EMT-M Practice Test 3

A patient has bright red blood spurting from a laceration on his leg. This bleeding is best described as A) arterial bleeding. B) venous bleeding. C) aortic bleeding D) capillary bleeding.

A

During adult CPR, compressions should be delivered at a rate of A) at least 100 per minute. B) between 100-140 per minute. C) Between 100 120 per minute D) 60 to 100 per minute.

A

A 10-year-old male has a pencil impaled in his cheek. The wound is bleeding heavily, and the pencil appears to be blocking the airway. You should: A) gently push the pencil back through the cheek wall B) attempt to cut the pencil into a smaller section C) stabilize the pencil with bulky dressings. D) rinse inside of the mouth with water.

A

A man has collapsed at a restaurant and is unresponsive. Before you assist the patient, you must A) ensure that the scene is safe. B) start CPR C) ask if the patient is okay. D) check for a pulse.

A

Patient confidentiality applies to all of the following situations EXCEPT A) relaying concems of abuse to appropriate authorities B) when the press has already reported the incident C) discussing the call with another fire crew who was not involved. D) when you are alone with your spouse or a loved one

A

The bag-valve mask works best when you have ___ Emergency Medical Responders. A) two B) four C) three D) one

A

The most common cause of an airway obstruction is A) the tongue. B) infections. C) facial trauma. D) tissue damage

A

The most common signs and symptoms of musculoskeletal injuries include A) pain, swelling, discoloration, and deformity B) rapid heartbeat, respirations, and pain C) numbness and tingling in all extremities D) bleeding, shock, and paralysis

A

Which of the following is a contradiction for administering nitroglycerine A) The patient has a head injury B) The patient has been prescribed NIG C)The patient has a systolic blood pressure of 175 mmHg D) The patient complains of chest pain.

A

Which of the following patient histories would cause the most suspicion for cardiac compromise? A) A history of hypertension, coronary artery disease, and obesity B) A history of diabetes, high cholesterol, and kidney disease C) A history of Alzheimer's, stroke, and alcohol consumption D) A history of asthma, anxiety, and cigarette smoking

A

While applying an AED to the patient, you notice a medication patch on the chest where you plan to place the AED pad. You should: A) remove the patch and wipe the skin before applying the AED pad B) do not use the AED. C) apply the AED pad to the left of the patch D) apply the AED pad over the patch.

A

While doing chest compressions on an adult, you should depress the stermum A) at least 2 inches. B) 1/3 to 1/2 inch. C) 1 to 2 inches. D) 1 1/2 to 2 1/2 inches.

A

You are driving in your car and see a crash. You stop to provide care. You are protected by A) Good Samaritan Law B) scope of care C) Standard of care D) duty to act

A

You are on the way back to work when you see a child who has been struck by a vehicle and is unresponsive. You begin care for her and call for advanced care to transport her to a nearby emergency department. You know she can be legally transported based on: A) implied consent. B) Good Samaritan laws. C) actual consent. D) informed consent.

A

You have an unresponsive patient without a suspected spinal injury. The patient needs to be placed in a position so that fluids or vomitus can drain. The reccomended position is the ____ position A) recovery B) supine C) semi- Fowlers D) prone

A

You have placed the AED on the patient and turned it on. The AED delivers a message that it is analyzing the heart thythm. You should next: A) ensure that no one is touching the patient B) deliver two rescue breaths. C) start CPR D) quickly check carotid pulse.

A

You have used the AED to deliver a shock to the patient. Immediately following the shock you should A) resume chest compressions. B) allow paramedics to administer medications. C) check for a pulse. D) ensure no one is touching the patient

A

A 42 year old male has been stabbed in the abdomen. His airway is patent, and he is breathing 20 times per minute with good tidal volume. He has a rapid and weak pulse, and his skin is pale and diaphoretic. There is no significant external bleeding, but his abdomen is distended, and he guards when you palpate his belly. You should: A) delay transport until you can identify the exact cause of his shock symptoms B) classify him as unstable and initiate rapid transport C) withhold oxygen until paramedics arrive D) have him sit upright on the gurney

B

All splinting of an injured bone must immobilize: A) only the joint directly below the injury. B) the joints directly above and below the injury C) only the joint directly above the injury. D) no joints need to be immobilized.

B

During basic adult two-rescuer CPR, you and your partner should perform a ratio of compressions breaths. A) 15/2 B) 30/2 C) 15/1 D) 5/1

B

How long can cells go without oxygen before irreversible cell death occurs A) 12 to 16 minutes B) 6 to 10 minutes C)16 to 20 minutes D) 2 to 3 minutes

B

If there is no distal pulse, after splinting, you should A) give oxygen and transport inmmedately. B) gently loosen the splint and reassess the distal pulse C) realign the injured extremity and reassess the pulse D) have the patient get in the most confortable position

B

If your initial assessment of an injured extremity reveals no distal pulse, you should ___ if it is allowed by your EMS system A) administer aspirin for pain B) gently realign the injured extremity C) lower the extremity below the level of the heart D) vigorously massage the extremity

B

Nitroglycerine is a medication commonly prescribed to patients with angina pectoris. Nitroglycerine helps relieve cardiac chest pain because it A) constricts the blood vessels, reducing the workload of the heart B) dilates the blood vessels and reduces the workload of the heart C) constricts the blood vessels, increasing blood pressure D) dilates the blood vessels and increases the workload of the heart

B

To perform adequate compressions for a child under 8 years of age A) depress the sternum one-quarter to one-half the depth of the chest B) place the heel of one hand at the imaginary nipple line over the sternum. C) place one hand on the midsternum and cover it with the other hand D) use the ring and middle finger of one hand on the middle of the sternum

B

When a blockage of the coronary asteries causes an area of heart muscle to die from lack of oxygen, it is called A) angina pectocis. B) myocardial infarction C)cardiac arrest. D) pericanditis.

