Final Exam
Which of the following BEST describes a fluttering sensation in the chest? A)Palpitations B) Dysrhythmia C)Pulseless electrical activity of the heart D)Tachycardia
A)Palpitations
For life to be maintained, a balance of oxygen and carbon dioxide is needed. The condition when oxygen levels are low is called: A)hypercarbia B)hypotension C)hypoxia D)hyperventilation
C)hypoxia
The symptoms or circumstances for which a medication is given are called: A) side effects. B)contraindications C)indications. D) untoward effects.
C)indications.
You are ventilating an 85-year-old male without difficulty. A nurse tells you that the patient has dentures. To ensure a good mask seal, you should: A)tape the dentures in place B)use an infant mask over the nose. C)leave the dentures in place. D)remove the dentures.
C)leave the dentures in place.
The seat of respiratory control is found in the: A)lungs B)chest C)medulla oblongata. D)nose
C)medulla oblongata.
You are attempting to assess the blood pressure of a 35-year-old male at the scene of a multiple-vehicle collision. The scene is very noisy and you are unable to clearly hear the patient's heartbeat. You should: A) have your partner try auscultating the blood pressure. B) try using the patient's other arm. C)obtain the blood pressure by palpation. D) use an automatic blood pressure machine.
C)obtain the blood pressure by palpation.
When you give patients nitroglycerin, they sometimes develop a headache. This would be called a(n): A)contraindication B)indication C)side effect D)untoward effect.
C)side effect
The medical term for fainting is: A) dehydration. B)vertigo. C)syncope. D)altered RAS status
C)syncope.
The term lateral is best defined as: A)to the back B) toward the middle of. C)to the side. D) under the arms.
C)to the side.
You respond to a patient who is choking. The victim is suffering from the most common of airway obstructions. This would indicate that the problem is in the ________ airway. A)lower B)bronchial C)upper D)alveoli
C)upper
Your patient is breathing 4 shallow breaths per minute due to overdosing on his pain medication but he has a palpable radial pulse. He vomited prior to your arrival and is choking. You should: A) move the patient to the ambulance and suction. B)perform chest thrusts to clear the lungs .C) roll him over onto his side to clear the airway. D) insert an oropharyngeal airway and ventilate.
.C) roll him over onto his side to clear the airway.
Patients in which age group tend to be very concerned with body image? 1) Early adulthood 2) Adolescence 3) Middle adulthood 4) School-age
2) Adolescence
The condition in which there is an insufficient amount of sugar in the blood is called: 1) diabetic coma. 2) hyperglycemia. 3) diabetic ketoacidosis. 4) hypoglycemia.
4) hypoglycemia.
You respond to the scene of a 56-year-old obese female complaining of respiratory distress. She states that she has been feeling weak and a "little sick" for the past two days but the respiratory distress has been getting progressively worse for the past several hours. She states she has "heart problems," suffers from high blood pressure, and takes a "water pill." She is afebrile and has coarse crackles (rales) bilaterally. What is most likely the cause of her respiratory distress? A) Congestive heart failure B)Influenza C)Pneumonia D)Aortic aneurysm
A) Congestive heart failure
Your patient has been hit in the arm with a baseball during practice. He is alert and oriented, complaining of pain in his left arm with obvious black discoloration of the skin. What type of assessment is called for in this situation? A) Focused exam B) Rapid trauma exam C)Detailed physical exam D)Area exam
A) Focused exam
You are on-scene with a 48-year-old unresponsive male patient. Bystanders state he complained of chest pain and then suddenly collapsed. Vital signs are blood pressure 68/42, pulse 36, and respiratory rate 3. He is unresponsive to painful stimuli. After performing the primary assessment and treating all life threats, what is your next intervention? A) Package the patient for rapid transport. B)Apply the AED. C) Administer high-concentration oxygen at 15 lpm by bag-valve mask. D)Insert an oral airway.
A) Package the patient for rapid transport.
