A 14 y.o. with congenital heart disease is in cardiac arrest, what is appropriate care?

Use adult pads and settings on AED.

Which statement made by family about your PT would make you believe your PT is delirious?

She couldn't remember her name yesterday.

Which action would be appropriate while assessing a 7 y.o. with vomiting and abdominal pain?

Allow PT to play with stethoscope before listening to lungs

What statement from family would make you suspicious that your DIB PT aspirated?

She was fine until she eat lunch.

Which of these statements is true concerning seizures during pregnancy?

Prolonged seizures can cause hypoxia for mom & baby.

What immediate action should you take if your PT's home ventilators low pressure alarm sounds?

Check the connection in vent tubing & around tracheostomy tube for leaks.

What care would you provide to a PT who accidentally pulled out their PICC line?

Apply bulky dressing to insertion site to control bleeding.

You would recognize an area veteran when family states;

He trained for combat, but never deployed.

Your developmentally challenged PT tries to bite you while controlling bleeding on hand, you

ask PT's mother to hold pressure on wound.

What observation of a sleeping baby would cause you to have a conversation with family?

Baby is sleeping on their abdomen.

Which best describes an oxygen concentrator?

An oxygen device thats extract oxygen from the air.

Which is true about ventilating an apneic 3 year old?

Deliver 1 breath every 3 seconds.

Which is the most likely reason your geriatric PT would deny they have symptoms?

They fear losing their independence and dignity.

Which statement is true about preparing a PT with an indwelling urinary catheter for transport?

You should place catheter bag below level of the bladder.

Your PT's home SPO2 reading was 85%, PT is A&OX4 with minor shortness of breath, you should

Check PT's SPO2 with your pulse ox.

Which statement would be most true about assessing a PT with PTSD?

We need to determine if the PT is suicidal or homicidal.

You have been called for a suddenly confused & agitated PT, you find a PT who appears angry you

establish a rapport with PT while ensuring personal safety.

Which of the following is a reason that elderly PT's are more prone to pneumonia?

They have a diminished cough reflex.

Which behavior by a conscious 2 year old would be uncharacteristic?

He does not cry or protest when you try to take him from his mother.

What action should you take if the umbilical cord presents first?

Place PT in knee-chest position.

What is the function of the cervix during pregnancy?

Becomes plugged by mucus to prevent contamination of uterus.

Which statement is true regarding V.S. in the elderly?

Resting respiratory rate is typically faster.

Diabetic retinopathy involves;

damage to the blood vessels of the eye.

Why does drug & alcohol dependence often occur in individuals with PTSD?

They bunt the effects of the sympathetic nervous system

Which correctly lists and describes the stages of labor in order?

Dilation, expulsion & placental delivery

You notice greenish-brown amniotic fluid when delivering a near term baby, you should

Quickly suction nose & mouth only if baby is not vigorous.

Your PT has an abnormally protruding tracheostomy tube, your immediate action is to;

evaluate adequacy of your PT's airway & breathing.

Which statement about a PT with a dialysis AV graft in their right forearm is true?

A blood pressure cannot be taken on right arm.

Which would be the best course of action while assessing a stable pediatric PT?

Allow the PT's mother to hod them during the assessment.

What does hospice care indicate?

Terminally ill PT receiving measures to increase comfort

studbud

EMT Mod 6

78 termsStudBud Administration98 plays

PreHospital Emergency Care Chap 41: #MrLobeck PreHospital Emergency Care 11 Ed. Mostovich/Karen Mod 6 EMS: PreHospital Emergency Care Chap 37: #MrLobeck PreHospital Emergency Care 11 Ed. Mostovich/Karen PreHospital Emergency Care Chap 38: #MrLobeck PreHospital Emergency Care 11

