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EMT Practice Final Examination Questions
And Answers 100% Correct
1. Snoring respirations are most rapidly managed by
A. suctioning the oropharynx
B. initiating assisted ventilations
C. correctly positioning the head
D. inserting an oropharnygeal airway
ANS correctly positioning the head
2. Which of the following patients would be most in need of a rapid trauma
assessment?
A. an awake and alert 19-year-old man with a small caliber gunshot wound
to the abdomen
B. A conscious 25-year-old woman who fell 12' from a roof and landed on her
side
C. A 43-year-old woman with a unilaterally swollen, painful deformity of the
femur
D. a 60-year old man who fell from a standing position and has an abrasion
on his check ANS an awake and alert 19-year-old man with a small caliber gunshot wound to the abdomen
3. Which of the following bones is affected with a swollen, painful deformity
to the lateral bone of the left forearm?
A. Ulna
B. Radius
C. Clavicle
D. Humerus
ANS Radius
4. During your assessment of a 34-year old man with a gunshot wound to the
chest, you note that his skin is pale. This finding is most likely caused by
A. a critically low blood pressure
B. increased blood flow to the skin
C. decreased blood flow to the skin
D. peripheral dilation of the vasculature
ANS decreased blood flow to the skin
5. An 80-year old woman has pain in the right upper quadrant of her abdomen
and a yellowish tinge to her skin. You should suspect dysfunction of the
A. liver
B. spleen
B. Internal bleeding and severe shock
C. Applying 100% supplemental oxygen
D. Providing rapid transport to a trauma center
ANS Potential obstruction of the airway
9. You are called to treat a male patient who overdosed on heroin and and is
unconscious with shallow breathing and cyanosis to the face. The patient suddenly begins to vomit. What should you do first?
A. Suction the oropharynx
B. Turn the patient onto his side.
C. Insert an oropharyngeal airway.
D. Assist ventilations with 100% oxygen.
ANS Turn the patient onto his side.
10. The scene size up includes all of the following components, EXCEPT
A. determining scene safety
B. applying personal protective gear
C. assessing the need for assistance
D. evaluating the mechanism of injury
ANS applying personal protective gear
11. In which of the following patients would an oropharyngeal airway be
indicated?
A. Any patient suspected of having hypoxia
B. A semiconscious patient with an intact gag reflex
C. A semiconscious patient who took an overdose of propoxyphene
D. An unconscious patient with fluid drainage from the ears
ANS An unconscious patient with fluid drainage from the ears
12. Upon arriving at the scene of a multiple vehicle crash, you can see that at
least two patients have been ejected from their vehicles. What should you do next?
A. Begin triage
B. Treat the most critical patient first
C. Gather all of the patients together
D. Call for at least one more ambulance
ANS Call for at least one more ambulance
13. A 75 year old man has generalized weakness and chest pain. He has a
bottle of prescribed nitroglycerin and he states that he has not taken any of his medication. After initiating oxygen therapy, you should next
B. Bleeding within the oral cavity
C. A large open abdominal wound
D. Bilateral fractures of the femurs
ANS Bleeding within the oral cavity
16. You arrive at a residence where you find a man lying unconscious in his
front yard. There were no witnesses to the event that caused the uncon- sciousness. In assessing this man, you must assume that he
A. has sustained an injury
B. is having a heart attack
C. is having a diabetic reaction
D. is having a heat-related emergency
ANS has sustained an injury
17. When is the best time to perform a detailed physical examination?
A. While enroute to the hospital
B. After all life threats have been ruled out
C. Immediately after taking baseline vital signs
D. Following the initial assessment of a trauma patient.
ANS While enroute to the hospital
18. Which of the following conditions would most likely cause flushed skin?
A. Shock
B. Hypoxia
C. Exposure to heat
D. Low blood pressure
ANS Exposure to heat
19. During the rapid trauma assessment of a patient with multiple injuries,
you expose the chest and find an open wound with blood bubbling from it. What should you do next?
A. Apply 100% supplemental oxygen.
B. Provide rapid transport to the hospital
C. Prevent air from entering the wound.
D. Place a porous dressing over the wound.
ANS Prevent air from entering the wound.
20. You are called to a local park for a 7-year old boy with respiratory
distress. During your assessment, you find that the patient is wheezing and has wide-spread hives and facial edema. What should you suspect has occurred?
A. constricting the bronchioles in the lungs.
B. contracting the smaller airways in the lungs.
C. relaxing the smooth muscle of the bronchioles.
D. dilating the large mainstem bronchi of the airway.
ANS relaxing the smooth muscle of the bronchioles.
24. In a patient with cardiac compromise, you would be LEAST likely to
encounter
A. anxiety
B. dyspnea
C. headache
D. chest pain
ANS headache
25. When monitoring a patient with a head injury, the most reliable indicator
of his or her condition is the
A. pupillary reaction
B. level of consciousness
C. systolic blood pressure
D. rate and depth of breathing
ANS level of consciousness
26. A 56-year-old man with a history of cardiac problems reports pain in the
upper midabdominal area. This region of the abdomen is called the
A. peritoneum
B. epigastrium
C. mediastinum
D. retroperitoneum
ANS epigastrium
27. Which of the following mechanisms cause respiratory and circulatory
collapse during anaphylactic shock?
