SOLUTIONS RATED A+
✔✔You respond to a local lake where a diver complains of difficulty breathing that
occurred immediately after rapidly ascending from a depth of approximately 30′. On
assessment, you note that he has cyanosis around his lips and has pink froth coming
from his nose and mouth. You should:
A. position him supine with his head elevated 30°, suction his mouth and nose,
hyperventilate him with a bag-mask device, and contact medical control for further
guidance.
B. suction his mouth and nose, apply high-flow oxygen, position him on his left side with
his head down, and contact medical control regarding transport to a recompression
facility.
C. suction his mouth and nose, keep him supine and elevate his legs to prevent air
bubbles from entering his brain, administer high-flow oxygen, and transport to a
hyperbaric chamber.
D. place him in a semi-sitting position, suction his mouth and nose, apply a continuous
positive airway pr - ✔✔B. suction his mouth and nose, apply high-flow oxygen, position
him on his left side with his head down, and contact medical control regarding transport
to a recompression facility.
✔✔The EMT must assume that any unwitnessed water-related incident is accompanied
by:
A. possible spinal injury.
B. alcohol intoxication.
C. cold water immersion.
D. an air embolism. - ✔✔A. possible spinal injury.
✔✔A 39-year-old male sustained a stab wound to the groin during an altercation at a
bar. As you approach the patient, you note that he is conscious, is screaming in pain,
and is attempting to control the bleeding, which is bright red and spurting from his groin
area. You should:
A. administer 100% supplemental oxygen.
B. apply direct pressure to the wound.
C. elevate his legs and keep him warm.
D. ensure that his airway is patent. - ✔✔B. apply direct pressure to the wound.
✔✔Signs of late heatstroke include:
A. a change in behavior.
B. a weak, rapid pulse.
C. hot, moist skin.
,D. nausea and vomiting. - ✔✔B. a weak, rapid pulse.
✔✔A 60-year-old male presents with acute respiratory distress. He is conscious and
alert, has pink and dry skin, and has respirations of 24 breaths/min with adequate
depth. Which of the following treatment modalities is MOST appropriate for this patient?
A. oxygen via nonrebreathing mask and a focused secondary assessment
B. assisted ventilation with a bag-mask device and a head-to-toe exam
C. oxygen via a nasal cannula, vital signs, and prompt transport to the hospital
D. positive-pressure ventilations and immediate transport to the closest hospital - ✔✔A.
oxygen via nonrebreathing mask and a focused secondary assessment
✔✔You are ventilating an apneic woman with a bag-mask device. She has dentures,
which are tight-fitting. Adequate chest rise is present with each ventilation, and the
patient's oxygen saturation reads 96%. When you reassess the patency of her airway,
you note that her dentures are now loose, although your ventilations are still producing
adequate chest rise. You should:
A. remove her dentures at once and increase the rate and volume of your ventilations.
B. leave her dentures in place, but carefully monitor her for an airway obstruction.
C. remove her dentures, resume ventilations, and assess for adequate chest rise.
D. attempt to replace her dentures so that they fit tightly and resume ventilations. -
✔✔C. remove her dentures, resume ventilations, and assess for adequate chest rise.
✔✔According to the JumpSTART triage system, infants or children not developed
enough to walk or follow commands, including children with special needs:
A. are initially triaged on the basis of whether or not they have distal pulses.
B. are treated immediately in the primary triage area and then transported.
C. should be taken to the treatment area for immediate secondary triage.
D. are the first to be transported, regardless of the severity of their injuries. - ✔✔C.
should be taken to the treatment area for immediate secondary triage.
✔✔An acute myocardial infarction (AMI) occurs when:
A. the heart muscle progressively weakens and dysfunctions.
B. myocardial tissue dies secondary to an absence of oxygen.
C. the entire left ventricle is damaged and cannot pump blood.
D. coronary artery dilation decreases blood flow to the heart. - ✔✔B. myocardial tissue
dies secondary to an absence of oxygen.
✔✔Your assessment of a 23-year-old female reveals a core body temperature of 93.4°F
(34°C). She is conscious, answers your questions appropriately, is shivering, and
complains of nausea. Her skin is cold and pale, her muscles appear rigid, and her
, respirations are rapid. In addition to monitoring her ABCs, administering oxygen, and
turning up the heat in the back of the ambulance, you should:
A. place heat packs to her groin, axillae, and behind her neck; cover her with warm
blankets; and avoid rough handling.
B. apply the AED in case she develops cardiopulmonary arrest, cover her with layers of
blankets, and transport carefully.
C. cover her with warm blankets and let her move about on the stretcher in order to
generate body heat and increase her temperature.
D. sit her up and give her small sips of warm water to drink, place heat packs to her
axillae and groin, and cover her with blankets. - ✔✔A. place heat packs to her groin,
axillae, and behind her neck; cover her with warm blankets; and avoid rough handling.
✔✔Characteristics of a safe ambulance operator include:
A. realizing that lights and siren will be effective traffic tools.
B. an offensive attitude about driving during an emergency call.
C. a positive attitude about the ability to tolerate other drivers.
D. the ability to operate an ambulance at a high rate of speed. - ✔✔C. a positive attitude
about the ability to tolerate other drivers.
✔✔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; however, they are unable to locate it. You should:
A. begin treatment and contact medical control as needed.
B. transport the patient without providing any treatment.
C. honor the patient's wishes and withhold all treatment.
D. decide on further action once the DNR order is produced. - ✔✔A. begin treatment
and contact medical control as needed.
✔✔You and your partner arrive at the side of a 60-year-old woman who suddenly
collapsed about 7 minutes ago. She is unresponsive, apneic, and pulseless. You
should:
A. immediately apply the AED and analyze her cardiac rhythm.
B. begin CPR at a compression to ventilation ratio of 15:2.
C. apply the AED if there is no response after 10 cycles of CPR.
D. perform cardiopulmonary resuscitation (CPR) for about 2 minutes and then apply the
AED. - ✔✔D. perform cardiopulmonary resuscitation (CPR) for about 2 minutes and
then apply the AED.