Flashcards78 cardsFPractice quizPHost liveL

Questions 78

Answers

1
A 14 y.o. with congenital heart disease is in cardiac arrest, what is appropriate care?
Use pediatric pads with AED.
Deliver 2 shocks followed by 2 minutes of CPR.
Preform only CPR until ALS arrives.
Use adult pads and settings on AED.
2
Which statement made by family about your PT would make you believe your PT is delirious?
She couldn't remember her name yesterday.
Her memory has been fading for a couple of years.
She only wants to eat junk food.
She has a Hx of progressive dementia.
3
The "signature wound" of Middle East combat vets is typically caused by;
Aerial bombings
Post traumatic stress disorder
Improvised explosive devices
High power guns
4
Which action would be appropriate while assessing a 7 y.o. with vomiting and abdominal pain?
Use "baby talk" when asking questions.
Stand above PT while asking questions.
Allow PT to play with stethoscope before listening to lungs
Ask mostly yes or no questions.
5
Which observation would make you believe your PT has TBI as opposed to PTSD?
relationship problems
confusion & disorientation
left arm amputation
anxiety & anger
6
As soon as the baby is delivered you should immediately?
Clamp and cut umbilical cord.
Perform APGAR assessment.
Dry and warm the baby.
Obtain pulse ox on right hand.
7
Where would you most likely find a PICC placed in your PT?
Hand
Abdomen
Antecubital fossa
Anterior chest
8
Prolonged nausea & vomiting in a child will likely result in?
Asthma
Shock
Croup
Heart failure
9
What statement from family would make you suspicious that your DIB PT aspirated?
She has not been feeling well for several days.
Her Dr. gave her antibiotics for a sinus infection.
She was fine until she eat lunch.
Her ankles are more swollen today.
10
In which position would you transport a PT with severe kyphosis, AMS & vomiting?
Face down with their head turned to the side.
Left lateral recumbent
On a back board
Semi-fowlers
11
On the APGAR score, how many points would the baby get for heart rate of 120 BPM?
3
1
0
1
12
Which of these statements is true concerning seizures during pregnancy?
Prolonged seizures can cause hypoxia for mom & baby.
Quickly decided whether or not to give antiseizure meds.
If mom has seizure HX she does not require transort.
Seizures in pregnant PT's is usually not life threatening.
13
Which body response would you expect in a soldier suddenly being fired on by a sniper?
Slowing heart rate
body temperature dropping
blood pressure dropping
dilating pupils
14
What immediate action should you take if your PT's home ventilators low pressure alarm sounds?
Call 911!
Increase the rate of ventilation.
Check the ventilator tubing for kinks or obstructions.
Check the connection in vent tubing & around tracheostomy tube for leaks.
15
What care would you provide to a PT who accidentally pulled out their PICC line?
Splint extremity & apply pressure dressing.
Apply a tourniquet above the site to prevent air entry.
Apply bulky dressing to insertion site to control bleeding.
Place occlusive dressing over insertion site.
16
You would recognize an area veteran when family states;
He severed 3 tours in Vietnam & the Middle East.
He trained for combat, but never deployed.
She spent her whole life in the military.
He was shot by a sniper in Iraq.
17
A problem with which body system who require the insertion of an intraventricular shunt?
Central nervous
Digestive
Genitourinary
Cardiovascular
18
Your confused dementia PT with a UTI is yelling and trying to hit you during transport, you
tighten the stretcher straps.
apply a NRB mask to PT a 3 LPM.
call for ALS to sedate the PT.
Move out of striking distance.
19
Your developmentally challenged PT tries to bite you while controlling bleeding on hand, you
provide rapid transport, without further care.
ask PT's mother to hold pressure on wound.
provide non emergency transport, with out further care.
call for ALS intercept.
20
A 2 y.o. is unresponsive, apneic with a pulse of 32 BPM, & cool diaphoretic skin you should,
All of the above.
Place PT on O2 15 LPM, via mask.
Start CPR & PPV.
Obtain a BP & call medical direction.
21
What observation of a sleeping baby would cause you to have a conversation with family?
Baby is sleeping on their abdomen.
Baby is sleeping on hard mattress.
Baby is sleeping in afternoon.
Crib is near a closed window.
22
Which best describes an oxygen concentrator?
An oxygen device thats extract oxygen from the air.
A small oxygen tank that hods liquid oxygen.
A small portable device that administers high-concentration oxygen.
A nasal cannula connected to a small oxygen cylinder.
23
Which is true about ventilating an apneic 3 year old?
Deliver 1 breath every 3 seconds.
Give each breath over 3 seconds.
Cricoid pressure is contraindicated.
Ventilate at a rate of 28 breaths per minute.
24
Which is the most likely reason your geriatric PT would deny they have symptoms?
They are confused due to dementia.
They are concerned they might have to take medications.
They fear losing their independence and dignity.
They are in denial that they may be sick.
25
An alteration in brain function caused by external force causing structural brain damage?
a concussion.
organic brain disease.
PTSD
TBI
26
Which statement is true about preparing a PT with an indwelling urinary catheter for transport?
You should place catheter bag below level of the bladder.
You should leave urine in bag for the hospital to analyze.
You should remove collection bag & clamp the tubing.
You should deflate catheter balloon prior to transport.
27
Your PT's home SPO2 reading was 85%, PT is A&OX4 with minor shortness of breath, you should
Administer O2 via nasal cannula.
Start PPV.
Immediately transport PT.
Check PT's SPO2 with your pulse ox.
28
