EMT RESUSCITATION COMPREHENSIVE EXAM UPDATED
QUESTIONS AND SOLUTIONS RATED A+
✔✔An AED advises a shock for a pulseless patient lying in snow. What is the next
action? - ✔✔Administer the shock immediately and continue as directed by the AED.
✔✔Which treatment or medication is appropriate for the treatment of a patient in
asystole? - ✔✔Epinephrine
✔✔What is the minimum depth of chest compressions for an adult in cardiac arrest? -
✔✔2 inches
✔✔A patient with pulseless ventricular tachycardia is defibrillated. What is the next
action? - ✔✔Start chest compressions at a rate of at least 100/min.
✔✔You have completed your first 2-minute period of CPR. You see an organized,
nonshockable rhythm on the ECG monitor. What is the next action? - ✔✔Have a team
member attempt to palpate a carotid pulse.
✔✔Emergency medical responders are unable to obtain a peripheral IV for a patient in
cardiac arrest. What is the next most preferred route for drug administration? -
✔✔Intraosseous (IO)
✔✔What is the appropriate rate of chest compressions for an adult in cardiac arrest? -
✔✔At least 100/min
✔✔You are receiving a radio report from an EMS team en route with a patient who may
be having an acute stroke. The hospital CT scanner is not working at this time. What
should you do in this situation? - ✔✔Divert the patient to a hospital 15 minutes away
with CT capabilities.
✔✔A 53-year-old man has shortness of breath, chest discomfort, and weakness. The
patient's blood pressure is 102/59 mm Hg, the heart rate is 230/min, the respiratory rate
is 16 breaths/min, and the pulse oximetry reading is 96%. The lead II ECG is displayed
below. A patent peripheral IV is in place. What is the next action? - ✔✔Vagal
maneuvers
✔✔A 49-year-old man has retrosternal chest pain radiating into the left arm. The patient
is diaphoretic, with associated shortness of breath. The blood pressure is 130/88 mm
Hg, the heart rate is 110/min, the respiratory rate is 22 breaths/min, and the pulse
oximetry value is 95%. The patient's 12-lead ECG shows ST-segment elevation in the
anterior leads. First responders administered 160 mg of aspirin, and there is a patent
peripheral IV. The pain is described as an 8 on a scale of 1 to 10 and is unrelieved after
, 3 doses of nitroglycerin. What is the next action? - ✔✔Administer 2 to 4 mg of morphine
by slow IV bolus.
✔✔A 56-year-old man reports that he has palpitations but not chest pain or difficulty
breathing. The blood pressure is 132/68 mm Hg, the pulse is 130/min and regular, the
respiratory rate is 12 breaths/min, and the pulse oximetry reading is 95%. The lead II
ECG displays a wide-complex tachycardia. What is the next action after establishing an
IV and obtaining a 12-lead ECG? - ✔✔Seeking expert consultation
✔✔A postoperative patient in the ICU reports new chest pain. What actions have the
highest priority? - ✔✔Obtain a 12-lead ECG and administer aspirin if not
contraindicated.
✔✔An 80-year-old woman presents to the emergency department with dizziness. She
now states she is asymptomatic after walking around. Her blood pressure is 102/72 mm
Hg. She is alert and oriented. Her lead II ECG is below. After you start an IV, what is the
next action? - ✔✔Conduct a problem-focused history and physical examination.
✔✔What is the recommended oral dose of aspirin for patients suspected of having one
of the acute coronary syndromes? - ✔✔160 to 325 mg
✔✔A responder is caring for a patient with a history of congestive heart failure. The
patient is experiencing shortness of breath, a blood pressure of 68/50 mm Hg, and a
heart rate of 190/min. The patient's lead II ECG is displayed below. - ✔✔stable
supraventricular tachycardia
✔✔What is the most appropriate intervention for a rapidly deteriorating patient who has
this lead II ECG? - ✔✔Synchronized cardioversion
✔✔What is the purpose of a medical emergency team (MET) or rapid response team
(RRT)? - ✔✔Improving patient outcomes by identifying and treating early clinical
deterioration
✔✔What is the recommended assisted ventilation rate for patients in respiratory arrest
with a perfusing rhythm? - ✔✔10 to 12 breaths per minute
✔✔Family members found a 45-year-old woman unresponsive in bed. The patient is
unconscious and in respiratory arrest. What is the recommended initial airway
management technique? - ✔✔Performing a head tilt-chin lift maneuver
✔✔A patient in respiratory distress and with a blood pressure of 70/50 mm Hg presents
with the following lead II ECG rhythm:
What is the appropriate next intervention? - ✔✔Synchronized cardioversion
QUESTIONS AND SOLUTIONS RATED A+
✔✔An AED advises a shock for a pulseless patient lying in snow. What is the next
action? - ✔✔Administer the shock immediately and continue as directed by the AED.
