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| 1 | Directions: Each of the numbered items or incomplete statements in this examination is followed by answers or by completions of the statement. Select the ONE lettered answer or completion that is BEST in each case.Questions 1-15 pertain to the following scenario.
You have been dispatched to a bar for a possible shooting. You have a similarly trained partner with you. The dispatcher tells you that the caller at the scene thinks there is only one victim.Your priority in this situation is |
 | A) | patient care. |
| B) | patient safety. |
| C) | personal safety. |
| D) | a fast response to and from the scene. |
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| 2 | You and your partner are responding to the scene in an emergency vehicle. En route to the scene |
| A) | you should wear your seat belt at all times. |
| B) | you should wear your seat belt only if you are driving the vehicle. |
| C) | you do not need to wear your seat belt because you are using the red lights and siren to avoid a collision. |
| D) | you must wear your seat belt only if you are riding in a rear-facing ("jump") seat. |
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| 3 | You and your partner are the first unit to arrive at the scene. Which one of the following responsibilities should be addressed first? |
| A) | Immediately locate all patients. |
| B) | Notify dispatch of your arrival at the scene. |
| C) | Perform an initial assessment of all patients to determine priorities of care. |
| D) | Provide essential emergency care to stabilize patients and prepare them for transport. |
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| 4 | Which of the following actions is not a part of the scene size-up? |
| A) | Determining the total number of patients |
| B) | Taking appropriate body substance isolation (BSI) precautions |
| C) | Beginning cardiopulmonary resuscitation (CPR) if needed |
| D) | Determining the mechanism of injury or the nature of the patient's illness. |
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| 5 | You should begin the scene size-up |
| A) | before entering the scene. |
| B) | once you have entered the scene. |
| C) | only after identifying the mechanism of injury. |
| D) | once all patients have been accounted for. |
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| 6 | Dispatch informs you that the caller at the scene states that the suspects are still in the area. Law enforcement personnel are en route to the scene. Which of the following statements correctly describes your approach to the scene? |
| A) | Enter the scene only if it looks safe. |
| B) | Enter the scene only if you can see an injured patient. |
| C) | Park at a safe distance from the scene until law enforcement personnel arrive and declare the scene is safe to enter. |
| D) | Return to your station until it is confirmed that the scene is safe. |
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| 7 | The scene has been secured and the suspects have been taken into custody. You find one patient lying on his back on the floor of the bar. The patient appears to be about 30 years old. His eyes are closed. You can see that his breathing is very slow and shallow. His skin looks pale. You see a large pool of blood on the floor around his chest. After taking BSI precautions, you should next |
| A) | find the source of the bleeding and apply direct pressure to the site. |
| B) | feel for a pulse. |
| C) | check the patient's level of responsiveness. |
| D) | cover the patient with blankets to prevent shock. |
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| 8 | Bystanders tell you that the patient was shot at close range. The patient fell, hitting his head on the floor. Your first action regarding this patient's airway should be to |
| A) | immediately suction the patient's mouth. |
| B) | open the patient's airway with the jaw-thrust without head tilt maneuver using cervical spine precautions. |
| C) | insert an oral airway using cervical spine precautions. |
| D) | open the airway using the head tilt-chin lift maneuver using cervical spine precautions. |
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| 9 | Your assessment reveals the patient is unresponsive and breathing 6 times per minute. To correctly size an oral airway, you should measure |
| A) | from the tip of the patient's nose to the tip of the ear. |
| B) | from the tip of the patient's nose to the Adam's apple. |
| C) | from the corner of the patient's mouth to the Adam's apple. |
| D) | from the corner of the patient's mouth to the tip of the ear lobe. |
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| 10 | When assisting this patient's breathing with a bag-valve-mask device, you should give one breath every ____ seconds. |
| A) | 3 to 5 |
| B) | 5 to 6 |
| C) | 8 to 10 |
| D) | 10 to 12. |
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| 11 | An airway adjunct is |
| A) | a procedure used to vacuum material from the patient's airway. |
| B) | a piece of cartilage that closes off the windpipe during swallowing. |
| C) | a wall of tissue that separates the right and left nostrils. |
| D) | a device used to help keep a patient's airway open. |
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| 12 | Which of the following statements regarding a bag-valve-mask device is correct? |
| A) | One size fits all patients. |
| B) | It can only be used for a patient who is breathing. |
| C) | It is best operated by two rescuers. |
| D) | It cannot be used if the patient has an oral airway in place. . |
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| 13 | Assessment of the patient reveals a gunshot wound in the right upper chest. You hear a sucking sound escaping from the wound when the patient breathes in. You are unable to find an exit wound. A weak pulse is present at 145 beats per minute. The patient's skin is cool, pale, and sweaty. Which of the following statements about the patient's chest wound is true? |