Defibrillation is indicated for which of the following situations? A) Pulseless ventricular tachycardia B) Pulseless bradycardia C)Asystole D) Pulseless electrical activity
A) Pulseless ventricular tachycardia
Which of the following structures receives deoxygenated blood from the body via the venae cavae? A) Right atrium B) Right ventricle C) Left atrium D)Left ventricle
A) Right atrium
The death of brain tissue due to deprivation of oxygen because of a blocked or ruptured artery in the brain is known as which of the following? A) Stroke B) Seizure C)Transient ischemic attack D) Aphasia
A) Stroke
You are unable to find a radial pulse on a patient from a motor vehicle crash. You should: A) attempt to find the carotid pulse B) apply the pulse oximeter. C) listen for heart sounds D)begin chest compressions
A) attempt to find the carotid pulse
When the heart contracts and forces blood into the arteries, the pressure created is known as the: A) systolic blood pressure. B)diastolic blood pressure. C) central venous pressure D)pulse pressure
A) systolic blood pressure.
A Patient breathing in room air should be receiving ________ percent oxygen. A)21 B)5 C)100 D)16
A)21
Assuming your protocol allows the administration of nitroglycerin when certain conditions exist, what is the maximum number of tablets to be administered in the prehospital setting? A)3 B)4 C)1 D)2
A)3
Albuterol and epinephrine both have bronchodilation properties that improve the amount of oxygen that a person can inhale and absorb. However, Albuterol is administered only for asthma, whereas epinephrine is administered for both asthma and anaphylaxis. Why is epinephrine, and not Albuterol, the first choice for anaphylaxis? A)Albuterol is not a vasoconstrictor. B) Albuterol slows down the heart rate too much. C)Albuterol drops the blood pressure too low. D) Albuterol makes the heart rate increase too much.
A)Albuterol is not a vasoconstrictor.
Your patient is a 44-year-old female who has collapsed while jogging. She has been unresponsive for 4 to 5 minutes by the time you arrive. Her husband appears to be performing high-quality CPR. Which of the following should be your first action? A)Apply the AED. B)Insert an oropharyngeal airway and begin ventilations. C) Load the patient into the ambulance for further assessment. D)Stop CPR and check for a pulse.
A)Apply the AED.
In which of the following ways does cardiac arrest in children differ from cardiac arrest in adults? A)Cardiac arrest in children is more likely to be due to respiratory failure. B) Cardiac arrest in adults is more likely to be due to respiratory failure. C)Ventricular fibrillation is common in children. D)Ventricular fibrillation is not common in adults.
A)Cardiac arrest in children is more likely to be due to respiratory failure.
Which of the following is NOT determined in a scene size-up? A)Chief complaint B)Potential hazards to the EMS crew C) Mechanism of injury D) Need for additional resources
A)Chief complaint
What condition of immediate concern results from a loss of red blood cells due to hemorrhage? A)Decreased oxygen delivery to the tissues B) Decrease in pulse rate C)Decreased production of carbon dioxide D)Decreased ability to fight infection
A)Decreased oxygen delivery to the tissues
Which of the following represents the correct order of assessment for the EMT during the primary assessment from start to end? A)General impression, mental status, airway, breathing, circulation, patient priority B)Patient priority, general impression, mental status, airway, breathing, circulation C)Mental status, general impression, airway, breathing, circulation, patient priority D)None of the above
A)General impression, mental status, airway, breathing, circulation, patient priority
You are responding to an unresponsive 65-year-old male patient. The patient has snoring respirations, a scalp laceration, and an obvious fracture of the left ankle. What is the best initial course of action? A)Place an oral airway in the patient B)Bandage the scalp wound. C)Splint the ankle to avoid lacerating any nerves or arteries. D)Perform a complete primary and secondary assessment to make sure you know exactly what is wrong before treating the patient.
