Practice Exam:
This is 40 questions, Print it out and answer the questions to your best ability.
1. a 50 year old patient complains of chest heaviness. the patient is awake and has cool clammy skin. you should.
a. supply supplemental oxygen
b. obtain a full set of vital signs.
c. apply an automatic external defibrillator
d. assist the patient in taking nitroglycerine.
2. a rapid trauma assessment should be preformed on all of the following patients except a.
a. 5 year old male found unconscious outside of his house.
b. a 46 year old victim hit by a car complaining of right hip and leg pain.
c. a 35 year old female car passenger involved in a fatal crash complaining of difficulty breathing.
d. a 23 year old male complaining of lower leg pain after falling eight feet from the tree.
3. prior to administering oral glucose to a known diabetic, you should:
a. ensure the patients systolic blood pressure is greater than 100 mmHg.
b. complete a detailed physical exam.
c. determine if the patient can swallow
d. move the patient to the ambulance and begin transport.
4. you should initiate your mass casualty plan immediately upon arrival on the scene when you find
a. at least half of the patients are dead.
b. at least two critically injured patients
c. three or more vehicles are involved in the crash.
d. More patients than your resources can manage.
5. You arrive at the scene of a truck crash and find the driver lying in the road. After determining that the patient is unresponsive, you should next.
a. look listen and feel for respirations.
b. establish the patients trauma score.
c. open the airway using a modified jaw thrust.
d. use a sternal rub to check for response to painful stimuli.
6. Initial assessment of the patients respiratory status is best determined by
a. feeling the patients carotid pulse to determine quality and rate.
b. examining for cyanosis in the nail beds or around the lips.
c. evaluating the respiratory rate and rise and fall of the chest.
d. listening to the chest with a stethoscope.
7. The decision to perform a rapid trauma assessment is most dependent upon
a. initial vital signs.
b. mechanism of injury
c. amount of bleeding present.
d. the condition of the patients airway.
8. You find a sixty year old female on the floor of her home. Your first step in the care of this victim should be to
a. maintain an open airway
b. assess for a pulse.
c. assess the level of responsiveness.
d. the condition of the patients airway
9. Your patient has an intoxicated appearance. elevated hart rate, cool clammy skin and is vomiting. your initial care should include.
a. managing the airway and placing the patient in the recovery position.
b. suctioning the airway and placing the patient in a supine position.
c. determining if the patient can swallow and administering glucose.
d. attempting to determine the cause of the altered mental status.
10. You can best determine if any motor vehicle crash scene is safe to enter by.
a. carefully observing the scene before stepping out of your vehicle.
b. listening to dispatch information to see if hazardous materials might be involved.
c. waiting for law enforcement personnel to arrive before approaching the scene.
d. asking bystanders to describe the events leading to the crash.
11. Of the following, when assessing the patient who complains of respiratory distress you should.
a. ask if the patient has nitroglycerine available.
b. withhold oxygen until a smoking history is obtained.
c. determine if the patient has a prescribed inhaler.
d. perform a detailed history and physical examination.
12. when providing bag valve mask ventilation with supplemental oxygen to an apneic adult patient, you should provide a tidal volume of.
a. 10 ml/kg delivered over 2 seconds
b. 6 to 7 ml/kg delivered over 1 to 2 seconds.
c. 800 to 1200 ml. delivered over 1 1/2 to 2 seconds.
d. 500 to 1000 ml. delivered over at least 3 seconds.
13. you arrive to find an elderly gentleman who has collapsed at a local restaurant. Bystander CPR is in progress. Your partner verifies the patient is apneic and does not have a pulse. you apply the AED and the voice prompt continues to say "Connect electrodes" you should.
a. change the AED battery.
b. discontinue the use of the AED.
c. press the "analyze" button.
d. check the cable connections and pad contact.
14. You respond and find an unresponsive patient who has fallen off a ladder. the airway maneuver of choice is the
a. cricoid pressure
b. jaw thrust
c. head tilt-chin lift.
d. head tilt neck lift.