A. Bronchodilation and vasodilation
B. Bronchodilation and vasoconstriction
C. Bronchoconstriction and vasodilation
D. Bronchoconstriction and vasoconstriction
ANS Bronchoconstriction and vasodi- lation
28. In the patient with diabetes, hypoglycemia typically presents with
A. dry skin and a slow onset
B. dry skin and a rapid onset
31. A middle-aged woman has acute shortness of breath and respirations of 30
breath/min. How should you first manage this patient?
A. Assess respiratory quality
B. Begin assisting ventilations.
C. Apply supplemental oxygen
D. Perform a detailed examination
ANS Assess respiratory quality
32. To obtain the most reliable assessment of a patient's tidal volume, you
should
A. assess for retractions
B. listen for airway noises
C. count the respiratory rate
D. look at the rise of the chest
ANS look at the rise of the chest
33. As you are performing CPR on an elderly man, his wife presents you with a
"do not resuscitate" order. Your most appropriate course of action is to
A. ignore the document and continue the CPR
B. comply with the document and stop CPR
C. continue CPR until medical control is notified
D. withhold CPR until medical control validates the order
ANS continue CPR until medical control is notified
34. A 5 year old boy complains of pain to the right lower quadrant of his
abdomen. Correct assessment of this child's abdomen includes
A. avoiding palpation of the abdomen
B. palpating the left upper quadrant first
C. auscultating bowel sounds for 2 minutes
D. palpating the right lower quadrant first
ANS palpating the left upper quadrant first
35. In most states; the EMT-Basic is required to report which of the following
occurrences?
A. Animal bite
B. drug overdose
C. Injury to a minor
D. Motor vehicle crash
ANS Animal bite
36. A set of regulations and ethical considerations that define the extent or
limits of an EMT-Basic's job is called
39. As you step out of the ambulance at the scene of a nighttime motor
vehicle crash on the highway, your immediate concern should be
A. oncoming traffic
B. whether the car will catch on fire
C. placing safety flares by the ambulance
D. quick assessment of the patients in the car
ANS oncoming traffic
40. Which of the following actions should be carried out during the initial
assessment of an unconscious patient?
A. Assessing the skin
B. Palpating the cranium
C. Auscultating the lungs
D. Obtaining a blood pressure
ANS Assessing the skin
41. You arrive at the scene shortly after a 55-year-old man collapsed. Two
bystanders are performing CPR. The man's wife states that he had cardiac
by-pass surgery approximately 6 months earlier. There are no signs of trau- ma. Your first action in the management of this patient should be to
A. attach an AED and analyze the cardiac rhythm.
B. check the effectiveness of the CPR in progress.
C. insert an oropharyngeal airway and continue CPR
D. stop CPR so you can assess pulse and breathing
ANS stop CPR so you can assess pulse and breathing
42. You arrive at the scene shortly after a 55-year-old man collapsed. Two
bystanders are performing CPR. The man's wife states that he had cardiac by- pass surgery approximately 6 months earlier. There are no signs of trau- ma. Cardiac arrest in the adult population is most often the result of
A. an acute stroke
B. respiratory failure
C. cardiac arrhythmias
D. myocardial infarction
ANS cardiac arrhythmias
43. You arrive at the scene shortly after a 55-year-old man collapsed. Two
bystanders are performing CPR. The man's wife states that he had cardiac by- pass surgery approximately 6 months earlier. There are no signs of trau- ma. After you attach the AED and analyze this patient's heart rhythm, the machine states, "shock advised." What cardiac rhythm is the patient most likely in?
B. Briskly dry off the infant.
C. Begin chest compressions
D. Begin artificial ventilations
ANS Begin artificial ventilations
46. An EMT-B's failure to obtain consent to treat a patient could result in
allegations of
A. battery
B. negligence
C. abandonment
D. breach of duty
ANS battery
47. Which of the following describe the MOST appropriate method of per-
forming chest compressions on an adult patient in cardiac arrest?
A. Compress the chest to a depth of 1 1/2" to 2", allow full recoil of the chest
after each compression, minimize interruptions in chest compressions.
B. Allow full recoil of the chest after each compression, compress the chest to
a depth of 2", deliver compressions at a rate of at least 80/min
C. Do not interrupt chest compressions for any reason, compress the chest to
a depth of 1 1/2" to 2", allow partial recoil of the chest after each compres- sion
D. Minimize interruptions in chest compressions, provide 70% compression
time and 30% relaxation time, deliver compressions at a rate of 100/min
ANS - Compress the chest to a depth of 1 1/2" to 2", allow full recoil of the chest after each compression, minimize interruptions in chest compressions
48. Prevention of cardiac arrest in infants and small children should focus
primarily on
A. keeping the child warm
B. avoiding upsetting the child
C. providing immediate transport
D. providing airway management
ANS providing airway management
49. You are managing a conscious patient who you believe is having an acute
ischemic stroke. After administering oxygen, your next priority should include ANS
A. providing prompt transport for possible fibrinolytic therapy.
B. determining whether the patient has prescribed nitroglycerin
C. closely monitoring the blood pressure
