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FISDAP PARAMEDIC FINAL 2024 EXAM REVIEW, Exams of Nursing

Ivy Tech Community College - Columbus Nursing

FISDAP PARAMEDIC FINAL 2022 You have received an order for a dopamine drip. You carry 500cc bags of D5W. How much dopamine should you add to the bag to create a 1600mcg/1mL dilution? A. 800mg B. 1600mcg C. 1600mg D. 400mcg - correct answer A. 800 mg 2. During the absolute refractory period, what happens to the cardiac cell? A. It is unable to be stimulated. B. The cell is vulnerable to partial stimulation. C. Potassium is being pumped out of the cell. D. Calcium has just rushed into the cell. - correct answer A. It is unable to be stimulated.

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FISDAP PARAMEDIC FINAL 2022

You have received an order for a dopamine drip. You carry 500cc bags of D5W.

How much dopamine should you add to the bag to create a 1600mcg/1mL

dilution?

A. 800mg

B. 1600mcg

C. 1600mg

D. 400mcg - correct answer A. 800 mg

2. During the absolute refractory period, what happens to the cardiac cell?

A. It is unable to be stimulated.

B. The cell is vulnerable to partial stimulation.

C. Potassium is being pumped out of the cell.

D. Calcium has just rushed into the cell. - correct answer A. It is unable to be

stimulated.

3. A 29 year old female fell from an 18 foot roof. During your rapid trauma

assessment, where are you most likely to find life-threatening injuries?

A. Head, neck, extremities

B. Head, chest, abdomen

C. Abdomen, pelvis, arms

D. Chest, pelvis, extremities - correct answer B. Head, chest, abdomen

4. Unequal pupils are a result of pressure on which structure?

A. Central medulla

B. Trochlear membrane

C. Vagus nerve

D. Occulomotor nerve - correct answer D. Occulomotor nerve

Partial preview of the text

Download FISDAP PARAMEDIC FINAL 2024 EXAM REVIEW and more Exams Nursing in PDF only on Docsity!

FISDAP PARAMEDIC FINAL 2022

You have received an order for a dopamine drip. You carry 500cc bags of D5W. How much dopamine should you add to the bag to create a 1600mcg/1mL dilution? A. 800mg B. 1600mcg C. 1600mg D. 400mcg - correct answer A. 800 mg

During the absolute refractory period, what happens to the cardiac cell? A. It is unable to be stimulated. B. The cell is vulnerable to partial stimulation. C. Potassium is being pumped out of the cell. D. Calcium has just rushed into the cell. - correct answer A. It is unable to be stimulated.
A 29 year old female fell from an 18 foot roof. During your rapid trauma assessment, where are you most likely to find life-threatening injuries? A. Head, neck, extremities B. Head, chest, abdomen C. Abdomen, pelvis, arms D. Chest, pelvis, extremities - correct answer B. Head, chest, abdomen
Unequal pupils are a result of pressure on which structure? A. Central medulla B. Trochlear membrane C. Vagus nerve D. Occulomotor nerve - correct answer D. Occulomotor nerve

What is an abnormally high level of carbon dioxide in the blood called? A. Pneumonia B. Hypoxia C. Hypercapnia D. Emphysema - correct answer C. Hypercapnia
What is oxygen deficiency in the body called? A. Hypercarbia B. Hyperoxia C. Hypoxia D. Hypoxemia - correct answer C. Hypoxia
What is your initial priority at a trench collapse? A. Establishing medical command B. Maintaining control of the crowd C. Preventing a secondary collapse D. Protecting the patient's airway - correct answer A. Establishing medical command
A 23 year old male complains of neck stiffness and flu symptoms for the past few days. He also describes a high fever with a severe headache, dizziness and blurred vision. What should you suspect? A. Hemorrhagic stroke B. Migraine C. Meningitis D. Influenza - correct answer C. Meningitis

