation.
    D) Positive pressure ventilation.
    (this multiple choice question has been scrambled)
  29. A young female patient has been stung by a bee and states that her throat is "closing up." She states that she is allergic to bee stings and the last time this happened, she had to have a "tube put into my windpipe." She is struggling to breathe and can only speak a few words at a time. Knowing that allergic reactions can cause swelling in the pharynx and at the level of the larynx, which of the following respiratory sounds would indicate that the patient indeed has swelling in this area?

    A) Gurgling
    B) Snoring
    C) Wheezing
    D) Stridor
    D) Stridor
    (this multiple choice question has been scrambled)
  30. Which of the following patients would best benefit from the delivery of high-flow oxygen through a nonrebreather face mask (as opposed to needing positive pressure ventilation, or not needing supplemental oxygen at all)?

    A) 18-year-old who intentionally overdosed on a drug and is breathing 6 times a minute
    B) 42-year-old female who is weak and dizzy and adequately breathing 14 times a minute
    C) 39-year-old male with a sprained ankle and breathing 16 times a minute
    D) 61-year-old male who is unresponsive with a foreign body airway obstruction that cannot be removed with abdominal thrusts
    B) 42-year-old female who is weak and dizzy and adequately breathing 14 times a minute
    (this multiple choice question has been scrambled)
  31. Your partner is having a difficult time determining what a normal and abnormal blood pressure for a child is. Which statement will help him most?

    A) "Since pediatric emergencies are less common than adult emergencies, it is best to call medical direction and ask what is normal."
    B) "Any systolic blood pressure of less than 100 mmHg in a child is an emergency."
    C) "A normal systolic pressure can be estimated by doubling the child's age and adding it to 80."
    D) "It is helpful to ask the parent or caregiver what is normal for the child and compare your reading to that."
    C) "A normal systolic pressure can be estimated by doubling the child's age and adding it to 80."
    (this multiple choice question has been scrambled)
  32. When obtaining a SAMPLE history, which of the following information would be obtained when asking about the "P" component?

    A) Pulse 116 beats per minute
    B) Pain rated 8/10
    C) History of pancreatitis
    D) Physician is Dr. Coleman
    C) History of pancreatitis
    (this multiple choice question has been scrambled)
  33. En route to the hospital, you start the ongoing assessment of a 22-year-old trauma patient. You would begin this assessment by:

    A) Assessing for additional injuries.
    B) Rechecking vital signs.
    C) Checking all interventions.
    D) Repeating the initial assessment.
    D) Repeating the initial assessment.
    (this multiple choice question has been scrambled)
  34. While you are performing a focused physical exam, your trauma patient suddenly complains of the sudden onset of difficulty breathing. You would:

    A) Reevaluate the mechanism of injury.
    B) Reassess the patient, beginning with the head.
    C) Stop your exam and provide appropriate care.
    D) Make a mental note and continue with your exam.
    C) Stop your exam and provide appropriate care.
    (this multiple choice question has been scrambled)
  35. You are called for a 2-year-old child who is sick. When testing her capillary refill, which of the following would be the most cause for concern?

    A) 3-second capillary refill time
    B) 2-second capillary refill time
    C) 1-second capillary refill time
    D) Immediate return of color
    A) 3-second capillary refill time
    (this multiple choice question has been scrambled)
  36. The left side of a patient's heart is in severe failure, causing blood to back up behind it. Which of the following signs and symptoms would you most likely see in this patient?

    A) Crackles in the lungs
    B) Decreased respirations
    C) Bone pain in the legs
    D) Swelling in the feet
    A) Crackles in the lungs
    (this multiple choice question has been scrambled)
  37. Which portion of the heart is in failure when it can no longer effectively pump blood into the lungs?

    A) Left atrium
    B) Pulmonary vein
    C) Right ventricle
    D) Left ventricle
    C) Right ventricle
    (this multiple choice question has been scrambled)
  38. Which of the following best represents the correct sequence for the passage of air into the lungs?