Which statement would be most true about assessing a PT with PTSD?
We need to assess if the PT remembers the events that lead to his PTSD.
We need to know if the PT ever killed anyone.
We need to determine if the PT is suicidal or homicidal.
We ask the PT family to leave the room.
29
You have been called for a suddenly confused & agitated PT, you find a PT who appears angry you
gather & identify PT medications.
recognize PTSD & prepare for immediate transport.
establish a rapport with PT while ensuring personal safety.
recognize PTSD & check blood sugar.
30
Which of the following is a reason that elderly PT's are more prone to pneumonia?
They have a diminished cough reflex.
They have hardening of the major arteries.
It is harder for them to swallow saliva.
They have decreased alveolar gas exchange.
31
Which would be the most correct position to transport a PT. who is in her third trimester of pregnancy?
Which ever way she wants to sit.
Lying on her left side.
Pregnant PT should not be transported on stretchers.
Flat on her back.
32
Which behavior by a conscious 2 year old would be uncharacteristic?
He cries when you try to touch him.
He becomes upset when you lift his shirt to assess his abdomen.
He does not cry or protest when you try to take him from his mother.
He apologizes repeatedly for falling & hurting himself.
33
What action should you take if the umbilical cord presents first?
Gently pull on the cord to assist delivery.
Place saline soaked dressing over cord.
Carefully push the cord back into the vagina.
Place PT in knee-chest position.
34
Which assessment finding would most strongly suggest respiratory failure in a peds PT?
Nasal faring
Altered mental status
Fever 102F
Resp rate of 36BPM
35
What is the function of the cervix during pregnancy?
Becomes plugged by mucus to prevent contamination of uterus.
The EMT palpates it to measure the contractions during labor
Bloody show from cervix, first trimester confirms pregnancy
It constricts to prevent premature birth.
36
S&S such as severe neck pain, clumsiness & trouble swallowing can indicate;
PTSD
TBI
Alzheimer's
Paralysis
37
Which statement is true regarding V.S. in the elderly?
All of the above.
Resting respiratory rate is typically faster.
Fever are more common & severe.
Their heart rate is usually slower, due to age related damage.
38
A 5 y.o. PT is drooling with stridor & fever of 104F, which statement would concern you most?
It hurts to swallow.
I have a headache.
My nose will not stop running.
I'm not hungry.
39
A quadriplegic PT would likely not be able to;
turn head from side to side.
hold utensils for eating.
see peripherally while driving.
speak clearly to others.
40
Diabetic retinopathy involves;
developing film over the interior of the eye.
damage to the blood vessels of the eye.
lack of glucose delivery to the eye tissue.
pressure related damage to the optic nerve.
41
Arteriosclerosis is;
blocked veins.
low blood pressure.
a weakened heart.
stiffened arteries
42
Why does drug & alcohol dependence often occur in individuals with PTSD?
Meds used to treat PTSD, increase chance substance abuse
They bunt the effects of the sympathetic nervous system
It slow down the brain so they can process their experience
It reflect individual weakness, not effects of PTSD
43
Croup is an illness that involves;
infection in the lungs.
bronchiolar constriction.
edema beneath the glottis.
swelling of the epiglottis.
44
Which correctly lists and describes the stages of labor in order?
Uterine, expulsion, placental & recovery.
Dilation, delivery, placental & afterbirth
Uterine, delivery & recovery
Dilation, expulsion & placental delivery
45
What would the EMT use the sterile scissors in the OB kit for?
To cut the amniotic sac.
To cut the umbilical cord.
To cut towels to create a sterile field.
To cut the PT's clothing.
46
You notice greenish-brown amniotic fluid when delivering a near term baby, you should
Quickly suction nose & mouth only if baby is not vigorous.
Suction the nose and mouth
Administer high flow O2 to baby.
Immediately begin PPV.
47
Your PT has an abnormally protruding tracheostomy tube, your immediate action is to;
attempt to reinsert the tracheostomy tube.
evaluate adequacy of your PT's airway & breathing.
quickly assess baseline SPO2 level.
figure out hoe the tube became displaced.
48
Which statement about a PT with a dialysis AV graft in their right forearm is true?
You can only palpate a blood pressure on right arm.
A blood pressure cannot be taken on right arm.
You should place the blood pressure cuff above the graft.
You should place the blood pressure cuff below the graft.
49
One of the four essential features of post-traumatic stress disorder is;
migration to crowds for security.
unexplained attraction to war memorabilia.
feelings of anger.
chronic confusion.
50
Which would be the best course of action while assessing a stable pediatric PT?
It is important not to remove any the the PT's clothing during assessment.
Do not touch the PT during assessment, to keep them calm.
Start your assessment at the head & work towards the feet.
Allow the PT's mother to hod them during the assessment.
51
What does hospice care indicate?
Terminally ill PT without a DNR.
Terminally ill PT receiving care to reverse disease process
Terminally ill PT who is forgoing any care until death.
Terminally ill PT receiving measures to increase comfort
52
Your PT tells you they had a TIA 2 weeks ago, during your assessment you would expect to find;
unequal pupils.
no neurological deficits.
difficulty speaking or swallowing.
altered motor & sensory function on one side of body.
53
Your PT who is hard of hearing is having trouble understanding you, you should
Make sure the PT has their hearing aid in and turned on
Stand in front of the PT and talk louder.