A)Place an oral airway in the patient
You are on the scene of a tanker truck versus passenger vehicle collision on a rural highway. The vehicles are just beyond a curve in the roadway and there is a distinct odor of diesel fuel. It is dark and there is little traffic. Which of the following should be used to alert oncoming traffic to the situation? A)Reflective triangles B) Flares C)Flashing lights on the ambulance D) Yellow crime scene tape
A)Reflective triangles
Which of the following is true concerning the procedure for inserting a nasopharyngeal airway (NPA)? A)The bevel should be turned toward the nasal septum. B)If a water-soluble lubricant is not available, a silicon spray can be substituted. C) The length of the device is not as important as it is with oropharyngeal airways. D)It can only be placed in the right nostril.
A)The bevel should be turned toward the nasal septum.
What condition must be present before you give oral glucose? A)The patient must be conscious and able to swallow with an altered mental status and history ofdiabetes .B)The patient must be unconscious and have a history of diabetes. C)The patient must not have a history of diabetes. D)The patient, if conscious, must be able to swallow; if unconscious, you can apply the gel to a tongue depressor and place it between the cheek and gum or under the tongue.
A)The patient must be conscious and able to swallow with an altered mental status and history ofdiabetes
While assessing the airway of a pediatric patient, you will notice that it is different than that of an adult. Which of the following is one of those differences? A)The trachea is smaller, softer, and more flexible, allowing it to be more easily obstructed. B)The cricoid cartilage is less developed, reducing the possibility that it can be completely occluded. C)The chest wall is softer, making it easier for the chest to expand. D)The tongue is smaller, taking up less room in the mouth and allowing larger objects to occlude the airway.
A)The trachea is smaller, softer, and more flexible, allowing it to be more easily obstructed.
An artery is a blood vessel that only: A)carries blood away from the heart. B) carries oxygenated blood C) returns blood to the heart. D)carries deoxygenated blood.
A)carries blood away from the heart.
The wrist is ________ to the elbow. A)distal B)inferior C)medial D)dorsal
A)distal
In the normal drive to breathe, chemoreceptors are stimulated by: A)high carbon dioxide. B) diffusion. C)high oxygen D) low carbon dioxide.
A)high carbon dioxide.
The inside of a person's thigh is also known as its ________ aspect. A)medial B)axillary C)inferior D)lateral
A)medial
You are caring for a teenager who is having a severe allergic reaction. He has hives all over his stomach, is having respiratory distress, and is wheezing. After you administer oxygen, you get a set of vital signs. Medical direction has ordered you to assist with administration of his Epi-Pen®. You will monitor thesuccess of your interventions during the: A)reassessment B) focused exam. C)secondary assessment D)primary assessment.
A)reassessment
A patient whose mental status can be described as "verbal" is able to: A)respond to speaking or shouting by opening the eyes. B) tell you his or her name, his or her location, and what day it C) talk spontaneously and respond to the EMT's questions. D) respond only to a stimulus such as the EMT rubbing his sternum with his knuckles.
A)respond to speaking or shouting by opening the eyes.
A ________ device works by blowing oxygen or air continuously at a low pressure to prevent a patient's alveoli from collapsing. A)FROPVD (Flow-Restricted, Oxygen Powered Ventilation Device) B) CPAP (Continuous Positive Airway Pressure) C)Nonrebreather D) COPD (Chronic Obstructive Pulmonary Disease)
B) CPAP (Continuous Positive Airway Pressure)
You are approaching a 16-year-old male with bright red spurting blood coming from his leg. He is screaming, and he begs you to help him. You should: A)ask him to calm down. B) control the bleeding. C)assess his airway. D) apply oxygen.
B) control the bleeding.
You find a middle-aged unresponsive man lying prone on the ground near a ladder. You should: A)roll him over to a supine position B) manually immobilize his head C)pick him up with a scoop stretcher. D)move the ladder out of the way.
