Practice Exam 4

Question 1 of 80
You arrive at a run down apartment to find a 74 year old woman in bed and unresponsive with her daughter performing one person CPR. The woman's husband tells you that she has a DNR order and that the daughter will not believe it. He cannot, however, locate the document. What do you do?
  Wait for the husband to produce the document
  Begin assisting the daughter with CPR
  Ask the daughter to discontinue CPR as the DNR requests
  Transport the woman code black

Question 2 of 80
You are called to the scene of a woman who is having difficulty breathing. Upon arrival you notice several people surrounding the woman who seems to be agitated. Your scene assessment determines it to be safe and you approach the woman who is in the tripod position. Her breathing is rapid and shallow. She states her ribs hurt after being struck with a punch from her husband. You should?
  Treat the patient if the situation appears safe and inform law enforcement of the possible assault when the time is appropriate
  Inform the woman that she will have to go to the hospital if she wants to get treated. This environment is not safe
  Call law enforcement and leave the scene until they arrive
  Call the husband out for hitting a woman and make him look dumb in front of the rest of the family

Question 3 of 80
Which of the following paths would be the most probable during a head on collision?
  Over and under / through and stop
  Down and under / up and over
  Up and through /down and over
  Through / down

Question 4 of 80
A triage tag?
  Follows a color coded system
  Tells if a person will live
  Is always attached to the toe
  All of the options are correct

Question 5 of 80
Scope of practice is:
  A skill, that when provided, must be communicated to medical control
  An outline of the care you are permitted to give
  The level of competency you are expected to have
  The highest level of care that you are able to provide

Question 6 of 80
After manually stabilizing a patients neck and then securing them to the backboard what must you check before transporting them?
  If there is enough gas in the ambulance
  That you have enough personnel to lift the patient
  Their CMS
  That the stretcher is low enough to load properly

Question 7 of 80
You and your partner Caitlin arrive on scene to find a 24 yr. old man conscious, lying on the pavement in a pool of blood. Bright red blood is squirting from a gash on his head and he is holding a knife in his hand. What would you do first?
  Call for police backup and then treat the wound
  Inform the patient you will not hurt him and treat the injury
  Leave the scene until police arrive to make the scene safe
  Have your partner distract the patient while you take the knife from him

Question 8 of 80
An unconscious patient would give what type of consent?
  Verbal
  Expressed
  Implied
  Written

Question 9 of 80
Seizures are caused by an overload of electrical activity in the brain. Which of the following answers is capable of causing this electrical overload?
  Medications
  Epilepsy
  All of the options are correct
  Head injury

Question 10 of 80
You are first on scene to a motor vehicle accident where there are no apparent hazards. Which of the following would you use to establish a danger zone?
  50 feet in all directions
  150 feet in all directions
  With no apparent hazards you do not need a danger zone
  100 feet down both lanes of traffic

Question 11 of 80
Which of the following is NOT a type of consent?
  Expressed
  Informed
  Involuntary
  Improvised

Question 12 of 80
You are called to an apartment building where several of the tenants are complaining of headache and nausea. You should be concerned that:
  Dispatch did not call more units
  There is a toxic agent responsible
  They all might have the flu
  There is enough supplies to treat them

Question 13 of 80
Which is the appropriate method of checking the level of responsiveness in an infant of 11 months who appears to be unconscious?
  Pinch the neck
  Flick the chest
  Flick the eyelids
  Flick the soles of the feet

Question 14 of 80
The symptoms of a TIA usually last around ______.
  1 minute
  48 hours
  24 hours
  An hour

Question 15 of 80
Which of the following is a sign that your patient could be perfusing poorly?
  Poor mentation
  Capillary refill of more than 1 second
  Anger
  Poor respiratory function

Question 16 of 80
Which of the following may cause a person to have an allergic reaction?
  Plants
  Shrimp
  All of the options are correct
  Medications

Question 17 of 80
A placenta that develops covering the cervical opening is called?
  Prolapsed
  Previa
  Abruptio
  Premature

