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EMD COURSE V14 ACTUAL FINAL EXAM 2025 QUESTIONS AND CORRECT DETAILED ANSWERS - VERIFIED A, Exams of Nursing

EMD COURSE V14 ACTUAL FINAL EXAM 2025 QUESTIONS AND CORRECT DETAILED ANSWERS - VERIFIED ANSWERS ALREADY GRADED A+ NEW GUARANTEE PASS

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2024/2025

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EMD COURSE V14 ACTUAL FINAL EXAM 2025 QUESTIONS
AND CORRECT DETAILED ANSWERS - VERIFIED ANSWERS
ALREADY GRADED A+ NEW GUARANTEE PASS
A second-party caller reports that a 45-year-old female has
been bitten by a snake. Key Questioning finds: snake is now
dead patient is alert
no difficulty breathing or swallowing
What is the most appropriate Determinant Code? - CORRECT ANSWER
2-D-4
An effective quality improvement program includes case review,
feedback, and: - CORRECT ANSWER continuing dispatch education
(CDE)
MPDS words or phrases that have a specific dispatch definition are
marked using: - CORRECT ANSWER all uppercase text (all capital
letters)
The Priority Symptoms are: - CORRECT ANSWER abnormal breathing,
chest pain/discomfort (any), decreased level of consciousness, and
SERIOUS hemorrhage
An alert, 34-year-old, first-party caller reports that he is having chest
pain. Key Questioning finds: slight difficulty breathing no difficulty
speaking between breaths clammy
no history of heart attack or
angina no drugs or medications
in the past 12 hours
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Download EMD COURSE V14 ACTUAL FINAL EXAM 2025 QUESTIONS AND CORRECT DETAILED ANSWERS - VERIFIED A and more Exams Nursing in PDF only on Docsity!

EMD COURSE V14 ACTUAL FINAL EXAM 2025 QUESTIONS

AND CORRECT DETAILED ANSWERS - VERIFIED ANSWERS

ALREADY GRADED A+ NEW GUARANTEE PASS

A second-party caller reports that a 45-year-old female has been bitten by a snake. Key Questioning finds: snake is now dead patient is alert no difficulty breathing or swallowing What is the most appropriate Determinant Code? - CORRECT ANSWER 2 - D- 4 An effective quality improvement program includes case review, feedback, and: - CORRECT ANSWER continuing dispatch education (CDE) MPDS words or phrases that have a specific dispatch definition are marked using: - CORRECT ANSWER all uppercase text (all capital letters) The Priority Symptoms are: - CORRECT ANSWER abnormal breathing, chest pain/discomfort (any), decreased level of consciousness, and SERIOUS hemorrhage An alert, 34-year-old, first-party caller reports that he is having chest pain. Key Questioning finds: slight difficulty breathing no difficulty speaking between breaths clammy no history of heart attack or angina no drugs or medications in the past 12 hours

What is the most appropriate Determinant Code? - CORRECT ANSWER 10 - D- 4 When using the MPDS, actual response assignments and emergency modes (lights-and-siren vs. no lights-and-siren) are predetermined by: - CORRECT ANSWER local Medical Control and EMS Administration You are using the Stroke Diagnostic Tool. The caller reports: slight difference in smile one arm higher than other (both raised, but unequally) said "The early bird catches the worm" correctly This should be considered: - CORRECT ANSWER STRONG evidence of stroke Which of the following is the best definition for "cervical cerclage"? - CORRECT ANSWER a surgical procedure meant to prevent premature dilation of the cervix and, therefore, premature labor A second-party caller reports that his 85-year-old sister says her heart is beating way too fast and she needs to go to the doctor. The patient is awake and breathing effectively. Immediately after completing Case Entry interrogation, you should go to: - CORRECT ANSWER Protocol 19: Heart Problems/A.I.C.D A second-party caller reports that her 42-year-old husband is currently having a seizure. During Case Entry, the caller reports that the patient is not awake and is not breathing, but is still seizing. What is the most appropriate Chief Complaint Protocol to use for this case? - CORRECT ANSWER Convulsions/Seizures

