TEST BANK FOR NANCY CAROLINE’S
EMERGENCY CARE IN THE STREETS, 9TH
EDITION BY NANCY CAROLINE, VERIFIED
CHAPTERS 1 - 53, COMPLETE NEWEST
VERSION EXAM 2024-2025 LATEST REAL
EXAM WITH ACTUAL NGN QUESTIONS AND
VERIFIED WELL EXPLAINED 100% CORRECT
ANSWERS WITH RATIONALES GRADED A+
LATEST UPDATE 2025 WITH 100%
GUARANTEED SUCCESS AFTER DOWNLOAD
(ALL YOU
NEED TO PASS YOUR EXAMS
CHAPTER 1
Molecules that bind to a cell's receptor and trigger a response, resulting in some kind of action or biologic
effect, are called:
agonists
Patients with hyperosmolar hyperglycemic nonketotic coma:
present with severe dehydration and neurologic deficits.
Prehospital treatment for patients with hyperosmolar hyperglycemic nonketotic coma focuses on:
airway management and fluid rehydration
Secretion of the parathyroid hormone is regulated by blood levels of:
,Emergency care
calcium
Signs and symptoms of hypothyroidism include:
bradycardia and sluggish reflexes.
The adrenal cortex produces hormones called _______________, which:
corticosteroids, regulate the body's metabolism.
The adrenal medulla secretes norepinephrine following stimulation from the:
hypothalamus
The chief clinical manifestation of Addisonian crisis is:
shock
The clinical presentation of a hypoglycemic patient would MOST likely resemble that of a patient with:
alcohol intoxication
The endocrine system comprises a network of ___________ that produce and secrete chemical messengers
called ____________.
glands, hormones
The MOST common cause of Addisonian crisis is:
abrupt termination of corticosteroid use.
The posterior lobe of the pituitary gland secretes:
antidiuretic hormone and oxytocin.
The primary anatomic link between the endocrine system and the nervous system is/are the:
hypothalamus
The primary anatomic link between the endocrine system and the nervous system is/are the:
hypothalamus
The primary role of cortisol is to:
assist with the body's response to stress.
The release of glucagon into the bloodstream stimulates:
the liver to convert glycogen to glucose.
The tissues of the central nervous system:
depend entirely on glucose as their source of energy.
Type 1 diabetes that is secondary to an autoimmune disorder occurs when:
the body builds up antibodies that destroy the islets of Langerhans
Unlike exocrine glands, endocrine glands:
release chemicals directly into the bloodstream.
Unlike hypothyroidism, hyperthyroidism:
causes an increase in oxygen demand.
Unlike the patient with hypoglycemia, the patient with severe hyperglycemia:
is tachypneic and hyperpneic.
A 29-year-old man presents with bizarre behavior and profuse sweating. His wife tells you that he has type 1
diabetes and that he took his insulin today. During your assessment, you will MOST likely find that the patient
is:
tachypneic
A 30-year-old woman presents with 3 days of generalized weakness, dizziness, and excessive urination. She is
conscious but restless, and she tells you that she is extremely thirsty. Her blood pressure is 96/66 mm Hg, her
,Emergency care
pulse is 110 beats/min and full, and her respirations are increased and somewhat deep. On the basis of this
patient's clinical presentation, she will MOST likely require oxygen and:
crystalloid fluid hydration.
A 51-year-old man with type 2 diabetes presents with confusion, blurred vision, and signs of significant
dehydration. According to the man's wife, he has had a fever and flu-like symptoms for the past few days. She
further tells you that he has "stuck to his diet" as advised by his physician. His blood pressure is 90/50 mm Hg,
pulse is 120 beats/min and weak, and respirations are rapid and shallow. You assess his blood glucose level,
which reads "high." This patient is MOST likely:
experiencing hyperosmolar nonketotic coma.
A 68-year-old obese woman presents with a markedly decreased level of consciousness. She was found in bed
by her husband. Your primary assessment reveals that her respirations are slow and shallow, her pulse is slow
and weak, and her skin is cold and dry. According to the patient's husband, she has had a recent infection, but
he cannot remember what the doctor called it. You should be MOST suspicious that this patient is
experiencing:
myxedema coma.
