Download COPR PCP Exam 1 Questions and Answers Latest Versions 2025 Top Rated A+ . and more Exams Nursing in PDF only on Docsity!
COPR PCP Exam 1 Questions and
Answers Latest Versions 2025 Top
Rated A+
Which of the following diagnoses are most likely for a non responsive patient with dilated pupils? a. A hypoxic patient b. An intoxicated patient c. A patient with syncopal episode d. A patient who has overdosed on an opioid - A Paramedics arrive on scene with the fire department for an unresponsive patient. While the paramedic is doing the assessment, which of the following delegation of tasks is most appropriate? A. Airway management and ventilation- pcp partner Retrieve portable stretcher - fire personnel Collection of medication - fire personnel Collection of patient identity and medical history - Emr B. Airway management and ventilation- emr Retrieve portable stretcher - pcp partner Collection of medication - fire personnel Collection of patient identity and medical history - Fire personnel C. Airway management and ventilation- fire personnel Retrieve portable stretcher - pcp partner Collection of medication - emr
Collection of patient identity and medical history - fire personnel D. Airway management and ventilation- fire personnel Retrieve portable stretcher - emr Collection of medication - fire personnel Collection of patient identity and medical history - Pcp partner - A Use the following information to answer the nest 4 questions Age : 78 years old Gender : female C/c : chest pain Past medical Hx : angina , type two diabetes Medications: n/a 1st vital signs RR: 24, HR: 110, BP: 158/88, SPO2: 90% on room air, BGL: 5.9mmol/l Physical findings: n/a Other information: patient was shovelling snow when she experienced substernal chest pain. Patient has taken two sprays of prescribed nitro with no relief. Which of the following illnesses would not be included in the paramedics differential diagnosis? a. Pneumonia b. Cholecystitis c. Congestive heart failure d. Gastroesophageal reflux disease - B Which of the following drug combinations is appropriate for the management of chest pain? a. Asa, oxygen, nitro b. Asa, Entonox, nitro
c. A 23 year old patient who is unconscious in a supine position from alcohol intoxication and has vomited d. A 42 year old patient diagnosed with pneumonia who is sitting in a recliner coughing up discoloured phlegm - C Which of the following actions is the first priority for a paramedic attending to an elderly female patient who is lethargic and has a spo2 of 92%? a. Administering oral glucose b. Attaching a cardiac monitor c. Administering high flow oxygen d. Performing a blood glucose test - C The paramedic is called for a one year old with a hoarse voice and stridor. Shortly after the paramedic arrives the patient struggles to breath. The paramedic assesses the airway and does not see anything. What is the paramedics next course of action? a. Encourage the patient to cough b. Stand behind the child and perform a series of abdominal thrust c. Lay the child down on the floor and provide a series of chest thrust d. Place the child over one arm and perform five back blows followed by five chest thrust - B A BLS crew is transporting to the hospital a patient who is experiencing acute abdominal pain and is continuously moaning and moving about on the stretcher. Which of the following actions is most appropriate for the paramedic to perform? a. Administer nitrous oxide and place patient in semi-fowler's position b. Remove the straps on the stretcher to allow them to move more freely c. Ask the patient if there is a more comfortable position he would prefer to be in d. Advise the patient that he should try to stop moving as this is only the pain worse - C
Where is insulin produced within the body? a. In the liver b. In the spleen c. In the kidneys d. In the pancreas - D Use the following information to answer the next four questions Age: 6 years old Gender: male C/c : unresponsive Past medical Hx: n/a Medications: n/a 1st vital signs: HR: 0, RR:0, BP:0, SpO2: 50% Physical findings: third degree burns on right arm and Palm Other information: child was playing with a steel rod when he accidentally came in contact with electrical house service. Steel rod is found four feet away from supine unconscious child. Scene is safe with no smoke, fire, or potential electrocution. Unwitnessed event. Which of the following hazards should be the first concern of the paramedics? a. Fire from a blown fuse b. Contact with the power source c. Steel rod laying next to the patient d. Residual electrical charge in the patient - B On what percentage of body surface area has this patient suffered third degree burns?