What is the most appropriate Chief Complaint Protocol to use when the caller is reporting autonomic dysreflexia/hyperreflexia? - CORRECT ANSWER 26: Sick Person (Specific Diagnosis) Most emergency callers are uncooperative or hysterical. - CORRECT ANSWER false There is no way over the phone to tell whether STROKE-like symptoms are from a TIA (TRANSIENT ISCHEMIC ATTACK) or an acute STROKE. - CORRECT ANSWER true A second-party caller reports that his 52-year-old wife is complaining of abdominal pain. The patient: is completely alert is breathing effectively has never been diagnosed with an aortic aneurysm describes the pain as a dull ache nearly fainted trying to get out of bed has pain below the belly button (navel) What is the most appropriate Determinant Code? - CORRECT ANSWER 1 - C- 3 A second-party caller reports that a 28-year-old female has just been struck by lightning. The patient is currently unconscious and not breathing at all. Which pathway should be selected on Protocol C, Panel 4? - CORRECT ANSWER Ventilations (V) 1st When using Protocol 22, which of the following body parts is considered PERIPHERAL? - CORRECT ANSWER hand

The International Academies of Emergency Dispatch recommends that emergency dispatchers verify the address and callback number by repeating the information back to the caller. - CORRECT ANSWER false A second-party caller reports that an unconscious man is slumped over the steering wheel of his car in the parking lot of her apartment complex. The caller does not know if the patient is breathing. A note attached to the driver's side window says "Warning! Dangerous chemicals inside!" What is the most appropriate Chief Complaint Protocol to use for this case? - CORRECT ANSWER 8: Carbon Monoxide/Inhalation/HAZMAT/CBRN In response to Case Entry Question 3, a 1 0 - year-old caller reports that he believes his 16-yearold sister has drowned. She is currently at the bottom of the family swimming pool. What should you do next? - CORRECT ANSWER Send 14-E-2, provide Case Entry PDIs a and c, and then return to questioning. Which of the following lists contains the four elements necessary to prove negligence in a court of law? - CORRECT ANSWER duty, breach of duty, damage, causation You are providing Childbirth-Delivery instructions from Protocol F. In response to the operant question on Panel 10, "Is the afterbirth (placenta) out yet?" the caller reports that the afterbirth is not out, but the mother is experiencing serious cramping. What should you do next?

  • CORRECT ANSWER Link to Panel 37.

The Gap Theory suggests that: - CORRECT ANSWER silent "gaps" during a call can elevate caller anxiety. A second-party caller is reporting that her 10-year-old daughter accidentally cut herself with a sharp knife and is bleeding all over. The patient is awake and breathing. In response to Key Question 1 on Protocol 21, the caller reports that the patient is bleeding from her cheek. What should you do next? - CORRECT ANSWER Ask Key Question 2 on Protocol 21. The symbol in the "Go To" column of a Chief Complaint Protocol directs you to: - CORRECT ANSWER use the Stroke Diagnostic & return to questioning. Which of the following is the best definition for "wake-effect collision"?

  • CORRECT ANSWER a traffic accident caused by the passage of an emergency vehicle that does not directly involve (hit) the emergency vehicle A high school teacher reports that a 16-year-old student accidentally cut her finger off in the woodshop. There is some bleeding, but the bleeding is not SERIOUS. The patient is alert, and the accident happened about 5 minutes ago. What is the most appropriate Determinant Code? - CORRECT ANSWER 30 - A- 2 A second-party caller reports that his wife is in labor. He does not believe they can get to the hospital in time. Key Questioning finds: 39 weeks pregnant cannot see any part of the baby yet third full pregnancy and delivery contractions 2

minutes apart no SERIOUS bleeding no HIGH RISK complications What is the most appropriate Determinant Code? - CORRECT ANSWER 24 - D- 3 When a caller is having difficulty understanding you over the phone, speaking slower is generally more helpful than speaking louder. - CORRECT ANSWER True The symbol in the "Go To" column of a Chief Complaint Protocol directs you to: - CORRECT ANSWER go to PDIs, then DLS Links. A second-party caller is reporting that her 11-year-old son burned his hand and arm when a recreational firework went off in his hand. Key Questioning finds: nothing still burning or smoldering completely alert no difficulty breathing hand and arm burned (no other injuries reported) happened 10 minutes ago What is the most appropriate Determinant Code? - CORRECT ANSWER 7 - A-1W A second-party caller reports that his nine-month-old daughter just fell 12 feet (3.5 meters) from a balcony. The caller reports that there is no bleeding and that the patient is completely alert, but he is worried because she hit her head. The patient has been moved inside. What is the most appropriate Determinant Code? - CORRECT ANSWER 17 - D- 6