B) manually immobilize his head
A fall is considered severe anytime an adult patient has fallen more than ________ feet. A)10 B)20 C)8 D)15
B)20
Which of the following terms describes the heart muscle's ability to generate its own electrical impulses? A)Contractility B)Automaticity C)Irritability D)Conductivity
B)Automaticity
You are responding to a 54-year-old female patient in respiratory distress. The patient is on home oxygen by nasal cannula at 1 lpm. The patient has diminished lung sounds bilaterally with wheezes. She appears malnourished and has a barrel chest. What condition do you suspect? A)Asthma B)Chronic obstructive pulmonary disease C)Congestive heart failure D) Bronchitis
B)Chronic obstructive pulmonary disease
Which of the following methods should be used to have a patient rate the amount of pain he is having? A)Ask the patient to state whether the pain is mild, moderate, severe, or unbearable. B)Have the patient rate the pain on a scale of 1 (least) to 10 (worst). C)Use the memory aid AVPU. D)Use the memory aid DCAP
B)Have the patient rate the pain on a scale of 1 (least) to 10 (worst).
When a patient describes how he feels, he is telling you which of the following? A)His syndrome B)His symptoms C)His diagnosis D) His signs
B)His symptoms
What is NOT part of the cardiovascular system? A)Arteries B)Hormones C)Veins D)Venules
B)Hormones
You are treating a patient with signs and symptoms of a myocardial infarction (MI). What is the most important drug you should administer? A)Albuterol B)Oxygen C)Aspirin D) Epinephrine auto-injector (Epi-Pen®
B)Oxygen
Which of the following BEST describes an appropriate shock sequence for the patient in pulseless VT? A)Shock, pulse check, shock, pulse check, shock, pulse check B)Shock, 2 minutes of CPR, analyze, shock again C)Shock, shock, shock, shock D)Shock, shock, shock, pulse check, 2 minutes of CPR, shock, shock, shock
B)Shock, 2 minutes of CPR, analyze, shock again
You are assessing a 6-month-old female patient who, according to the parents, is not acting normally. At this stage of development, the patient should be able to do which of the following? A)Respond to the word "no" B)Sit upright in a high chair C)Sit alone on the floor D)Sleep
B)Sit upright in a high chair
What type of muscles controls the size of the bronchioles in the lungs? A)Skeletal B)Smooth C)Voluntary D)Striated
B)Smooth
Which of the following is the purpose of the primary assessment? A)To find all of the patient's signs and symptoms B)To detect and treat immediately life-threatening problems C)To discover trends of improvement or deterioration in the patient's condition D)To detect dangers to the patient and/or EMS crew
B)To detect and treat immediately life-threatening problems
If a hole is created in the chest wall, air could escape or be drawn in, or if bleeding develops within the chest, air and blood can accumulate in the pleural space. This would force the lung to: A) increase respirations B)collapse C)increase the minute volume. D)work harder with minimal problems.
B)collapse
The high-pitched sound caused by an upper airway obstruction is known as: A)gurgling B)stridor C)rales D)rhonchi
B)stridor
The pressure against the walls of the blood vessels as blood is ejected from the heart and circulates through the body is the ________ blood pressure. A)central venous B)systolic C)diastolic D)mean arterial
B)systolic
The volume of air that is moved in and out of the chest in a normal breath cycle is called: A)expiration B)tidal volume C)inspiration D)vital capacity.
B)tidal volume
Your patient is a 72-year-old female who has "twisted her ankle" coming down some steps. She is alert and complaining of pain in her right ankle, but she jokes about her "clumsiness." Which of the following should you do next? A)Take immediate manual control of the patient's cervical spine. B)Determine the presence of a carotid pulse. C) Ask if the patient has pain anywhere besides her ankle. D)Administer high-concentration oxygen by nonrebreather mask.
C) Ask if the patient has pain anywhere besides her ankle.
The term cyanosis is used when the patient's skin color is noted to be which of the following characteristics? A)Flushed B) Very pale C) Blue-gray D)Yellow
C) Blue-gray
Which of the following is the correct method of suctioning? A)Begin suctioning as you insert the suction tip or catheter into the mouth. B)Suction intermittently, both while inserting and withdrawing the suction tip or catheter. C) Insert the catheter or tip to the desired depth prior to applying suction. D) Suction continuously, both while inserting and withdrawing the suction tip or catheter
C) Insert the catheter or tip to the desired depth prior to applying suction.
