EMT UPGRADED EXAM 290 QUESTIONS AND 100%
CORRECT ANDREVISEDANSWERS(ALREADY
GRADED A+)
833 - Your 36 y/o pt is unresponsive upon attempting to insert an OPA, the
patient gags, You should A. Insert a nasal airway
B. Suction the oropharynx
C. Reattempt using a smaller oral adjunct UPGRADED
D. Insert a dual lumen airway - ANSWER>>A. Insert a nasal airway
903 - After air passes through the vocal cords during inhalation, which
structure does it reach next?
A. Trachea
B. Epiglottis
C. Alveolus
D. Bronchus - ANSWER>>A. Trachea
906 - You are ventilating an apneic asthmatic pt with a BVM. The patient
has inadequate chest rise. You should A. Decrease the rate of
ventilations to 10/min
B. Use an O2 powered ventilation device
C. Increase the forcefulness of ventilations
D. Increase the rate of ventilations to 20/min - ANSWER>>A. Decrease the
rate of ventilations to 10/min
909 - A 72 y/o female pt is unresponsive following an ejection from a MVC,
she has an open jaw fracture and a dialated right pupil. What is the best
way to open this pt's airway
A. Insert an OPA
B. Perform a modified head tilt chin lift
C. Insert a NPA
D. Perform jaw thrust - ANSWER>>C. Insert a NPA
,910 - A 4-Year-old female tracheostomy pt has pulled out her tracheostomy
tube. The opening is partially obstructed with skin. You should
A. Use a soft tip catheter and suction until clear
B. Insert a nasal airway into stoma
to stoma ventilation D. Cut
C. Wipe the area clean and perfor the
skin away from the stoma - ANSWER>>A. Use a soft tip catheter and
suction until clear
908 - You are using a BVM and an OPA on an apneic pt. Suddenly it
becomes difficult to ventilate. You should first suspect that
A. The patients diaphragm has contracted
B. The pt has an airway obstruction
C. The Pt is becoming more responsive
D. The pt's lungs have collapsed - ANSWER>>B. The pt has an airway
obstruction
946 - A 60-year-old pt with stoma is apneic. You have been suctioning pink
frothy sputum for 10 seconds and you continue to get more material. You
should
A. continue suctioning and have a partner ventilate through the pt's mouth
B. suction until airway is clear
C. stop suctioning and give a breath
D. use a saline solution to moisten secretions and continue suctioning -
ANSWER>>C. stop suctioning and give a breath
947 - victim of smoke inhalation has developed difficulty breathing. He does
not like the smell of the mask you are using to deliver O2. You should
A. Switch to a NC set to deliver O2 @ 6 LPM
B. Restrain the pt and continue administering O2 via NRB
,the mask is very important and continue its use
C. Explain that the mask is very important and continue its use
D. Administer blow-by O2 via Simple mask - ANSWER>>C. Explain that
948 - An unresponsive 82 y/o pt is lying supine. Their airway is most likely
to be obstructed by
A. loose dentures
B. Secretions
C. The tongue
D. Swelling of the epiglottis - ANSWER>>C. The tongue
949 - You are inserting an OPA into a 4 y/o pt you should
A. Use a tongue depressor to keep tongue out of the way
B. Use a head tilt chin lift
C. Insert the tip pointing toward the roof of the mouth
D. Use an airway that measures one size too small and rotate -
ANSWER>>A. Use a tongue depressor to keep tongue out of the way
951 - Initial assessment reveals an alert adult pt who is SOB. He is seated
in a tripod position using accessory muscles to breathe. Vital signs are BP
140/80 P 110, R 22 with crackles, SpO2 95%. You should
A. Administer O2 via NRB
B. Ventilate the pt with a BVM to slow respirations
C. Administer O2 via NC
D. Monitor pulse oximetry - ANSWER>>A. Administer O2 via NRB
952 When suctioning a patient, you should
A. Suction on the way in for no more than 5 seconds
B. Suction on the way out for no more than 15 seconds
C. Suction on the way in for no more than 15 seconds
, D. Suction on the way out for no more than 5 seconds - ANSWER>>B.
Suction on the way out for no more than 15 seconds
1139 - Which of the following is the most appropriate way to measure for an
OPA?
A. From the patient's earlobe to angle of the jaw
B. From the center of pt's mouth to earlobe
C. From the corner of the pt's mouth to the earlobe
D. From the tip of pt's nose to earlobe - ANSWER>>C. From the corner of the
pt's mouth to the earlobe
1141 - How should you ventilate an apneic adult pt?
A. Perform mouth to mask ventilation 12 breath per minute
B. Ventilate with a flow restricted PPV at 12-20 breaths per minute
C. Ventilate once every 5-6 seconds with a bag valve mask
D. Ventilate once every 3 seconds with a BVM - ANSWER>>C. Ventilate
once every 5-6 seconds with a bag valve mask
1142 - Your pt was involved in a MVC he is unresponsive and you hear
snoring respirations when he breathes. You should perform a
A. Head tilt neck lift with c-spine stabilization
B. Jaw thrust with c-spine stabilization
C. Tongue jaw lift with c-spine stabilization
D. Head tilt lift with c-spine stabilization - ANSWER>>B. Jaw thrust with
cspine stabilization
1145 - A 67-year-old female is short of breath and sitting in a tripod
position. She is on home oxygen and has had a productive cough over the
last few days. During your exam, you note that she is wheezing and
breathing with
pursed lips. SPO2 is 93%. You should suspect
A. Anaphylactic reaction
B. Obstructive pulmonary disease
C. AMI
CORRECT ANDREVISEDANSWERS(ALREADY
GRADED A+)
833 - Your 36 y/o pt is unresponsive upon attempting to insert an OPA, the
patient gags, You should A. Insert a nasal airway
B. Suction the oropharynx
C. Reattempt using a smaller oral adjunct UPGRADED
D. Insert a dual lumen airway - ANSWER>>A. Insert a nasal airway
903 - After air passes through the vocal cords during inhalation, which
structure does it reach next?