Talk slow with a higher pitch
Write your question out.
54
Which would be the correct age range for a toddler?
3-5 years old
6-8 years old
older than 8
1-2 years old
55
Which best describes a "silent heart attack?"
The PT has little to no chest discomfort during a heart attack.
The PT chest discomfort does not radiate to arms, neck or back.
The PT had a short period of chest discomfort before cardiac arrest.
The chest pain is so intense the PT can't speak.
56
Which question would be the most important to ask a 25 y.o. female PT. complaining of abdominal pain?
Is there any chance that you are pregnant?
Do you have regular menstrual cycles?
There is no reason to talk to your PT.
Have you had any vaginal discharge?
57
Which statement by you PT would make you think she has entered the 2nd stage of labor?
The contractions are starting to hurt.
I think my water just broke.
It feels good not having to push any more.
I feel like I have to poop.
58
Why should you not overextend the airway on a pediatric PT?
The trachea is short & can be injured by over-extension.
The cervical collor is delicate & can be injured by over-extension.
All of the above are true.
The cartilage of trachea is soft & can be "kinked" by over-extension.
59
S&S like severe neck pain, clumsiness & trouble swallowing indicate?
Paralysis
Alzheimer's
PTSD
TBI
60
Your PT informs you that this is her 4th pregnancy & she has delivered 1 baby, how would you document this?
Para III, Gravida I
Gravida III, Para I
Para IV, Gravida I
Gravida IV, Para I
61
Post-traumatic stress disorder occurs when;
someone overwhelmed by daily life after returning from war.
exposed to abnormal condition difficult to mentally handle.
the brain is emotionally injured by external force.
veteran perceives lack of respect by society.
62
During newborn resuscitation;
CPR is done only on unresponsive, apneic & pusleless PT's.
you should reassess every 30 seconds.
all of above
you must limit use of high concentration O2.
63
An acceptable respiratory rate for a newborn is?
52 BPM
12 BPM
70 BPM
24 BPM
64
What would be an immediate danger to PT. when poorly positioning an obese PT on stretcher?
respiratory distress
back pain
skin breakdown
hypotension
65
Which statement regarding abuse is true?
It is found in all socioeconomic levels.
It is typically effects low income populations
It most often occurs in individuals that are unable to report it.
It tends to occur more often in individuals with mental illness.
66
Which of these statements by an 8 month pregnant PT would concern you most?
I have not seen a doctor during this pregnancy.
I was a drug addict when I was younger.
I had cramps 2 weeks ago.
My last baby was 2 weeks late.
67
When providing PPV to your elderly PT you should?
Gently ventilate with enough volume to see visible chest rise.
Use a pediatric BVM if the PT has a history of COPD.
You should not ventilate the elderly.
Increase the force of ventilation to overcome their stiffened lungs.
68
Which information about your seizing 5 y.o. PT is most concerning?
He has a history of leukemia.
He was incontinent of urine.
He has no history of seizures.
He has been seizing for 12 minutes.
69
Which statement is true about geriatric trauma?
Hyperthermia is an early sign of blood loss.
Car accidents cause more than 75% of elderly deaths.
Trauma in elderly is most commonly from falls.
Head injuries are easy to detect in elderly.
70
What is the function of the uterus during pregnancy & childbirth?
It protects abdomnal organs during fetal growth.
It manufactures blood cells needed for fetal immunity.
It contracts to force the fetus from the mother during labor.
It prevents the excretion of waste from the baby to the mother.
71
Your confused, lethargic 2 y.o. PT has a rectal temp of 104F, appropriate care includes?
Give O2, sponge PT with alcohol.
Apply cold wash cloths until PT begins to shiver.
Remove PT clothes & sponge with tepid water.
Have mother giver tylenol & sponge PT with cold water.
72
The fundamental reason for wearing BiPAP while sleeping is to;
lower the amount of exhaled CO2.
provide high-concentration O2.
keep the small airways open.
decrease the frequency of lower airway infection.
73
After performing primary assessment on PT who fell & has back pain, you should ask?
Did you get dizzy & fall or slip then fall?
Why didn't you use the ramp instead of the steps?
Do you have a Hx of HTN?
Which medications are you taking?
74
Which statement is true about suicide risk in combat veterans?
Often suicide can't be prevented once the decision is made.
Removing guns will typically prevent suicides in veterans.
Most veterans don't tell they're having thoughts of suicide.
Combat veterans typically don't attempt suicide.
75
Which statement would make you believe that your geriatric PT is being neglected?
They are rough with me when they change me.
They wake me up every 6 hours to see if I peed.
They spend all my money on illegal drugs.
They don't give me my HTN meds. everyday like they should.
76
Which mental status assessment finding of a 1 y.o. would be normal?
The Pt. does not keep his eyes open.
The PT. turns his head to sound.
The PT. moans when pressure is applied to finger.
The PT. is curious about your penlight
77
You realize that your PTSD PT is reliving an event when he states;
I don't like the smell of diesel since the plane crash.
My heart rate sometimes increases for no reason.
I can't sleep because of nightmares I'm back in the jungle.
I feel guilty abut not being able to save them.
78
Why is it an issue if a geriatric PT takes more than the recommended dose of medications?
They have decreased respiratory function.
They have an increased tolerance to medication.
They have an increased amount of body water.
They have decreased liver and kidney function.

