MIdterm 1

When preparing to establish an IV line on a 4-year-old child, the child asks if it will hurt. How should you respond to the child?

" it may hurt a little. You may feel a quick pinch" :

By definition infancy begins at what age?

1 month of age

Drug interactions are most likely to occur in patients who take how many drugs or more?

3

When treating a patient with life-threatening external bleeding, it is critical that the tourniquet be applied in how many seconds or less?

30 seconds

An adult patient breathing at 12 breaths/min and 500 L/breath would have a minute volume of:

6,000 ML/

In general, for adults, a resting pulse rate of less than which value would be considered bradycardia?

60 beats per min

From an injury prevention standpoint, the term "intervention" is defined as?

A specific prevention measures or activities designed to increase positive health and safety outcomes.

When the paramedic observes standard precautions on a call, he or she

Acknowledges that all bodily fluids are potentially infectious

Which of the following conditions or situations is an example of a critical life threat that needs immediate care?

Acute presentation of a chronic condition

Which of the following is an example of an aerosol-generating procedure (AGP) that requires the use of appropriate PPE?

Administering a medication via nebulizer

Which of the following is an example of secondary injury prevention?

Administering epinephrine to a patient in anaphylactic shock

Which of the following is an example of an appropriate teachable moment?

Advising the unrestrained passenger with minor injuries following a motor vehicle accident that she easily could have been more seriously injured

A specific action intended to improve health and safety outcomes is called:

An intervention

At what point should the paramedic remove their medical gloves?

Before driving the ambulance

With regard to injury prevention, effective educational techniques include which of the following?

Behavioral feedback.

To the patient, your entire assessment should:

Appear to be a seamless process

The paramedic should address a patient

As the patient wishes to be addressed.

Upon arriving at a patient's house, you learn that the patient has an active TB infection. What should you do before treating the patient?

Ask the patient to wear a surgical mask

Which of the following may be a requirement of paramedics working in hospital-based systems?

Assist in patient care in other areas of the hospital during down time.

Critical incident stress debriefing (CISD) would be most appropriate after which of the following situations?

Death of a 91- year old patient with lung cancer

Which of the following is a way of buffering bad news until a person can mobilize the resources to deal with that news more effectively?

Denial

Which of the following is an example of a passive intervention?

Developing child-resistant medication bottles.

Which of the following would you categorize as an unintentional injury?

Drowning

When assessing school-age children, it is imperative to do which of the following?

Earn their trust

What is the priority of the paramedic during the scene management phase of an emergency call?

Ensure the safety of the patient, crew, and bystanders

The kind of stress that motivates an individual to achieve is called:

Eustress

Teething is commonly accompanied by:`

Fever

During a 20-minute transport of a critical patient, you should make a concerted effort to reassess the patient how many times?

Four

When you introduce yourself to your patient and ask why 9-1-1 was called, the patient looks at you, shakes your hand, and answers your questions appropriately. From these findings, you can gather that the patient:

GCS 15

If possible, what should you do when working with adolescents?

Have your partner speak with the parent in a separate room area while you talk to the patient.

If you are in top physical condition and become injured, then you will tend to:

Heal more quickly

Emergency medical dispatchers could provide which of the following instructions to a caller?

How to control life-threatening bleeding

What step should the paramedic do first when conducting research?

Identify the problem

When caring for a patient who has experienced minor injuries in a car accident, you learn that they weren't wearing their seatbelt. When is the best time for a teachable moment?

Immediately following the car accident

A paramedic is considered a health care professional, and as such

Meet societal expectations whether on or off duty

Which of the following statements regarding middle adults is correct?

Middle adult males are at greater risk for cardiovascular issues then middle age females

What is the first step when removing medical gloves?

Partially remove one glove

After determining the patient's primary problem by identifying the chief complaint and establishing your working diagnosis, your treatment plan is defined and guided by:

Patient care protocols or standing orders

On most runs, the two MOST important pieces of patient history information that you need to obtain initially are the:

Patient's name and chief complaint.

What is the goal of the paramedic when performing patient assessment and care?

Prioritize the patient's needs based on the injury severity

How can a paramedic reduce errors when handing off patients to another medical provider?

Provide a written copy of the assessment and treatment along with a verbal report.

When designing awareness campaigns on injury and illness prevention, it is critical for the paramedic to work closely with which of the following organizations or groups of people?

Public health agency

When a patient is a high priority and there is no time for a complete secondary assessment on scene, which of the following should you perform before you transport?

Rapid Full-body scan

What should you do after reading the patient when utilizing the "six Rs of clinical decision making"?

React

if an emergency medical responder is appropriately trained and competent, he or she should be able to ?

Recognize the seriousness of a patients condition, provide basic life support and relay information to the paramedic.

Which of the following physical changes occurs in adults older than 25 years of age?

Settling of the disks in the spine.