Which of the following is the result of a portion of the heart muscle dying due to a lack of oxygen? A)Heart failure B) Cardiac arrest C) Myocardial infarction D) Angina pectoris
C) Myocardial infarction
You are assessing a 55-year-old male complaining of chest pain and have determined that his radial pulse is barely palpable. You also determine that there were 20 pulsations over a span of 30 seconds. Based on this, how would you report this patient's pulse? A)Pulse 40, weak, and irregular B)Pulse 20 and weak C) Pulse 40 and weak D) Pulse 20, weak, and regular
C) Pulse 40 and weak
Which of the following BEST describes a contraindication to a medication? A)A reason why you should give a medication to a patient B)A reason why you should a never giving a medication to a patient C) The way in which a drug causes its effects D)An unintended action of the drug
C) The way in which a drug causes its effects
Which of the following BEST describes blunt-force trauma? A) A rounded object impacts the body tissues. B)The object penetrates soft tissue, but it cannot penetrate bone. C)An object strikes the body, but it does not penetrate the body tissues. D)The object is not sharp, but it penetrates the body when enough force is used.
C)An object strikes the body, but it does not penetrate the body tissues.
You are on the scene of a 65-year-old female patient in cardiac arrest. CPR is in progress and the AED has been applied. The AED advises shock. After defibrillating the patient, what is your next intervention? A) Place in the recovery position. B)Check for a pulse. C)Continue CPR D) Insert a Combitube.
C)Continue CPR
In medical terms, bruises are known as which of the following? A)Blemish B)Abrasion C)Contusion D)Discoloration
C)Contusion
You are caring for a 47-year-old male patient with classical chest pain suggestive of myocardial infarction. Based on your understanding of the cardiovascular system, you know he could be suffering from damage, narrowing, or blockage of what arteries? A)Femoral arteries B)Brachial arteries C)Coronary arteries D)Pulmonary arteries
C)Coronary arteries
What is the pressure remaining in the arteries after the pulse wave has passed through? A) Resting blood pressure B)Systolic blood pressure C)Diastolic blood pressure D)Venous pressure
C)Diastolic blood pressure
Which of the following is completed first during the primary assessment? A)Determining transport priority B) Opening the airway C)Forming a general impression D)Assessing mental status
C)Forming a general impression
You are at the scene where a 19-year-old female college student has been drinking large quantities of alcohol throughout the evening. On your arrival, the patient is lying on her back with no signs of trauma, has vomited, and has slow wet-sounding respirations. Which of the following should you do next? A)Check for carotid and radial pulses B)Assist respirations with a bag-valve-mask device. C)Open the patient's airway using a head-tilt, chin-lift maneuver. D) Determine the respiratory rate.
C)Open the patient's airway using a head-tilt, chin-lift maneuver.
You are assessing a 12-year-old male patient who has been involved in a bicycle accident. This patient would be classified as being in which stage of life? A)Junior school age B)Middle school age C)School age D)Adolescent
C)School age
What word would be used to refer to a patient's rapid breathing? A)Tachycardia B)Dyseffusion C)Tachypnea D)Dyspnea
C)Tachypnea
Which of the following sounds may be heard in lower respiratory obstruction? A)Crowing B)Stridor C)Wheezing D)Snoring
C)Wheezing
A weakened area of an artery that balloons out and may rupture, causing catastrophic bleeding, is called: A)asystole B)angioplasty C)aneurysm D)angina
C)aneurysm
You have been dispatched to a local shopping mall where a 63-year-old female patient has slipped and fallen in a department store. Upon your arrival, you find her supine on the ground, conscious and oriented with stable vital signs, complaining of severe pain to the upper portion of her left leg and hip. Her left leg is slightly shortened and rotated outward. The bone most commonly fractured with a "broken hip" is the: A)tibia B)ilium C)femur D)fibula
C)femur
Which of the following BEST describes the medical condition of shock? A)Hypotension B)Delayed capillary refill C)An extreme emotional reaction to a stressful even D) A state of inadequate tissue perfusion
