EMT FINAL PRACTICE REVIEW FILE
◉ A 3 y/o male has inspiratory wheezes. After assisting with his
inhaler, you now hear both inspiratory and expiratory wheezing.
What should you do?
A) assist ventilations with a BVM
B) document the respiratory improvement
C) position him on his back and administer oxygen
D) call medical control to indicate deterioration. Answer: B)
document the respiratory improvement
◉ A 6 y/o apneic and pulseless female was pulled from a pool.
Bystanders have not started CPR. What should you do?
A) apply an AED and follow the commands
B) assist her ventilations
C) locate the parents for consent
D) start CPR and apply an AED. Answer: D) start CPR and apply an
AED
◉ Which sound indicates an upper airway obstruction?
A) crackles
B) rales
C) stridor
,D) wheezing
E) rhonchi. Answer: C) stridor
◉ How should you properly check responsiveness in an
unresponsive 2 month old?
A) gently shake the child
B) flick the soles of the feet
C) pinch the earlobe
D) rub the sternum with your knuckles. Answer: B) flick the soles of
the feet
◉ Which structure in an infant can cause excessive blood flow
between the aorta and pulmonary artery?
A) pediatric genome
B) cardiac inclosure
C) ductus arteriosus
D) patent umbilicus. Answer: C) ductus arteriosus
◉ What does bulging of the fontanelles indicate?
A) increased ICP
B) rupture to the pericardial membrane
C) imminent delivery
,D) dehydration. Answer: A) increased ICP
◉ What are the three areas of the Pediatric Assessment Triangle
(PAT)?
A) capillary refill, skin color, and alertness
B) appearance, work of breathing, circulation
C) LOC, blood pressure, and respirations
D) eye contact, dehydration, pulse. Answer: B) appearance, work of
breathing, circulation
◉ You respond for an unconscious 5 y/o. His mother reported that
he had an asthma attqack that began several hours ago, has had no
relief after using home nebulizer, and went unconscious shortly
before calling 911. Your assessment reveals that the patient's skin is
dusky, he responds to deep painful stimuli, and his breathing is slow
and shallow. After initiating ventilation with a BVM and squeezing
the bag every 5 seconds, his mentation and respiratory effort do not
change, and his pulse is 46 bpm. You should:
A) initiate compressions
B) attempt to place an OPA
C) initiate transport
D) increase the rate of ventilation. Answer: C) initiate transport
◉ How do you perform an assessment on a child?
, A) normal head to toe
B) toe to head
C) head then toes, then work up the chest
D) chest down to toes, then head last. Answer: A) normal head to toe
◉ When using an OPA for a pediatric patient, what should you do?
A) insert the OPA with a tongue depressor
B) not use an OPA for pediatric patients
C) rotate the OPA 180 degrees
D) rotate the OPA 90 degrees. Answer: A) insert the OPA with a
tongue depressor
◉ A 4 y/o male has AMS. Which of the following would be the LEAST
likely cause of the condition?
A) head injury
B) poisoning
C) stroke
D) hypoglycemia. Answer: C) stroke
◉ A 23 y/o female gave birth to a boy. What is the correct way to
stimulate him?
A) vigorously rub the child up and down
◉ A 3 y/o male has inspiratory wheezes. After assisting with his
inhaler, you now hear both inspiratory and expiratory wheezing.
What should you do?
A) assist ventilations with a BVM
B) document the respiratory improvement
C) position him on his back and administer oxygen
D) call medical control to indicate deterioration. Answer: B)
document the respiratory improvement
◉ A 6 y/o apneic and pulseless female was pulled from a pool.
Bystanders have not started CPR. What should you do?
A) apply an AED and follow the commands
B) assist her ventilations
C) locate the parents for consent
D) start CPR and apply an AED. Answer: D) start CPR and apply an
AED
◉ Which sound indicates an upper airway obstruction?
A) crackles
B) rales
C) stridor
,D) wheezing
E) rhonchi. Answer: C) stridor
◉ How should you properly check responsiveness in an
unresponsive 2 month old?
A) gently shake the child
B) flick the soles of the feet
C) pinch the earlobe
D) rub the sternum with your knuckles. Answer: B) flick the soles of
the feet
◉ Which structure in an infant can cause excessive blood flow
between the aorta and pulmonary artery?
A) pediatric genome
B) cardiac inclosure
C) ductus arteriosus
D) patent umbilicus. Answer: C) ductus arteriosus
◉ What does bulging of the fontanelles indicate?
A) increased ICP
B) rupture to the pericardial membrane
C) imminent delivery
,D) dehydration. Answer: A) increased ICP
◉ What are the three areas of the Pediatric Assessment Triangle
(PAT)?
A) capillary refill, skin color, and alertness
B) appearance, work of breathing, circulation
C) LOC, blood pressure, and respirations
D) eye contact, dehydration, pulse. Answer: B) appearance, work of
breathing, circulation
◉ You respond for an unconscious 5 y/o. His mother reported that
he had an asthma attqack that began several hours ago, has had no
relief after using home nebulizer, and went unconscious shortly
before calling 911. Your assessment reveals that the patient's skin is
dusky, he responds to deep painful stimuli, and his breathing is slow
and shallow. After initiating ventilation with a BVM and squeezing
the bag every 5 seconds, his mentation and respiratory effort do not
change, and his pulse is 46 bpm. You should:
A) initiate compressions
B) attempt to place an OPA
C) initiate transport
D) increase the rate of ventilation. Answer: C) initiate transport
◉ How do you perform an assessment on a child?
, A) normal head to toe
B) toe to head
C) head then toes, then work up the chest
D) chest down to toes, then head last. Answer: A) normal head to toe
◉ When using an OPA for a pediatric patient, what should you do?
A) insert the OPA with a tongue depressor
B) not use an OPA for pediatric patients
C) rotate the OPA 180 degrees
D) rotate the OPA 90 degrees. Answer: A) insert the OPA with a
tongue depressor
◉ A 4 y/o male has AMS. Which of the following would be the LEAST
likely cause of the condition?
A) head injury
B) poisoning
C) stroke
D) hypoglycemia. Answer: C) stroke
◉ A 23 y/o female gave birth to a boy. What is the correct way to
stimulate him?
A) vigorously rub the child up and down