. A. 1%
a. Caller b. Police c. Parents d. Paramedic - C In the pediatric patient, which of the following sites provides the most accurate temperature measurement? a. Oral b. Axilla c. Rectal d. Tympanic - C The paramedic has just delivered a baby and in the initial assessment note that the infant is breathing, but appears cyanosis, with a brachial pulse of 70. What is the paramedics next action? a. Initiate CPR b. Provide tactile stimulation c. Positive pressure ventilatory assistance d. Provide supplemental oxygen via blow by method - B The paramedic is called to a residence of a 55 year old male with end stage prostate cancer. The patient is having trouble breathing. The paramedic ask the patients wife if the patient has an advance directive or a DNR in place. The wife recalls that her husband signed something once but says that they both want the paramedic to provide help now. How should the paramedic respond? a. Prepare the patient for transport to local hospital and let nurses and doctors deal with the situation. b. Assess the patient, and if he needs oxygen, administer 10LPM via NRB, and prepare to transport c. Explain to the wife that since the patient has a signed a document, nothing can be done for him, and then offer to transport the patient to hospital
d. Assess the patient, explain to the wife that since her husband is near the end, difficultly breathing is expected, and then leave the patient at home. - B An unconscious patient is lying in bed. The paramedic has eliminated the possibility of cervical spine injury and notes that the patient has noisy, snoring respirations. Which of the following actions should the paramedic perform next? A. Auscultate chest B. Assess carotid pulse C. Reposition the patients head D. Position patient lateral - C Use the following information to answer the next 6 questions Age: 44 years old Gender: male C/c : altered level of consciousness Past medical Hx: diabetes, alcoholism Medications: insulin 1st vital signs: HR: 104, RR:12, BP:134/68, SpO2: 90% on room air Physical findings: pale, cool, clammy skin, patients eyes are open Other information: patient was found by his family at his home The paramedic continues to treat the patients condition but after 10 minutes the patient remains confused with only slight improvement to his speech. The patients BGL has improved to 3.5 and transport to the nearest hospital is more than 15 minutes. Give these circumstances, which of the following treatments is most appropriate? a. Administer oxygen and 180mg of ASA b. administer oxygen with rapid transport c. Administer oxygen and call medical control for direction d. Administer oxygen and a tube of glucogel (oral glucose paste) - D
D. Blood glucose - D At the hospital the paramedic begins to complain to her partner about the patient saying that if most patients would just take better care of themselves and take their medications, they wouldn't waste the paramedics time. Which of the following responses to the paramedic would be most appropriate? A. You could say the same about all of our patients, but it's what keeps us in business B. Stop complaining about these patients, this is our job and you should be used to it C. I don't think the patients are doing this on purpose, you should try to be more understanding D. You're right I get tired of these calls all the time, these patients don't seem to car don't themselves - C The paramedic arrives on scene to an eight mouth old patient with febrile seizures. What is the most appropriate treatment? A. Remove excess clothing B. Put the patient in an ice bath C. Insert and OPA and begin ventilations D. Turn on air conditioning in ambulance - A The paramedic is preparing a patient for air transport to a local stroke centre. In her left arm, the patient has an 18g IV running normal saline TKO. Which of the following courses of action should the paramedic consider prior to loading the patient in the airplane. A. Discontinue the IV B. Take no further action C. Open roller clamp to provide extra fluid D.Place any IV bags in a pressure infused cuff - D Which of the following techniques may need to be adapted when providing care to an obese patient?
A. ECG lead placement, auscultation, and oxygen administration B. Blood pressure cuff size, auscultation, and ECG interpretation C. ECG lead placement, blood pressure cuff size, and auscultation D. Blood pressure cuff size, oxygen administration, ECG interpretation - C Paramedics arrive on scene for a 15 year old male who is dressed in several layers of clothing, is very dirty with matted hair, and emits a pungent odour of vomits and alcohol. The patient is responsive, verbally abusive to bystanders, and has no obvious mechanism of injury. Which of the following approaches is the most appropriate? A. Introduce themselves and ask if the patient would like assistance B. Call the police and return to the station as no treatment is required
. C. Speak assertively to get the patients attention and tell him to calm down . D. Assist the patient to the ambulance and transport him to the nearest shelter - A Regular exercise, adequate sleep, and a nutritional diet are elements that contribute to a good mental and physical health. Which of the following practices is another contributor to a good mental health and physical health? A. Attending regular counselling sessions B. Consuming alcoholic beverages in moderation C. Engaging in leisure activities unrelated to work D. Having regular contact with siblings and parents - C Which of the following questions is the least relevant when dealing with a patient experiencing cardiac related chest pain? A. What allergies do you have? B. When did the chest pain start? C. When was your last oral intake? D. What were you doing when the pain started? - C
D. Gross negligence - A A paramedic is attending a patient who is experiencing non traumatic back pain. As the paramedic is going through SAMPLE with the patient, what question should be asked when the M is reached? A. Do you have any mild pain? B. Are you on any medications? C. Do you have a medical alert bracelet? D. Are you having a medical emergency? - B Paramedics are treating an unconscious male who is unable to maintain his airway. The paramedics deem that an airway adjunct is a necessary intervention and decide to insert an OPA. Which of the following actions should the paramedic take first? A. Prepare a laryngoscope with the appropriately sized blade B. Clear the upper airway of all secretions, blood, or vomitus. C. Insert the OPA following the natural curvature of the mouth D. Position the patient on his left side prior to insertion of the OPA - B A patient is in cardiac arrest with CPR in progress by the paramedic in the back of an ambulance. Which of the following practice is considered good vehicle pertain in this situation? A. Ensure lights and sirens are on so that rules of the road are exempt to the ambulance B. Drive according to the condition of the road to maximize resuscitation effort C. Drive moderately to allow family members to keep up with the ambulance D. Drive as fast as possible to ensure timely transport to a hospital - B A paramedic is attending to a patient who is experiencing non traumatic back pain. As the paramedic is going through SAMPLE with the patient, what question should be asked when the A is reached?
