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1. You arrive at the scene shortly after a 3-year old female experienced a seizure. The child,
who is being held by her mother, is conscious and crying. The mother tells you that her
daughter has been ill recently and has a temperature of 102.5 degrees F. What is the
MOST appropriate treatment for this child?
A. Oxygen via pediatric nonrebreathing mask, place the child in a tub of cold water
to lower her body temperature, and transport
B. Oxygen via the blow-by technique, remove clothing and cool the child with
towels soaked in tepid water, and transport.
C. Oxygen via pediatric nonrebreathing mask, avoid any measures to lower the
child's body temperature, and transport at once.
D. Oxygen via the blow-by technique, transport at once and request a paramedic
rendezvous so that an anticonvulsant drug can be given - Correct Answer:
Oxygen via the blow-by technique, remove clothing and cool the child with
towels soaked in tepid water, and transport.
2. You receive a call to a local daycare center for a 3-year old boy who is not breathing.
When you arrive and assess the child, you find him to be in cardiopulmonary arrest. You
initiate CPR and request a back-up ambulance. As you are performing one-rescuer CPR,
your partner prepares the AED. The appropriate compression to ventilation ratio for this
child is
A. 3:1
, B. 5:1
C. 15:2
D. 30:2 - Correct Answer: 30:2
3. You receive a call to a local daycare center for a 3-year old boy who is not breathing.
When you arrive and assess the child, you find him to be in cardiopulmonary arrest. You
initiate CPR and request a back-up ambulance. After attaching the AED, you push the
analyze button and receive a "shock advised" message. After delivering the shock, you
should
A. assess for a carotid pulse
B. immediately perform CPR
C. reanalyze the cardiac rhythm
D. open the airway and ventilate - Correct Answer: immediately perform CPR
4. You receive a call to a local daycare center for a 3-year old boy who is not breathing.
When you arrive and assess the child, you find him to be in cardiopulmonary arrest. You
initiate CPR and request a back-up ambulance. A paramedic unit arrives at the scene to
provide assistance. After one of the paramedics intubates the child, you should deliver
ventilations at a rate of
A. 6 to 8 breaths/min
B. 8 to 10 breaths/min
C. 10 to 12 breaths/min
D. 12 to 20 breaths/min. - Correct Answer: 8 to 10 breaths/min
5. You receive a call to a local daycare center for a 3-year old boy who is not breathing.
When you arrive and assess the child, you find him to be in cardiopulmonary arrest. You
initiate CPR and request a back-up ambulance. In infants and children, the most
detrimental effect of gastric distention is
A. increased ease of ventilations
, B. decreased ventilatory volume
C. acute rupture of the diaphragm
D. less effective chest compressions - Correct Answer: decreased ventilatory
volume
6. Which of the following parameters would be most reliable as an indicator of perfusion in
a 1 year old child?
A. Heart rate
B. capillary refill
C. Blood pressure
D. Respiratory rae - Correct Answer: capillary refill
7. While managing a patient with acute shortness of breath, you prepare and apply a
nonrebreathing mask set at 12 L/min. The patient pulls the mask away from his face,
stating that it is smothering him. You should next
A. increase the oxygen flow and reapply the mask
B. securely tape the oxygen mask to the patient's face
C. reassure the patient and apply a nasal cannula instead
D. inform the patient that refusing oxygen might result in his death - Correct
Answer: reassure the patient and apply a nasal cannula instead
8. Signs of inadequate breathing in an unconscious patient include
A. a fast heart rate
B. warm, moist skin
C. equal breath sounds
D. a rapid respiratory rate - Correct Answer: a rapid respiratory rate
9. Initial attempts at providing artificial ventilation should be accomplished using
, A. the one-person bag valve mask technique
B. the two-person bag valve mask technique
C. a pocket mask with supplemental oxygen
D. a flow-restricted oxygen-powered ventilation device - Correct Answer: a
pocket mask with supplemental oxygen
10. The most effective means of preventing the spread of disease is
A. effective handwashing
B. up-to-date immunizations
C. wearing gloves with all patients
D. wearing a mask with all patients - Correct Answer: effective handwashing
11. You have completed your prehospital care report and left a copy at the hospital when
you realize that you forgot to document a pertinent finding on the front of the report.
Your most appropriate action would be to
A. attach an addendum to the original run report.
B. write the information on the original run report.
C. complete a new run report and add the information.
D. take no action and report the event to your supervisor - Correct Answer:
attach an addendum to the original run report
12. An awake and alert 92-year-old woman with chest pain is refusing EMS treatment and
transport to the hospital. Her family insists that you transport her. This situation is most
appropriately managed by
A. transporting the patient as the family wishes.
B. advising the patient of the risks of refusing care
C. obtaining a signed refusal from a family member