EMT EXAM 1

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Anonymous
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67560
Filename:
EMT EXAM 1
Updated:
2011-02-19 23:59:58
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EMT Test Prep
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Description:
HW 1-7 and Q 1-2
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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)

    B)

    C)

    D)
    • Correct Answer
    • C)
  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)
    B)
    C)
    D)
    • Correct Answer
    • C)
  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)
    B)
    C)
    D)
    • Correct Answer
    • C)
  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)
    B)
    C)
    D)
    • Correct Answer
    • A)
  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)
    B)
    C)
    D)
    B)
    (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)
    B)
    C)
    D)
    D)
    (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)
    B)
    C)
    D)
    D)
    (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)
    B)
    C)
    D)
    A)
    (this multiple choice question has been scrambled)
  10. When performing the scene size-up, which of the following will the EMT address?

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

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

    A)
    B)
    C)
    D)
    A)
    (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)
    B)
    C)
    D)
    B)
    (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)
    B)
    C)
    D)
    A)
    (this multiple choice question has been scrambled)
  19. You have determined that your patient is unresponsive. Your next action would be to:

    A)
    B)
    C)
    D)
    B)
    (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)
    B)
    C)
    D)
    D)
    (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)
    B)
    C)
    D)
    C)
    (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)
    B)
    C)
    D)
    B)
    (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)
    B)
    C)
    D)
    B)
    (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)
    B)
    C)
    D)
    A)
    (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)
    B)
    C)
    D)
    D)
    (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)
    B)
    C)
    D)
    A)
    (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)
    B)
    C)
    D)
    D)
    (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)
    B)
    C)
    D)
    D)
    (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)
    B)
    C)
    D)
    D)
    (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)
    B)
    C)
    D)
    B)
    (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)
    B)
    C)
    D)
    A)
    (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)
    B)
    C)
    D)
    C)
    (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)
    B)
    C)
    D)
    A)
    (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)
    B)
    C)
    D)
    C)
    (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)
    B)
    C)
    D)
    B)
    (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)
    B)
    C)
    D)
    D)
    (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)
    B)
    C)
    D)
    D)
    (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)
    B)
    C)
    D)
    D)
    (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)
    B)
    C)
    D)
    D)
    (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)
    B)
    C)
    D)
    C)
    (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)
    B)
    C)
    D)
    D)
    (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)
    B)
    C)
    D)
    D)
    (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)
    B)
    C)
    D)
    A)
    (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)
    B)
    C)
    D)
    B)
    (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)
    B)
    C)
    D)
    D)
    (this multiple choice question has been scrambled)
  46. Which of the following descriptions best describes the anatomical position?

    A)
    B)
    C)

    D)
    B)
    (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)
    B)
    C)
    D)
    C)
    (this multiple choice question has been scrambled)
  48. The vessel that carries oxygen-depleted blood to the right atrium is the:

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

    A)
    B)
    C)
    D)
    D)
    (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)
    B)
    C)
    D)
    B)
    (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)
    B)
    C)
    D)
    C)
    (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)
    B)
    C)
    D)
    D)
    (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)
    B)
    C)
    D)
    A)
    (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)
    B)
    C)
    D)
    C)
    (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)
    B)
    C)
    D)
    B)
    (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)
    B)
    C)
    D)
    B)
    (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)
    B)
    C)
    D)
    A)
    (this multiple choice question has been scrambled)
  60. The EMT is appropriately sizing the nasal airway when she measures:

    A)
    B)
    C)
    D)
    A)
    (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)
    B)
    C)
    D)
    C)
    (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)
    B)
    C)
    D)
    C)
    (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)
    B)
    C)
    D)
    C)
    (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)
    B)
    C)
    D)
    D)
    (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)
    B)
    C)
    D)
    C)
    (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)
    B)
    C)
    D)
    C)
    (this multiple choice question has been scrambled)
  67. Which immunization should the EMT receive annually?

    A)
    B)
    C)
    D)
    D)
    (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)
    B)
    C)
    D)
    D)
    (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)
    B)
    C)
    D)
    A)
    (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)
    B)
    C)
    D)
    D)
    (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)
    B)
    C)
    D)
    A)
    (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)
    B)
    C)
    D)
    B)
    (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)
    B)
    C)
    D)
    C)
    (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)
    B)
    C)
    D)
    B)
    (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)
    B)
    C)
    D)
    A)
    (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)
    B)
    C)
    D)
    B)
    (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)
    B)
    C)
    D)
    D)
    (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)
    B)
    C)
    D)
    B)
    (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)
    B)
    C)
    D)
    A)
    (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)
    B)
    C)
    D)
    C)
    (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)
    B)
    C)
    D)
    D)
    (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)
    B)
    C)
    D)
    C)
    (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)
    B)
    C)
    D)
    B)
    (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)
    B)
    C)
    D)
    C)
    (this multiple choice question has been scrambled)
  85. An advantage of using the Esophageal-Tracheal Combitube is:

    A)
    B)
    C)
    D)
    A)
    (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)
    B)
    C)
    D)
    B)
    (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)
    B)
    C)
    D)
    B)
    (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)
    B)
    C)
    D)
    A)
    (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)
    B)
    C)
    D)
    B)
    (this multiple choice question has been scrambled)

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