EMT Exam 3 Study Center > Simulated NREMT Tests > EMT Exam 3 Step 1 of 50 2% A 66-year-old female is in cardiac arrest. You deliver one shock with an AED and immediately resume chest compressions. After two minutes the AED analyzes again and states, “No shock advised.” You should next*initiate chest compressions.move the patient to the recovery position.turn the AED off and then back on to conduct a re-analyzation.pause compressions for 30 seconds and observe for breathing. A 10-year-old male has collapsed in gym class while exercising. You find the patient unresponsive, gasping and cyanotic. Your partner confirms a definite carotid pulse at 74. You should next*immediately attach an AED and analyze.provide one rescue breath every 3-5 seconds.initiate chest compressions.administer oxygen via a nonrebreather mask. A 2-year-old female was witnessed by her parents to have a tonic-clonic seizure. They state she has a long seizure history and that they administered rectal diazepam to stop the convulsions. On your arrival, the patient is unconscious, not seizing and slightly cyanotic. Her vital signs are: P 68, R 4, BP 80/64. You should first*apply high concentration oxygen via a nonrebreather mask.initiate rescue breathing.initiate chest compressions.move the patient to the recovery position. A 33-year-old male complains of a chronic cough, productive sputum tinged with blood, and recent weight loss. He notes the cough developed over the last several weeks since he returned from South America. He has no other past medical history and no recent injury. You should suspect*a pulmonary embolism.Ebola.tuberculosis.AIDS. You are dispatched to a 54-year-old male choking. Emergency medical dispatch notes they are assisting in foreign body airway procedures. On arrival, you find the patient unconscious, unresponsive and not breathing. You should first*initiate chest compressions.attempt 2 rescue breaths.conduct a finger sweep of the mouth.begin 5 abdominal thrusts. A 27-year-old female complains of severe shortness of breath. She notes a history of “breathing problems” and says she has taken six puffs of her inhaler 30 minutes prior to your arrival. Your examination notes a pulse oximetry of 95% and you hear audible wheezes. You should first*contact medical control to assist the patient with additional albuterol.initiate positive pressure ventilation.place the patient in a semi Fowler's position.administer high concentration oxygen via a non-rebreather mask. The family of a 61 year old female states they found her unable to speak. They last had a conversation with her 2 hours earlier. She is very frustrated and anxious about her condition. Her vital signs are P 100, R 24, BP 190/94. You should first*assess the patient’s pupils.initiate transport.complete a detailed assessment.assess her blood glucose level. You are dispatched to the home of a 59-year-old male complaining of pain in his right arm and dyspnea on exertion. The dispatcher relays that the patient’s symptoms began roughly two hours ago. As you approach the scene, the most important piece of equipment to bring in the house would be*the AED.an N-95 mask.the oxygen tank.the portable suction device. You observe your paramedic partner as he prepares an incorrect and potentially harmful dose of a medication that he is about to administer to a patient. Which of the following responses would be most appropriate under these circumstances?*"Stop!""Perhaps you should consider checking that dose."Don't worry; the paramedic must know what he's doing."John, stop now. I'm concerned that dose is wrong." 16. A 66-year-old female awoke this morning with difficulty walking. Her husband notes that she suddenly is very clumsy and almost fell several times. You note she is alert, complains of no pain and notes no recent illness or injury. She has a history of hypertension and high cholesterol. You should suspect*an aortic aneurism.traumatic brain injury.sepsis.stroke. A 45-year-old male complains of a high fever and vomiting blood. He notes severe abdominal pain and a body-wide rash. Which of the following questions would be most important to ask immediately?*What was your last meal?Have you ever used intravenous drugs?Do you have a history of GI bleeding?Have you recently traveled to West Africa? You are assisting a two-paramedic crew with a cardiac arrest patient. After switching compressors, you observe one of the paramedics to be compressing far too slowly. You should*use the paramedic’s name and express your concern regarding best practice treatment.say nothing. The paramedic must know what he is doing.complete an incident report following the arrest for performance improvement.pull the incident commander aside and raise your concern. A 16-year-old has crashed his bicycle into a parked car. He complains of right knee pain, but is calm and cooperative. Your examination finds no midline pain or tenderness and he has good sensory and motor function in four extremities. You should next*place the patient supine on the stretcher.initiate spinal motion restriction.apply a cervical collar.splint the patient’s knee. You first respond alone to a 4-year-old male with severe difficulty breathing. On arrival, the