seizure. Key Questioning finds: not more than one seizure in a row not diabetic epileptic (diagnosed seizure disorder) no history of STROKE or brain tumor jerking (twitching) stopped effective breathing verified using AGONAL BREATHING Detector What is the most appropriate Determinant Code? - CORRECT ANSWER 12 - A-1E According to the First Law of Chest or Back Pain, "hurts to breathe" should be considered the same as difficulty breathing until proven otherwise. - CORRECT ANSWER false On the Case Entry Protocol, use of the AGONAL BREATHING Detector is not necessary when UNCERTAIN BREATHING or INEFFECTIVE BREATHING is associated with unconsciousness. - CORRECT ANSWER true A third-party caller reports that a bus full of passengers just crashed into a large tree. The caller has no other information about the incident. What is the most appropriate Determinant Code? - CORRECT ANSWER 29 - D-1b Not Breathing Situations - CORRECT ANSWER Hanging, Strangulation, Suffocation, COMPLETE Obstruction, etc. Ineffective Breathing phrases - CORRECT ANSWER "Barely breathing", "Can't breath at all", "Gasping", "Turning purple", etc. Obvious extreme respiratory distress (1st party) - CORRECT ANSWER A 1st party caller exhibiting signs including, but not limited to, fighting

for each breath, using single words or syllable to express her/himself, expressing extreme desperation, or thoughts of impending death. Agonal Breathing - CORRECT ANSWER An ineffective, deteriorating breathing pattern that lingers after the heart has essentially stopped pumping blood to the brain. Uncertain Breathing - CORRECT ANSWER A situation where a 2nd party caller is uncertain, unsure, indefinite, or ambiguous when asked if an unconscious patient is breathing. MEDICAL - CORRECT ANSWER A sudden, unexplained collapse resulting in unconsciousness, even when reported as ground-level fall, should be considered _________________ cardiac arrest until proven otherwise. TRAUMATIC - CORRECT ANSWER When cardiac arrest appears to be ____________ in nature, choose the Chief Complaint Protocol that best fits scene safety concerns and the mechanism or injury. Mechanism of injury - CORRECT ANSWER If the complaint description suggests TRAUMA, choose the Chief Complaint Protocol that best addresses the _________________. foremost symptom - CORRECT ANSWER If the complaint description appears to be MEDICAL in nature, choose the Chief Complaint Protocol that best fits the patient's ________________ , with consideration given to priority symptoms.

Scene Safety - CORRECT ANSWER Any significant ____________________ concerns take precedence and must be addressed before the provision of patient care instructions. Sinking Vehicle - CORRECT ANSWER For a 1st party caller in a _________________, obtaining an exact location, when not immediately available, should not delay PAI's. Case Entry Questioning - CORRECT ANSWER __________________________ must always be completed after PDIs when directed by the protocol. Aortic Aneurysm - CORRECT ANSWER A condition in which a patient simultaneously describes with "tearing" or ripping" pain in the back or flank and in the abdomen. Protocol 10 - CORRECT ANSWER Pressure, tightness, discomfort, present in the arm(s), jaw, neck, or upper back should be handled on


Below - CORRECT ANSWER Pain described as AT the level of the navel should be considered ___________ the navel. Difficulty speaking between breaths - CORRECT ANSWER Unable to complete a full sentence without taking a breath SWARMING Attack - CORRECT ANSWER An active attack by a swarm of stinging bees, wasps, hornets, etc.

MAULING (Savaging) - CORRECT ANSWER An attack that produces serious, multiple wounds or injuries, as opposed to a single or limited number of bites. SERIOUS Hemorrhage - CORRECT ANSWER Uncontrolled bleeding (spurting or pouring) from any area. direct pressure (bleeding control) - CORRECT ANSWER In cases of traumatic arrest involving SERIOUS hemorrhage, _________________ on external wounds by a second rescuer, while CPR is initiated by a primary rescuer, may increase patient survival. Head tilt - CORRECT ANSWER The ________________ is the only recognized method of airway control in the PAI dispatch environment. Avoided - CORRECT ANSWER When possible, direct pressure on the would should be ____________ in the presence of visible fractured bone or foreign objects. NON-TRAUMATIC - CORRECT ANSWER Not primarily caused by an external physical injury "Hurts to breathe" - CORRECT ANSWER First Law or Chest or Back Pain: ______________ is not considered difficulty or abnormal breathing. "Do what the doctor has instructed for these type of situations" - CORRECT ANSWER If the caller asks whether the patient should be given their medication, the ED should respond.

