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NREMT FINAL EXAM TEST BANK LATESTla
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2023-2024 EXAM 370+ QUESTIONS AND
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CORRECT ANSWERS WITH ne
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RATIONALES|AGRADE
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Question 1: You are assessing a patient for hypoperfusion. Which of the following
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signs and symptoms
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would indicate the presence of hypoperfusion?
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a. Extreme thirst, restlessness
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b. Poor mentation, stridor
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c. Cyanosis, slow respirations
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d. Pale skin, hypertension - ANSWER- a. Extreme thirst, restlessness
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Rationale: Extreme thirst and restlessness are both classic signs and symptoms of
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shock. You would also
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expect to find pale, cool, clammy skin, altered mental status, rapid and shallow
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respirations, and
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increased heart rate.
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Question 2: You arrive on scene with your partner to a slip and fall. The patient is
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a 49 year old male who slipped and fell while jumping out of a boat and onto a
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dock. After hitting the dock he fell into the water where his friends pulled him out.
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He is conscious and complaining only of pain in his left shoulder. He is laying
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supine on the dock. He is shivering and holding his elbow. The proper course of
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action would be?
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a. Cut off the wet clothing, high flow Ó, and check CMS
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b. Load him on a backboard with c spine precautions, Ó, and transport
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c. Put a blanket on him, Ó, and traction splinting
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d. Ó, traction splinting, and transport - ANSWER- a. Cut off the wet clothing, high
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flow Ó, and check CMS
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Rationale: Getting the wet clothes off him to help prevent shock, along with High
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flow Ó, and checking the ciruclation, motor function, and sensation of the affected
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Sp
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Sp
, ne
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limb would be the best choice. The other answers never checked CMS which is
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very necessary.
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Sp
Question 3: Where is the ulna located in the body?
a. The thumb side of the arm ne
la
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b. The big toe side of the leg
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c. The little toe side of the leg
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d. The little finger side of the arm - ANSWER- d. The little finger side of the arm
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Rationale: The ulna is the outside bone of the arm in line with the little finger.
Sp
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Question 4: What is the best definition of a fistula used in hemodialysis?
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a. An external shunt
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b. An internal connection between a graft and a shunt
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c. A surgically created connection between a venule and an artery.
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d. An internal shunt - ANSWER- d. An internal shunt
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Sp
Rationale: The best definition of a fistula used in hemodialysis is "an internal
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shunt" which connects an
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artery to a vein.
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Sp
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Question 5: It is your duty as an EMT to diagnose a diabetic condition as:
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a. Hypoglycemic
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b. Hyperglycemic
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c. Serious
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d. None of the above - ANSWER- d. None of the above
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sh
Sp
Rationale: You need to manage airway, breathing, and circulation, and transport in
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a safe and expedient
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manner. It is not your job to diagnose.
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sh
Sp
Question 6: Proper use of an AED should include:
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a. Measuring from the corner of the mouth to the earlobe
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b. Moistening the pads to ensure electrical conductivity
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c. Establishing the patient does not have a pulse
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d. Three consecutive shocks - ANSWER- c. Establishing the patient does not have
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a pulse
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Sp
Rationale: An AED should only be used on a patient who has no pulse. CPR
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should be continued after each shock, per the 2010 AHA Guidelines.
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Sp
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Sp
, ne
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sh
ne
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Question 7: You and your partner Bob are called to the scene of a man down. The
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report said the man has no pulse and that family members are doing CPR. Upon
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arriving at the scene what 3 things are you going to do first?
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a. Open their airway, tell the bystander to stop CPR, and put your gloves on
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b. Question the bystanders, direct them to stop CPR ,and check for pulse
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c. Hook up the AED, open their airway, and insert an adjunct
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d. Attach the AED, tell everyone to stand back, and hit the analyze button -
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ANSWER- b. Question the bystanders, direct them to stop CPR ,and check for
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pulse
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Rationale: Your gloves should be on prior to coming in contact with the patient.
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You would attach an AED and shock if indicated, according to AHA Guidelines
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sh
Sp
Question 8: Which of the following can mimic alcohol intoxication?
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a. Head injury
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b. Hypoglycemia
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c. Diabetic ketoacidosis
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d. All of the above - ANSWER- d. All of the above
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Rationale: All of these things can mimic alcohol intoxication. Hypoxia, postictal
la
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state from seizure, stroke, tumors, and of course drug use may all appear as
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Sp
intoxication by alcohol.
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la
Question 9: Blood that is unoxygenated moves into the lungs through the?
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a. Pulmonary artery
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b. Pulmonary valve
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c. Pulmonary vein
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d. Aortic arch - ANSWER- a. Pulmonary artery
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Rationale: Blood travels into the lungs from the pulmonary artery. This is the only
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artery in the body that
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carries unoxygenated blood.
Sp
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Question 10: You and your partner Mark arrive on scene to find a 35 year old man
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who is slurring hisspeech. He shows positive for left arm drift and the left side of
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his face is drooping slightly when he tries to speak. How should this patient be
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transported?