    A) Epiglottis, trachea, cricoid, bronchi, alveoli
    B) Nose, bronchi, larynx, trachea, pharynx
    C) Mouth, pharynx, trachea, bronchi, alveoli
    D) Larynx, esophagus, trachea, bronchi, alveoli
    C) Mouth, pharynx, trachea, bronchi, alveoli
    (this multiple choice question has been scrambled)
  39. A patient has taken a medication that increases the activity of his sympathetic nervous system. Which of the following signs and symptoms would the EMT expect to find?

    A) Dilated pupils
    B) Dry and flushed skin
    C) Low blood pressure
    D) Decreased heart rate
    A) Dilated pupils
    (this multiple choice question has been scrambled)
  40. A patient has severe swelling of the leaf-shaped flap that helps to prevent food from entering lower respiratory system. Knowing that the suffix "itis" refers to inflammation, which of the following conditions would the patient be suffering from?

    A) Tracheitis
    B) Pharyngitis
    C) Epiglottitis
    D) Bronchitis
    C) Epiglottitis
    (this multiple choice question has been scrambled)
  41. A patient has fractured bones in his left leg. Which of the following could be broken?

    A) Orbit, lumbar, or shin
    B) Femur, tibia, or fibula
    C) Acetabulum, calcaneous, or carpals
    D) Radius, ulna, humerus, or carpals
    B) Femur, tibia, or fibula
    (this multiple choice question has been scrambled)
  42. In which of the following structures of the respiratory system would an occlusion cause the total cessation of air flow into and out of the lungs?

    A) Esophagus
    B) Trachea
    C) Right bronchi
    D) Nasopharynx
    B) Trachea
    (this multiple choice question has been scrambled)
  43. After you apply and use the automated external defibrillator, a patient's pulse returns and he is breathing adequately. The paramedic asks you to place the patient in a lateral recumbent position. How would you position this patient?

    A) On his left side
    B) Supine with head turned left
    C) On his stomach
    D) On his back
    A) On his left side
    (this multiple choice question has been scrambled)
  44. Assessment of an elderly male shows him to be confused. His family states that this is normal for him because he has a disease of his brain that has affected his ability to remember things. Based on this information, what area of the brain would this disease be located?

    A) Cerebrum
    B) Brainstem
    C) Pons
    D) Cerebellum
    A) Cerebrum
    (this multiple choice question has been scrambled)
  45. A patient has been shot with a rifle. The bullet entered his chest just above the left nipple and exited his body just left of the lumbar spine. Which of the following would be appropriate to document on the prehospital care report?

    A) Exit wound to the posterior torso
    B) Entry wound to anterior thorax
    C) Exit wound to the posterior thorax
    D) Entry wound to the abdomen
    B) Entry wound to anterior thorax
    (this multiple choice question has been scrambled)
  46. Which of the following descriptions best describes the anatomical position?

    A) Standing with the arms down at the side and palms facing forward
    B) Supine position with arms at the side and palms facing downward
    C) Prone position with arms upward and palms facing upward

    D) Upright and facing backward with the arms raised and legs straight
    A) Standing with the arms down at the side and palms facing forward
    (this multiple choice question has been scrambled)
  47. A female patient has suffered a stroke to the right side of her brain and has paralysis to the contralateral portion of the body. Which of the following is true?

    A) She is paralyzed on the right side of her body.
    B) She cannot move her arms or legs.
    C) Her left and right legs are paralyzed.
    D) She cannot move her left arm and leg.
    D) She cannot move her left arm and leg.
    (this multiple choice question has been scrambled)
  48. The vessel that carries oxygen-depleted blood to the right atrium is the:

    A) Vena cava.
    B) Internal jugular.
    C) Posterior tibial.
    D) Aorta.
    A) Vena cava.
    (this multiple choice question has been scrambled)
  49. A patient is experiencing the backup of blood and accumulation of fluid in the lung tissue. Failure of which of the heart's valves would most likely be responsible for this condition?

