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EMT Final Exam Questions &
Answers Verified
1. 833 - Your 36 y/o pt is unresponsive upon attempting to insert an OPA, the
patient gags, You should
A. Insert a nasal airway
B. Suction the oropharynx
C. Reattempt using a smaller oral adjunct
D. Insert a dual lumen airway
ANS A. Insert a nasal airway
2. 903 - After air passes through the vocal cords during inhalation, which
structure does it reach next?
A. Trachea
B. Epiglottis
C. Alveolus
D. Bronchus
ANS A. Trachea
3. 906 - You are ventilating an apneic asthmatic pt with a BVM. The patient
has inadequate chest rise. You should
A. Decrease the rate of ventilations to 10/min
B. Use an O2 powered ventilation device
C. Increase the forcefulness of ventilations
D. Increase the rate of ventilations to 20/min
ANS A. Decrease the rate of ventila- tions to 10/min
4. 909 - A 72 y/o female pt is unresponsive following an ejection from a MVC,
she has an open jaw fracture and a dialated right pupil. What is the best way to open this pt's airway
A. Insert an OPA
B. Perform a modified head tilt chin lift
C. Insert a NPA
D. Perform jaw thrust
ANS C. Insert a NPA
5. 910 - A 4-Year-old female tracheostomy pt has pulled out her tracheostomy
tube. The opening is partially obstructed with skin. You should
A. Use a soft tip catheter and suction until clear
B. Insert a nasal airway into stoma
C. Wipe the area clean and perform mouth to stoma ventilation
D. Cut the skin away from the stoma
ANS A. Use a soft tip catheter and suction until clear
6. 908 - You are using a BVM and an OPA on an apneic pt. Suddenly it
becomes difficult to ventilate. You should first suspect that
A. The patients diaphragm has contracted
B. The pt has an airway obstruction
D. Swelling of the epiglottis
ANS C. The tongue
10. 949 - You are inserting an OPA into a 4 y/o pt you should
A. Use a tongue depressor to keep tongue out of the way
B. Use a head tilt chin lift
C. Insert the tip pointing toward the roof of the mouth
D. Use an airway that measures one size too small and rotate
ANS A. Use a tongue depressor to keep tongue out of the way
11. 951 - Initial assessment reveals an alert adult pt who is SOB. He is seated
in a tripod position using accessory muscles to breathe. Vital signs are BP 140/80 P 110, R 22 with crackles, SpO2 95%. You should
A. Administer O2 via NRB
B. Ventilate the pt with a BVM to slow respirations
C. Administer O2 via NC
D. Monitor pulse oximetry
ANS A. Administer O2 via NRB
12. 952 When suctioning a patient, you should
A. Suction on the way in for no more than 5 seconds
B. Suction on the way out for no more than 15 seconds
C. Suction on the way in for no more than 15 seconds
D. Suction on the way out for no more than 5 seconds
ANS B. Suction on the way out for no more than 15 seconds
13. 1139 - Which of the following is the most appropriate way to measure for
an OPA?
A. From the patient's earlobe to angle of the jaw
B. From the center of pt's mouth to earlobe
C. From the corner of the pt's mouth to the earlobe
D. From the tip of pt's nose to earlobe
ANS C. From the corner of the pt's mouth to the earlobe
14. 1141 - How should you ventilate an apneic adult pt?
A. Perform mouth to mask ventilation 12 breath per minute
B. Ventilate with a flow restricted PPV at 12-20 breaths per minute
C. Ventilate once every 5-6 seconds with a bag valve mask
D. Ventilate once every 3 seconds with a BVM
ANS C. Ventilate once every 5-6 seconds with a bag valve mask
15. 1142 - Your pt was involved in a MVC he is unresponsive and you hear
snoring respirations when he breathes. You should perform a
A. Head tilt neck lift with c-spine stabilization
B. Jaw thrust with c-spine stabilization
C. 2-8 LPM / 28%
D. 2-4 LPM / 35%
ANS A. 1-6 LPM / 44%
18. 1348 - Allowing for appropriate exhalation when assisting ventilations
can reduce/alleviate
A. The amount of air required to ventilate
B. Secretions when suctioning the pt's airway
C. Airway obstructions
D. Gastric distention-
ANS D. Gastric distention
19. 1350 - Which of the following is TRUE about the insertion of an OPA?