A. Are you acutely ill? B. Are you an alcoholic? C. Are you allergic to anything? D. What activities were you doing? - C What is the definition of obesity? A. Weight that is more than 5% over the ideal body weight B. Weight that is more than 10% over the ideal body weight C. Weight that is more than 15% over the ideal body weight D. Weight that is more than 30% over the ideal body weight – D Your patient is on a pulse oximeter and the reading is 100% saturation. What does this value represent? a. That 100% of hemoglobin is bound b. That the patient is on 100% oxygen by mask c. That the blood will not carry any more oxygen d. That the partial pressure of oxygen is 100mmHg in the arterial blood - A How often should a paramedic conduct on going exam for a trauma patient? a. Every 5 minutes for all patients b. Every 10 minutes for all patients c. Every 5 minutes for unstable patient and 10 minutes for stable patients d. Every 5 minutes for unstable patient and 15 minutes for stable patients - D A paramedic is assessing a mutli-system trauma patient involving chest and abdominal injuries and fractures to the left clavicle and the lower extremities. The paramedic determines that rapid transportation to hospital is required due to suspected hypo olefin shock. Which of the following methods is most appropriate for transporting this patient?
c. A call involving two or more vehicles in an area where there is no tiered response d. A call where the available resources are insufficient to manage the number of patients - D Febrile seizures typically occur in children in which of the following age ranges a. 1 month to 1 year of age b. 1 month to 5 years of age c. 6 months to 2 years of age d. 6 months to 5 years of age - D An EMS crew is having lunch at a restaurant when a six month old child starts choking. Upon assessment, the paramedics find that the child is conscious and has an airway obstruction that is not visible. Which of the following actions should the paramedics take? a. Start cpr b. Perform 5 back blows c. Perform 5 abdominal thrust d. Do a finger sweep to remove the object - B Which of the following lifestyle factors is not affecting by shift work? a. Diet b. Sleep c. Health d. Knowledge - D Who are the paramedics most significant safety concern? a. The police
b. The patient c. The residents d. The paramedic - D The paramedic is dispatched to a group home for a male in his 30s causing a disturbance. How should the paramedics safety and effectively manage this scene? a. Assess patient and then move him to the ambulance b. Ask the staff to restrain the patient so that he can be assessed c. Ask the patient to meet you outside and then assess the patient d. Wait for police to arrive and secure the scene before entering and assessing the patient - D Use the following information to answer the next 6 questions Upon arrival at the scene the group home worker states that the patient has bipolar disorder and is often noncompliant with his medications. Which of the following characteristics is not typical during the manic phase of this disorder? a. Decreased need for sleep b. More talkative than usual c. Decreased in goal-directed activity d. Inflated in self-esteem or grandiosity - C The patient appears somewhat agitated and is pacing back and forth in his bedroom. How should the paramedics approach the patient? a. Ask the patient to stop pacing b. Ask the patient if he needs help c. Ask the patient to get on the stretcher
Paramedics respond to a call for an injured 17 year old male with a suspected femur fracture sustained during a basketball game. After paramedics immobilize the injured limb, which of the following methods should they use to transfer this patient from the floor to the stretcher? a. Roll him onto a spine board and then lift onto the stretcher b. Immobilize him to a stair chair and then wheel him to the stretcher c. Place him on a scoop stretcher and carry him out of the gym to the stretcher d. Position the stretcher close to the patient and then lift him directly onto it - D
