EMT FINAL EXAM CORRECT QUESTIONS AND ANSWER 100%, Exams of Nursing

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1.In , the placenta separates prematurely from the wall of the uterus.- Ans Abruptio placenta 2. TRUE or FALSE. Labor is usually longer in a multigravida and shorter in a primigravida. Ans false - Labor is usually longer in a primigravida, a woman who is experiencing her first pregnancy, and shorter in a multigravida, a woman who has experienced previous pregnancies 3. TRUE or FALSE. Lightening occurs when the head of the fetus descends into the woman's pelvis as the fetus positions for delivery. Ans true 4. TRUE or FALSE. Meconium in the amniotic fluid may result in 1/67 respiratory distress or an airway obstruction in the newborn. Ans true 5. TRUE or FALSE. The risk of perineal tearing during labor can be reduced by applying gentle pressure across the perineum with a sterile gauze pad. Ans true 6. In which of the following instances should you insert your fingers into the pregnant patient's vagina? Ans 1. In a breech birth 2. Prolapse of the umbilical cord 7. Which of the following is a normal change in pregnancy? Ans Increased respira- tory rates and decreased minute volumes 8. When transporting a pregnant patient in her third trimester, how should you position her? Ans On her left side can prevent supine hypotensive syndrome 9. When does the onset of labor begin? 14. What is a primary characteristic of eclampsia? Ans Seizures 15. Which of the following is a sign that delivery is imminent? Ans Crowning 16. The answer to which of the following questions will help you determine whether delivery for this patient is imminent? Ans Is this your first baby? (first pregnancies tend to have longer labor) 17. Which of the following are true about the pediatric airway? Ans 1. Children have a funnel-shaped upper airway. 2. Pediatric airway is smaller in diameter and shorter in length 3. smaller lungs mean that the oxygen reserves are smaller 18. is/are the recommended way to relieve a severe airway obstruc- tion in an unconscious child. Ans Chest compressions 19.A provides 24% to 44% oxygen concentration. Ans Nasal cannula 20. TRUE or FALSE. The postictal state begins once a seizure has stopped; the patient's muscles relax, becoming almost flaccid, and the breathing 5/67 parent, while taking the medical history? Ans School-age School-age children (6-12 years) begin to act more like adults. Including them in the history-taking conversation helps build trust. 26. aaaaaaaaaaaaaWhich of the following is true about a child's breathing? Ans - Because less air is exchanged with each breath, detection of poor air movement or complete absence of breath sounds can be difficult. 27. What does the PAT assess? Ans Appearance, work of breathing, circulation 28. aaaaaaaaaaaaWhat should you use the Wong-Baker FACES scale to deter- mine? Ans pain level 29. What does respiratory syncytial virus (RSV) cause? Ans Bronchiolitis 30. You are assessing a 6-year-old boy who has a fever of 102 and is showing signs of altered LOC. He is complaining of pain when he tries to turn his head. What condition should you suspect? Ans Meningitis 31. In a normal adult, greater than 30% to 40% of blood volume loss signifi- cantly increases the risk of shock. What is the threshold of blood volume loss in children? Ans 25% 32. You are using JumpSTART in a triage situation involving several children. How would you rate a patient who is breathing spontaneously, has a peripheral pulse, and is appropriately responsive to painful stimuli? Ans yellow tag 33. aaaaaYou are responding to a 9-1-1 call where the mother reported finding her 3-month-old daughter cyanotic and unresponsive in her crib. When you stimulate the child, she responds. This is an example of what condition? Ans Ap- parent life-threatening event changes significantly as a consequence of aging. Ans false - Function of the small and large bowel changes little as a consequence of aging, although the incidence of certain diseases involving the bowel (such as diverticulosis) increases as a person grows older 39. TRUE or FALSE. A geriatric patient with cholecystitis generally presents with left lower quadrant pain and fever. Ans false - A geriatric patient with diverticulitis generally presents with left lower quadrant pain and fever. Patients with inflammation of the gallbladder (cholecystitis) will have fever and right upper quadrant pain that may radiate to the shoulder. 40. Which of the following statements are true about hyperosmolar hyper- glycemic nonketotic syndrome (HHNS)? Ans 1. The signs and symptoms of HHNS and DKA often overlap. 2. Blood glucose levels are typically 600 mg/dL or higher. 