| A) | Apply an airtight dressing to the wound, taped on three sides. |
| B) | Cover the wound with a paper cup or cone and secure it in place. |
| C) | The wound is not serious; leave it alone for now and perform a detailed head-to-toe examination. |
| D) | Apply a gauze pad to the wound and secure it in place by wrapping tape around the patient's chest. |
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| 14 | Based on your assessment findings and the patient's mechanism of injury, you suspect this patient is experiencing |
| A) | anaphylactic shock |
| B) | hypovolemic shock. |
| C) | septic shock. |
| D) | cardiogenic shock. |
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| 15 | While waiting for help to arrive, you should |
| A) | place the patient in a facedown position to control bleeding from the chest wound. |
| B) | leave the patient on his back and elevate his legs 8-12 inches. |
| C) | leave the patient on his back and elevate his upper body at a 45- to 60-degree angle. |
| D) | leave the patient on his back and elevate his upper body at a 90-degree angle. |
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| 16 | Which of the following statements is true? |
| A) | The exchange of oxygen and waste products occurs between the blood and body cells through the walls of veins. |
| B) | The upper chambers of the heart are thicker and larger than the bottom chambers. |
| C) | All arteries carry oxygenated blood. |
| D) | White blood cells attack and destroy germs that enter the body. |
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| 17 | Which of the following statements is correct? |
| A) | If gloves are worn properly, it is not necessary to wash your hands after contact with a patient. |
| B) | You should shower and change clothes after each patient contact. |
| C) | Changing gloves is not necessary between contacts with different patients at the same scene. |
| D) | A waterless hand-cleaning solution may be used initially at the scene if soap and water are not available. |
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| 18 | Questions 18-24 pertain to the following scenario.
You and your partner have been called to a local movie theater for a 19-year-old woman who is having a seizure. Upon arrival, her friends tell you that she has been seizing for 10 minutes.The patient's seizure involves stiffening and jerking of her body. This type of seizure is called |
| A) | a tonic-clonic seizure. |
| B) | an absence seizure. |
| C) | an epileptic seizure. |
| D) | a febrile seizure. |
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| 19 | The type of seizure the patient is having usually has four phases. In the postictal phase, the patient |
| A) | experiences a peculiar sensation, such as a dreamy feeling or an unusual taste. |
| B) | begins to recover and may show signs of confusion, sleepiness, or difficulty talking. |
| C) | has body movements that alternate between jerking and relaxing. |
| D) | may turn blue as her body muscles stiffen. |
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| 20 | Before the patient recovers from one seizure you observe that she starts seizing again. This condition |
| A) | is normal and is no cause for concern. |
| B) | suggests that the patient has a brain tumor. |
| C) | is called status epilepticus and is a medical emergency. |
| D) | suggests that the patient has experienced a head injury. |
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| 21 | You should immediately |
| A) | begin cooling the patient with cold compresses. |
| B) | physically restrain the patient. |
| C) | protect the patient from harm. |
| D) | insert an oral airway into her mouth. |
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| 22 | Which of the following questions relates to the M in the SAMPLE history that you will be obtaining from bystanders at the scene? |
| A) | Does the patient have a history of stroke, diabetes, or heart disease? |
| B) | Did she hit her head or fall? |
| C) | Is this the patient's first seizure? |
| D) | Does the patient take any seizure medications? What prescription and nonprescription medicines is she taking?. |
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| 23 | The patient finally stops seizing. She is breathing 12 times per minute. She moans when you call her name. According to the AVPU scale, the patient's level of responsiveness would be considered |
| A) | alert. |
| B) | responsive to a verbal stimulus. |
| C) | responsive to a painful stimulus. |
| D) | unresponsive. |
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| 24 | The patient's airway is clear. She does not appear to have any injuries from her seizures. You should now |
| A) | place the patient on her side and suction her mouth. |
| B) | place the patient on her back and insert an oral airway. |
| C) | place the patient on her side and administer oxygen by mask if it is available. |
| D) | place the patient on her back, suction her mouth, and assist her breathing with a bag-valve-mask. |
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| 25 | Scope of care refers to: |
| A) | The emergency care and skills you are legally allowed and expected to perform as an Emergency Medical Responder. |
| B) | Written instructions to provide emergency care for specific, health-related conditions. |
| C) | The minimum level of care expected of similarly trained healthcare professionals. |
| D) | Written instructions that authorize you to perform certain medical treatments before communicating directly with a physician. |
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| 26 | Questions 26-29 pertain to the following scenario.