Question 18 of 80
You and your partner Rodrigo are called to a retirement home where several of the nurses and tenants are vomiting and complaining of dizziness. You should suspect that?
  There is a toxic agent responsible
  They are all suffering from the same flu bug
  There is enough supplies to treat them
  Dispatch did not call more units

Question 19 of 80
You are on scene of an ice skating accident where your patient has completely dislocated her knee. She has no distal pulses and her leg is pale. She is in extreme pain, so you should?
  Splint the knee in place and transport code yellow
  Take traction on the foot until you hear a pop
  Call medical control immediately for stabilization instructions
  Ask her to straighten her leg so you can splint it

Question 20 of 80
You have requested helicopter transportation of a critical burn patient. The remote nature of the accident will force the helicopter to land on an incline. From which direction should you approach the helicopter?
  The back
  The downhill side
  The uphill side
  The front

Question 21 of 80
Which of the following examples is not considered an immediate life threat that should be managed in your initial assessment of the patient?
  Inadequate breathing
  Penetrating chest wound
  Closed tibia fracture
  Arterial bleed

Question 22 of 80
An object that is impaled in the abdomen should be?
  None of the options are correct
  Removed rapidly followed by pressure
  Removed slowly in the opposite direction it came in
  Secured in place with dressing

Question 23 of 80
What is the working diagnosis?
  The medical diagnosis for what they tell you they have
  The injury or illness that appears to be affecting the patient
  It's always wrong
  Always correct

Question 24 of 80
What would you do if a newborn infant has a heart rate lower than 100 beats a minute?
  Begin chest compressions
  Ventilate at 100 respirations a minute
  Ventilate at 40-60 breaths a minute
  None of the options are correct

Question 25 of 80
When using the rule of palm to determine the extent of the burn, each palm is considered what percentage of the body surface?
  1 percent
  2 percent
  3 percent
  4 percent

Question 26 of 80
You are staged at a structure fire. A firefighter who has been actively fighting fire has just lain on the ground behind the fire engine. You approach him and begin to assess him. Which of the following signs would you find abnormal and would demand your immediate attention given the situation?
  Heart rate 170, respirations 20
  Heavy diaphoresis and red, flushed skin
  Facial pallor with cool skin
  Black soot around mouth and nose

Question 27 of 80
In children a burn is considered critical when?
  It involves a hand or foot
  It is on the chest
  It is less than 10% of the body
  It is on the buttocks

Question 28 of 80
The First Responder has failed to provide mouth to mask ventilations to a patient who is apneic and warm to the touch. This is an example of?
  Malfeasance
  Sinfeasance
  Misfeasance
  Nonfeasance

Question 29 of 80
Which goes on a laceration first?
  Bandage
  Benzene
  Hydrogen peroxide
  Dressing

Question 30 of 80
You and your partner are called to a residence for a welfare check on an elderly patient who is terminally ill. You should be very conscious of all those around you, but your actions should be dictated by the?
  Family
  Attorney
  Wife
  Patient

Question 31 of 80
Amputation can be?
  The traumatic removal of a body part
  A very deep cut that does not go all the way through
  Painless if all the nerves are severed
  Done in the prehospital setting

Question 32 of 80
An adult can lose approximately how much blood and still not be harmed?
  750 mL
  200 mL
  500 mL
  1000 mL

Question 33 of 80
You would find the temporal bone in the?
  None of the options are correct
  Elbow
  Temperinium
  Skull

Question 34 of 80
Assessing circulation is to?
  Determine the pulse
  Ensure hypoperfusion
  Determine mentation
  See how the patient is perfusing

Question 35 of 80
When would you remove an object that is impaled in the cheek?
  It is not against religious customs
  It puts the airway at risk
  All of the options are correct
  It is only through one cheek

Question 36 of 80
L in the SAMPLE history stands for?
  Last oral intake
  Lividity
  Lidocaine
  Laryngoscope

Question 37 of 80
Pressure over the brachial artery could control a bleeding what?
  Radius
  Foot
  Brachia
  Neck