B. Perforated ulcer C. Hernia D. Ruptured ectopic pregnancy - correct answer A. Abdominal aortic aneurysm

What is the safest and most effective landing pattern for a helicopter? A. At a slight angle like that of a jet B. Nose of the helicopter pointing up with a tail wind C. Straight up and down in a vertical motion D. Nose of the helicopter pointing down with a slow descent - correct answer A. At a slight angle like that of a jet
During inspiration, what happens to blood flow in the thoracic cavity? A. afterload increases B. blood flow increases to the right atrium C. blood flow through the vena cava is reduced D. pressure in the aorta increases - correct answer B. blood flow increases to the right atrium
What is the period of the cardiac cycle when stimulation will not produce any depolarization? A. Impulse refractory period B. Absolute refractory period C. Relative refractory period D. Transient refractory period - correct answer B. Absolute refractory period
While treating a 56 year old male for chest pain, you note a few PVCs on the monitor. You print a strip and measure the distance between the normal beats on each side of the PVC. The normal sinus rhythm continues on both sides of the PVC as if it were the normal beat, even though the PVC happens sooner than the sinus beat would have. The pause after the PVC would be: A. A sign of continued ischemia

B. A compensatory pause C. A non-compensatory pause D. Reynaud's Pause - correct answer B. A compensatory pause

A 5 month old male is in cardiac arrest. Resuscitation efforts have been ongoing for 30 minutes. His heart rhythm is and has been asystolic throughout treatment. What should you do? A. Continue CPR and ACLS drugs for another thirty minutes B. Begin termination of resuscitative efforts C. Report suspected child abuse to the police D. Wait for the coroner before stopping CPR - correct answer B. Begin termination of resuscitative efforts
Which of the following requires ATP? A. Active transport B. Osmosis C. Diffusion D. Facilitated diffusion - correct answer A. Active transport
A 52 year old male was the unrestrained driver in a frontal impact car crash. Which of the following injuries would lead you to believe the patient traveled "up and over" the dashboard instead of "down and under"? A. Patellar dislocation B. Cervical spine fracture C. Ruptured diaphragm D. Flail chest - correct answer C. Ruptured diaphragm
How does the blood flow through the heart? A. Right ventricle to right atrium to lungs to left ventricle to left atrium B. Right atrium to right ventricle to lungs to left atrium to left ventricle

A patient was ejected from an automobile and is apneic and pulseless. ECG reveals a regular rhythm with an R-R interval of 1.24 seconds and a QRS width of 110 milliseconds. You should consider A. transcutaneous pacing. B. atropine 0.5 mg IV. C. epinephrine 1 mg IV. D. adenosine 6 mg rapid IV. - correct answer C. epinephrine 1 mg IV.
What organ is located in the upper right quadrant? A. Kidney B. Liver C. Pancreas D. Spleen - correct answer B. Liver
A 24 year old male was stabbed in the thigh. Bright red blood spurts from the wound. What should you suspect that the patient severed? A. Vein B. Artery C. Ligament D. Tendon - correct answer B. Artery
A 24 year old male was working underneath his car when it fell off of the jack. He was under the car approximately 20 minutes before being extricated. He has bluish discoloration of his skin above the nipple line. What should you suspect? A. Traumatic asphyxiation B. Pericardial tamponade C. Cushing's triad D. Pulmonary contusion - correct answer A. Traumatic asphyxiation

A unrestrained 24 year old female driver hit an electrical pole and struck the steering wheel. She appears pale and complains of nausea and abdominal pain. What organ is LEAST likely to suffer an injury as a result of this impact? A. Spleen B. Diagphram C. Liver D. Stomach - correct answer D. Stomach
What causes Down's syndrome? A. Brain trauma B. Extra chromosome C. Bacterial infection D. Psychological trauma - correct answer B. Extra chromosome
Where would you insert the needle to decompress the chest? A. Below the 3rd rib midclavicular line B. Below the 4th rib midclavicular line C. Above the 4th rib midclavicular line D. Above the 3rd rib midclavicular line - correct answer D. Above the 3rd rib midclavicular line
A 67 year old male complains of bloody stool with accompanying nausea and emesis. He states symptoms began 3 days ago. Vital signs BP 100/86, P 88, R 18. What should you do? A. IV fluid bolus B. Administer a diuretic C. Administer an antiemetic D. Apply oxygen - correct answer A. IV fluid bolus
How much time do you have to successfully intubate a patient?