You are called for a toddler who is choking. Upon arrival, you are met by a hysterical mother holding the child in her arms. The child appears to be in severe distress. You hear a weak cough and a high-pitched noise when he breathes in. He is turning blue.The blue color of the patient's skin is referred to as |
| A) | pallor. |
| B) | mottling. |
| C) | cyanosis. |
| D) | flushing. |
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| 27 | The high-pitched noise heard when the patient breathes is called |
| A) | stridor. |
| B) | wheezing. |
| C) | snoring. |
| D) | gurgling. |
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| 28 | The patient's signs and symptoms are consistent with |
| A) | normal breathing. |
| B) | a complete airway obstruction. |
| C) | a partial airway obstruction with good air exchange. |
| D) | a partial airway obstruction with poor air exchange. |
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| 29 | You should |
| A) | encourage the child to cough. |
| B) | perform chest thrusts. |
| C) | perform abdominal thrusts. |
| D) | perform a blind finger sweep. |
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| 30 | Questions 30-33 pertain to the following scenario.
You and your partner are called to a lake recreation area for a 7-year-old girl who reportedly fell out of a boat in the middle of the lake. According to the dispatch information, the child was pulled from the water and taken to a dock. You arrive to find the child shivering and wet, sitting on a large rock. It is 68° F with gusting winds.While in the 55° F water, the patient lost body heat to the currents of water that swirled around her. This is an example of what type of heat loss? |
| A) | Radiation |
| B) | Convection |
| C) | Conduction |
| D) | Evaporation. |
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| 31 | The rock on which the patient sits is cold to the touch. The patient's loss of heat to the rock is an example of what type of heat loss? |
| A) | Radiation |
| B) | Convection |
| C) | Conduction |
| D) | Evaporation. |
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| 32 | The patient is wearing jeans and a long-sleeved sweater that are soaked. The patient's heat loss through the wet clothes is an example of what type of heat loss? |
| A) | Radiation |
| B) | Convection |
| C) | Conduction |
| D) | Evaporation |
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| 33 | An ambulance is en route to the scene. Appropriate care for this patient should include |
| A) | having the child lie down on the dock while you perform a detailed, head-to-toe assessment. |
| B) | applying heat packs to the child's armpits and the back of her neck. |
| C) | removing the child's wet clothing and wrapping her in a dry blanket. |
| D) | vigorously rubbing the child's arms and legs to stimulate circulation. |
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| 34 | When dealing with a potentially violent patient, you should |
| A) | assume that you will not be able to talk with the patient. |
| B) | position the patient between you and the nearest exit. |
| C) | not allow your personal feelings to get in the way of your professional judgment. |
| D) | get close to the patient and let him know from the start that you are in charge. |
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| 35 | In a superficial cold injury |
| A) | all layers of the skin are involved, causing the affected area to feel hard to the touch. |
| B) | only the fingers and toes are involved, causing blisters to form immediately. |
| C) | the uppermost skin layers are affected, initially appearing red and inflamed. |
| D) | the muscles and organs under the affected area are involved, causing a dull, waxy appearance of the skin. |
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| 36 | Questions 36-42 pertain to the following scenario.