A decrease in adrenal hormone production will result in all of the following, EXCEPT:
hypertension
A patient with Cushing syndrome would MOST likely present with:
hypoglycemia
A person with type 1 diabetes:
generally does not produce any insulin and requires daily insulin injections
Adrenal insufficiency is characterized by decreased function of the ______________ and consequent
underproduction of ______________.
adrenal cortex, cortisol and aldosterone
An illness or infection would MOST likely cause:
a slow onset of hyperglycemia
Diabetes is MOST accurately defined as:
a metabolic disorder in which the body's ability to metabolize simple carbohydrates is impaired.
Diabetic ketoacidosis occurs when:
the cells metabolize fat and produce ketones.
Diabetic patients would MOST likely present with atypical signs and symptoms of:
acute coronary syndrome.
Excessive alcohol consumption can lead to low blood glucose levels because:
alcohol depletes glycogen stores in the liver.
If the body experiences a drop in volume or blood pressure:
aldosterone secretion stimulates the kidneys to reabsorb sodium from the urine.
If there is a physiologic level of antidiuretic hormone in the bloodstream, then:
the renal tubules are stimulated to reabsorb sodium and water
Insulin resistance occurs when:
the pancreas produces enough insulin, but the body cannot utilize it effectively.
Microvascular complications of diabetes include all of the following, EXCEPT:
hypertension
What is the function of estrogen?
, Emergency care
It signals the anterior pituitary gland to secrete luteinizing hormone.
When the body's metabolic rate decreases.
the thyroid gland secretes thyroxine
When the pancreas does not produce enough insulin or the cells do not respond to the effects of the insulin
that is produced:
glucose levels in the blood and urine will be elevated.
Which of the following interventions would the paramedic LEAST likely perform on a patient with diabetic
ketoacidosis?
Insulin administration
Which of the following is an example of endocrine regulation via a negative feedback mechanism?
The neural regulating mechanism decreases its signals to the adrenal medulla, decreasing epinephrine
release.
Which of the following is/are NOT an exocrine gland?
Adrenal glands
Which of the following statements regarding Addison disease is MOST correct?
Addison disease most often occurs when the immune system creates antibodies that attack and destroy the
adrenal cortex
Which of the following would MOST likely cause Cushing syndrome?
Administration of large amounts of methylprednisolone to an asthma patient
Which of the following would NOT cause hypoglycemia in the patient with type 1 diabetes?
Insulin underdose
You are assessing a 70-year-old man with a blood glucose reading of 400 mg/dL and note the presence of
sharply peaked T waves on the cardiac monitor. Which of the following medications would this patient MOST
likely receive in the prehospital setting?
Bicarbonate
You are dispatched to a residence for an elderly woman who is "sick." When you arrive and assess her, you
note that she is responsive to pain only and has hot, moist skin and rapid, shallow respirations. You find
prednisone, Paxil, and multivitamins on her nightstand. Further assessment of this patient will MOST likely
reveal:
hypoglycemia, hypotension, and ECG evidence of hyperkalemia.
You are dispatched to the residence of a 60-year-old woman who was found unresponsive by her husband. As
you are assessing the patient, her husband tells you that she is a diabetic and has recently experienced
several "small strokes." In addition to properly managing her airway, you should:
perform a field glucose test to rule out hypoglycemia.
You receive a call to the county jail for a male inmate who is unresponsive. According to the jailor, the patient
was arrested for being "drunk." Your assessment reveals that the patient is profusely diaphoretic, and his
respirations are rapid and shallow. His blood glucose level reads 30 mg/dL. As your partner assists the
patient's ventilations, you start an IV and administer 50% dextrose. Reassessment reveals that the patient is
responsive to pain only and his blood glucose level is 46 mg/dL. You should:
administer a second dose of dextrose and prepare for immediate transport.