parent tells you the patient is no longer responsive and has stopped breathing. You find him unconscious, apneic and pulseless. You do NOT have an AED with you. You should first*perform 5 abdominal thrusts.return to the vehicle to retrieve the AED.provide 2 rescue breaths.provide 30 chest compressions. A 40-year-old male was stuck by a vehicle while riding his bicycle. You find him left laterally recumbent and holding his right chest. He complains of severe pain and difficulty breathing. Upon examination, you note a sizeable flail segment in the right lateral chest. You should*not cover the flail segment and monitor breathing.use 2-inch tape to restrict the flail segment.apply an occlusive dressing and seal the flail segment.apply a bulky dressing over the flail segment. A 25-year-old male is bleeding profusely from a neck wound after being slashed with a knife. Police officers on scene note that he also has a small stab wound in his right upper chest. After securing the scene, you should first*apply an occlusive dressing to the neck wound.apply a pressure bandage to the neck wound.apply direct pressure to the neck wound.apply an occlusive dressing to the chest wound. 5. While acting as a team leader managing a complicated motor vehicle crash scene, one of your team members expresses disagreement over a tactic used in the extrication of the patient. No safety hazard is identified and you disagree. You should*immediately change tactics and adopt the suggested plan.reaffirm the chain of command and tell the member he is out of line for questioning your judgement.dismiss the team member’s opinion as he is clearly wrong.acknowledge the team member, but briefly explain your rationale for staying on the original plan. A 66-year-old woman was involved in a moderate speed motor vehicle crash. She is alert and complains of difficulty breathing “due to her COPD.” Your examination finds tenderness in her neck. To restrict motion of her spine, you attempt to lie her flat on the stretcher but she becomes agitated and says, “I can’t breathe.” You should next*administer high concentration oxygen.sit the patient up.restrain the patient in the supine position.initiate positive pressure ventilations. A 59-year-old male was recently released from the hospital after being admitted for a severe skin infection. His family states they found him today semiconscious and breathing rapidly. Which of the following additional findings would most likely point to the onset of sepsis in this patient?*A low blood sugarA slow heart rateA high blood pressureA low body temperature A 19-year-old male is having a tonic-clonic seizure. It appears that he has a wad of chewing tobacco in his mouth, however he seems to be breathing normally. He is unconscious, but his pulse oximeter reads 95%. You should*ignore the tobacco until the seizure ends.place a tongue depressor in his mouth to remove the tobacco.perform a finger sweep to remove the chewing tobacco.flush his mouth with normal saline to remove the tobacco. A 70-year-old male complains of shortness of breath and upper quadrant abdominal pain. He notes both symptoms began 45 minutes before he called EMS. He states he has a history of COPD, hypertension and insulin-controlled diabetes. He is slightly pale and his vital signs are: P 84, R 24, BP 188/94. You should first*administer aspirinassist with his small volume nebulizer.obtain orthostatic vital signs.place the patient in the knee-chest position. 15. A 60-year-old male has complained of shortness of breath for 3 days. Today family states they found him having a “severe” attack. You find the patient very lethargic, and breathing with much accessory muscle use. His vital signs are: P 138, R 8, BP 94/60. You should first*initiate positive pressure ventilations.administer low concentration oxygen via nasal cannula.lay the patient flat.assist the patient with his rescue inhaler. A 77-year-old female was found semiconscious on the toilet. Her husband notes that today she seemed “out of breath” but had no other specific symptoms. You find her extremely lethargic, pale and diaphoretic. Her vital signs are P 22, R 34, BP 60/40. You should first*begin chest compressions.initiate rapid transport.apply the AED.begin positive pressure ventilations. With regard to crew resource management, an effective team should*be given specific instructions on each task by a single leader.communicate only if a crisis arises.utilize a shared mental model and work individually toward a common goal.limit feedback given to the team leader. A 44-year-old male complains of right quadrant abdominal pain. He states his pain is likely associated with his diagnosis of hepatitis C. He notes it “flares up from time to time.” The patient denies further symptoms and notes no recent injuries. Before examining this patient, you should*don an N-95 mask.don a surgical mask.use standard precautions.don a protective gown. You are called to a local family planning clinic for a report of multiple patients complaining of respiratory distress. Upon arrival, you note two adults lying on the floor having tonic-clonic seizures. Other staff members are pointing to the back noting that another patient is also seizing. You