You are called to the scene of a motor vehicle crash. The driver of the vehicle is a 27-year-old woman who is obviously pregnant. The patient tells you she was driving herself to the hospital because "the baby is coming." She says she lost control of the vehicle during a contraction. Her baby was due two days ago.The membranous structure that surrounds the fetus inside the uterus is known as the |
| A) | ovum. |
| B) | perineum. |
| C) | amniotic sac. |
| D) | placenta. |
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| 37 | The patient tells you that this is her first pregnancy. After urinating this morning, she says she noticed a moderate amount of blood-tinged mucous on the toilet tissue. This finding |
| A) | is called the presenting part and indicates the placenta is about to deliver. |
| B) | is called the bloody show and indicates that labor has begun. |
| C) | is abnormal and indicates the patient is experiencing abruptio placenta. |
| D) | is abnormal and indicates the patient is experiencing an ectopic pregnancy. |
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| 38 | The appropriate personal protective equipment (PPE) that should be used in this situation includes |
| A) | gloves only. |
| B) | gloves and gown only. |
| C) | gloves and mask only. |
| D) | gloves, mask, gown, and eye protection. |
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| 39 | The infant's head has been delivered. You should now |
| A) | suction the mouth and then the nose. |
| B) | quickly dry the baby's head. |
| C) | suction the nose and then the mouth. |
| D) | insert an oral airway into the baby's mouth. |
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| 40 | To deliver the baby's upper shoulder |
| A) | gently pull on the infant's head. |
| B) | gently guide the infant's head upward. |
| C) | gently guide the infant's head downward. |
| D) | turn the infant's head sideways. |
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| 41 | The most important areas to assess immediately after the delivery of a newborn are |
| A) | breathing rate and effort, heart rate, and skin color. |
| B) | heart rate, activity, and breathing rate and effort. |
| C) | arm and leg movement, mother's last oral intake, and reflexes. |
| D) | skin color, reflexes, and breathing effort. |
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| 42 | The baby is breathing very slowly. An acceptable method that can be used to stimulate the baby to breathe is |
| A) | gently shaking the baby or rubbing the baby's stomach. |
| B) | flicking the soles of the baby's feet or rubbing the baby's back. |
| C) | pinching the baby's earlobe or applying a cold pack to the baby's skin. |
| D) | squeezing the baby's ribs or placing the baby in cold water. |
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| 43 | The second stage of labor |
| A) | begins when the cervix is fully open and ends with delivery of the infant. |
| B) | begins with the onset of the first contraction and ends with delivery of the placenta. |
| C) | begins with the onset of contractions and ends with complete thinning out and opening of the cervix. |
| D) | begins with delivery of the infant and ends with delivery of the placenta. |
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| 44 | A condition of pregnancy characterized by high blood pressure, swelling, protein in the urine, and seizures is called |
| A) | placenta previa. |
| B) | preeclampsia. |
| C) | eclampsia. |
| D) | abruptio placenta. |
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| 45 | When caring for burns, it is important to |
| A) | stop the burning process with warm water for at least 15-20 minutes. |
| B) | cover the patient with clean, dry sheets and blankets only if the outside temperature is less than 75° F. |
| C) | remove all burned clothing that has stuck to the patient's skin. |
| D) | cool the burn with cold water as soon as possible until pain is relieved. |
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| 46 | Questions 46-49 pertain to the following scenario.
You and your partner are called to a cabinetry shop for a 28-year-old man who cut his hand on a band saw. You find the patient in the restroom, holding a towel on his right hand. The patient's thumb has been completely amputated. His elbow has a large wound with a flap of tissue hanging down. He tells you that his arm was caught on an automatic feeder device and was pushed into the saw.Which of the following is responsible for forming clots in order to stop bleeding? |
| A) | Plasma |
| B) | Platelets |
| C) | Red blood cells |
| D) | White blood cells |
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| 47 | What type of injury is the wound on the patient's elbow? |
| A) | A contusion |
| B) | An avulsion |
| C) | A laceration |
| D) | An abrasion. |
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| 48 | To manage the wound on the elbow, you should |
| A) | remove the flap of skin and cover the wound with a dry, sterile dressing. |
| B) | fold the flap back to expose the wound and then cover it with a dry, sterile dressing. |
| C) | replace the flap of skin to its original position and cover the wound with a dry, sterile dressing. |
| D) | apply ointment to the wound, replace the flap of skin to its original position, and cover with a dry, sterile dressing. |
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| 49 | The appropriate management of the amputated thumb would include |
| A) | packing the thumb in dry ice. |
| B) | placing the thumb in a plastic bag and placing the sealed bag in water that contains a few ice cubes. |
| C) | placing the thumb in a cup of normal saline and ice cubes. |
| D) | replacing the thumb in its original position and bandaging it in place. |
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| 50 | When treating an eye injury due to a chemical burn, it is important to |
| A) | immediately cover both eyes. |
| B) | continuously flush the eye with water or normal saline for at least 20 minutes. |
| C) | immediately try to find an antidote to neutralize the chemical. |
| D) | apply a petroleum-based ointment to the affected eye. |
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| 51 | Questions 51 and 52 pertain to the following scenario.
