Version A
1. Normal value for monitoring PA pressures are:
A. 2-6/8 – 14 mmHg
B. 15 – 25/8 – 15 mmHg
C. 25 – 35/20 – 30 mmHg
D. None of the above
2. Identify the following waveform:
A. PA waveform
B. RA waveform
C. RV waveform
D. Arterial waveform
Original October 2006
Orchid Lopez RN, CFRN, NREMT-P
Clinical Educator
, 3. 66 YOM complaining of chest pain for 3 hours. The 12 lead shows:
A. Anterolateral MI
B. Inferior wall MI
C. Posterior wall MI
D. Lateral MI
4. Initial intervention for managing a patient presenting with bariobariatrauma
is?
A. Administer high flow oxygen
B. Decrease oxygen to 4 L/min by NC
C. Administer high flow oxygen by NRM 15 minutes prior to lift off
D. Maintain cabin pressure at 2500 feet
5. You are on the scene of a 21 YOM gunshot wound to the left chest. The left
chest has been decompressed with a needle. The patient is intubated and
continues to de-saturate and you note an increase in SQ air. How will manage
this patient?
A. Re-needle the left chest
B. Advance ET tube below the level of the injury; right main stem intubation
C. Decrease respiratory rate down to 10 per minute
D. Insert a chest tube
Original October 2006
Orchid Lopez RN, CFRN, NREMT-P
Clinical Educator
, 6. Drug of choice for treating a GI bleed is?
A. Normal saline
B. Nipride
C. Whole blood
D. Sandostatin
7. Your patient has an ICP of 28. BP is 100/60. His cerebral perfusion pressure
is approximately?
A. 100 mmHg
B. 70 – 90 mmHg
C. 60 mmHg
D. < 50 mmHg
8. An expanding ETT cuff in flight is an indication of what gas law?
A. Henry’s
B. Dalton’s
C. Boyle’s
D. Charles
9. You are transporting a 30 YOM involved in a MCA from an outerlying
facility. The 70 kg patient is on a ventilator with FIO2 1.0, Vt 500, Rate 16,
PIP 22 and Peep 5. The ABG results are pH 7.01, pCO2 68, HCO2 12,
base deficit – 8, pO2 280. Interpretation of the blood gas reveals?
A. Mixed disturbance
B. Metabolic acidosis
C. Respiratory acidosis
D. Compensated respiratory acidosis
Original October 2006
Orchid Lopez RN, CFRN, NREMT-P
Clinical Educator
, 10. You notice that your patient has the following waveform and is showing VT
on the monitor. Your initial intervention of the patient is to?
A. Synchronize cardiovert
B. Advance catheter by inflating the balloon
C. Administer precordial thump
D. Pull catheter back into the right ventricle
11. Pediatric dose for Epinephrine is?
A. 0.1 mg/kg IV
B. 0.01 mg/kg ETT
C. 1 mg IV
D. 0.01 mg/kg IV
12. You arrive on the scene of 21 YOF involved a single roll-over accident who is
approximately 28 weeks pregnant. Your assessment reveals palpation of fetal
parts over the abdomen. What is your diagnosis of the patient?
A. Liver laceration
B. Uterine rupture
C. Placenta previa
D. Abruptio placenta
13. Your IABP begins to purge during ascent. The triggering mechanism for this
function was initiated as a result of which gas law?
A. Boyle’s law
B. Gay-Lussac’s law
C. Charles’ law
D. Henry’s law
Original October 2006
Orchid Lopez RN, CFRN, NREMT-P
Clinical Educator