41. TRUE or FALSE. Nearly half of fatal falls in geriatric patients result in traumatic brain injury. Ans true 42. TRUE or FALSE. Forcing an older patient who is short of breath into a supine position may result in respiratory distress or failure. Ans true 43. TRUE or FALSE. The respiratory rate in an older patient is faster than that of a younger adult. Ans false - The respiratory rate should be in the same range as in a younger adult, but chest rise will be compromised by increased chest wall stiffness 44. TRUE or FALSE. You should remove the patient's dentures when assessing the airway. Ans false - Dentures should not be removed unless they obstruct the airway or interfere with ventilation when rescue breathing is needed 45. Although more typically seen in children, can also cause seri- Ans Age 49. In arteriosclerosis, overproduction of abnormal collagen and decreased quantities of elastin lead to what? Ans Decreased coronary artery perfusion 50. Which of the following is true regarding delirium? Ans Memory remains intact. 51. You are working on a geriatric patient who reports severe abdominal pain radiating through her back and flank. She also reports discomfort in her right leg and your assessment reveals a diminished pulse in the extremity. What should you suspect? Ans Abdominal aortic aneurysm 52. aaaaaaaaWhich of the following groups are most likely to commit suicide?- Ans White males older than 85 years 53. Which of the following would be part of the "S" component of the GEMS diamond? Ans Activities of daily living G = geriatric E = environment (are there drug bottles lying around?) M = medical assessment S = patient's activity such as being able to eat/bathe/social network 54. On auscultation of a patient's lungs, you hear crackles. These lung sounds are caused by air passing through what? Ans Fluid in the alveoli 55. Which of the following questions should you ask if you suspect a patient may have congestive heart failure? Ans "How many pillows do you sleep on?" The need to sleep on several pillows suggests early congestive heart failure. 56. is a developmental disorder characterized by impairment of social interaction. Ans autism 57. TRUE or FALSE. Patients with spina bifida may also have are communicating with a patient who has autism? Ans Speak normally and provide simple, one-step directions. 62. What does the TEAM approach stand for? Ans Trust Every Available Member 63. Nerve damage to the inner ear results in what? Ans Sensorineural deafness 64. You are at the home of an elderly man who has a tracheostomy tube and is on mechanical ventilation. His ventilator has malfunctioned. Once you disconnect the ventilator, what should you do? Ans Deliver oxygen using a face mask over the stoma. 65. A patient with epilepsy is likely to have which of the following medical devices? Ans Vagus nerve stimulator This device is a form of treatment used for seizures that are not controlled with antiepileptic medications. 66. aaaaaaaaWhich of the following is the best source of information when you are dealing with an autistic patient? Ans Family members/caregivers 67. Which of the following mnemonics is helpful when you are dealing with a tracheostomy tube obstruction? Ans DOPE DOPE (Displaced, dislodged, or damaged tube; Obstructed tube [secretions, blood, mucus, vomitus]; Pneumothorax; Equipment failure [kinked tubing, ventilator mal- function, empty oxygen supply]) can help you remember the possible causes of an airway obstruction and correct the problem. monitoring blood pressure at the side of the stretcher 72. TRUE or FALSE. A Type | ambulance is a standard van, forward-control integral cab-body ambulance. Ans false - A Type | ambulance is a conventional, truck cab-chassis with a modular ambulance body that can be transferred to a new chassis as needed. A Type Il ambulance is a standard van, forward-control integral cab-body ambulance. 73. TRUE or FALSE. Portable suctioning units must be powerful enough to generate a vacuum of 300 mm Hg when the tube is clamped. Ans true 74. TRUE or FALSE. The most common cause of AED malfunction is a dead battery. Ans true 75. Removal of all microbial contamination is accomplished through Ans Sterilization 76. Identify which of the following statements is/are true with regard to laws and regulations governing ambulances. Ans 1. An emergency vehicle is never al- lowed to pass a school bus that has stopped to load or unload children and is displaying its flashing red lights or extended "stop arm" 2. When driving on a highway with your emergency devices activated, always travel in the far left-hand lane 77. The six-pointed Star of Life emblem identifies vehicles that meet which of the following criteria? Ans Meet federal specifications as licensed or certified ambulances 78. aaaaaaaaaaalf you are on an emergency call with your warning lights and