You are called to the scene of a domestic dispute. Law enforcement personnel have secured the scene. Your patient is a 34-year-old man who was cut with a knife. Blood is pouring from his jaw and throat. He is awake and alert.This injury should be covered with |
| A) | a cervical collar. |
| B) | roller gauze. |
| C) | sterile gauze pads. |
| D) | an airtight dressing. |
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| 52 | If direct pressure fails to control the bleeding, you should |
| A) | apply pressure to both carotid arteries and arrange for immediate transport. |
| B) | apply pressure to the carotid artery on the injured side and arrange for immediate transport. |
| C) | apply pressure to the carotid artery on the uninjured side and arrange for immediate transport. |
| D) | wrap a pressure bandage around the patient's neck and arrange for immediate transport. |
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| 53 | Which of the following is an example of a closed soft-tissue injury? |
| A) | Abrasion |
| B) | Contusion |
| C) | Laceration |
| D) | Puncture |
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| 54 | An 18-year-old was stabbed during a gang-related fight. Law enforcement personnel have secured the scene. About 1 inch of the blade is exposed; the rest is in the patient. The patient is screaming in pain. You should |
| A) | stabilize the knife with bulky dressings and secure it in place. |
| B) | push the knife in the rest of the way and then secure it in place. |
| C) | remove the knife if it affects your ability to assess the patient. |
| D) | make one attempt to remove the knife, but stop and secure it in place if you meet any resistance. |
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| 55 | An N-95 or high-efficiency particulate air (HEPA) mask should be worn when you know or suspect that your patient has |
| A) | measles. |
| B) | hepatitis B. |
| C) | tuberculosis. |
| D) | chickenpox. |
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| 56 | A young girl has severe bleeding from a deep wound on her right lower leg. If bleeding cannot be controlled by other methods, the pressure point that should be used for this injury is the |
| A) | carotid artery. |
| B) | femoral artery. |
| C) | brachial artery. |
| D) | radial artery. |
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| 57 | Which of the following is not true about internal bleeding? |
| A) | Internal bleeding often occurs because of trauma. |
| B) | Fractures of the femur or pelvis can result in serious internal bleeding. |
| C) | An abrasion is an example of internal bleeding that is not life-threatening. |
| D) | A patient with internal bleeding is a priority patient and needs rapid transport to the closest appropriate hospital. |
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| 58 | Questions 58-63 pertain to the following scenario.
You are called to a residence for a 31-year-old construction worker who fell from a single-story roof. Upon arrival, you find the patient sitting on the ground in the backyard in obvious pain. While he was reroofing the house, he fell approximately 10 feet onto cement. The end of his lower left leg is badly deformed and bleeding. Under his sock, you can see a bone end sticking out through the skin.This type of injury is called |
| A) | an open injury. |
| B) | a sprain. |
| C) | a strain. |
| D) | a dislocation. |
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| 59 | This type of injury |
| A) | is best cared for with an elastic bandage. |
| B) | is best cared for with a traction splint. |
| C) | increases the risk of contamination and infection. |
| D) | is usually painless. |
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| 60 | Which of the following actions should you take when splinting this injury? |
| A) | Pull on the patient's foot until the lower leg bone ends line up in their normal position. |
| B) | Make sure not to cover the open wound so that it can be continually reassessed. |
| C) | Push the bone ends back inside the skin. |
| D) | Immobilize the joint above and below the suspected break in the bone. |
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| 61 | Before and after splinting the injured limb, you must assess |
| A) | the patient's ability to stand. |
| B) | the patient's ability to put weight on the injury. |
| C) | the patient's response to a painful stimulus. |
| D) | pulse, movement, and sensation distal to the injury. |
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| 62 | Once the splint is applied, the patient tells you that the injury is less painful. He can move his big toe and feel you touch the bottom of his foot, and the color of the injured leg appears normal. You should reassess the patient's injury every |
| A) | 2-3 minutes. |
| B) | 15 minutes. |
| C) | 30 minutes. |
| D) | hour. |