    A) Tricuspid valve
    B) Right valve
    C) Pulmonary valve
    D) Mitral valve
    D) Mitral valve
    (this multiple choice question has been scrambled)
  50. In the healthy heart, the electrical impulses that cause contraction of the cardiac muscle are initiated in the:

    A) Ventricles.
    B) Left atrium.
    C) Sinoatrial node.
    D) Bundle branches.
    C) Sinoatrial node.
    (this multiple choice question has been scrambled)
  51. Involuntary or smooth muscles would be found on which of the following structures?

    A) Blood vessels and intestines
    B) Heart and blood vessels
    C) Muscles of the arms and legs
    D) Central nervous system
    A) Blood vessels and intestines
    (this multiple choice question has been scrambled)
  52. A 14-year-old boy has fallen through a plate glass window and is bleeding heavily from a laceration to his arm. His panicked mother has called 911 for help. Since the 911 operators are also Emergency Medical Dispatchers, which of the following will they be able to provide?

    A) Instructions on how to control bleeding
    B) Simultaneous notification of the hospital
    C) The names of the EMTs who are responding
    D) What insurance will reimburse EMS for the call
    A) Instructions on how to control bleeding
    (this multiple choice question has been scrambled)
  53. It has been some time since you were involved in the care of a pediatric patient. You decide to review the assessment and treatment basics that the medical director for your service requires. Which of the following resources would you first consult to review this information?

    A) Emergency Department nurse
    B) Internet web sites
    C) Emergency Medical Responders
    D) Service protocols
    D) Service protocols
    (this multiple choice question has been scrambled)
  54. You have arrived on the scene of a motor vehicle collision. A car has gone off the road and into a utility pole. The pole is broken and wires are above the car. You do not see any sparking or arcing of the wires. The driver of the car is slumped over the steering wheel and not moving. There are several bystanders around the car yelling for you to help. Which of the following indicates the correct order of actions you would perform?

    A) Access the patient, fire department secures the wires, clear bystanders, extricate patient, transport
    B) Clear bystanders, fire department secures the wires, access the patient, extricate the patient, transport
    C) Clear bystanders, access the patient, extricate the patient, transport, fire department secures the wires
    D) Access the patient, clear bystanders, fire department secures the wires, extricate patient, transport
    B) Clear bystanders, fire department secures the wires, access the patient, extricate the patient, transport
    (this multiple choice question has been scrambled)
  55. Before contacting medical direction for authorization to assist a shortness of breath patient with his or her metered dose inhaler, protocols state that the EMT must first attempt to provide relief by administering oxygen. You recognize that the administration of oxygen is best described as:

    A) Direct permission.
    B) On-line medical direction.
    C) Standing order.
    D) Quality improvement.
    C) Standing order.
    (this multiple choice question has been scrambled)
  56. Which of the following statements indicates that the EMT has a good understanding of her role and responsibility related to being an EMT?

    A) "On a scene of an emergency, you must make sure to get to the patient no matter what."
    B) "The public's safety comes before the safety of me or my partner"
    C) "My safety comes first and then the patient's safety."
    D) "The patient's needs come before anyone else's needs."
    C) "My safety comes first and then the patient's safety."
    (this multiple choice question has been scrambled)
  57. Most authorities agree that the modern-day EMS system evolved after the release of what research document?

    A) The American Heart Association Guidelines for Cardiac Resuscitation
    B) The White Paper "Accidental Death and Disability: The Neglected Disease of Modern Society"
    C) The Emergency Medical Services Act of 1973
    D) The EMS Agenda for the Future
    B) The White Paper "Accidental Death and Disability: The Neglected Disease of Modern Society"
    (this multiple choice question has been scrambled)
  58. You have been dispatched for a 61-year-old female in cardiac arrest. Emergency Medical Responders (EMRs) are on scene. Since in your community all EMS practitioners are trained according to the National Highway Traffic Safety Administration's National Scope of Practice Model, which of the following care do you expect the EMRs to be providing?