15. During ventilation with a pocket mask, the patient remains slightly cyanotic. You should do all of the following except.
a. connect supplemental oxygen to the mask.
b. reposition the head using a jaw thrust maneuver.
c. perform an abdominal thrust to relieve distension.
d. adjust the mask to ensure an adequate seal.
16. you arrive on scene where two persons were electrocuted. An electrical supervisor tells you that the scene is now safe. After calling for back-up your partner approaches one patient and begins CPR. You assess the second patient and find him unresponsive and apneic. You should
a. give two slow breaths.
b. defibrillate with an AED.
c. initiate chest compressions
d. move the patient closer to the first patient.
17. You are providing rescue breathing to an adult patient using a mouth to barrier device. You should provide a tidal volume of
a. 400-700 ml.
b. 700-1000 ml.
c. 1000-1300 ml.
d. 1300-1600 ml.
18. you and your partner are providing two person ventilations with a bag valve mask device attached to oxygen to an apneic, adult patient. When squeezing the bag, you should.
a. deliver its inspiratory volume over 1 to 2 seconds.
b. deliver the inspiratory volume over 2 to 3 seconds.
c. slowly deliver its volume until the pop-off valve releases.
d. rapidly deliver its entire volume over 3 seconds.
19. You are treating a patient in respiratory distress with the administration of a handheld prescribed inhaler. You should instruct the patient to take a deep breath while depressing the inhaler and then
a. cough forcefully to expel loose secretions.
b. take a second dose of medication with a deep breath.
c. lie flat due to the medication's side effects.
d. hold his breath for as long as he comfortably can.
20. The first step in assessing a responsive adult with a complete airway obstruction should be to
a. observe the skin for cyanosis.
b ask the victim if he is choking
c. begin cardiopulmonary resuscitation.
d. administer four back blows.
21. The correct hand position for performing abdominal thrusts on a conscious child with an obstructed airway is
a. at the umbilicus.
b. slightly above the xiphoid.
c. at the xiphoid.
d. slightly above the umbilicus.
22. A 48 year old male patient is having difficulty breathing. Is unable to answer your questions and makes a wheezing sound during exhalation. Your treatment should be to.
a. have the patient breathe into a paper bag.
b. insert an oropharyngeal airway
c. apply high flow oxygen by non-rebreather.
d. attempt to visualize foreign body obstruction.
23. what ventilarory rate should you provide for a patient in respiratory arrest?
a. 10 -12 breaths per min
b. 14-16 breaths per min.
c. 16-18 breaths per min.
d. 10-20 breaths per min.
24. When performing abdominal thrusts on a patient with an airway obstruction it is most important to
a. increase pressure with each abdominal thrust.
b. assure proper hand position.
c. not thrust too hard to avoid lacerating the abdominal organs.
d. thrust straight downward to maximize pressure.
25. You are assessing a 24 year old male who states he was "shot in the chest" His airway is open and his respirations are 32 and shallow. As you remove his shirt you hear noises and see frothy, bubbling blood coming from a wound on the right anterior chest. Your next action should be to:
a. cover the wound with an occlusive dressing and ventilate with 100% O2 using a bag valve mask.
b. apply a non-rebreather mask at 15 L/Min. and palpate a carotid pulse.
c. place the palm of your gloved hand over the wound and check for a radial pulse.
d. insert an oral airway and tape a thick, bulky dressing over the chest wound.
26. Which of the following patients is breathing adequately?
a. a newborn baby who has nasal flaring and a respiratory rate of 30.
b. a 20 yr old injured football player with sternal retractions and a shallow respiratory rate of 32.
c. a 64 year old male with a barrel chest who is cyanotic and has a respiratory rate of 20.
d. an 18 year old female with tingling around the lips and a respiratory rate of 20.
27. While managing a choking victim who becomes unconscious, you lower her to a supine position. your next step should be to.
a. attempt to ventilate.
b. establish unresponsiveness
c. Do a finger sweep.
d. deliver up to 5 abdominal thrusts.