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| 63 | Which of the following statements by the patient would lead you to believe that you have improperly splinted his leg? |
| A) | "My leg still hurts." |
| B) | "I'm starting to feel dizzy." |
| C) | "My foot feels numb." |
| D) | "My neck is starting to hurt." |
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| 64 | A 30-year-old man was stabbed in the abdomen. You arrive to find the patient's intestines on top of his abdomen. You should |
| A) | immediately place the intestines back into the body. |
| B) | apply a pressure bandage to the intestines. |
| C) | lightly cover the intestines with a moist dressing. |
| D) | wrap the intestines in aluminum foil. |
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| 65 | To reduce the swelling associated with an arm sprain, you should |
| A) | apply a heat pack directly to the affected area. |
| B) | apply a cold pack directly to the affected area. |
| C) | have the patient lower his arm below his heart and apply a pressure bandage to the affected area. |
| D) | apply a cold source to the affected area with a towel between the cold source and the patient's skin. |
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| 66 | A 68-year-old man is unresponsive. You find that he is not breathing and has no pulse. As your partner begins CPR, you prepare to use the automated external defibrillator (AED). When applying the AED pads to the patient's chest, you notice the patient has a medication patch on his chest. What should you do next? |
| A) | Leave the patch in place and continue applying the AED pads. |
| B) | Remove the patch from the patient's chest and place it on his arm so that it is out of your way. |
| C) | AED pads should never be applied to a patient who uses medication patches. |
| D) | Remove the patch and dry the area with a cloth before applying the AED pads. |
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| 67 | While performing chest compressions on an adult, you feel a cracking sensation under your hands. You should |
| A) | check your hand position, reposition your hands if needed, and then continue CPR. |
| B) | do nothing. This is a normal and expected complication of CPR. |
| C) | stop CPR immediately to prevent further injury. |
| D) | stop chest compressions but continue providing rescue breathing. |
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| 68 | Which of the following is an example of a sign? |
| A) | Swelling |
| B) | Nausea |
| C) | Dizziness |
| D) | Shortness of breath. |
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| 69 | You are assessing a patient's mental status. The patient is awake, knows his name, and where he is. He does not know what day it is and cannot tell you what happened. This patient is said to be |
| A) | alert and oriented x 1. |
| B) | alert and oriented x 2. |
| C) | alert and oriented x 3. |
| D) | alert and oriented x 4. |
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| 70 | Which of the following is found in a patient with inadequate breathing? |
| A) | A regular breathing pattern |
| B) | Pink, warm, dry skin |
| C) | Quiet, effortless breathing |
| D) | The use of accessory muscles. |
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| 71 | When assessing a patient's heart rate, you should |
| A) | apply gentle pressure to one of the patient's arteries using your thumb. |
| B) | count the number of beats for 30 seconds and multiply the number by two. |
| C) | apply firm pressure to one of the patient's arteries using your index finger. |
| D) | count the number of beats for 15 seconds and divide the number by four. |
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| 72 | Which of the following statements about infants and children is incorrect? |
| A) | A child's head is proportionately larger and heavier than that of an adult until about 4 years of age. |
| B) | Coughing, crying, or lying down may cause the "soft spots" in an infant's head to temporarily bulge. |
| C) | During normal breathing, the chest wall and abdominal muscles move in opposite directions. |
| D) | Unresponsiveness in an infant or child usually indicates a life-threatening condition. |
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| 73 | Capillary refill should be assessed in patients ___ years of age and younger. |
| A) | 14 |
| B) | 8 |
| C) | 6 |
| D) | 3 |
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| 74 | Crowning means that |
| A) | the presenting part of the baby is visible at the vaginal opening. |
| B) | the mother is losing more blood than expected during childbirth. |
| C) | the baby has not begun breathing on its own after delivery. |
| D) | the bag of waters has not yet broken. |
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| 75 | Questions 75-77 pertain to the following scenario.