D. Sympathetic nervous system dominance - correct answer C. Parasympathetic nervous system dominance

What is the primary function of insulin? A. Increase glucose transport out of the cells and increase pancreas glycogen levels B. Increase glucose transport out of the cells and increase liver glycogen levels C. Increase glucose transport into the cells and increase liver glycogen levels D. Decrease glucose transport into the cells and decrease pancreas glycogen levels - correct answer C. Increase glucose transport into the cells and increase liver glycogen levels
A 60 year old male fell onto a coffee table yesterday and he woke up this morning complaining of diffuse, dull abdominal pain. You note periumbilical bruising. What is this known as? A. Crohn's sign B. Cullen's sign C. Kehr's sign D. Grey-Turner's sign - correct answer B. Cullen's sign
After placement of an ET tube, you find breath sounds are diminished on the left side but present on the right side. What should you do? A. Contact Medical Direction and ask for further instruction. B. Deflate and withdraw the tube while listening over the left side. C. Deflate the cuff, remove the tube and ventilate with a BVM. D. Continue ventilating the patient and secure the tube. - correct answer B. Deflate and withdraw the tube while listening over the left side.
A 25 year old male has a closed head injury and a knife impaled in his back. He is combative and screams incomprehensible words while thrashing. What should you do? A. Titrate diazepam administration to gain control of the patient.

B. Use straps and spine board to gain control of the patient. C. Use rapid sequence intubation to protect the patient. D. Request the police to restrain the patient for transport. - correct answer C. Use rapid sequence intubation to protect the patient.

What does the body use for fuel in diabetic ketoacidosis? A. Acids B. Fats C. Glucose D. Ketones - correct answer B. Fats
What neurotransmitter found in the brain that regulates mood, anxiety, and sleep? A. Acetylcholine B. Gamma-aminobutyric acid C. Norepinephrine D. Serotonin - correct answer D. Serotonin
A 38 year old female complains of sudden onset of shortness of breath. She has no previous history and no allergies. Her only medications are birth control pills. Her last meal was 8 hours earlier at an airport prior to her flight home. What should you suspect? A. Allergic reaction B. Pulmonary embolus C. Influenza D. Undiagnosed asthma - correct answer B. Pulmonary embolus
A 35 year old epileptic is actively seizing (full clonic movement). What medication should you consider? A. Verapamil

D. Start CPR. - correct answer C. Open his airway with a jaw thrust maneuver.

What process involves a gas that travels from an area of higher concentration to lower concentration? A. Diffusion B. Osmosis C. Activated Transport D. Filtration - correct answer A. Diffusion
A 12 year old male has suffered a blast injury. What phase would projectiles have caused injury to the patient? A. Primary B. Quaternary C. Tertiary D. Secondary - correct answer D. Secondary
A 25 year old female began to experience shortness of breath, chest tightness, and coughing. She has difficulty speaking in full sentences. Vital signs are BP 116/64, P 96 and regular, RR 24 and labored, SpO2 93% on room air. You auscultate her lung sounds and hear high-pitched lung sounds on exhalation. What should you do? A. Assist with her prescribed nitroglycerin B. Administer albuterol via a nebulizer C. Administer abdominal thrusts D. Assist ventilations with a bag-valve mask - correct answer B. Administer albuterol via a nebulizer
You have been assigned to triage at an MCI. Your patient is bleeding from a cut on his head, R 22, P 100 radially, and he keeps asking "What happened?". What priority should be assigned to this patient? A. Yellow

B. Red C. Black D. Green - correct answer A. Yellow

A 32 year old female seated at a restaurant has severe wheezing. She is flushed, appears anxious, and has a runny nose. She states that she is allergic to shellfish and peanuts. What should you suspect? A. Anaphylaxis B. Epiglottitis C. Asthma D. Aspiration - correct answer A. Anaphylaxis
You arrive on scene to find a 14 year old male leaning forward in a chair. He appears anxious, is drooling and you hear high-pitched sounds when he inhales. His mother states he has a fever and has been complaining of a sore throat. What should you suspect? A. Anaphylaxis B. Asthma C. Croup D. Epiglottitis - correct answer D. Epiglottitis
How should you ensure that your glucometer is functioning properly? A. Insert a test strip and ensure that the glucometer turns on. B. Measure your partner's blood glucose level and compare to normal. C. Measure your own blood glucose level and compare to your normal. D. Insert a test strip and acquire a drop of the glucometer control solution - correct answer D. Insert a test strip and acquire a drop of the glucometer control solution
What is the biggest difference between cardiogenic shock and hemorrhagic shock?

B. Check for bilateral ankle fractures. C. Determine if the scene is safe. D. Asses for compression injury to the spine. - correct answer C. Determine if the scene is safe.