EMT Mod 6 Flashcards | StudBud

EMT Mod 6

78 termsStudBud Administration98 plays

Flashcards78 cardsFPractice quizPHost liveL

Questions 78

Answers

1
A 14 y.o. with congenital heart disease is in cardiac arrest, what is appropriate care?
Use pediatric pads with AED.
Deliver 2 shocks followed by 2 minutes of CPR.
Preform only CPR until ALS arrives.
Use adult pads and settings on AED.
2
Which statement made by family about your PT would make you believe your PT is delirious?
She couldn't remember her name yesterday.
Her memory has been fading for a couple of years.
She only wants to eat junk food.
She has a Hx of progressive dementia.
3
The "signature wound" of Middle East combat vets is typically caused by;
Aerial bombings
Post traumatic stress disorder
Improvised explosive devices
High power guns
4
Which action would be appropriate while assessing a 7 y.o. with vomiting and abdominal pain?
Use "baby talk" when asking questions.
Stand above PT while asking questions.
Allow PT to play with stethoscope before listening to lungs
Ask mostly yes or no questions.
5
Which observation would make you believe your PT has TBI as opposed to PTSD?
relationship problems
confusion & disorientation
left arm amputation
anxiety & anger
6
As soon as the baby is delivered you should immediately?
Clamp and cut umbilical cord.
Perform APGAR assessment.
Dry and warm the baby.
Obtain pulse ox on right hand.
7
Where would you most likely find a PICC placed in your PT?
Hand
Abdomen
Antecubital fossa
Anterior chest
8
Prolonged nausea & vomiting in a child will likely result in?
Asthma
Shock
Croup
Heart failure
9
What statement from family would make you suspicious that your DIB PT aspirated?
She has not been feeling well for several days.
Her Dr. gave her antibiotics for a sinus infection.
She was fine until she eat lunch.
Her ankles are more swollen today.
10
In which position would you transport a PT with severe kyphosis, AMS & vomiting?
Face down with their head turned to the side.
Left lateral recumbent
On a back board
Semi-fowlers
11
On the APGAR score, how many points would the baby get for heart rate of 120 BPM?
3
1
0
1
12
Which of these statements is true concerning seizures during pregnancy?
Prolonged seizures can cause hypoxia for mom & baby.
Quickly decided whether or not to give antiseizure meds.
If mom has seizure HX she does not require transort.
Seizures in pregnant PT's is usually not life threatening.
13
Which body response would you expect in a soldier suddenly being fired on by a sniper?
Slowing heart rate
body temperature dropping
blood pressure dropping
dilating pupils
14
What immediate action should you take if your PT's home ventilators low pressure alarm sounds?
Call 911!
Increase the rate of ventilation.
Check the ventilator tubing for kinks or obstructions.
Check the connection in vent tubing & around tracheostomy tube for leaks.
15
What care would you provide to a PT who accidentally pulled out their PICC line?
Splint extremity & apply pressure dressing.
Apply a tourniquet above the site to prevent air entry.
Apply bulky dressing to insertion site to control bleeding.
Place occlusive dressing over insertion site.
16
You would recognize an area veteran when family states;
He severed 3 tours in Vietnam & the Middle East.
He trained for combat, but never deployed.
She spent her whole life in the military.
He was shot by a sniper in Iraq.
17
A problem with which body system who require the insertion of an intraventricular shunt?
Central nervous
Digestive
Genitourinary
Cardiovascular
18
Your confused dementia PT with a UTI is yelling and trying to hit you during transport, you
tighten the stretcher straps.
apply a NRB mask to PT a 3 LPM.
call for ALS to sedate the PT.
Move out of striking distance.
19
Your developmentally challenged PT tries to bite you while controlling bleeding on hand, you
provide rapid transport, without further care.
ask PT's mother to hold pressure on wound.
provide non emergency transport, with out further care.
call for ALS intercept.
20
A 2 y.o. is unresponsive, apneic with a pulse of 32 BPM, & cool diaphoretic skin you should,
All of the above.
Place PT on O2 15 LPM, via mask.
Start CPR & PPV.
Obtain a BP & call medical direction.
21
What observation of a sleeping baby would cause you to have a conversation with family?
Baby is sleeping on their abdomen.