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a. On their left side
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b. In Fowler's
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Sp
c. Trendelenburg
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d. On their right side - ANSWER- a. On their left side
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Sp
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, ne
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Rationale: A patient who is showing signs of a stroke should be transported with
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the affected side down,
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with the head elevated about 6 inches.
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Question 11: Epinephrine _________________.
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a. Constricts vessels and relaxes airway passages
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b. Dilates vessels and increases pulse rate
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c. Is administered by autoinjector only
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d. Is not produced naturally by the body - ANSWER- a. Constricts vessels and
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relaxes airway passages
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la
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Rationale: It constricts vessels and relaxes airway passages along with speeding up
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Sp
the pulse. It is
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administered in several different ways including IV and ET tube and it is produced
la
naturally by the body.
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sh
Sp
Question 12: You are assessing a child who is 9 years old. Your patient presents
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with a heart rate of 69. You would describe this childs heart rate as?
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a. Bradycardia
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Sp
b. Regular
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c. Normal
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d. Tachycardia - ANSWER- a. Bradycardia
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Sp
Rationale: A normal heart rate range for children ages 6 to 12 is 70 to 110 beats per
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minute. Bradycardia for a child of this age is a pulse less than 70 BPM.
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Bradycardia in an adult is less than 60 BPM. You would
tz
sh
Sp
want to do a detailed assessment and form you general impression of the patients
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condition prior to being overly concerned about a heart rate of 69.
la
tz
sh
Question 13: Upon inhalation, air enters the mouth and then proceeds:
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a. Through the pharynx and then the larynx into the trachea branching at the carina
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into the bronchi
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b. Through the larynx and then through the trachea passing the bronchi and into the
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Sp
carina
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c. Through the oropharynx and into the vocal cords passing the bronchi then the
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trachea into the alveoli
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d. None of the above choices contains an answer that could be correct - ANSWER-
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Sp
a. Through the pharynx and then the larynx into the trachea branching at the carina
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into the bronchi
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sh
Sp
la
Sp
tz
sh
ne
NREMT FINAL EXAM TEST BANK LATESTla
tz
2023-2024 EXAM 370+ QUESTIONS AND
sh
Sp
CORRECT ANSWERS WITH ne
la
RATIONALES|AGRADE
tz
sh
Sp
ne
la
tz
sh
Sp
ne
Question 1: You are assessing a patient for hypoperfusion. Which of the following
la
signs and symptoms
tz
would indicate the presence of hypoperfusion?
sh
Sp
a. Extreme thirst, restlessness
ne
b. Poor mentation, stridor
la
c. Cyanosis, slow respirations
tz
sh
d. Pale skin, hypertension - ANSWER- a. Extreme thirst, restlessness
Sp
ne
la
Rationale: Extreme thirst and restlessness are both classic signs and symptoms of
tz
shock. You would also
sh
Sp
expect to find pale, cool, clammy skin, altered mental status, rapid and shallow
ne
respirations, and
la
increased heart rate.
tz
sh
Sp
ne
Question 2: You arrive on scene with your partner to a slip and fall. The patient is
la
a 49 year old male who slipped and fell while jumping out of a boat and onto a
tz
dock. After hitting the dock he fell into the water where his friends pulled him out.
sh
Sp
He is conscious and complaining only of pain in his left shoulder. He is laying
ne
supine on the dock. He is shivering and holding his elbow. The proper course of
la
action would be?
tz
sh
a. Cut off the wet clothing, high flow Ó, and check CMS
Sp
ne
b. Load him on a backboard with c spine precautions, Ó, and transport
la
c. Put a blanket on him, Ó, and traction splinting
tz
d. Ó, traction splinting, and transport - ANSWER- a. Cut off the wet clothing, high
sh
Sp
flow Ó, and check CMS
ne
la
Rationale: Getting the wet clothes off him to help prevent shock, along with High
tz
sh
flow Ó, and checking the ciruclation, motor function, and sensation of the affected
Sp
ne
la
sh
Sp
la
Sp
, ne
tz
sh
ne
limb would be the best choice. The other answers never checked CMS which is
la
very necessary.
tz
sh
Sp
Question 3: Where is the ulna located in the body?
a. The thumb side of the arm ne
la
tz
b. The big toe side of the leg
sh
Sp
c. The little toe side of the leg
ne
d. The little finger side of the arm - ANSWER- d. The little finger side of the arm
la
tz
sh
Rationale: The ulna is the outside bone of the arm in line with the little finger.