Question 38 of 80
With regard to the SAMPLE history, the question "Have you ever had problems with your heart before?" would relate to which letter?
  L
  M
  P
  A

Question 39 of 80
You have arrived on scene with your partner. The patient is a 49 year old male complaining of shortness of breath. Which of the following is NOT an appropriate action for you to take?
  Make and keep eye contact
  Introduce yourself
  Speak calmly, slowly, and clearly
  Stand over the patient

Question 40 of 80
Bilateral would refer to which of the following?
  1 side
  Both sides
  Neither side
  All sides

Question 41 of 80
When administering oxygen to a patient with COPD experiencing diffuse chest pain and shortness of breath, you should?
  You must deliver higher percentage of oxygen because the patient has COPD
  Place a mask on the patient but do not turn on the oxygen
  You do not administer oxygen any differently than you would to any other patient
  Reduce oxygen from the usual 85-100% to between 25-35%

Question 42 of 80
If a patient goes into shock, you know that for one reason or another this person is?
  Hemophilic
  In hemostasis
  Vasoconstricting
  Perfusing poorly

Question 43 of 80
Cardiac arrest is not very common in children, but when it does occur, it is most often the result of?
  Seizures
  Respiratory arrest
  SID's
  Trauma

Question 44 of 80
Which of the following is a sign that your patient could be perfusing poorly?
  Anger
  Poor respiratory function
  Poor mentation
  Capillary refill of more than 1 second

Question 45 of 80
The majority of cardiac medical emergencies are the result of what?
  Poor diet
  Old age
  Embolism and thrombosis
  Reduced blood supply to the myocardium

Question 46 of 80
Which is responsible for transporting unoxygenated blood back to the heart?
  Superior vena cava
  Aorta
  Medial vena cava
  Brachial vein

Question 47 of 80
How many chambers does the heart have?
  3
  5
  6
  4

Question 48 of 80
Dispatch has just called you to Frontier Lake where a man's boat has capsized. The update is the patient is likely suffering from hypothermia and is breathing very shallow. You and your partner Sean arrive to find a man and a woman doing CPR on an approximately 48 year old male. When you and Sean begin CPR, what rate and depth of compressions will you use?
  30:2 / at least 2 inches
  15:2 / 1.5 to 2 inches
  15:2 / one third to one half the depth of the chest
  30:15 / one third to one half the depth of the chest

Question 49 of 80
You and your partner are performing CPR on a 72 year old female who suddenly went unconscious and stopped breathing during a hospital transfer. Your CPR will utilize:
  None of the options are correct are correct
  Compressions at least 2 inches deep with one breath every 3-5 seconds
  10 to 12 breaths per minute with a tidal volume of 1200ml to 1500 ml
  Chest compressions of at least 100 a minute with about 1 breath every 5-6 seconds

Question 50 of 80
The valve going from the right atrium to the right ventricle is _______.
  The bicuspid
  1 way
  3 way
  2 way

Question 51 of 80
The first stage of shock is called?
  Refractory stage
  Reflex period
  Decompensated
  Compensated

Question 52 of 80
You come upon a victim of asphyxial cardiac arrest. Which of the following is the correct order of action?
  Activate the emergency response system and then begin CPR
  Do CPR at a 15:2 rate for 5 minutes and then activate the emergency response system
  Retrieve the AED and analyze, then begin CPR
  Do CPR for 5 cycles or approximately 2 minutes and then activate the emergency response system and retrieve the AED

Question 53 of 80
Proper use of an AED should include:
  Moistening the pads to ensure electrical conductivity
  Establishing the patient does not have a pulse
  Three consecutive shocks
  Measuring from the corner of the mouth to the earlobe

Question 54 of 80
What is another name for white blood cells?
  Erythrocytes
  Plasma
  Hemoglobin
  Leukocytes

Question 55 of 80
You and your partner Ryan arrive on scene to find 2 bystanders doing CPR on an elderly man. While Ryan hooks up the AED, you question the two bystanders and begin assisting with CPR. They say they found him like this just before the ambulance arrived. After approximately 2 minutes of CPR, an analysis is run on the AED and a shock is delivered. Your next action should be?
  Do 2 minutes of CPR beginning with chest compressions
  Check his pulse and shock again if it is not there
  Begin CPR with two quick rescue breaths
  Check for a pulse and begin CPR if no pulse is found