Baby is sleeping on hard mattress.
Baby is sleeping in afternoon.
Crib is near a closed window.
22
Which best describes an oxygen concentrator?
An oxygen device thats extract oxygen from the air.
A small oxygen tank that hods liquid oxygen.
A small portable device that administers high-concentration oxygen.
A nasal cannula connected to a small oxygen cylinder.
23
Which is true about ventilating an apneic 3 year old?
Deliver 1 breath every 3 seconds.
Give each breath over 3 seconds.
Cricoid pressure is contraindicated.
Ventilate at a rate of 28 breaths per minute.
24
Which is the most likely reason your geriatric PT would deny they have symptoms?
They are confused due to dementia.
They are concerned they might have to take medications.
They fear losing their independence and dignity.
They are in denial that they may be sick.
25
An alteration in brain function caused by external force causing structural brain damage?
a concussion.
organic brain disease.
PTSD
TBI
26
Which statement is true about preparing a PT with an indwelling urinary catheter for transport?
You should place catheter bag below level of the bladder.
You should leave urine in bag for the hospital to analyze.
You should remove collection bag & clamp the tubing.
You should deflate catheter balloon prior to transport.
27
Your PT's home SPO2 reading was 85%, PT is A&OX4 with minor shortness of breath, you should
Administer O2 via nasal cannula.
Start PPV.
Immediately transport PT.
Check PT's SPO2 with your pulse ox.
28
Which statement would be most true about assessing a PT with PTSD?
We need to assess if the PT remembers the events that lead to his PTSD.
We need to know if the PT ever killed anyone.
We need to determine if the PT is suicidal or homicidal.
We ask the PT family to leave the room.
29
You have been called for a suddenly confused & agitated PT, you find a PT who appears angry you
gather & identify PT medications.
recognize PTSD & prepare for immediate transport.
establish a rapport with PT while ensuring personal safety.
recognize PTSD & check blood sugar.
30
Which of the following is a reason that elderly PT's are more prone to pneumonia?
They have a diminished cough reflex.
They have hardening of the major arteries.
It is harder for them to swallow saliva.
They have decreased alveolar gas exchange.
31
Which would be the most correct position to transport a PT. who is in her third trimester of pregnancy?
Which ever way she wants to sit.
Lying on her left side.
Pregnant PT should not be transported on stretchers.
Flat on her back.
32
Which behavior by a conscious 2 year old would be uncharacteristic?
He cries when you try to touch him.
He becomes upset when you lift his shirt to assess his abdomen.
He does not cry or protest when you try to take him from his mother.
He apologizes repeatedly for falling & hurting himself.
33
What action should you take if the umbilical cord presents first?
Gently pull on the cord to assist delivery.
Place saline soaked dressing over cord.
Carefully push the cord back into the vagina.
Place PT in knee-chest position.
34
Which assessment finding would most strongly suggest respiratory failure in a peds PT?
Nasal faring
Altered mental status
Fever 102F
Resp rate of 36BPM
35
What is the function of the cervix during pregnancy?
Becomes plugged by mucus to prevent contamination of uterus.
The EMT palpates it to measure the contractions during labor
Bloody show from cervix, first trimester confirms pregnancy
It constricts to prevent premature birth.
36
S&S such as severe neck pain, clumsiness & trouble swallowing can indicate;
PTSD
TBI
Alzheimer's
Paralysis
37
Which statement is true regarding V.S. in the elderly?
All of the above.
Resting respiratory rate is typically faster.
Fever are more common & severe.
Their heart rate is usually slower, due to age related damage.
38
A 5 y.o. PT is drooling with stridor & fever of 104F, which statement would concern you most?
It hurts to swallow.
I have a headache.
My nose will not stop running.
I'm not hungry.
39
A quadriplegic PT would likely not be able to;
turn head from side to side.
hold utensils for eating.
see peripherally while driving.
speak clearly to others.
40
Diabetic retinopathy involves;
developing film over the interior of the eye.
damage to the blood vessels of the eye.
lack of glucose delivery to the eye tissue.
pressure related damage to the optic nerve.