A. If properly inserted the OPA will keep the tongue out of the airway
B. The OPA should be inserted until the flange rests below the patient's teeth
C. The OPA is always rotated 360 degrees as it is inserted
D. The OPA is measured between the patient earlobe and nose
ANS A. If properly inserted the OPA will keep the tongue out of the airway
20. 1351 - Which of the following statements regarding suctioning of an adult
is TRUE?
A. You should start ventilations if suction cannot clear the airway
B. You should only suction for a max of 30 seconds
C. You should insert the suction catheter only as far as you can visualize
D. You should remove the suction catheter with the suction machine turned
off
ANS C. You should insert the suction catheter only as far as you can visualize
21. 1352. You are called to an elderly male who is having trouble breathing.
Respirations are at a rate of 24 and labored and the pt is cyanotic. Your pt is conscious but unable to speak in full sentences. Enroute to the hospital your pt goes into respiratory arrest. You should.
A. use a pocket mask and begin chest compressions
B. Assist ventilations with BVM and room air.
C. Assist ventilations with BVM and 100% O
D. Start oxygen at 15 LPM via NRB
ANS C. Assist ventilations with BVM and 100% O
22. 1353 - What are two manual methods of opening a patient's airway?
A. Head tilt-chin lift and NPA
B. Head tilt chin lift and OPA
C. Jaw thrust and finger sweep
D. Head tilt and jaw thrust
ANS D. Head tilt and jaw thrust
23. 1358 - What is the amount of air moved with one normal breath called?
A. Dead air space
A. flow restricted O2 powered ventilation device
B. NRB @ 15 LPM
C. NC @ 4 LPM
D. BVM @ 15 LPM
ANS B. NRB @ 15 LPM
27. 1819 - Your 92 y/o pt is SOB, unable to speak, and cyanotic. You should
first
A. Assure the patient has an open airway
B. Ventilate the pt with BVM
C. Administer O2 via NRB
D. Administer the prescribed bronchodilator
ANS A. Assure the patient has an open airway
28. 1820 - Your 73 y/o pt is sitting in the tripod position. As you approach
they motion for assistance in using their inhaler. You should immediately
A. Administer their prescribed inhaler
B. Administer O2 via NRB
C. Assess the pt's airway status
D. Ventilate with a BVM
ANS C. Assess the pt's airway status
29. 1934 - While ventilating a near drowning pt, you suddenly feel increased
resistance in the airway. You should
A. Perform abdominal thrust
B. Place pt in lateral recovery position
C. Attempt to reposition the head
D. Apply firm pressure to the abdomen
ANS C. Attempt to reposition the head
30. 8050 - For which of the following patients would an OPA be most appro-
priate?
A. A 19 y/o with a mandible fracture who is only responsive to pain
B. Unresponsive 25 y/o with a suspected spinal injury
C. Unresponsive five-year-old with a suspected airway obstruction
D. Semiconscious 76 y.o old who is gasping for air
ANS C. Attempt to reposition the head
31. 16349 - A 24 y/o male with a history of asthma has stopped breathing.
Which ventilation rate would be most appropriate?