    A) Automated external defibrillation
    B) Reading an electrocardiogram (EKG)
    C) Medication administration
    D) Intravenous (IV) therapy
    A) Automated external defibrillation
    (this multiple choice question has been scrambled)
  59. As defined by The National EMS Scope of Practice Model, the four levels of EMS practitioners include:

    A) Emergency department physicians.
    B) First responders.
    C) Emergency medical dispatchers.
    D) Paramedics.
    D) Paramedics.
    (this multiple choice question has been scrambled)
  60. The EMT is appropriately sizing the nasal airway when she measures:

    A) The diameter of the patient's little finger.
    B) The diameter of the larger nostril.
    C) The distance from the nose to earlobe.
    D) The distance from the mouth to the angle of the jaw.
    C) The distance from the nose to earlobe.
    (this multiple choice question has been scrambled)
  61. While assessing a patient with abdominal pain, he informs you that he is a chronic carrier of Hepatitis-B. He is not jaundiced (yellow color to the skin) nor does he have a fever. As an EMT, you realize:

    A) A mask must be placed over the patient's mouth.
    B) The patient had the disease but is presently in remission.
    C) The patient's blood and body fluids are infectious.
    D) The Hepatitis-B vaccine will not protect you if exposed.
    C) The patient's blood and body fluids are infectious.
    (this multiple choice question has been scrambled)
  62. An elderly male who is short of breath is on home oxygen. He is wearing a nasal cannula connected to an oxygen tank with the flow regulator set to 3 liters per minute. As a knowledgeable EMT, you would recognize that the patient is getting approximately what percentage of oxygen with each breath?

    A) 32 percent
    B) 24 percent
    C) 40 percent
    D) 20 percent
    A) 32 percent
    (this multiple choice question has been scrambled)
  63. You are treating a patient with active tuberculosis. Which of the following will afford you the best protection from acquiring the disease?

    A) Surgical mask with a face shield
    B) Gloves, gown, and goggles
    C) Purified protein derivative (PPD) injection
    D) High-efficiency particulate aspirator mask
    D) High-efficiency particulate aspirator mask
    (this multiple choice question has been scrambled)
  64. A 2-year-old boy who just seized must have his airway opened. When performing the head tilt-chin lift airway maneuver, the EMT must remember:

    A) The head must be hyperextended.
    B) A towel roll should be placed under the head.
    C) The head should only be slightly extended.
    D) The head must be flexed forward.
    C) The head should only be slightly extended.
    (this multiple choice question has been scrambled)
  65. The hospital staff has just returned the long spine board you used to immobilize a patient involved in a minor motor vehicle collision. There is no blood on the board, but your service policy states that all immobilization equipment is to be disinfected any time that it is used. To properly disinfect this piece of equipment, which of the following will you use?

    A) Superheated steam
    B) Germicidal solution
    C) Soap and water
    D) Sterilizing solution
    B) Germicidal solution
    (this multiple choice question has been scrambled)
  66. You are assessing a patient with altered mental status. Which assessment finding would contraindicate the use of the nonrebreather face mask?

    A) Rate of 18 and shallow tidal volume
    B) Clear and equal breath sounds
    C) Confused mental status
    D) Respiratory rate of 24 breaths per minute
    A) Rate of 18 and shallow tidal volume
    (this multiple choice question has been scrambled)
  67. Which immunization should the EMT receive annually?