D) A state of inadequate tissue perfusion
While performing a detailed physical exam on a patient involved in a fall from 30 feet, the patient (who had previously been responding to your questions) stops responding. What should you do next? A)Continue the detailed physical assessment. B) Start CPR C)Call medical control for orders D) Repeat the primary assessment
D) Repeat the primary assessment
Which of the following BEST describes status epilepticus? A)A seizure involving convulsions on only one side of the body B) A period of drowsiness following tonic-clonic seizures C) A seizure that occurs without a known cause D) Two or more seizures with tonic-clonic activity without an intervening period of consciousness
D) Two or more seizures with tonic-clonic activity without an intervening period of consciousness
If capillary refill is assessed in a child patient, how long should it take the normal pink color to return to the nail bed? A)4 seconds B) 3 seconds C) 5 seconds D)2 seconds
D)2 seconds
You are the first on the scene of a 72-year-old patient in cardiac arrest. You have your medical supply kit, oxygen, and an AED. At least 4 to 5 minutes of high-quality CPR has been provided by the police officer who arrived before you. You have confirmed an open airway, apnea, and pulselessness. Which of thefollowing should you do next? A)Perform bag-valve-mask ventilations with supplemental oxygen for 30 seconds before applying the defibrillator pads. B)Perform one-rescuer CPR until additional personnel arrive. C)Contact medical direction before taking any action. D)Apply the defibrillator pads and shock as indicated.
D)Apply the defibrillator pads and shock as indicated.
During the primary assessment of a responsive adult patient, where should the pulse be checked? A)At the brachial artery B) At the carotid artery C) At the femoral artery D)At the radial artery
D)At the radial artery
Your 76-year-old female patient is having trouble breathing. When you auscultate her lungs, you hear crackles (rales) and you are concerned that she may have pulmonary edema. Her oxygen saturation is 92%, so you place her on 100% oxygen via a nonrebreather mask. Her breathing gets a little easier with the oxygen. You decide to expedite transport since she is anxious about her condition. Later, as you are completing your reassessment, you see that her respirations have slowed to 8 times per minute and she is barely staying awake. What should you do next? A)Assist her with using her metered-dose inhaler. B)Shake her to keep her awake. C)Ask your partner to pull over and wait for ALS backup. D)Begin ventilating her with a bag-valve mask.
D)Begin ventilating her with a bag-valve mask.
Your unit has arrived on the scene of a multiple vehicle collision where several vehicles have rear-ended each other. You are directed by the incident commander to care for a 23-year-old female in the first vehicle. The firefighter on-scene holding manual spinal immobilization indicates that her primarycomplaint is back pain from her head whipping back and forth from the impact. Your understanding of the anatomy of the spinal column and vertebrae suggests that this type of mechanism of injury results in frequent injuries to which part of the spinal column? A)Lumbar spine B)Thoracic spine C)Sacral spine D)Cervical spine
D)Cervical spine
You are called for a patient who was discovered unconscious in his bed this morning. You immediately complete a primary assessment and determine that he is breathing and has a good pulse. What should you do next? A)Ask the family what happened B)Try to locate all of his medications. C)) Begin transport immediately D)Complete a rapid physical exam.
D)Complete a rapid physical exam.
Which of the following should NOT be done during defibrillation? A)Pressing the defibrillation pads firmly to the chest to ensure good contact B)Performing CPR while the AED is being attached C) Shaving the chest before placing the defibrillation pads to improve contact D)Continued ventilation during the analysis phase to prevent hypoxia
D)Continued ventilation during the analysis phase to prevent hypoxia
When using the memory aid OPQRST, which of the following questions would help you find out about P? A) What is your primary complaint? B)Do you have any past medical history? C) Are you having any pain? D)Does anything make the pain better or worse?
D)Does anything make the pain better or worse?