airway obstruction - CORRECT ANSWER A healthy child found in cardiac arrest is considered to have a ________________ until proven otherwise. Protocol 12 - CORRECT ANSWER When the complaint description strongly suggests GENERALIZED seizure, go to _________________ regardless of consciousness and breathing status. AED - CORRECT ANSWER Automated external defibrillator, might also be called "shock box". Protocol 30 - CORRECT ANSWER For chest pain due to trauma (current or non-recent) go to ___________________. Awake, talking, and responding (functionally alert) - CORRECT ANSWER Use of the Aspirin Diagnostic & Instruction Tool may be considered when a patient is reported to be not alert but is known to be _________________________. Over 16, alert, not pregnant, no reported STROKE symptoms - CORRECT ANSWER Qualifications to take aspirin COMPLETE Obstruction - CORRECT ANSWER Prevents talking, breathing, or coughing Back slaps - CORRECT ANSWER Are not recommended in the DLS environment for a choking patient.

Protocol 11 - Are they breathing or coughing at all? - CORRECT ANSWER Which protocol prompts an additional question to be asked BEFORE case entry questions 1 "Are you with the patient now"? ATYPICAL Seizure - CORRECT ANSWER A seizure that is mentioned as different from or not normal as compared to the patient's previous seizures. ABSENCE Seizure - CORRECT ANSWER A brief "staring spell" in a conscious patient. FOCAL Seizure - CORRECT ANSWER Localized twitching of a part of the body, such as the hand, arm, leg, or face, in a conscious patient. Breathing Verification Diagnostic - CORRECT ANSWER Use when the patient is unconscious and some breathing reported by the caller is questionable to you, or when mandated by the protocol. Protocol 13 - CORRECT ANSWER The report of blood sugar abnormality should be handled on ________________________. Airway - CORRECT ANSWER The _______________ of an unconscious patient must be constantly maintained. A caller reports she is pregnant and having abdominal pain. In response to Key Question #1, Protocol 24, she indicates she is 22 weeks along. How many additional Key Questions would the EMD need to ask? - CORRECT ANSWER c. Two (#6 and #7)

An alert, first-party caller reports that he was just bitten by a rattlesnake. What is the best Chief Complaint Protocol? - CORRECT ANSWER a. 2: Allergies (Reactions)/Envenomations (Stings, Bites) Pre-Arrival Instructions (PAIs) must be read: - CORRECT ANSWER a. exactly as written. The head-tilt is the only recognized method of airway control in the PAI dispatch environment. - CORRECT ANSWER a. True In response to Key Question 1a on Protocol 12, the caller reports that the 14-year-old patient was not alert between seizures. What should you do next? - CORRECT ANSWER d. Initiate a 12D-2 response, provide all appropriate PDIs, and then return to questioning. In response to Case Entry Question 3, the caller reports that her 16- year-old brother is on fire. What should you do next? - CORRECT ANSWER c. Initiate a 7-E-1 response, provide Case Entry PDIs a and h, and return to questioning. A second-party caller reports that his 8-year-old sister is currently having what appears to be a GENERALIZED seizure. The patient is not awake and not breathing. What is the best Chief Complaint Protocol? - CORRECT ANSWER c. 12: Convulsions/Seizures Pre-Arrival Instructions should always be given, regardless if there is a scene safety concern. - CORRECT ANSWER b. False During Case Entry, the caller indicates the patient is awake, but having INEFFECTIVE BREATHING. In Protocol 6, Key Question #1, the caller

indicates the patient is not completely alert. What should the EMD do next? - CORRECT ANSWER c. Shunt to Key Questions #4 and # Caller reports a patient has been bitten on their foot by a snake. The patient is awake and breathing normally with no other symptoms. What is the appropriate determinant code? - CORRECT ANSWER b. 2 - D- 4 If an AED is a long way from the scene, the EMD should begin CPR instructions (BC-4) and return to Protocol Z when the AED arrives. - CORRECT ANSWER a. True Which Pre-Arrival Protocol would you use for an unconscious, adult choking victim? - CORRECT ANSWER b. Protocol C While providing CPR instructions via Protocol C to an adult cardiac arrest victim, the caller reports the patient vomits just after the instructions from panel 8 were successfully given. What should the EMD do next? - CORRECT ANSWER b. Read the instructions from panel 15, then return to sequence Post-Dispatch Instructions will be read as scripted but may be enhanced with a situational or conditional statement as long as the meaning or intent of the instruction is kept intact. - CORRECT ANSWER a. True A question with the pre-question qualifier of female 12- 50 should be asked - CORRECT ANSWER only when the caller reports that the patient is a female between the ages of 12 and 50