When developing a public health project in your community, it is important to start the project with:

Small, realistic goals

Upon arriving on the scene of a bicycle accident, you assess the child's injuries before loading them in the ambulance. En route, you clean and dress the patients wound on their left arm and splint the arm. What step have you taken that would be considered secondary injury prevention?

Splinting their arm

When comparing the number and nature of medical cases with the expected volume of calls for the community at a given time, an EMS agency is using which strategy?

Syndromic surveillance

What can the paramedic do to facilitate better thinking under pressure?

Take a moment to stop and think

What should the paramedic do when they are unsure about which skill to perform when caring for a patient?

Talk with a partner or an ems supervisor

When using the Haddon matrix, which action would EMS perform in the pre-event phase of an event?

Teaching a child to wear a seatbelt

More often than not, the paramedic will form a general impression of a patient based on:

The initial presentation and chief complaint

Which of the following statements regarding stress is correct?

The way one person reacts to stress may differ significantly from another persons reaction.

Compared to adults, children have:

Thinner skin

Performing the functions of a paramedic prior to licensure is:

Unlawful;

Which of the following hazards are you likely to encounter at the scene of a motor vehicle crash?

Unruly patient

When coming into contact with a patient who poses a potential risk of infection to you, what should you do when communicating with other health care providers?

Use discretion about what information to share

When should the paramedic wear a HEPA respirator or N95 mask?

When caring for a patient with TB or another contagious respiratory illness

One of the most important observations you need to judge is the patient's:

affect

Sonorous respirations are likely caused by

an anatomic airway obstruction.

When caring for a critically ill patient, three or more sets of vital signs will allow you to:

assess trends and to reassess whether the patient's condition is stabilizing, getting better, or getting worse.

The decline in cardiac function associated with aging is largely related to:

atherosclerosis

A treatment outlined in a study that is rated Class I by the American Heart Association should ?

be recommended

While treating a patient with chest pain, you administer fentanyl. Shortly after, you ask him if his pain has improved. This is an example of:

data interpretation

After gathering information from the patient, scene, and any bystanders, you must next:

determine which information is valid and which may be invalid.

What should the paramedic do prior to linking medical research and evidence to patient care?

ensure that the quality of the evidence is sufficient to justify changing patient care protocols.

In EMS, the process of concept formation involves:

gathering information about your patient.

In contrast to infants, toddlers:

have a slower respiratory rate

What was a major recommendation made by the 2009 National EMS Education Standards for paramedic training?

inclusion of a college-level anatomy and physiology course as part of the training program.

The main disadvantage of patient care algorithms is that they:

only address classic patient presentations

Vascular compensation for changes in blood pressure decreases with age due to:

reduced elasticity of the peripheral vessels secondary to decreases in elastin and collagen

When examining the anterior abdomen of a patient who complains of abdominal pain

routinely palpate the least painful area(s) first.

When reading the scene, the paramedic must remember that:

scene information becomes unavailable once transport is initiated.

In conventional reasoning, school-age children:

seek approval from their peers and society.

It is important to become involved in a national or state EMS organization, such as the National Association of EMTs (NAEMT) or the National Association of State EMS Officials (NASEMO), because:

such organizations have an impact on the future direction of EMS.

When ventilating a late adult, it is important to keep in mind that:

the tidal volume you give them may be different from what you would give a younger person

The care plan that you implement based on your working field diagnosis of a patient is almost always defined by:

your EMS system's patient care protocols or standing orders.

When preparing to come into a contact with a hostile patient, it is imperative to do which of the following first?

Carefully observe your surroundings

A Major distinction between a paramedic and an EMT is that the Paramedic?

Carries out advanced pharmacologic skills

What should you do when exposed to a patients blood or body fluids?

Continue patient care. wash area immediately

A patient who is visibly anxious starts to panic and says their arm is numb. You understand that sometimes patients subconsciously convert anxiety into bodily dysfunction. You recognize this as which of the following?

Conversion hysteria

When providing a wellness check in the home of an older patient, you notice that their medications are in unmarked containers. What should you do?

Inform the patient of the danger of putting their medications in unmarked containers

What should you do prior to lifting a patient?

Inform the patient what you are going to do.

Obiective patient information:

Is based on fact or observation.

Which of the following phrases is an example of using the communication technique of facilitation

Is there anything else you can think of

Which of the following is true of the working diagnosis?

It is based on your field impression

What can an EMS provider do to minimize errors when handling and administering medications?

Keep medications in its original packaging and in a specific location

What is one of the most challenging aspects of the reflection stage?

Learning to accept that something went wrong

You arrive at a home where a child ingested a handful of their parent's antidepressant medications. What primary prevention measure might have helped to prevent this situation?

Locking the medicine cabinet.

If you respond to a call for an infant who is experiencing respiratory distress, always:`

Make sure the infants nasal passages are clear of mucus

Upon arriving on the scene of a vehicle crash, you notice a downed power line lying on the side of the road. What should you do

Mark off the danger zone around the line