FISDAP EMT FINAL - JB LEARNING FINAL EXAM AND
STUDYGUIDE NEWEST 2024 ACTUAL EXAM COMPLETE 300
QUESTIONS AND CORRECT DETAILED ANSWERS
Question 1
Which of the following describes the proper way to approach a scene where
hazardous materials are suspected?
A) Immediately enter to assess patient injuries.
B) Approach from uphill and upwind.
C) Drive directly to the closest patient to provide care.
D) Park your ambulance downwind for quick egress.
E) Wait for law enforcement to declare the scene safe.
Correct Answer: B) Approach from uphill and upwind.
Rationale: Approaching from uphill and upwind minimizes exposure
to hazardous materials, as gases and fumes typically move downhill
and downwind.
Question 2
What is the primary role of the EMT at a hazmat incident?
A) Contain the spill and neutralize the substance.
B) Establish a safe zone and provide patient care in that zone.
C) Enter the hot zone to perform rapid extrication.
D) Direct traffic away from the scene.
E) Serve as the Incident Commander.
Correct Answer: B) Establish a safe zone and provide patient care in
that zone.
Rationale: The EMT's primary role is to ensure personal and patient
safety. They should remain in the cold (safe) zone and treat
decontaminated patients, leaving containment and neutralization to
specialized teams.
Question 3
Upon arrival at a motor vehicle collision, your first priority as an EMT is to:
A) Assess the most critically injured patient.
B) Gain access to the vehicle.
,C) Ensure scene safety.
D) Radio for additional resources.
E) Perform a rapid trauma assessment.
Correct Answer: C) Ensure scene safety.
Rationale: Scene safety is always the EMT's first priority to protect
themselves, their team, the patient, and bystanders from potential
hazards (e.g., traffic, fire, hazardous materials).
Question 4
Which of the following best defines "implied consent"?
A) Consent given verbally by an adult patient.
B) Consent given in writing by a legal guardian.
C) Consent assumed for an unconscious patient with a life-threatening injury.
D) Consent from a minor for a non-life-threatening procedure.
E) Consent obtained via telephone from a family member.
Correct Answer: C) Consent assumed for an unconscious patient with a
life-threatening injury.
Rationale: Implied consent applies when a patient is unconscious,
incapacitated, or too severely injured to give express consent, and
it is presumed they would want life-saving treatment.
Question 5
A 68-year-old male is experiencing crushing chest pain. He is conscious,
alert, and refuses transport to the hospital, stating he just wants to go home.
What is your best course of action?
A) Transport him against his will, as it's a life-threatening condition.
B) Contact medical direction for advice and ensure the patient understands
the risks of refusal.
C) Let him sign a refusal form and leave the scene immediately.
D) Advise him to call his family doctor in the morning.
E) Ask his neighbor to convince him to go to the hospital.
Correct Answer: B) Contact medical direction for advice and ensure
,the patient understands the risks of refusal.
Rationale: An alert and oriented adult has the right to refuse care.
However, the EMT must ensure the patient has decision-making
capacity and fully understands the potential consequences of
refusal, documented carefully, and often with consultation from
medical direction.
Question 6
Which of the following is considered a sign of inadequate breathing in an
adult?
A) Respiratory rate of 16 breaths per minute.
B) Pink and warm skin.
C) Accessory muscle use.
D) Clear lung sounds bilaterally.
E) Equal chest rise and fall.
Correct Answer: C) Accessory muscle use.
Rationale: Accessory muscle use (e.g., muscles in the neck or
abdomen) indicates increased effort to breathe, suggesting
inadequate breathing. A normal adult respiratory rate is 12-20
breaths/min, and good skin color/temp and equal chest rise are
signs of adequate breathing.
Question 7
The primary assessment of a patient includes all of the following EXCEPT:
A) Forming a general impression.
B) Assessing mental status.
C) Obtaining a detailed medical history.
D) Identifying and treating life threats.
E) Assessing ABCs (Airway, Breathing, Circulation).
Correct Answer: C) Obtaining a detailed medical history.
Rationale: A detailed medical history is typically obtained during the
, secondary assessment. The primary assessment focuses on rapidly
identifying and managing immediate life threats.
Question 8
What is the proper depth of chest compressions for an adult during CPR?
A) At least 1 inch
B) At least 1.5 inches
C) At least 2 inches (5 cm)
D) No more than 1.5 inches
E) 1/3 the depth of the chest
Correct Answer: C) At least 2 inches (5 cm)
Rationale: According to AHA guidelines, adult chest compressions
should be at least 2 inches (5 cm) deep but no more than 2.4 inches
(6 cm).
Question 9
You are assessing an unresponsive patient. After opening the airway, you
determine the patient is not breathing. What is your next immediate step?
A) Check for a pulse.
B) Deliver two rescue breaths.
C) Begin chest compressions.
D) Apply an AED.
E) Transport immediately.
Correct Answer: B) Deliver two rescue breaths.
Rationale: Following the current "look, listen, and feel" or simply
observing for breathing, if a patient is unresponsive and not
breathing, two rescue breaths should be delivered before checking
for a pulse.
Question 10
Which vital sign provides the most immediate indication of the effectiveness
of ventilations?