You and your partner are called for a woman complaining of dizziness. You arrive to find a 40-year-old woman who is pregnant with her first child. She says she is 8 1/2 months pregnant and has been seeing a doctor regularly. Over the past three days, she has noticed swelling in her hands, feet, and face when she gets up in the morning. Today she has a severe headache and is very dizzy. She also feels sick to her stomach.Based on this information, you suspect that this patient may be experiencing |
| A) | a heat-related illness. |
| B) | preeclampsia. |
| C) | an ectopic pregnancy. |
| D) | placenta previa. |
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| 76 | While providing care to this patient, she should be positioned on her |
| A) | right side. |
| B) | back. |
| C) | left side. |
| D) | back with her legs raised 8-12 inches. |
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| 77 | This patient is at risk for seizures. To decrease her risk of having a seizure, you should |
| A) | suction her mouth and then insert an oral airway. |
| B) | dim the lights and avoid any stimulus that might trigger a seizure. |
| C) | keep the patient calm and position her on her knees with her head down. |
| D) | apply sanitary napkins to the vaginal opening and arrange for rapid transport. |
|
| 78 | Why are young children prone to head injuries? |
| A) | Their neck muscles are not strong enough to support their head. |
| B) | Their heads are large and heavy compared to the rest of their body. |
| C) | Their bones are soft and flexible, and collapse easily. |
| D) | Their muscles are not well developed, making them likely to fall. |
|
| 79 | A 35-year-old man was struck in the head with a baseball bat. You see clear fluid leaking from the patient's left ear. You should |
| A) | pack the patient's ear with gauze. |
| B) | cover the patient's ear with an airtight dressing. |
| C) | cover the patient's ear lightly with a dry, sterile dressing. |
| D) | place the patient on his left side to help the fluid drain from the ear. |
|
| 80 | If it is necessary to provide rescue breathing for an infant or child, you should provide breaths at a rate of ____ breaths per minute. |
| A) | 6 to 10 |
| B) | 8 to 12 |
| C) | 12 to 20 |
| D) | 24 to 30. |
|
| 81 | Which of the following statements about caring for a toddler is true? |
| A) | Tell the child not to cry and to be strong while you examine her. |
| B) | Begin by asking the child, "May I examine you?" |
| C) | It is best to assess a toddler out of sight of her parent or caregiver. |
| D) | Begin by addressing the child by name, then talk to her at eye level using simple words and short phrases. |
|
| 82 | An 8-year-old child is having difficulty breathing. You find the child in the tripod position. In this position, the child is |
| A) | seated with his jaw thrust forward. |
| B) | lying on his right side. |
| C) | seated and leaning forward. |
| D) | lying facedown. |
|
| 83 | Questions 83-94 pertain to the following scenario.
You and your partner are called to an office complex for a 32-year-old woman in cardiac arrest. Her coworkers are performing CPR when you arrive. They tell you the woman collapsed while waiting in line to pay a bill. She does not have any medical identification tag. There are no obvious signs of trauma. You have an automated external defibrillator (AED) with you.When giving rescue breaths, make sure that the breath that you give the patient is |
| A) | twice the volume of a normal breath. |
| B) | one-half the volume of a normal breath. |
| C) | just enough to make the chest rise. |
| D) | enough to make the chest rise to twice its normal size. |
|
| 84 | If rescue breathing is performed too rapidly or with too much volume, air can enter |
| A) | the brain, causing a seizure. |
| B) | the abdomen and cause it to burst. |
| C) | the heart, causing a heart attack. |
| D) | the stomach, increasing the chances of vomiting. |
|
| 85 | To determine if an unresponsive adult has a pulse, you should check the |
| A) | brachial pulse. |
| B) | carotid pulse. |
| C) | radial pulse. |
| D) | patient's skin color. |
|
| 86 | To perform chest compressions on an adult, use |
| A) | two fingers. |
| B) | two thumbs. |
| C) | the heel of one hand. |
| D) | the heels of two hands. |
|
| 87 | In order for chest compressions to be effective |
| A) | at least two rescuers are needed to perform CPR. |
| B) | the patient must be lying flat with her feet raised 8-12 inches. |
| C) | at least one bystander must be present to call for additional help. |
| D) | the patient must be lying flat on a firm surface. |
|
| 88 | If two rescuers are available to perform CPR |
| A) | the rescuer at the patient's head should perform compressions. |
| B) | the rescuer at the patient's head should periodically check for a pulse |
| C) | the rescuer at the patient's chest should make sure the airway is open. |