What structure has baroreceptors? A. Vena cava B. Ventricular wall C. Atrioventricular node D. Aortic arch - correct answer D. Aortic arch
An alert, 78 year old female complains of dyspnea. She speaks in full sentences and answers all your questions. Vital signs are BP 150/70, P 110 and irregular, R 26 and labored. You note peripheral cyanosis. What should you do? A. Begin positive-pressure ventilation with a BVM. B. Sedate and intubate orotracheally. C. Apply a nasal cannula with high flow oxygen at 2 lpm. D. Apply high flow oxygen at 12-15 lpm. - correct answer D. Apply high flow oxygen at 12-15 lpm.
When you are caring for more than one trauma patient at a time, when should you change your gloves? A. For each new patient B. For each new procedure C. Whenever time permits D. Whenever they become soiled - correct answer A. For each new patient
A 2 year old male has ingested an unknown amount of gasoline. What is your primary concern in your initial assessment? A. Establishing IV access TKO.

B. Determining if the ingestion was intentional. C. Evaluating his cardiac rhythm. D. Evaluating his airway. - correct answer D. Evaluating his airway.

You arrive on scene to find a 4 year old male with a pulse but inadequate respiratory effort. At what rate do you administer assisted ventilation? A. 1 breath every 5 to 6 seconds B. 1 breath every 2 to 3 seconds C. 1 breath every 3 to 5 seconds D. 1 breath every 1 to 2 seconds - correct answer B. 1 breath every 2 to 3 seconds
A 55 year old male remains in ventricular fibrillation after three shocks and an IV epinephrine. What should you do? A. Epinephrine (1:1000) in the sequence:1mg, 3mg, 5mg. B. Epinephrine (1:10,00) by endotracheal tube. C. Epinephrine (1:10,000) every three to five minutes. D. Epinephrine (1:1,000) every three to five minutes. - correct answer C. Epinephrine (1:10,000) every three to five minutes.
A 45 year old male complains of difficulty breathing after being removed from a home contaminated with carbon monoxide. His SpO2 is paradoxically 100%, what does this mean? A. CO affects the nail beds, making SaO2 unreliable. B. CO is displacing O2 on erythrocyte hemoglobin. C. CO is binding to the alveoli preventing O2 from being exchanged. D. Carbonic anhydrase is inhibiting gas exchange. - correct answer B. CO is displacing O2 on erythrocyte hemoglobin.
A 22 year old female complains of joint pain and flu-like symptoms over the past two days. Her abdomen is soft and non-tender, but she appears to have a circular rash on her lower left quadrant. What should you suspect?

C. Thrombocytes D. Monocytes - correct answer C. Thrombocytes

What is the first confirmation of tube placement after orotracheal intubation? A. Condensation in the ET tube. B. Auscultation of the epigastrium C. Visualizing the tube passing the vocal cords. D. End tidal CO2 confirmation. - correct answer B. Auscultation of the epigastrium ?
A 88 year old male is combative and angry. His wife states that he is normally pleasant and calm. What intervention would narrow your differential diagnosis? A. A response to oxygen therapy B. A blood glucose reading C. If he responds to forceful control D. Cincinnati stroke scale - correct answer B. A blood glucose reading
What does preload refer to? A. The pressure in the filled ventricle at the end of systole. B. The pressure in the filled ventricle at the end of diastole. C. The pressure in the filled atria at the end of the systole. D. The pressure in the filled atria at the end of the diastole. - correct answer B. The pressure in the filled ventricle at the end of diastole.
Which immunoglobulin is mainly responsible during inflammation? A. IgM B. IgE C. IgG D. IgA - correct answer B. IgE

What percent of oxygen is delivered with a pocket mask on room air? A. 23 B. 92 C. 17 D. 10 - correct answer C. 17?
A 57 year old male complains of chest pain, shortness of breath and nausea. A 12 lead ECG shows ST elevation in Ieads V2, V3 and V4. What should you administer? A. Dopamine and oxygen. B. Aspirin and oxygen. C. Epinephrine and nitroglycerin. D. Nitroglycerine and oxygen. - correct answer B. Aspirin and oxygen.
Which of the following is an autosomal disorder of the exocrine glands which results in physiological changes in the respiratory, GI, integumentary, and muscoskeletal systems? A. Tuberculosis B. Sickle cell anemia C. Pneumonia D. Cystic fibrosis - correct answer D. Cystic fibrosis
What structure prevents food or liquid from entering the trachea? A. Thyroid cartilage B. Uvula C. Larynx D. Epiglottis - correct answer D. Epiglottis
What is diphenhydramine HCL?

FISDAP PARAMEDIC FINAL 2024 EXAM REVIEW, Exams of Nursing

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