Your patient is a 24-year-old female who swallowed a handful of pills of an unknown type. Although she was initially alert and oriented with no complaints, you note that she is now beginning to slur her words and is becoming progressively lethargic. What is the highest priority in dealing with this patient? A) Notifying the receiving facility of the change in mental status B)Finding out exactly what she took C)Checking the patient's pupil size and reactivity to light D)Maintaining an open airway
D)Maintaining an open airway
What is the first medication that should be administered to a patient experiencing chest pain with difficulty breathing? A)Aspirin B)Nitroglycerin C)Albuterol D)Oxygen
D)Oxygen
is chest, the EMT notes a segment of the chest wall moving in the opposite direction from the rest of the chest. Which of the following BEST describes this finding? A) Intercostal retractions B)Tension pneumothorax C)Flutter segment D)Paradoxical movement
D)Paradoxical movement
You are called to the scene of a 45-year-old nonsmoker male with a history of asthma in respiratory distress. You find him lying supine on the couch. The patient is lethargic but can answer all your questions appropriately. He is diaphoretic and complains of being cold, coughing, and having difficulty breathing for the past 3 days. His vital signs are blood pressure of 110/70, heart rate of 116, respiratory rate of 24, oxygen saturation of 93%, and temperature of 100.6°F. You hear rhonchi in the left lobes and he is coughing up yellow-tinged sputum. What condition do you suspect? A)Silent myocardial infarction B) Asthma C)COPD D)Pneumonia
D)Pneumonia
What condition is when fluid accumulates in the lungs, preventing them from breathing adequately? A)Pulmonary embolism B) Pneumonia C)Asthma D)Pulmonary edema
D)Pulmonary edema
You are assessing a 76-year-old male patient that has been involved in a fall from a standing position. You have completed the scene size-up and primary assessment. What should you do next? A)Focused history assessment B) Ongoing assessment C)Reassessment D)Secondary assessment
D)Secondary assessment
You are assessing a 48-year-old male who is unconscious. The scene is safe and you hear the patient gurgling. What is your next action? A)Quickly check the pulse. B)Insert an airway adjunct. C)Open the airway with a head tilt. D)Suction the airway.
D)Suction the airway.
You are on the scene at an office building where a 32-year-old male is described as having difficulty breathing and chest pain. The patient is allergic to peanuts and thinks he may have accidentally ingested some cookies with peanuts in them this afternoon during his break. He is pale with a pulse rate of 158 and a respiratory rate of 36. You understand that a "fight-or-flight" response may have been activated in this patient, involving which nervous system and which hormone? A) Sympathetic nervous system and insulin B)Parasympathetic nervous system and insulin C)Parasympathetic nervous system and epinephrine D)Sympathetic nervous system and epinephrine
D)Sympathetic nervous system and epinephrine
Which of the following is a disadvantage of oropharyngeal airways (OPAs)? A)They require the use of a water-soluble lubricant. B)They cannot be used in patients with a suspected skull fracture. C)They do not come in pediatric sizes. D)They cannot be used in a patient with a gag reflex
D)They cannot be used in a patient with a gag reflex
A patient who has shallow, slow, irregular gasping breaths is said to have ________ respirations. A)Kussmaul's B)Cheyne-Stokes C)central neurogenic D)agonal
D)agonal
You have performed a head tilt-chin lift maneuver on a 17-month-old boy and are attempting to ventilate him with a bag-valve mask. You are experiencing a lot of resistance with each breath and the chest is barely rising. Prior to attempting ventilations again, you should: A)perform chest thrusts B) finger sweep the airway. C) tilt the head back further. D)ease the head forward a little.
D)ease the head forward a little.
Your 4-month-old patient is reported to be irritable and lethargic after feeding poorly for two days. One method for assessing the patient's level of hydration is to gently palpate the soft spots on the surface of the skull. These soft spots are also known as the: A)acromion process B)mandibles C)carpals D)fontanelles
D)fontanelles
Your 15-year-old patient was playing baseball today and was struck in the face by a baseball bat. As you assess his injuries and manage spinal immobilization, you note that several of his teeth are broken and he seems to have deformity and pain isolated to his lower jaw. The lower jaw bone is also known as the: A)maxillae. B)orbit C)manubrium D)mandible
D)mandible