16. The first step in conductingEMS research:
Researchdomain
Researchagenda
Researchconsortium
EMERGENCY CARE IN THE STREETS, 9TH
EDITION BY NANCY CAROLINE, VERIFIED
CHAPTERS 1 - 53, COMPLETE NEWEST
VERSION EXAM 2024-2025 LATEST REAL
EXAM WITH ACTUAL NGN QUESTIONS AND
VERIFIED WELL EXPLAINED 100% CORRECT
ANSWERS WITH RATIONALES GRADED A+
LATEST UPDATE 2025 WITH 100%
GUARANTEED SUCCESS AFTER DOWNLOAD
(ALL YOU
NEED TO PASS YOUR EXAMS
CHAPTER 1
Molecules that bind to a cell's receptor and trigger a response, resulting in some kind of action or biologic
effect, are called:
agonists
Patients with hyperosmolar hyperglycemic nonketotic coma:
present with severe dehydration and neurologic deficits.
Prehospital treatment for patients with hyperosmolar hyperglycemic nonketotic coma focuses on:
airway management and fluid rehydration
Secretion of the parathyroid hormone is regulated by blood levels of:
,Emergency care
calcium
Signs and symptoms of hypothyroidism include:
bradycardia and sluggish reflexes.
The adrenal cortex produces hormones called _______________, which:
corticosteroids, regulate the body's metabolism.
The adrenal medulla secretes norepinephrine following stimulation from the:
hypothalamus
The chief clinical manifestation of Addisonian crisis is:
shock
The clinical presentation of a hypoglycemic patient would MOST likely resemble that of a patient with:
alcohol intoxication
The endocrine system comprises a network of ___________ that produce and secrete chemical messengers
called ____________.
glands, hormones
The MOST common cause of Addisonian crisis is:
abrupt termination of corticosteroid use.
The posterior lobe of the pituitary gland secretes:
antidiuretic hormone and oxytocin.
The primary anatomic link between the endocrine system and the nervous system is/are the:
hypothalamus
The primary anatomic link between the endocrine system and the nervous system is/are the:
hypothalamus
The primary role of cortisol is to:
assist with the body's response to stress.
The release of glucagon into the bloodstream stimulates:
the liver to convert glycogen to glucose.
The tissues of the central nervous system:
depend entirely on glucose as their source of energy.
Type 1 diabetes that is secondary to an autoimmune disorder occurs when:
the body builds up antibodies that destroy the islets of Langerhans
Unlike exocrine glands, endocrine glands:
release chemicals directly into the bloodstream.
Unlike hypothyroidism, hyperthyroidism:
causes an increase in oxygen demand.
Unlike the patient with hypoglycemia, the patient with severe hyperglycemia:
is tachypneic and hyperpneic.
A 29-year-old man presents with bizarre behavior and profuse sweating. His wife tells you that he has type 1
diabetes and that he took his insulin today. During your assessment, you will MOST likely find that the patient
is:
tachypneic
A 30-year-old woman presents with 3 days of generalized weakness, dizziness, and excessive urination. She is
conscious but restless, and she tells you that she is extremely thirsty. Her blood pressure is 96/66 mm Hg, her
,Emergency care
pulse is 110 beats/min and full, and her respirations are increased and somewhat deep. On the basis of this
patient's clinical presentation, she will MOST likely require oxygen and:
crystalloid fluid hydration.
A 51-year-old man with type 2 diabetes presents with confusion, blurred vision, and signs of significant
dehydration. According to the man's wife, he has had a fever and flu-like symptoms for the past few days. She
further tells you that he has "stuck to his diet" as advised by his physician. His blood pressure is 90/50 mm Hg,
pulse is 120 beats/min and weak, and respirations are rapid and shallow. You assess his blood glucose level,
which reads "high." This patient is MOST likely:
experiencing hyperosmolar nonketotic coma.
A 68-year-old obese woman presents with a markedly decreased level of consciousness. She was found in bed
by her husband. Your primary assessment reveals that her respirations are slow and shallow, her pulse is slow
and weak, and her skin is cold and dry. According to the patient's husband, she has had a recent infection, but
he cannot remember what the doctor called it. You should be MOST suspicious that this patient is
experiencing:
myxedema coma.