B

When caring for a patient who has no pulse and is not breathing, your goal should be to apply an automated external defibrillator: A) after contacting medical direction B) as soon as possible. C) after 5 minutes of CPR D) as soon as the paramedics arrive.

B

Which of the following is NOT a link in the adult chain of survival? A) Rapid defibrillation B) Progressive CPR training C) Early CPR D) Early advanced life support

B

During CPR you notice that the patient's abdomen begins to swell. This is most likely due to A) forceful compressions. B) the patient choking C) ventilation that was too forceful D) internal bleeding.

C

You arrive on scene to find a 57-year-old man who is not breathing. You feel for a carotid pulse but are not sure if you feel one. You should: A) try feeling for a radial pulse instead. B) begin chest compressions. C) deliver two rescue breaths and recheck for a pulse. D) ask another responder to confirm pulselessness.

B

You have to do an emergency move for a patient. What would make you decide to perform this type of move A) You decide that the patient should have the fractures immobilized before moving B) You need to get to another patient with life-threatening injuries C) You have completed your assessment, and you need to move the patient to a cot D) Your initial assessment indicates that the patient's vital signs are stable

B

A patient shows obvious signs of life after recieving a shock from the AED. You should A) remove the AED pads B) resume CPR C) check for a pulse and breathing D) insert an OPA

C

A patient who will not tolerate oxygen by mask or cannula might benefit from A) a Smaller face mask. B) no supplemental oxygen. C)blow-by oxygen. D) positive pressure ventilation.

C

An AED will deliver a shock to which of the following heart rhythms? A) Sinus rhythm B) Heart block C) Ventricular fibrillation D) Asystole

C

When administering oxygen to a nonbreathing patient with a bag-valve mask, you should: A) use a venturi mask. B) use a humidifier. C) use an oropharyngeal airway D) use a nonrebreather mask

C

When breathing for an adult, you should ventilate at a rate of A) one breath every 7 to 9 seconds B) one breath every 11 to 13 seconds C) one breath every 5 to 6 seconds D) one breath every 13 to 15 seconds

C

You are treating a 54-year-old male complaining of crushing chest pressure. He states that the pain started about 45 minutes ago and has gotten worse in the last 20 minutes. He also complains of nausea and is pale and sweaty. These signs and symptoms are consistent with: A) heartburn. B) angina pectoris C) myocardial infarction. D) congestive heart failure.

C

You arrive at the scene of a motorcycle collision, A 19-year-old female patient is bleeding heavily from wound to her lower leg. You are unable to control the bleeding with direct pressure. You should A) elevate the injured leg to a 90-degree angle. B) apply pressure to the femoral artery pressure point C) apply a tourniquet. D) ask another responder to try holding pressure to stop the bleeding

C

Your patient has vomited and has fluid in his mouth. You should suction for A) 20 seconds. B) 5 seconds. C) 15 seconds. D) 10 seconds

C

3) Treat a partial airway obstruction as if it were a complete airway obstruction in cases where the patient is A) speaking hoarsely. B) able to speak. C) able to cough forcefully. D) unable to cough forcefully.

D

A 53-year-old male patient has cut his leg with a chainsaw. His airway is patent, he is breathing 18 times per minute with good tidal volume, and supplemental oxygen has been applied. Bleeding has been controlled with a tourniquet, and the patient is pale, diaphoretic and anxious. You should: A) gather a detailed medical history. B) perform a reassessment. C) question bystanders. D) treat the patient for shock

D

A partial blockage or spasm of the coronary arteries that limits the supply of oxygenated blood to the heat muscle is known as A) myocardial infarction. B) heart failure. C) chest pressure. D) angina pectoris.

D

A sling and a swathe may be used for A) injuries to the collarbone or shoulder blade. B) injuries to the upper arm bone and forearm. C) injuries to the elbow. D) all of the above

D

Before splinting an upper am injury, you should assess all of the following EXCEPT A) sensation. B) motor function. C) distal pulses. D) pupil nesponse.

D

Heart failure occurs when the heart is unable to pump blood efficiently. When the heart is unable to manage the blood volume in the circulatory system: A) the heart stops beating and cardiac arrest occurs B) oxygenated blood cannot get to the heart muscle, causing chest pain C) the heart beats faster, causing a decrease in blood pressure D) fluids back up in the circulatory system, causing swelling and breathing problems

D

The advantage of two-rescuer CPR over one-rescuer CPR is that: A) the compression rate allows for better filling of the heart. B) chest compressions will not be interrupted for as long. C) more oxygen is provided to the patient. D) the job is shared between the two rescuers, thus reducing rescuer fatigue

D

The airway adjunct that is used for an unresponsive patient who has a gag reflex is the A) rescue mask. B) jaw-thrust maneuver. C) oropharyngeal airway. D) nasopharyngeal airway.

D

Which of the folowing is NOT a common indication for oxygen administration? A) Altered mental status B) Significant mechanism of injury C) Abnormal vital signs D) Abdominal pain

D

You are caring for a co-worker who fell off a ladder. He has a cut his right palm that is slowly bleeding. You should FIRST: A) apply a pressure bandage. B) apply an ice pack. C) apply a tourniquet. D) apply direct presure with a dressing

D

Your patient is in mild respiratory distress, is breathing normally, and has no signs of shock. The appropriate oxygen delivery device would be a: A) nonrebreather mask. B) venturi mask C) bag-valve mask. D) nasal cannula.

D