Sp
ne
Question 4: What is the best definition of a fistula used in hemodialysis?
la
tz
a. An external shunt
sh
Sp
b. An internal connection between a graft and a shunt
ne
c. A surgically created connection between a venule and an artery.
la
d. An internal shunt - ANSWER- d. An internal shunt
tz
sh
Sp
Rationale: The best definition of a fistula used in hemodialysis is "an internal
ne
shunt" which connects an
la
tz
artery to a vein.
sh
Sp
ne
Question 5: It is your duty as an EMT to diagnose a diabetic condition as:
la
a. Hypoglycemic
tz
b. Hyperglycemic
sh
Sp
c. Serious
ne
d. None of the above - ANSWER- d. None of the above
la
tz
sh
Sp
Rationale: You need to manage airway, breathing, and circulation, and transport in
ne
a safe and expedient
la
manner. It is not your job to diagnose.
tz
sh
Sp
Question 6: Proper use of an AED should include:
ne
a. Measuring from the corner of the mouth to the earlobe
la
tz
b. Moistening the pads to ensure electrical conductivity
sh
Sp
c. Establishing the patient does not have a pulse
ne
d. Three consecutive shocks - ANSWER- c. Establishing the patient does not have
la
a pulse
tz
sh
Sp
Rationale: An AED should only be used on a patient who has no pulse. CPR
ne
should be continued after each shock, per the 2010 AHA Guidelines.
la
sh
Sp
la
Sp
, ne
tz
sh
ne
la
Question 7: You and your partner Bob are called to the scene of a man down. The
tz
sh
report said the man has no pulse and that family members are doing CPR. Upon
Sp
arriving at the scene what 3 things are you going to do first?
ne
a. Open their airway, tell the bystander to stop CPR, and put your gloves on
la
tz
b. Question the bystanders, direct them to stop CPR ,and check for pulse
sh
Sp
c. Hook up the AED, open their airway, and insert an adjunct
ne
d. Attach the AED, tell everyone to stand back, and hit the analyze button -
la
ANSWER- b. Question the bystanders, direct them to stop CPR ,and check for
tz
sh
pulse
Sp
Rationale: Your gloves should be on prior to coming in contact with the patient.
ne
You would attach an AED and shock if indicated, according to AHA Guidelines
la
tz
sh
Sp
Question 8: Which of the following can mimic alcohol intoxication?
ne
a. Head injury
la
b. Hypoglycemia
tz
sh
c. Diabetic ketoacidosis
Sp
d. All of the above - ANSWER- d. All of the above
ne
Rationale: All of these things can mimic alcohol intoxication. Hypoxia, postictal
la
tz
state from seizure, stroke, tumors, and of course drug use may all appear as
sh
Sp
intoxication by alcohol.
ne
la
Question 9: Blood that is unoxygenated moves into the lungs through the?
tz
a. Pulmonary artery
sh
Sp
b. Pulmonary valve
ne
c. Pulmonary vein
la
d. Aortic arch - ANSWER- a. Pulmonary artery
tz
sh
Sp
ne
Rationale: Blood travels into the lungs from the pulmonary artery. This is the only
la
artery in the body that
tz
sh
carries unoxygenated blood.
Sp
ne
Question 10: You and your partner Mark arrive on scene to find a 35 year old man
la
tz
who is slurring hisspeech. He shows positive for left arm drift and the left side of
sh
Sp
his face is drooping slightly when he tries to speak. How should this patient be
ne
transported?
la
a. On their left side
tz
b. In Fowler's
sh
Sp
c. Trendelenburg
ne
d. On their right side - ANSWER- a. On their left side
la
sh
Sp
la
Sp
, ne
tz
sh
ne
la
Rationale: A patient who is showing signs of a stroke should be transported with
tz
sh
the affected side down,
Sp
with the head elevated about 6 inches.
ne
la
tz
Question 11: Epinephrine _________________.
sh
Sp
a. Constricts vessels and relaxes airway passages
ne
b. Dilates vessels and increases pulse rate
la
c. Is administered by autoinjector only
tz
sh
d. Is not produced naturally by the body - ANSWER- a. Constricts vessels and
Sp
relaxes airway passages
ne
la
tz
Rationale: It constricts vessels and relaxes airway passages along with speeding up
sh
Sp
the pulse. It is
ne
administered in several different ways including IV and ET tube and it is produced
la
naturally by the body.
tz
sh
Sp
Question 12: You are assessing a child who is 9 years old. Your patient presents
ne
with a heart rate of 69. You would describe this childs heart rate as?
la
tz
a. Bradycardia
sh
Sp
b. Regular
ne
c. Normal
la
d. Tachycardia - ANSWER- a. Bradycardia
tz
sh
Sp
Rationale: A normal heart rate range for children ages 6 to 12 is 70 to 110 beats per
ne
minute. Bradycardia for a child of this age is a pulse less than 70 BPM.
la
Bradycardia in an adult is less than 60 BPM. You would
tz
sh
Sp
want to do a detailed assessment and form you general impression of the patients
ne
condition prior to being overly concerned about a heart rate of 69.
la
tz
sh
Question 13: Upon inhalation, air enters the mouth and then proceeds:
Sp
a. Through the pharynx and then the larynx into the trachea branching at the carina
ne
into the bronchi
la
tz
b. Through the larynx and then through the trachea passing the bronchi and into the
sh
Sp
carina
ne
c. Through the oropharynx and into the vocal cords passing the bronchi then the
la
trachea into the alveoli
tz
d. None of the above choices contains an answer that could be correct - ANSWER-
sh
Sp
a. Through the pharynx and then the larynx into the trachea branching at the carina
ne
into the bronchi
la
sh
Sp
la
Sp