    A) Hepatitis-B vaccine
    B) Influenza vaccine
    C) Purified protein derivative (PPD)
    D) Measles, mumps, and rubella (MMR) vaccine
    C) Purified protein derivative (PPD)
    (this multiple choice question has been scrambled)
  68. You are doing CPR on a patient in cardiac arrest. Initially, the AED was applied and indicated no shock. Currently you are ventilating the patient with a bag-value mask and performing compressions. His wife is crying and asks how he is doing. Your best response would be:

    A) "If we can get him to the hospital very quickly, I am sure he will do just fine."
    B) "Why don't we wait until we get to the hospital to talk about your husband's condition?"
    C) "I have to be honest, at this stage he is probably dead, but we are going to take him to the hospital for the doctor to examine."
    D) "Right now he is not breathing and his heart is not beating, but we are doing everything we can for him."
    D) "Right now he is not breathing and his heart is not beating, but we are doing everything we can for him."
    (this multiple choice question has been scrambled)
  69. Your medical director is holding an in-service focusing on the prehospital management of adult patients with respiratory complaints. He asks the group how they determine if the patient is breathing adequately. Which of the following responses would be most correct?

    A) "A patient is breathing adequately if the depth of breathing is shallow, but the rate is increased above normal."
    B) "For a patient to be breathing adequately, the rate should be within 10 to 24 breaths per minute with a full chest rise with each breath."
    C) "The EMT can assume breathing is adequate if the patient has an open airway and a normal respiratory rate."
    D) "Checking the patient's breath sounds with a stethoscope is the best way to determine if a patients breathing is adequate."
    B) "For a patient to be breathing adequately, the rate should be within 10 to 24 breaths per minute with a full chest rise with each breath."
    (this multiple choice question has been scrambled)
  70. Which of the following set ups on the bag-valve mask (BVM) will enable the EMT to deliver the highest concentration of oxygen to the patient?

    A) BVM with room air oxygen being used by two EMTs
    B) BVM attached to oxygen at 15 lpm
    C) BVM with oxygen reservoir attached
    D) BVM with oxygen reservoir attached receiving oxygen at 15 lpm
    D) BVM with oxygen reservoir attached receiving oxygen at 15 lpm
    (this multiple choice question has been scrambled)
  71. Which of the following statements indicates that the EMT has an accurate understanding of the bronchioles?

    A) "The bronchioles are small passages located in the lower airway that have smooth muscle surrounding them."
    B) "The bronchioles are large structures that pass oxygen from the lungs directly into the blood stream."
    C) "The bronchioles are small air sacs located just before the alveoli."
    D) "The bronchioles are large airways located before the carina and are made of cartilage."
    A) "The bronchioles are small passages located in the lower airway that have smooth muscle surrounding them."
    (this multiple choice question has been scrambled)
  72. The EMT believes that a patient is mildly hypoxic based on findings from the initial assessment. What other sign could the EMT use to confirm his suspicion of mild hypoxia?

    A) Sleepy appearance
    B) Cyanosis
    C) Restlessness
    D) Responsive to verbal stimuli
    A) Sleepy appearance
    (this multiple choice question has been scrambled)
  73. A patient informs you that he was recently diagnosed with the Human Immunodeficiency Virus (HIV), but has yet to develop AIDS. Which of the following is true?

    A) Family members should not use his hand towels or utensils.
    B) Until the patient develops AIDS, he is not infectious.
    C) The Hepatitis-B and C vaccines provide the EMT some protection from transmission.
    D) Gloves will be enough protection unless body fluids are present.
    D) Gloves will be enough protection unless body fluids are present.
    (this multiple choice question has been scrambled)
  74. Which of the following is true regarding ventilation of a non-breathing patient through a stoma?

    A) Mouth-to-stoma ventilation is an easy and safe procedure to perform on a non-breathing patient.
    B) A head tilt-chin lift or jaw-thrust airway maneuver is still needed to open the airway.
    C) A nasal airway should be inserted into the stoma prior to any attempt at ventilating the patient.
    D) The EMT should ventilate through the stoma with a child-sized face mask attached to a bag-valve mask.
    D) The EMT should ventilate through the stoma with a child-sized face mask attached to a bag-valve mask.
    (this multiple choice question has been scrambled)
  75. You are caring for a 46-year-old male patient who is unresponsive. Which statement made by your partner indicates the need to immediately stop suctioning his airway and resume positive pressure ventilation?

