ANSWERS | A+ GRADED 100% VERIFIED
1. A 30 year old climber is experiencing sever shortness of breath after
reaching an elevation of 12000feet. The PT is very anxious and has rales
noted to all quadrants but is otherwise healthy. He is not accustomed to
high altitudes. What should you do? Answer: Administer oxygen while
descending to a lower altitude.
2. A 26 year old female does not respond to verbal stimuli but moans in
response to pain. A friend states the patient has ingested approx 150
amitriptyline tables. Vital Signs are BP 88/50 R16. You establish IV
access and administer a fluid challenge. En route to the hospital her ECG
shows a widening QRS. You should administer Answer: Sodium
Bicarbonate.
3. You PT experienced trauma yesterday and you are transferring her to
a larger facility. She has been experiencing progressive hypoxia. You
notice coarse crackles in all lung fields on ventilation. Vital signs are BP
90/50 and SPO2 90%. You should Answer: Transport emergency and
continue ventilation.
4. An alert 22 year old male was just disentangled from debris in a house
collapse. He denies head or neck pain, but complains of server hip pain.
Vital signs are BP 88/40. P120 R 16 you should administer. Answer:
sodium bicarbonate
5. Braxton Hicks contractions Answer: occur in the second trimester and
are false labor.
6. A 40 year old male crashed his motorcycle. He had a brief loss of
consciousness, woke up and
,walked home. You find him 2 hours later at home unconscious. You
should suspect. Answer: epidural hematoma
7. A 47 year old male who was found unconscious on the side of the
road respond only to painful stimulus. When you attempt to establish IV
access he stiffens his arms and legs. He has minor abrasions all over his
body. Vital signs are BO 178/122 P56 R irregular ETCO2 30. What
should you do? Answer: Assist ventilations at 12 breaths per minHg.
8. A 28 year old female has a sudden onset of tightness in her chest and
server difficulty breathing. Her tongue face and neck appear swollen and
she has red itchy hives on her torso. Her signs are BP 80/40 P 130. You
should administer Answer: Epinephrine 0.3mg
9. You are asked to set up a patient treatment area after a box labeled
"radio active" was found unattended in a park. Which of the following
would be the best location. Answer: Building in the park
10. You are at a house fire with multiple patients. Which patient should
be transported First to a burn center? Answer: 52 year old with second
degree burns to face and right hand
11. What is the most common cause of status epilepticus in adults.
Answer: Failure to take prescribed medications
12. A 58 year old male with history of renal failure complains of
dizziness lethargy and difficulty
breathing. He says he missed his last dialysis appointment. Vital signs
are BP 160/90 P 100 R 28 with rales heard in the basses. SPO2 92% you
should suspect. Answer: Fluid Overload.
13. A 12 year old girl is seizing. Her mom tells you that her daughter has
been feeling tired for days. Her skin is dry and she has been very thirsty.
Vital signs are BP 118/80 P115 R26 you should suspect. Answer:
Diabetic ketoacidosis
, 14. A 42 year old female has fallen down a flight of stairs. She appears
anxious her skin is cool and clammy her radial pulses are weak at 112
beats per min and she complains of abdominal pain in the left upper
quadrant with radiation to the left scapula. You should suspect. Answer:
Torn or lacerated spleen.
15. Emergency medical responders are ventilating an apneic medical
patient with a bag valve mask. You note abdominal distention and
minimal chest rise. What should you do? Answer: Reposition the head.
16. A 6 month old male was found lying face down in the crib. He is
cyanotic and apneic. A weak
brachial pulse is present. You are unable to see a chest rise with your
second attempt at rescue
breathing after repositioning the head. What should you do. Answer:
Start CPR
17. You have just been called to a dialysis clinic for a 58 year old male
in cardiac arrest. The online physician may order you to administer
which of the following medications. Answer: Sodium Bicarbonate.
18. A 27 year old male has been assaulted with a pen in the
supraclavicular area. He is anxious and pale and his vital signs are BP
80/42 P 128 R 32 and shallow. First responders have sealed the wound
with a bandage. Assessment reveals lung sounds on the right and poor
chest rise what should you do. Answer: Burp dressing
19. A 50 pound child is unresponsive pulseless and apneic. The cardiac
monitor displays ventricular fibrillations. CPR is in progress. The initial
defibrillator should be at. Answer: 50 joules.
20. An 11 year old male has been skateboarding in 100 degrees
temperature and has been drinking caffeinated soft drinks. He complains
of palpations. The cardiac monitor displays a narrow QRS tachycardia at