A. 30 breaths per minute
B. 20 breaths per minute
C. 10 breaths per minute
D. 24 breaths per minute
C. Increase the depth of ventilations
D. Decompress the stomach manually
ANS A. Manually reposition the airway
35. 1155 - A malfunction of the heart's electrical system may result in
A. Atherosclerosis
B. Pericarditis
C. Aneurysm
D. Arrhythmia
ANS D. Arrhythmia
36. 1156 - All of the following are indications for the use of nitro EXCEPT
A. Patient has a history of cardiac problems
B. The patient's physician has prescribed nitro
C. Pt complains of CP
D. The pt's systolic BP is less than 90
ANS D. The pt's systolic BP is less than 90
37. 1157 - A 60 y/o female has chest pain. She has not taken her prescribed
nitro you should A> Determine what type of cardiac problem the pt has, and assist her with taking the nitro B> Immediately attached the AED and begin transport to hospital C> Administer aspirin only and withhold the nitro D> Consult medical direction with regard to assisting the pt in taking the nitro
ANS A> Determine what type of cardiac problem the pt has, and assist her with taking the nitro
38. 1268 - You have assisted a 56 y/o pt in taking 1 nitro he continues to
complain of CP. Vital signs are ANS BP 94/64, P 120, R 14, SaO2 98%. You should
A. Reassess his BP
B. Assist him with a 2nd nitro
C. Transport
D. Assess lung sounds and have pt self-administer their inhaler
ANS C. Transport
39. 1269 - You are transporting a pt with CP, when suddenly she becomes
unresponsive you should
A. Start CPR and transport more rapidly
B. Stop the ambulance and confirm absence of pulse
C. Immediately apply an AED and analyze
D. Insert an OPA and ventilate twice
ANS B. Stop the ambulance and confirm absence of pulse
40. 1271 - is a cardiac arrhythmia characterized by a
complete disorganization of electrical activity
A. Ventricular tachycardia
D. Indigestion
ANS C. Cardiac compromise 1281 - A 62 y/o female who has been drinking alcoholic beverages is feeling dizzy. She cannot walk and she complains of severe headache. You should suspect
A. Delirium tremens
B. Severe migraine
C. Hemorrhagic stroke
D. Acute alcohol intoxication ~
C. Hemorrhagic stroke
44. 1282 - When you assess a pulse you are feeling the
A. Contraction of the left atrium
B. Relaxation of both ventricles
C. Relaxation of the atria
D. Contraction of the left ventricle
ANS D. Contraction of the left ventricle
45. 1283 - A common symptom of cardiac compromise is CP or discomfort
known as
A. Fibrillation
B. Ischemia
C. Myocardial infarction
D. Angina
ANS D. Angina
46. 1284 - Your pt is a 65 y/o male CC CP, which of the following would be a
contraindication for assisting with the administration of sublingual nitro?
A. Heart rate <
B. SBP >
C. SBP <
D. HR >
ANS C. SBP <
47. 1286 - You are alone when you witness a 57 y/o woman suddenly collapse
and become unresponsive. She is not breathing. After calling for help you find that she has no pulse. You should
A. Begin chest compressions
B. Leave the pt and obtain an AED
C. Continue rescue breathing
D. Perform blind finger sweep.
ANS A. Begin chest compressions
48. 1285 - Which of the following is the build-up of fatty deposits on the inner
walls of an artery?
A. Coronary artery disease
B. Thrombus
C. Aneurysm
suspect a
A. gastrointestinal obstruction
B. vertebral vascular accident
C. cardiac rhythm disturbance
D. acute myocardial infarction
ANS C. cardiac rhythm disturbance
52. 1763 - A pulseless and apneic 68 y/o male has an implanted pacemaker in
his right shoulder. Without delaying defibrillation where should you apply the AED pads.
A. Left shoulder (to avoid pacemaker) and right lower chest
B. Nipple line under the left and right armpits
C. Anterior chest and back (between shoulder blades)
D. Right shoulder (directly over the pacemaker) and lower left chest.
ANS C. Anterior chest and back (between shoulder blade
53. 1764 - A pt becomes unresponsive. You find she is apneic and pulseless.
You should
A. Start CPR and apply the AED
B. Apply O2 via BVM and apply the AED
C. Apply AED and analyze
D. Request ALS and begin CPR
ANS A. Start CPR and apply the AED
54. 1816 - Albuterol is an example of a (an)
A. Vasodilator
B. Vasoconstrictor
C. Antihypertensive
D. Beta-agonist
ANS D. Beta-agonist
55. 1818 -Administer prescribed nitro
A. Place the pt on O
B. Perform head to toe assessment-
1826 - After delivering a shock with an AED, the patient begins to move and speak. You should
A. Assess vitals and begin transport
B. Immediately remove the AED to avoid accidental shock
C. Begin BVM ventilations
D. Perform a sternal rub to assess LOC
ANS A. Assess vitals and begin transport
56. 1827 - A 56 y/o male is complaining of severe CP. He took Viagra two
hours ago and has been physically active. You should
A. Assist the pt in taking his nitro and apply O