✔✔Which treatment or medication is appropriate for the treatment of a patient in
asystole? - ✔✔Epinephrine
✔✔What is the minimum depth of chest compressions for an adult in cardiac arrest? -
✔✔2 inches
✔✔A patient with pulseless ventricular tachycardia is defibrillated. What is the next
action? - ✔✔Start chest compressions at a rate of at least 100/min.
✔✔You have completed your first 2-minute period of CPR. You see an organized,
nonshockable rhythm on the ECG monitor. What is the next action? - ✔✔Have a team
member attempt to palpate a carotid pulse.
✔✔Emergency medical responders are unable to obtain a peripheral IV for a patient in
cardiac arrest. What is the next most preferred route for drug administration? -
✔✔Intraosseous (IO)
✔✔What is the appropriate rate of chest compressions for an adult in cardiac arrest? -
✔✔At least 100/min
✔✔You are receiving a radio report from an EMS team en route with a patient who may
be having an acute stroke. The hospital CT scanner is not working at this time. What
should you do in this situation? - ✔✔Divert the patient to a hospital 15 minutes away
with CT capabilities.
✔✔A 53-year-old man has shortness of breath, chest discomfort, and weakness. The
patient's blood pressure is 102/59 mm Hg, the heart rate is 230/min, the respiratory rate
is 16 breaths/min, and the pulse oximetry reading is 96%. The lead II ECG is displayed
below. A patent peripheral IV is in place. What is the next action? - ✔✔Vagal
maneuvers
✔✔A 49-year-old man has retrosternal chest pain radiating into the left arm. The patient
is diaphoretic, with associated shortness of breath. The blood pressure is 130/88 mm
Hg, the heart rate is 110/min, the respiratory rate is 22 breaths/min, and the pulse
oximetry value is 95%. The patient's 12-lead ECG shows ST-segment elevation in the
anterior leads. First responders administered 160 mg of aspirin, and there is a patent
peripheral IV. The pain is described as an 8 on a scale of 1 to 10 and is unrelieved after
, 3 doses of nitroglycerin. What is the next action? - ✔✔Administer 2 to 4 mg of morphine
by slow IV bolus.
✔✔A 56-year-old man reports that he has palpitations but not chest pain or difficulty
breathing. The blood pressure is 132/68 mm Hg, the pulse is 130/min and regular, the
respiratory rate is 12 breaths/min, and the pulse oximetry reading is 95%. The lead II
ECG displays a wide-complex tachycardia. What is the next action after establishing an
IV and obtaining a 12-lead ECG? - ✔✔Seeking expert consultation
✔✔A postoperative patient in the ICU reports new chest pain. What actions have the
highest priority? - ✔✔Obtain a 12-lead ECG and administer aspirin if not
contraindicated.
✔✔An 80-year-old woman presents to the emergency department with dizziness. She
now states she is asymptomatic after walking around. Her blood pressure is 102/72 mm
Hg. She is alert and oriented. Her lead II ECG is below. After you start an IV, what is the
next action? - ✔✔Conduct a problem-focused history and physical examination.
✔✔What is the recommended oral dose of aspirin for patients suspected of having one
of the acute coronary syndromes? - ✔✔160 to 325 mg
✔✔A responder is caring for a patient with a history of congestive heart failure. The
patient is experiencing shortness of breath, a blood pressure of 68/50 mm Hg, and a
heart rate of 190/min. The patient's lead II ECG is displayed below. - ✔✔stable
supraventricular tachycardia
✔✔What is the most appropriate intervention for a rapidly deteriorating patient who has
this lead II ECG? - ✔✔Synchronized cardioversion
✔✔What is the purpose of a medical emergency team (MET) or rapid response team
(RRT)? - ✔✔Improving patient outcomes by identifying and treating early clinical
deterioration
✔✔What is the recommended assisted ventilation rate for patients in respiratory arrest
with a perfusing rhythm? - ✔✔10 to 12 breaths per minute
✔✔Family members found a 45-year-old woman unresponsive in bed. The patient is
unconscious and in respiratory arrest. What is the recommended initial airway
management technique? - ✔✔Performing a head tilt-chin lift maneuver
✔✔A patient in respiratory distress and with a blood pressure of 70/50 mm Hg presents
with the following lead II ECG rhythm:
What is the appropriate next intervention? - ✔✔Synchronized cardioversion