    A) "He is biting down on the rigid tip catheter."
    B) "His heart rate is 48 beats per minute."
    C) "He is starting to have gurgling respirations."
    D) "You have been suctioning now for 5 seconds."
    B) "His heart rate is 48 beats per minute."
    (this multiple choice question has been scrambled)
  76. Which of the following patients would the EMT recognize as having an actual or potential occlusion of the upper airway?

    A) 61-year-old male with a piece of fruit food stuck in his trachea
    B) 45-year-old female with spasm of the bronchioles
    C) 3-year-old male with a fever and swelling of the larynx
    D) 78-year-old female with a large mucous plug in her bronchi
    C) 3-year-old male with a fever and swelling of the larynx
    (this multiple choice question has been scrambled)
  77. While providing care to a 61-year-old female in cardiac arrest, you note that her abdomen grows larger with each ventilation provided from the bag-valve mask. What instructions would you provide?

    A) "I need another rescuer to apply firm pressure over the stomach while we ventilate this patient."
    B) "Try delivering each ventilation over 3 seconds, and let's slow the rate down."
    C) "Let's slow the ventilation rate to 10 per minute and I will provide cricoid pressure."
    D) "The ventilation rate and force of ventilation needs to be increased so the air goes into the lungs."
    C) "Let's slow the ventilation rate to 10 per minute and I will provide cricoid pressure."
    (this multiple choice question has been scrambled)
  78. Assessment findings for an alert and oriented patient complaining of shortness of breath reveal an open airway, respiratory rate of 24, and strong radial pulse accompanied by skin that is cool and diaphoretic. The depth of respirations is adequate and breath sounds include wheezing throughout the lungs. Vital signs are a pulse of 124, respiratory rate of 24, and blood pressure of 146/82 mmHg. He has a history of asthma for which he takes medications. How would you administer oxygen to this patient?

    A) Bag-valve mask
    B) Nasal cannula
    C) Venturi mask
    D) Nonrebreather mask
    D) Nonrebreather mask
    (this multiple choice question has been scrambled)
  79. You have arrived on the scene of an assault in which several people have been injured. You are directed to assist another crew with a patient who has been shot once. As you approach, you are told that the patient is apneic and observe the patient being ventilated with a bag-valve mask while another EMT maintains her airway with the jaw-thrust maneuver. Based on your observation, where might you expect that this patient was shot?

    A) Leg
    B) Head
    C) Abdomen
    D) Pelvis
    C) Abdomen
    (this multiple choice question has been scrambled)
  80. You have just placed an Esophageal-Tracheal Combitube (ETC) in a patient and inflated the cuffs as appropriate. The bag-valve mask is attached and ventilation is being delivered. Auscultation reveals that breath sounds are present in the epigastrium and not in the lungs. You would:

    A) Continue to ventilate.
    B) Remove the ETC and reinsert it.
    C) Provide ventilation through tube #2.
    D) Slightly pull back on the ETC and listen again.
    C) Provide ventilation through tube #2.
    (this multiple choice question has been scrambled)
  81. Which statement made by the EMT indicates a proper understanding of the use of the pocket mask?

    A) "Although the pocket mask is very effective at ventilating a patient, the EMT is directly exposed to secretions from the patient."
    B) "When using the pocket mask to ventilate a patient, the EMT must make sure that the reservoir bag is in place."
    C) "The EMT must remove the oral airway and replace it with a nasal airway when ventilating with a pocket mask."
    D) "In comparison to the bag-valve mask, the pocket mask can deliver a just as good, if not better, tidal volume."
    D) "In comparison to the bag-valve mask, the pocket mask can deliver a just as good, if not better, tidal volume."
    (this multiple choice question has been scrambled)
  82. An elderly male who is short of breath is on home oxygen. He is wearing a nasal cannula connected to an oxygen tank with the flow regulator set to 3 liters per minute. As a knowledgeable EMT, you would recognize that the patient is getting approximately what percentage of oxygen with each breath?

