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?
  Begin assisting the daughter with CPR
  Ask the daughter to discontinue CPR as the DNR requests
  Transport the woman code black
  Wait for the husband to produce the document

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?
  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
  Inform the woman that she will have to go to the hospital if she wants to get treated. This environment is not safe
  Treat the patient if the situation appears safe and inform law enforcement of the possible assault when the time is appropriate

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

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

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

Question 6 of 80
After manually stabilizing a patients neck and then securing them to the backboard what must you check before transporting them?
  That you have enough personnel to lift the patient
  Their CMS
  If there is enough gas in the ambulance
  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?
  Inform the patient you will not hurt him and treat the injury
  Call for police backup and then treat the wound
  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?
  Implied
  Written
  Verbal
  Expressed

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?
  All of the options are correct
  Head injury
  Epilepsy
  Medications

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?
  100 feet down both lanes of traffic
  50 feet in all directions
  150 feet in all directions
  With no apparent hazards you do not need a danger zone

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

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
  They all might have the flu
  There is enough supplies to treat them
  There is a toxic agent responsible

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 ______.
  48 hours
  An hour
  1 minute
  24 hours

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

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

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

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?
  They are all suffering from the same flu bug
  Dispatch did not call more units
  There is a toxic agent responsible
  There is enough supplies to treat them

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?
  Ask her to straighten her leg so you can splint it
  Take traction on the foot until you hear a pop
  Call medical control immediately for stabilization instructions
  Splint the knee in place and transport code yellow

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 uphill side
  The front
  The back
  The downhill side

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?
  Closed tibia fracture
  Arterial bleed
  Inadequate breathing
  Penetrating chest wound

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

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
  Always correct
  It's always wrong

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

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?
  4 percent
  3 percent
  1 percent
  2 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?
  Black soot around mouth and nose
  Heavy diaphoresis and red, flushed skin
  Heart rate 170, respirations 20
  Facial pallor with cool skin

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

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?
  Sinfeasance
  Misfeasance
  Malfeasance
  Nonfeasance

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

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
  Patient
  Attorney
  Wife

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

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

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

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

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

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

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

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?
  M
  L
  A
  P

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?
  Introduce yourself
  Speak calmly, slowly, and clearly
  Stand over the patient
  Make and keep eye contact

Question 40 of 80
Bilateral would refer to which of the following?
  Both sides
  1 side
  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?
  Place a mask on the patient but do not turn on the oxygen
  You must deliver higher percentage of oxygen because the patient has COPD
  Reduce oxygen from the usual 85-100% to between 25-35%
  You do not administer oxygen any differently than you would to any other patient

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

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

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

Question 45 of 80
The majority of cardiac medical emergencies are the result of what?
  Old age
  Poor diet
  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
  Brachial vein
  Medial vena cava
  Aorta

Question 47 of 80
How many chambers does the heart have?
  6
  3
  5
  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?
  15:2 / one third to one half the depth of the chest
  15:2 / 1.5 to 2 inches
  30:2 / at least 2 inches
  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:
  Compressions at least 2 inches deep with one breath every 3-5 seconds
  None of the options are correct are correct
  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 _______.
  2 way
  The bicuspid
  3 way
  1 way

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

Question 52 of 80
You come upon a victim of asphyxial cardiac arrest. Which of the following is the correct order of action?
  Retrieve the AED and analyze, then begin CPR
  Do CPR at a 15:2 rate for 5 minutes and then activate the emergency response system
  Activate the emergency response system and 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
  Three consecutive shocks
  Measuring from the corner of the mouth to the earlobe
  Establishing the patient does not have a pulse

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

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?
  Begin CPR with two quick rescue breaths
  Do 2 minutes of CPR beginning with chest compressions
  Check his pulse and shock again if it is not there
  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:
  Proximal and Distal
  Superior and Inferior
  Palmar and Plantar
  Lateral and Medial

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

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 backboard
  A CEPT
  A tongue depressor

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?
  Manually open the airway
  Give him a sternal rub to check for consciousness
  Check pulse and apply AED
  AED - SAMPLE

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?
  Respiratory distress in children
  Anger in intoxicated patients
  Dehydration
  Clogged nasal passages

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?
  Wait until she passes out and then give her abdominal compressions on the ground
  Give her the Heimlich and pop the chunk of steak out
  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

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?
  Maintain c spine and move him to a supine position, then open his airway
  Question the witnesses to see if someone really hit him
  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

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 head tilt chin lift maneuver
  Use the new head tilt jaw thrust maneuver
  Use the jaw tilt maneuver
  Use the jaw thrust maneuver again

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

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
  32 breaths per minute
  16 breaths per minute
  24 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:
  Compressions one third to one half the depth of the chest with one breath every 3-5 seconds
  About 6 breaths per minute with a tidal volume enough to give adequate chest rise
  12 to 20 breaths per minute with a tidal volume of 800ml each breath
  Chest compressions at 30 a minute with one breath every 10 seconds

Question 70 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 71 of 80
What is apnea?
  Breathing slowly
  A sleep disorder
  Breathing irregularly
  Absence of respirations

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
  Only if the patient is breathing
  With just enough volume to get visible chest rise and delivered over a period of 1 second
  Over a period of 1 second and 800 ml to 1200 ml in volume

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 able to achieve a better seal
  It provides a higher concentration of oxygen
  You are proving a smaller volume of air
  Because it is more sanitary

Question 74 of 80
The initial two breaths given during CPR are:
  To free any obstructions
  To be large sized breaths
  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 proving a smaller volume of air
  It provides a higher concentration of oxygen
  Because it is more sanitary
  You are able to achieve a better seal

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

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.
  10-12 breaths per minute. Tidal volume of approximately 800 ml. / 5-6 breaths per minute with pauses for ventilation delivery over 1 second.
  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.
  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
  10/20/1940
  20 - 40 - 60

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?
  100ml-500ml
  80ml-100ml
  None of the options are correct
  500ml-1000ml

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