41
Arteriosclerosis is;
blocked veins.
low blood pressure.
a weakened heart.
stiffened arteries
42
Why does drug & alcohol dependence often occur in individuals with PTSD?
Meds used to treat PTSD, increase chance substance abuse
They bunt the effects of the sympathetic nervous system
It slow down the brain so they can process their experience
It reflect individual weakness, not effects of PTSD
43
Croup is an illness that involves;
infection in the lungs.
bronchiolar constriction.
edema beneath the glottis.
swelling of the epiglottis.
44
Which correctly lists and describes the stages of labor in order?
Uterine, expulsion, placental & recovery.
Dilation, delivery, placental & afterbirth
Uterine, delivery & recovery
Dilation, expulsion & placental delivery
45
What would the EMT use the sterile scissors in the OB kit for?
To cut the amniotic sac.
To cut the umbilical cord.
To cut towels to create a sterile field.
To cut the PT's clothing.
46
You notice greenish-brown amniotic fluid when delivering a near term baby, you should
Quickly suction nose & mouth only if baby is not vigorous.
Suction the nose and mouth
Administer high flow O2 to baby.
Immediately begin PPV.
47
Your PT has an abnormally protruding tracheostomy tube, your immediate action is to;
attempt to reinsert the tracheostomy tube.
evaluate adequacy of your PT's airway & breathing.
quickly assess baseline SPO2 level.
figure out hoe the tube became displaced.
48
Which statement about a PT with a dialysis AV graft in their right forearm is true?
You can only palpate a blood pressure on right arm.
A blood pressure cannot be taken on right arm.
You should place the blood pressure cuff above the graft.
You should place the blood pressure cuff below the graft.
49
One of the four essential features of post-traumatic stress disorder is;
migration to crowds for security.
unexplained attraction to war memorabilia.
feelings of anger.
chronic confusion.
50
Which would be the best course of action while assessing a stable pediatric PT?
It is important not to remove any the the PT's clothing during assessment.
Do not touch the PT during assessment, to keep them calm.
Start your assessment at the head & work towards the feet.
Allow the PT's mother to hod them during the assessment.
51
What does hospice care indicate?
Terminally ill PT without a DNR.
Terminally ill PT receiving care to reverse disease process
Terminally ill PT who is forgoing any care until death.
Terminally ill PT receiving measures to increase comfort
52
Your PT tells you they had a TIA 2 weeks ago, during your assessment you would expect to find;
unequal pupils.
no neurological deficits.
difficulty speaking or swallowing.
altered motor & sensory function on one side of body.
53
Your PT who is hard of hearing is having trouble understanding you, you should
Make sure the PT has their hearing aid in and turned on
Stand in front of the PT and talk louder.
Talk slow with a higher pitch
Write your question out.
54
Which would be the correct age range for a toddler?
3-5 years old
6-8 years old
older than 8
1-2 years old
55
Which best describes a "silent heart attack?"
The PT has little to no chest discomfort during a heart attack.
The PT chest discomfort does not radiate to arms, neck or back.
The PT had a short period of chest discomfort before cardiac arrest.
The chest pain is so intense the PT can't speak.
56
Which question would be the most important to ask a 25 y.o. female PT. complaining of abdominal pain?
Is there any chance that you are pregnant?
Do you have regular menstrual cycles?
There is no reason to talk to your PT.
Have you had any vaginal discharge?
57
Which statement by you PT would make you think she has entered the 2nd stage of labor?
The contractions are starting to hurt.
I think my water just broke.
It feels good not having to push any more.
I feel like I have to poop.
58
Why should you not overextend the airway on a pediatric PT?
The trachea is short & can be injured by over-extension.
The cervical collor is delicate & can be injured by over-extension.
All of the above are true.
The cartilage of trachea is soft & can be "kinked" by over-extension.
59
S&S like severe neck pain, clumsiness & trouble swallowing indicate?
Paralysis
Alzheimer's
PTSD
TBI
60
Your PT informs you that this is her 4th pregnancy & she has delivered 1 baby, how would you document this?