    A) 20 percent
    B) 40 percent
    C) 24 percent
    D) 32 percent
    D) 32 percent
    (this multiple choice question has been scrambled)
  83. Which of the following actions would you perform when attaching a therapy regulator to a new oxygen tank?

    A) Lubricate the stem of the cylinder with oil prior to attaching the regulator
    B) Tighten the regulator to the oxygen cylinder with an oxygen wrench
    C) Stand the tank upright on the floor for 2 minutes prior to attaching the regulator
    D) Open the cylinder valve for one second prior to attaching the regulator
    D) Open the cylinder valve for one second prior to attaching the regulator
    (this multiple choice question has been scrambled)
  84. You are assessing a patient with congestive heart failure, and you determine that her failing heart is causing fluid to collect and fill her alveoli. Based on this pathophysiology, which of the following pulmonary complications should the EMT assume and treat the patient for?

    A) Swelling of the tongue
    B) Decreased gas exchange
    C) Decreased blood pressure
    D) Collapse of the bronchi
    B) Decreased gas exchange
    (this multiple choice question has been scrambled)
  85. An advantage of using the Esophageal-Tracheal Combitube is:

    A) Either a straight or curved laryngoscope blade can be used.
    B) The device is properly placed whether in the trachea or the esophagus.
    C) The Esophageal-Tracheal Combitube can be used on responsive patients.
    D) The Esophageal-Tracheal Combitube can be used on any aged patient.
    B) The device is properly placed whether in the trachea or the esophagus.
    (this multiple choice question has been scrambled)
  86. When a person's diaphragm contracts and the intercostal muscles pull the ribs upward, which of the following will occur?

    A) Carbon dioxide will be exhaled.
    B) Air will flow into the lungs.
    C) Oxygen will leave the body.
    D) Pressure inside the chest will increase.
    B) Air will flow into the lungs.
    (this multiple choice question has been scrambled)
  87. Which statement made by the EMT indicates the proper understanding of how to suction patients in the field setting?

    A) "To thoroughly suction a patient, I insert the rigid tip catheter past the base of the tongue and into the pharynx."
    B) "It is helpful to pour sterile water into the patient's mouth to liquefy vomit and make it easier to suction."
    C) "I only activate the suction device when I am withdrawing the suction catheter."
    D) "When caring for a young child, I suction for a minimum of 5 seconds."
    C) "I only activate the suction device when I am withdrawing the suction catheter."
    (this multiple choice question has been scrambled)
  88. You must suction copious secretions from the mouth and pharynx of a 31-year-old male patient who is breathing 4 times a minute. Which of the following interventions is most appropriate given the patient's condition?

    A) Forego suctioning and continue to provide positive pressure ventilation.
    B) Use a soft tip catheter and suction for no more than 30 seconds before providing additional oxygen with a nonrebreather face mask.
    C) Suction for no more than 15 seconds at a time followed by 2 minutes of positive pressure ventilation.
    D) Place the patient into a side-lying position and alternate 30 seconds of suctioning and ventilation.
    C) Suction for no more than 15 seconds at a time followed by 2 minutes of positive pressure ventilation.
    (this multiple choice question has been scrambled)
  89. You have been called to a long-term nursing care facility for a 77-year-old female patient with Parkinson's disease. According to the nursing staff, she is more confused than normal and is to be transported to the emergency department for evaluation. Since the patient does not understand nor can answer any of your questions, which of the following signs provides the best evidence that her breathing is adequate?

    A) Clear breath sounds
    B) Respiratory rate of 18
    C) Pulse oximeter reading of 98 percent
    D) Strong radial pulse
    C) Pulse oximeter reading of 98 percent
    (this multiple choice question has been scrambled)
Author:
Anonymous
ID:
67560
Card Set:
EMT EXAM 1
Updated:
Folders:

Description:
HW 1-7 and Q 1-2
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