A decrease in adrenal hormone production will result in all of the following, EXCEPT:
hypertension
A patient with Cushing syndrome would MOST likely present with:
hypoglycemia
A person with type 1 diabetes:
generally does not produce any insulin and requires daily insulin injections
Adrenal insufficiency is characterized by decreased function of the ______________ and consequent
underproduction of ______________.
adrenal cortex, cortisol and aldosterone
An illness or infection would MOST likely cause:
a slow onset of hyperglycemia
Diabetes is MOST accurately defined as:
a metabolic disorder in which the body's ability to metabolize simple carbohydrates is impaired.
Diabetic ketoacidosis occurs when:
the cells metabolize fat and produce ketones.
Diabetic patients would MOST likely present with atypical signs and symptoms of:
acute coronary syndrome.
Excessive alcohol consumption can lead to low blood glucose levels because:
alcohol depletes glycogen stores in the liver.
If the body experiences a drop in volume or blood pressure:
aldosterone secretion stimulates the kidneys to reabsorb sodium from the urine.
If there is a physiologic level of antidiuretic hormone in the bloodstream, then:
the renal tubules are stimulated to reabsorb sodium and water
Insulin resistance occurs when:
the pancreas produces enough insulin, but the body cannot utilize it effectively.
Microvascular complications of diabetes include all of the following, EXCEPT:
hypertension
What is the function of estrogen?
, Emergency care
It signals the anterior pituitary gland to secrete luteinizing hormone.
When the body's metabolic rate decreases.
the thyroid gland secretes thyroxine
When the pancreas does not produce enough insulin or the cells do not respond to the effects of the insulin
that is produced:
glucose levels in the blood and urine will be elevated.
Which of the following interventions would the paramedic LEAST likely perform on a patient with diabetic
ketoacidosis?
Insulin administration
Which of the following is an example of endocrine regulation via a negative feedback mechanism?
The neural regulating mechanism decreases its signals to the adrenal medulla, decreasing epinephrine
release.
Which of the following is/are NOT an exocrine gland?
Adrenal glands
Which of the following statements regarding Addison disease is MOST correct?
Addison disease most often occurs when the immune system creates antibodies that attack and destroy the
adrenal cortex
Which of the following would MOST likely cause Cushing syndrome?
Administration of large amounts of methylprednisolone to an asthma patient
Which of the following would NOT cause hypoglycemia in the patient with type 1 diabetes?
Insulin underdose
You are assessing a 70-year-old man with a blood glucose reading of 400 mg/dL and note the presence of
sharply peaked T waves on the cardiac monitor. Which of the following medications would this patient MOST
likely receive in the prehospital setting?
Bicarbonate
You are dispatched to a residence for an elderly woman who is "sick." When you arrive and assess her, you
note that she is responsive to pain only and has hot, moist skin and rapid, shallow respirations. You find
prednisone, Paxil, and multivitamins on her nightstand. Further assessment of this patient will MOST likely
reveal:
hypoglycemia, hypotension, and ECG evidence of hyperkalemia.
You are dispatched to the residence of a 60-year-old woman who was found unresponsive by her husband. As
you are assessing the patient, her husband tells you that she is a diabetic and has recently experienced
several "small strokes." In addition to properly managing her airway, you should:
perform a field glucose test to rule out hypoglycemia.
You receive a call to the county jail for a male inmate who is unresponsive. According to the jailor, the patient
was arrested for being "drunk." Your assessment reveals that the patient is profusely diaphoretic, and his
respirations are rapid and shallow. His blood glucose level reads 30 mg/dL. As your partner assists the
patient's ventilations, you start an IV and administer 50% dextrose. Reassessment reveals that the patient is
responsive to pain only and his blood glucose level is 46 mg/dL. You should:
administer a second dose of dextrose and prepare for immediate transport.
16. The first step in conductingEMS research:
Researchdomain
Researchagenda
Researchconsortium