| D) | the rescuer at the patient's chest should perform rescue breathing. |
|
| 89 | You have confirmed that the patient is unresponsive, is not breathing, and has no pulse. You should now |
| A) | have your partner immediately resume CPR while you prepare the AED. |
| B) | perform CPR for at least 10 minutes before applying the AED. |
| C) | stop CPR; it is unlikely that resuscitation would be successful. |
| D) | continue CPR but do not prepare the AED because the patient is less than 40 years of age. |
|
| 90 | An AED |
| A) | should only be used on patients older than 8 years of age. |
| B) | can be used on patients 1 to 8 years of age using a special pad-cable system, if available. |
| C) | can only be used on patients older than 40 years of age. |
| D) | should be used instead of CPR in cases of infant cardiac arrest. |
|
| 91 | What are the four basic steps of AED operation, in order? |
| A) | Apply pads, power on, shock, and analyze |
| B) | Apply pads, analyze, power on, and shock |
| C) | Power on, apply pads, analyze, and shock |
| D) | Power on, apply pads, shock, and analyze. |
|
| 92 | When delivering shocks with an AED, you must make sure that |
| A) | everyone is clear of the patient. |
| B) | the patient is not on carpeting or other similar flooring. |
| C) | only the rescuer responsible for rescue breathing maintains contact with the patient. |
| D) | all personnel who maintain contact with the patient are wearing appropriate personal protective equipment. |
|
| 93 | Once you begin CPR, you should continue until |
| A) | effective breathing and circulation have returned or the scene becomes unsafe. |
| B) | you are too exhausted to continue or you transfer patient care to a healthcare professional with equal or higher certification. |
| C) | a physician assumes responsibility for the patient. |
| D) | Any of the above. |
|
| 94 | After delivering a shock with the AED, you should |
| A) | place the patient in the recovery position. |
| B) | perform CPR for about two minutes. |
| C) | perform a blind finger sweep. |
| D) | recheck the safety of the scene. |
|
| 95 | When responding to a call involving a hazardous material, you should park the emergency vehicle at least ____ feet away from the hazard. |
| A) | 500 |
| B) | 1000 |
| C) | 2000 |
| D) | 5000 |
|
| 96 | Which of the following statements regarding safety around a helicopter is true? |
| A) | When moving from one side of the helicopter to the other, always cross at the rear of the helicopter. |
| B) | As soon as the helicopter lands, immediately move the patient to the aircraft door. |
| C) | Do not allow vehicles or nonaircraft personnel within 15 feet of the aircraft. |
| D) | Do not raise your arms or equipment above your head. |
|
| 97 | Questions 97-99 pertain to the following scenario.
You and your partner are called to the scene of motor vehicle crash on a local, four-lane highway. Dispatch information indicates that there are at least five vehicles involved. The posted speed limit is 55 miles per hour. The crash occurred 45 miles from the nearest hospital.You should first |
| A) | gain access to the most seriously injured patients. |
| B) | triage patients according to the severity of their injuries. |
| C) | determine the number of patients, the types of injuries, and the additional resources you will need. |
| D) | assess the airway, breathing, and circulation status of all patients. |
|
| 98 | Fire department units have arrived to assist you. Fire personnel have been sent to care for the occupants of the other vehicles. Your patient is in a vehicle that has come to rest on its side. The fire department has stabilized the vehicle. After access has been made to the patient, you determine that he is seriously injured and is showing signs of shock. You should consider |
| A) | requesting a medical helicopter. |
| B) | applying an automated external defibrillator (AED). |
| C) | asking the patient to get out of the vehicle without assistance. |
| D) | asking the patient if he would like you to contact his family about his condition. |
|
| 99 | To gain full access to this patient, the fire department must go through one of the windows. During this process, you should |
| A) | locate the equipment you will need once the patient is free of the vehicle. |
| B) | protect the patient from hazards by covering him with a blanket. |
| C) | start working on your prehospital care report to save time when the call is over. |
| D) | check on the condition of the patients in the other vehicles. |
|
| 100 | The Incident Command System (ICS) |
| A) | is used strictly by military personnel in strategic operations. |
| B) | is implemented only when a call involves five or more patients. |
| C) | is part of the National Incident Management System (NIMS). |
| D) | is used only in situations involving fires or hazardous materials. |