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You and your partner arrive at the scene of a major motor vehicle crash. The
driver, a young male, is severely entrapped in his car. He has an open head injury
and massive facial trauma. He is unresponsive, is not breathing, and does not
have a palpable carotid pulse. You should:
Select one:
A. ventilate the patient for 5 minutes and then stop if there is no response.
B. stop any active bleeding and advise dispatch to send a paramedic crew.
C. have your partner check for a pulse to confirm that the patient is deceased.
D. request the fire department to extricate the patient so you can begin CPR. ------
---CORRECT ANSWER-----------------C. have your partner check for a pulse to
confirm that the patient is deceased.
You are called to attend to an elderly patient with an extensive medical history
who is now in cardiac arrest. The patient's family tells you that the patient has a
DNR order. There is no paperwork available but the patient does have a
MedicAlert bracelet indicating Do Not Resuscitate. You should:
Select one:
A. initiate resuscitation in the absence of paperwork.
B. transport with minimal care.
C. confirm the patient identity and then confirm the DNR by calling the
MedicAlert Foundation number on the bracelet.
,D. confirm the patient's identity and honor the DNR order. ---------CORRECT
ANSWER-----------------C. confirm the patient identity and then confirm the DNR by
calling the MedicAlert Foundation number on the bracelet.
You arrive at the scene of a motor vehicle-versus-pedestrian accident. The
patient, a 13-year-old male, is unconscious and has multiple injuries. As you are
treating the child, a law enforcement officer advises you that the child's parents
will be at the scene in approximately 15 minutes. What should you do?
Select one:
A. Withhold treatment until the parents arrive and give you consent for
treatment.
B. Transport the child immediately and have the parents meet you at the hospital.
C. Begin transport at once and have the parents meet you en route to the
hospital.
D. Treat the child at the scene and wait for the parents to arrive and give consent.
---------CORRECT ANSWER-----------------B. Transport the child immediately and
have the parents meet you at the hospital.
You respond to the home of a 59-year-old man who is unconscious; has slow,
shallow breathing; and has a weak pulse. The family states that the patient has
terminal brain cancer and does not wish to be resuscitated. They further state
that there is a DNR order for this patient, but they are unable to locate it. You
should:
Select one:
A. decide on further action once the DNR order is produced.
B. honor the patient's wishes and withhold all treatment.
,C. transport the patient without providing any treatment.
D. begin treatment and contact medical control as needed. ---------CORRECT
ANSWER-----------------D. begin treatment and contact medical control as needed.
A 4-year-old boy had an apparent seizure. He is conscious and calm and is sitting
on his mother's lap. His father is sitting in a nearby chair. The child's mother
suddenly begins crying uncontrollably, which causes the child to start crying. You
should:
Select one:
A. attempt to calm the child's mother, but avoid separating her from her child
because this will increase her anxiety.
B. ask the father to hold the child so you can assess him while your partner tries
to calm the mother.
C. reassure the child's mother that seizures in children are very common and that
there is nothing to worry about.
D. give the child a favorite toy or blanket to hold onto and perform your
assessment to the best of your ability. ---------CORRECT ANSWER-----------------B.
ask the father to hold the child so you can assess him while your partner tries to
calm the mother.
As you are wheeling your patient through the emergency department doors, you
receive another call for a major motor vehicle crash. You should:
Select one:
A. place the patient in a high-visibility area and then respond to the call.
B. leave a copy of the run form with a nurse and then respond to the call.
C. inform the admissions clerk of the situation and then respond at once.
, D. respond only after giving a verbal patient report to a nurse or physician. ---------
CORRECT ANSWER-----------------D. respond only after giving a verbal patient
report to a nurse or physician.
Communicating with patients who are deaf or hard-of-hearing can be facilitated
by doing all of the following, EXCEPT:
Select one:
A. shining a light on your face when you are in a darkened environment.
B. placing yourself in a position to ensure that the patient can see your lips.
C. providing pen and paper if the patient prefers to write his or her response.
D. elevating the tone of your voice and exaggerating word pronunciation. ---------
CORRECT ANSWER-----------------D. elevating the tone of your voice and
exaggerating word pronunciation.
During your assessment of a 20-year-old man with a severe headache and nausea,
you ask him when his headache began, but he does not answer your question
immediately. You should:
Select one:
A. allow him time to think about the question and respond to it.
B. tell him that you cannot help him unless he answers your questions.
C. repeat your question because he probably did not hear you.
D. ask him if he frequently experiences severe headaches and nausea. ---------
CORRECT ANSWER-----------------A. allow him time to think about the question and
respond to it.