A) Blood pressure
STUDYGUIDE NEWEST 2024 ACTUAL EXAM COMPLETE 300
QUESTIONS AND CORRECT DETAILED ANSWERS
Question 1
Which of the following describes the proper way to approach a scene where
hazardous materials are suspected?
A) Immediately enter to assess patient injuries.
B) Approach from uphill and upwind.
C) Drive directly to the closest patient to provide care.
D) Park your ambulance downwind for quick egress.
E) Wait for law enforcement to declare the scene safe.
Correct Answer: B) Approach from uphill and upwind.
Rationale: Approaching from uphill and upwind minimizes exposure
to hazardous materials, as gases and fumes typically move downhill
and downwind.
Question 2
What is the primary role of the EMT at a hazmat incident?
A) Contain the spill and neutralize the substance.
B) Establish a safe zone and provide patient care in that zone.
C) Enter the hot zone to perform rapid extrication.
D) Direct traffic away from the scene.
E) Serve as the Incident Commander.
Correct Answer: B) Establish a safe zone and provide patient care in
that zone.
Rationale: The EMT's primary role is to ensure personal and patient
safety. They should remain in the cold (safe) zone and treat
decontaminated patients, leaving containment and neutralization to
specialized teams.
Question 3
Upon arrival at a motor vehicle collision, your first priority as an EMT is to:
A) Assess the most critically injured patient.
B) Gain access to the vehicle.
,C) Ensure scene safety.
D) Radio for additional resources.
E) Perform a rapid trauma assessment.
Correct Answer: C) Ensure scene safety.
Rationale: Scene safety is always the EMT's first priority to protect
themselves, their team, the patient, and bystanders from potential
hazards (e.g., traffic, fire, hazardous materials).
Question 4
Which of the following best defines "implied consent"?
A) Consent given verbally by an adult patient.
B) Consent given in writing by a legal guardian.
C) Consent assumed for an unconscious patient with a life-threatening injury.
D) Consent from a minor for a non-life-threatening procedure.
E) Consent obtained via telephone from a family member.
Correct Answer: C) Consent assumed for an unconscious patient with a
life-threatening injury.
Rationale: Implied consent applies when a patient is unconscious,
incapacitated, or too severely injured to give express consent, and
it is presumed they would want life-saving treatment.
Question 5
A 68-year-old male is experiencing crushing chest pain. He is conscious,
alert, and refuses transport to the hospital, stating he just wants to go home.
What is your best course of action?
A) Transport him against his will, as it's a life-threatening condition.
B) Contact medical direction for advice and ensure the patient understands
the risks of refusal.
C) Let him sign a refusal form and leave the scene immediately.
D) Advise him to call his family doctor in the morning.
E) Ask his neighbor to convince him to go to the hospital.
Correct Answer: B) Contact medical direction for advice and ensure
,the patient understands the risks of refusal.
Rationale: An alert and oriented adult has the right to refuse care.
However, the EMT must ensure the patient has decision-making
capacity and fully understands the potential consequences of
refusal, documented carefully, and often with consultation from
medical direction.
Question 6
Which of the following is considered a sign of inadequate breathing in an
adult?
A) Respiratory rate of 16 breaths per minute.
B) Pink and warm skin.
C) Accessory muscle use.
D) Clear lung sounds bilaterally.
E) Equal chest rise and fall.
Correct Answer: C) Accessory muscle use.
Rationale: Accessory muscle use (e.g., muscles in the neck or
abdomen) indicates increased effort to breathe, suggesting
inadequate breathing. A normal adult respiratory rate is 12-20
breaths/min, and good skin color/temp and equal chest rise are
signs of adequate breathing.
Question 7
The primary assessment of a patient includes all of the following EXCEPT:
A) Forming a general impression.
B) Assessing mental status.
C) Obtaining a detailed medical history.
D) Identifying and treating life threats.
E) Assessing ABCs (Airway, Breathing, Circulation).
Correct Answer: C) Obtaining a detailed medical history.
Rationale: A detailed medical history is typically obtained during the
, secondary assessment. The primary assessment focuses on rapidly
identifying and managing immediate life threats.
Question 8
What is the proper depth of chest compressions for an adult during CPR?
A) At least 1 inch
B) At least 1.5 inches
C) At least 2 inches (5 cm)
D) No more than 1.5 inches
E) 1/3 the depth of the chest
Correct Answer: C) At least 2 inches (5 cm)
Rationale: According to AHA guidelines, adult chest compressions
should be at least 2 inches (5 cm) deep but no more than 2.4 inches
(6 cm).
Question 9
You are assessing an unresponsive patient. After opening the airway, you
determine the patient is not breathing. What is your next immediate step?
A) Check for a pulse.
B) Deliver two rescue breaths.
C) Begin chest compressions.
D) Apply an AED.
E) Transport immediately.
Correct Answer: B) Deliver two rescue breaths.
Rationale: Following the current "look, listen, and feel" or simply
observing for breathing, if a patient is unresponsive and not
breathing, two rescue breaths should be delivered before checking
for a pulse.
Question 10
Which vital sign provides the most immediate indication of the effectiveness
of ventilations?
A) Blood pressure