28. You are requesting medical direction for a 47 year old female complaining of chest pain. Her vital signs are P 110 and weak. R 24 B/P 92/78/ She has a history of chest pain and a prescription for nitroglycerin. The medical director tells you to administer one nitroglycerin tablet and transport the patient immediately. you should.
a. administer the nitro and monitor the patients response.
b. refuse to administer the nitro and transport the patient to another facility.
c. repeat the blood pressure finding to the physician and ask if nitro is still appropriate
d. administer the nitro and document your concerns about the appropriateness of the order.
29. after beginning CPR you may stop only when
a. the victims family tells you to stop
b. the victims pulse does not return.
c. a physician arrives on the scene.
d. an advanced life support team takes over resuscitation.
30. Use of an AED is not recommended for patients under.
a. 6 years of age.
b. 8 years of age.
c. 10 years of age.
d. 12 years of age.
31. For a patient displaying the signs and symptoms of severe internal bleeding, you should.
a. provide complete spinal immobilization prior to transport.
b. place the patient in a position of comfort prior to transport.
c. assess the blood pressure while the patient is standing.
d. rapidly transport to an appropriate facility.
32. while extricating an unconscious patient involved in a plane crash, you hear gurgling respirations. you should immediately.
a. perform a head-tilt chin-lift and administer ventilations via bag valve mask.
b. insert an oropharyngeal airway and apply oxygen via face mask.
c. perform a modified jaw thrust and suction the airway.
d. grasp the tongue, pull it forward and suction the airway.
33. A patient has a prescription for nitroglycerin and is complaining of chest pain. your first intervention should be to.
a. apply oxygen
b. administer nitroglycerin
c. attack an AED.
d. provide transportation.
34. Which is the recommended artery for obtaining a pulse in the unresponsive 32 year old patient?
a. brachial
b. femoral
c. carotid.
d. radial.
35. Your semi-automatic AED has delivered the first shock to the patient in cardiac arrest. you should next.
a. continue cpr if necessary
b. check the patients pulse
c. give two quick ventilations.
d. Push the button to analyze the rhythm.
36. To which of the following patients should you apply and inflate the pneumatic anti-shock garment? (pasg)
a. a 27 yr. old male whose horse fell on him. pelvis is unstable, vital sighs are BP 84 systolic, P. 128 and weak, R 24.
b. 33 year old female stabbed in the right anterior lower chest. breath sounds are diminished on the right side. vital signs are BP 80/60 P 130 weak, R 30.
c. 55 year old male involved in a head on motor vehicle crash, abdomen is distended, vital signs are BP 78 systolic, P 130 and weak, R 30.
d. 48 year old female pedestrian hit by a car, femurs are deformed bilaterally and she has a flail chest segment, vital signs are BP 74 systolic, P 138, R 36
37. Your patient is a 19 year old with an open abdominal injury. your initial assessment reveals a seven inch laceration with intestinal protrusion. You should.
a. cover the organs with a dry sterile dressing.
b. cover the organs with a moistened sterile dressing.
c. replace organs and cover with a moistened sterile dressing.
d. replace organs and apply the pneumatic anti-shock garment.
38. Your patient is an adult with a witnessed cardiac arrest and bystander CPR is in progress. Upon arrival at the scene your treatment priorities are.
a. call for a physician to report to the scene.
b. establish 2 rescuer CPR and transport immediately.
c. Automated external defibrillation and request back-up if available.
d. Establish 2 rescuer CPR, and wait for ALS back up if available.
39. Which of the following is a warning of imminent delivery?
a. low back pain with contractions.
b. contractions every 10 min.
c. crowning with contractions.
d. contractions are irregular.
40. Which of the following is correct concerning an adult patients right to refuse medical care?
a. any patient has the right to refuse medical treatment.
b. when there is any doubt it is best to avoid providing care without consent.
c. a competent patient may withdraw from medical treatment at any time.
d. Documentation will not be helpful in cases of refusal of care.
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