Question 56 of 80
You are performing CPR on an elderly male with no pulse. What number of chest compressions would be adequate over a 30 second period?
  100
  30:02:00
  15:02
  58

Question 57 of 80
The following terms are used to describe body parts in relationship to specific lines, planes, and body structures except:
  Palmar and Plantar
  Proximal and Distal
  Superior and Inferior
  Lateral and Medial

Question 58 of 80
The epiglottis serves which function?
  Protects the airway of an unconscious patient during swallowing
  Forms the first ring of the trachea
  Protects the upper airway
  Protects the airway of a conscious patient during swallowing

Question 59 of 80
You are called to the scene where a child has fallen into the water with an unknown time of submersion. CPR has been in progress for 10 minutes when you arrive. You begin bagging the child with a BVM after requesting your partner get you _______________ to aid in aligning the airway.
  A folded towel under the child's shoulders
  A tongue depressor
  A backboard
  A CEPT

Question 60 of 80
You arrive on scene to find a 35 year old man lying prone in the bathroom. He is not alert and you log roll him with c-spine stabilization into a supine position. Your next course of action would be?
  Give him a sternal rub to check for consciousness
  Manually open the airway
  AED - SAMPLE
  Check pulse and apply AED

Question 61 of 80
The bevel of a nasopharyngeal should be inserted ___________.
  Toward the septum
  Only after lubing with petroleum jelly
  Away from the septum
  To the base of the carina

Question 62 of 80
Nasal flaring is a sign of what?
  Anger in intoxicated patients
  Clogged nasal passages
  Respiratory distress in children
  Dehydration

Question 63 of 80
You arrive at a restaurant to a call of a woman choking. You find her sitting in a chair, very pale, and sweating. She states in a very hush tone that she has a piece of steak caught in her throat. You should immediately?
  Encourage her to cough as it is likely high enough in the airway to expel it
  Tell her she should not take such big bites
  Give her the Heimlich and pop the chunk of steak out
  Wait until she passes out and then give her abdominal compressions on the ground

Question 64 of 80
You and your partner Sue have just arrived on scene to an unknown injury/ illness. You see a man lying against the side of a convenience store who appears unconscious. One of the witnesses tells you that the man was standing there and then just fell over hitting his head on the building and sliding down into the sitting position. As you check his pulse and respirations you find that he is breathing shallow at about 10 per minute, and his pulse is rapid. What would you do first for this patient?
  Do a focused trauma assessment and then take his blood pressure
  Pinch his shoulder to see if he wakes up and then get a BP
  Maintain c spine and move him to a supine position, then open his airway
  Question the witnesses to see if someone really hit him

Question 65 of 80
Your patient is a 61 year old male who has fallen from a step ladder while hanging Christmas lights. He fell approximately 5 feet onto a deck railing and has a contusion on the left side of his neck and head. He is not breathing. Suspecting a possible c-spine injury you attempt to open his airway with the jaw thrust maneuver, but are not successful. How will you next try to open his airway?
  Use the jaw thrust maneuver again
  Use the new head tilt jaw thrust maneuver
  Use the head tilt chin lift maneuver
  Use the jaw tilt maneuver

Question 66 of 80
Which of the following would be a sign that CPR may not be necessary?
  Stiff neck and jaw
  No pulse or respirations
  Core cyanosis
  The patient is unconscious

Question 67 of 80
You are transporting an unconscious but breathing 55 year old male who has suffered a head injury. He has an oropharyngeal airway in place. You hear gurgling sounds during his respirations and you need to suction his airway. How should this be accomplished?
  By inserting the catheter to just below the vocal chords and then initiating suction
  15 seconds/on the way in 
By inserting the catheter for 15 seconds only and suctioning on the way in
  With a flexible catheter/on the way out
  By inserting the catheter and suctioning until the airway is clear