A. Trachea
B. Epiglottis
C. Alveolus
D. Bronchus - ANSWER>>A. Trachea
906 - You are ventilating an apneic asthmatic pt with a BVM. The patient
has inadequate chest rise. You should A. Decrease the rate of
ventilations to 10/min
B. Use an O2 powered ventilation device
C. Increase the forcefulness of ventilations
D. Increase the rate of ventilations to 20/min - ANSWER>>A. Decrease the
rate of ventilations to 10/min
909 - A 72 y/o female pt is unresponsive following an ejection from a MVC,
she has an open jaw fracture and a dialated right pupil. What is the best
way to open this pt's airway
A. Insert an OPA
B. Perform a modified head tilt chin lift
C. Insert a NPA
D. Perform jaw thrust - ANSWER>>C. Insert a NPA
,910 - A 4-Year-old female tracheostomy pt has pulled out her tracheostomy
tube. The opening is partially obstructed with skin. You should
A. Use a soft tip catheter and suction until clear
B. Insert a nasal airway into stoma
to stoma ventilation D. Cut
C. Wipe the area clean and perfor the
skin away from the stoma - ANSWER>>A. Use a soft tip catheter and
suction until clear
908 - You are using a BVM and an OPA on an apneic pt. Suddenly it
becomes difficult to ventilate. You should first suspect that
A. The patients diaphragm has contracted
B. The pt has an airway obstruction
C. The Pt is becoming more responsive
D. The pt's lungs have collapsed - ANSWER>>B. The pt has an airway
obstruction
946 - A 60-year-old pt with stoma is apneic. You have been suctioning pink
frothy sputum for 10 seconds and you continue to get more material. You
should
A. continue suctioning and have a partner ventilate through the pt's mouth
B. suction until airway is clear
C. stop suctioning and give a breath
D. use a saline solution to moisten secretions and continue suctioning -
ANSWER>>C. stop suctioning and give a breath
947 - victim of smoke inhalation has developed difficulty breathing. He does
not like the smell of the mask you are using to deliver O2. You should
A. Switch to a NC set to deliver O2 @ 6 LPM
B. Restrain the pt and continue administering O2 via NRB
,the mask is very important and continue its use
C. Explain that the mask is very important and continue its use
D. Administer blow-by O2 via Simple mask - ANSWER>>C. Explain that
948 - An unresponsive 82 y/o pt is lying supine. Their airway is most likely
to be obstructed by
A. loose dentures
B. Secretions
C. The tongue
D. Swelling of the epiglottis - ANSWER>>C. The tongue
949 - You are inserting an OPA into a 4 y/o pt you should
A. Use a tongue depressor to keep tongue out of the way
B. Use a head tilt chin lift
C. Insert the tip pointing toward the roof of the mouth
D. Use an airway that measures one size too small and rotate -
ANSWER>>A. Use a tongue depressor to keep tongue out of the way
951 - Initial assessment reveals an alert adult pt who is SOB. He is seated
in a tripod position using accessory muscles to breathe. Vital signs are BP
140/80 P 110, R 22 with crackles, SpO2 95%. You should
A. Administer O2 via NRB
B. Ventilate the pt with a BVM to slow respirations
C. Administer O2 via NC
D. Monitor pulse oximetry - ANSWER>>A. Administer O2 via NRB
952 When suctioning a patient, you should
A. Suction on the way in for no more than 5 seconds
B. Suction on the way out for no more than 15 seconds
C. Suction on the way in for no more than 15 seconds
, D. Suction on the way out for no more than 5 seconds - ANSWER>>B.
Suction on the way out for no more than 15 seconds
1139 - Which of the following is the most appropriate way to measure for an
OPA?
A. From the patient's earlobe to angle of the jaw
B. From the center of pt's mouth to earlobe
C. From the corner of the pt's mouth to the earlobe
D. From the tip of pt's nose to earlobe - ANSWER>>C. From the corner of the
pt's mouth to the earlobe
1141 - How should you ventilate an apneic adult pt?
A. Perform mouth to mask ventilation 12 breath per minute
B. Ventilate with a flow restricted PPV at 12-20 breaths per minute
C. Ventilate once every 5-6 seconds with a bag valve mask
D. Ventilate once every 3 seconds with a BVM - ANSWER>>C. Ventilate
once every 5-6 seconds with a bag valve mask
1142 - Your pt was involved in a MVC he is unresponsive and you hear
snoring respirations when he breathes. You should perform a
A. Head tilt neck lift with c-spine stabilization
B. Jaw thrust with c-spine stabilization
C. Tongue jaw lift with c-spine stabilization
D. Head tilt lift with c-spine stabilization - ANSWER>>B. Jaw thrust with
cspine stabilization
1145 - A 67-year-old female is short of breath and sitting in a tripod
position. She is on home oxygen and has had a productive cough over the
last few days. During your exam, you note that she is wheezing and
breathing with
pursed lips. SPO2 is 93%. You should suspect
A. Anaphylactic reaction
B. Obstructive pulmonary disease
C. AMI