Para III, Gravida I
Gravida III, Para I
Para IV, Gravida I
Gravida IV, Para I
61
Post-traumatic stress disorder occurs when;
someone overwhelmed by daily life after returning from war.
exposed to abnormal condition difficult to mentally handle.
the brain is emotionally injured by external force.
veteran perceives lack of respect by society.
62
During newborn resuscitation;
CPR is done only on unresponsive, apneic & pusleless PT's.
you should reassess every 30 seconds.
all of above
you must limit use of high concentration O2.
63
An acceptable respiratory rate for a newborn is?
52 BPM
12 BPM
70 BPM
24 BPM
64
What would be an immediate danger to PT. when poorly positioning an obese PT on stretcher?
respiratory distress
back pain
skin breakdown
hypotension
65
Which statement regarding abuse is true?
It is found in all socioeconomic levels.
It is typically effects low income populations
It most often occurs in individuals that are unable to report it.
It tends to occur more often in individuals with mental illness.
66
Which of these statements by an 8 month pregnant PT would concern you most?
I have not seen a doctor during this pregnancy.
I was a drug addict when I was younger.
I had cramps 2 weeks ago.
My last baby was 2 weeks late.
67
When providing PPV to your elderly PT you should?
Gently ventilate with enough volume to see visible chest rise.
Use a pediatric BVM if the PT has a history of COPD.
You should not ventilate the elderly.
Increase the force of ventilation to overcome their stiffened lungs.
68
Which information about your seizing 5 y.o. PT is most concerning?
He has a history of leukemia.
He was incontinent of urine.
He has no history of seizures.
He has been seizing for 12 minutes.
69
Which statement is true about geriatric trauma?
Hyperthermia is an early sign of blood loss.
Car accidents cause more than 75% of elderly deaths.
Trauma in elderly is most commonly from falls.
Head injuries are easy to detect in elderly.
70
What is the function of the uterus during pregnancy & childbirth?
It protects abdomnal organs during fetal growth.
It manufactures blood cells needed for fetal immunity.
It contracts to force the fetus from the mother during labor.
It prevents the excretion of waste from the baby to the mother.
71
Your confused, lethargic 2 y.o. PT has a rectal temp of 104F, appropriate care includes?
Give O2, sponge PT with alcohol.
Apply cold wash cloths until PT begins to shiver.
Remove PT clothes & sponge with tepid water.
Have mother giver tylenol & sponge PT with cold water.
72
The fundamental reason for wearing BiPAP while sleeping is to;
lower the amount of exhaled CO2.
provide high-concentration O2.
keep the small airways open.
decrease the frequency of lower airway infection.
73
After performing primary assessment on PT who fell & has back pain, you should ask?
Did you get dizzy & fall or slip then fall?
Why didn't you use the ramp instead of the steps?
Do you have a Hx of HTN?
Which medications are you taking?
74
Which statement is true about suicide risk in combat veterans?
Often suicide can't be prevented once the decision is made.
Removing guns will typically prevent suicides in veterans.
Most veterans don't tell they're having thoughts of suicide.
Combat veterans typically don't attempt suicide.
75
Which statement would make you believe that your geriatric PT is being neglected?
They are rough with me when they change me.
They wake me up every 6 hours to see if I peed.
They spend all my money on illegal drugs.
They don't give me my HTN meds. everyday like they should.
76
Which mental status assessment finding of a 1 y.o. would be normal?
The Pt. does not keep his eyes open.
The PT. turns his head to sound.
The PT. moans when pressure is applied to finger.
The PT. is curious about your penlight
77
You realize that your PTSD PT is reliving an event when he states;
I don't like the smell of diesel since the plane crash.
My heart rate sometimes increases for no reason.
I can't sleep because of nightmares I'm back in the jungle.
I feel guilty abut not being able to save them.
78
Why is it an issue if a geriatric PT takes more than the recommended dose of medications?
They have decreased respiratory function.
They have an increased tolerance to medication.
They have an increased amount of body water.
They have decreased liver and kidney function.