Question 68 of 80
Respirations in a preschool aged child would be considered normal at ___________.
  35 breaths per minute
  24 breaths per minute
  16 breaths per minute
  32 breaths per minute

Question 69 of 80
You and your partner Greg are performing CPR on a 22 year old man who was in a motorcycle accident. Your CPR will utilize:
  Chest compressions at 30 a minute with one breath every 10 seconds
  Compressions one third to one half the depth of the chest with one breath every 3-5 seconds
  12 to 20 breaths per minute with a tidal volume of 800ml each breath
  About 6 breaths per minute with a tidal volume enough to give adequate chest rise

Question 70 of 80
The bevel of a nasopharyngeal should be inserted ___________.
  Toward the septum
  To the base of the carina
  Away from the septum
  Only after lubing with petroleum jelly

Question 71 of 80
What is apnea?
  Breathing slowly
  A sleep disorder
  Absence of respirations
  Breathing irregularly

Question 72 of 80
Rescue breaths during adult CPR should be administered?
  Over a period of 3-5 seconds and just enough volume to get a visible chest rise
  Over a period of 1 second and 800 ml to 1200 ml in volume
  Only if the patient is breathing
  With just enough volume to get visible chest rise and delivered over a period of 1 second

Question 73 of 80
As a lone rescuer you are preparing to perform ventilations, why would you choose a mouth to mask device rather than a bag mask?
  You are proving a smaller volume of air
  You are able to achieve a better seal
  It provides a higher concentration of oxygen
  Because it is more sanitary

Question 74 of 80
The initial two breaths given during CPR are:
  To be large sized breaths
  To free any obstructions
  All of the options are correct
  To be one second each

Question 75 of 80
As a lone rescuer you are preparing to perform ventilations, why would you choose a mouth to mask device rather than a bag mask?
  You are able to achieve a better seal
  You are proving a smaller volume of air
  It provides a higher concentration of oxygen
  Because it is more sanitary

Question 76 of 80
Your patient has a pulse, but is not breathing. Rescue breathing should be done... __________________.
  At 200 ml for all patients except infants
  At a greater depth than during CPR
  With just enough air to make the chest rise.
  At 500 ml to 800 ml

Question 77 of 80
Your patient is a 33 year old female who fell off the back of a motorcycle going approximately 20 MPH. Her respirations are irregular at 8 a minute. An OPA has been inserted and ventilations are being assisted with a BVM and 100% O2 at a rate and tidal volume of________________________. C-Spine precautions have been taken and she is packaged and moved to the ambulance where she stops breathing and there is no palpable pulse. CPR is started and the lead paramedic does a rapid sequence intubation. The BVM is attached to the ET tube and ventilations are restarted at a rate of ______________________________________________.
  10 to 12 breaths per minute. Tidal volume of just enough air to give adequate chest rise. / 8 to 10 breaths per minute without pauses in compressions.
  12 to 20 breaths per minute. Tidal volume of just enough air to make the chest rise with each ventilation. / 10-12 breaths per minute with no interruption of compressions to deliver ventilations.
  10-12 breaths per minute. Tidal volume of approximately 800 ml. / 5-6 breaths per minute with pauses for ventilation delivery over 1 second.
  5 to 6 breaths per minute. Tidal volume of approximately 600 ml. / 8-10 breaths per minute with pauses to deliver compressions.

Question 78 of 80
A respiration rate would be considered within normal limits for an adult at____ per minute, for a 6-12 year old child at ____ per minute, and for an infant at____ per minute.
  16 - 25 - 40
  22 - 32 - 42
  20 - 40 - 60
  10/20/1940

Question 79 of 80
You are ventilating an adult patient who is apneic. According to the AHA, approximately what volume of air should you deliver during each ventilation?
  500ml-1000ml
  100ml-500ml
  80ml-100ml
  None of the options are correct

Question 80 of 80
If you referred to the lung sounds as being bilateral, you would be indicating that they are . . .
  Unequal
  Prudential
  Equal
  Sequential