should first*perform a triage of all the patients before beginning treatment.attempt to move the seizing patients quickly out of the building.split your crew and assess the first two seizing patients.exit the building and call for a hazardous materials response. A 2 year old female was found choking on a grape. Her mother attempted dispatch-aided foreign body airway procedures without success. You arrive to find her unresponsive, cyanotic and not breathing. You should next*perform a finger sweep of the airway.perform 5 back blows.initiate chest compressions.attempt 2 rescue breaths. An 18-year-old female complains of shortness of breath. She states it came on “suddenly” and tells you she has a history of asthma. Her vital signs are P 100, R 30, BP 120/80. Her oxygen saturation is 97% on room air and her lung sounds are clear. You should first*apply high concentration oxygen with a non-rebreather mask.assist the patient with her albuterol nebulizer.administer low concentration oxygen with a nasal cannula.initiate transport to an appropriate facility. A 3-year-old patient has had a fever and severe cough for 4 days. Her mother called EMS today after the patient began turning blue and making a gasping sound when coughing. The mother states that everyone in the house had had these symptoms recently. You should suspect*influenza.cystic fibrosis.tuberculosis.pertussis. 17. A 77-year-old male has experienced an acute onset of one-sided facial droop and difficulty speaking. Family states he was last normal about 20 minutes ago. The patient states he has been feeling well and has no recent illnesses or injuries. After you initiate transport you should next*administer low concentration oxygen.obtain a blood glucose measurement.calculate a Glasgow Coma Score.administer high concentration oxygen. You have administered intranasal naloxone to a 29-year-old male who has overdosed on fentanyl. After the initial dose, his respiratory rate increases to 16, but he remains unconscious. His current vital signs are P 100, R 16, BP 122/84, pulse oximetry 95%. You should next*insert an oral pharyngeal airway.apply high concentration oxygen.initiate transport.administer a second dose of naloxone. 19. A 70-year-old male has been involved in a low speed, minor damage motor vehicle crash. You find the patient seated in the vehicle and note no interior damage and only minor exterior damage. Upon exam, you note that the patient is having difficulty moving his right arm and has a distinct facial droop. Which of the following questions should you ask first?*Did you lose consciousness?When was your last meal?Do you take any medications?When did these symptoms begin? 21. A 90-year-old female nursing home patient has had a urinary tract infection for the last week. She has complained of pain upon urination and low abdominal pain. Staff notes she has been running a fever. Today the patient has an altered mental status. Her vitals are P 120, R 28, BP 90/40. These findings most likely point to*sepsis.a GI bleed.an aneurism.renal failure. A 7-year-old female was thrown from the back of an ATV. She was immediately unconscious and vomited once. Her right femur is severely angulated. You find her responsive only to painful stimuli and note vomitus in her airway. Her radial pulse is 70. You should first*begin chest compressions.splint the femur.hyperventilate the patient.clear the airway. A 50-year-old female is having a severe asthma attack. Her breathing has most recently become irregular and she is cyanotic. She suddenly loses consciousness and you're unable to obtain a pulse. You should first*administer an auto injector of epinephrine.administer 2 puffs of an albuterol inhaler.initiate 2 positive pressure ventilations.initiate chest compressions. A 73-year-old female was witnessed by her husband to have a tonic-clonic seizure. He notes the seizure lasted 2-3 minutes. On arrival, you note the patient to be unconscious and breathing 3-4 times per minute. You should first*check for a pulse.move the patient to the recovery position.initiate positive pressure breathing.assess for response to painful stimuli. An 89-year-old woman was found in cardiac arrest by her daughter. It is unclear when the arrest started, but there are no signs of rigor mortis or dependent lividity. Upon arrival, your partner starts chest compressions. You should next*perform 2 minutes of chest compressions before attaching the AED.initiate 2 rescue breaths after 30 chest compressions.attach an AED and analyze.interview the daughter to identify pertinent medical history. A 40-year-old male has lost consciousness after injecting heroin. His friends state he has used many times before, but never had this reaction. On arrival, you find him unconscious and cyanotic. His vital signs are P 130, R 4, BP 110/72. You should first*initiate positive pressure ventilations.begin chest compressions.administer intranasal naloxone.move the patient to the recovery position. A 59-year-old male has been thrown from a snowmobile. He denies loss of consciousness and notes no pain in his neck or back. Your examination finds no midline tenderness but you note the patient has trouble feeling your touch in his right hand and right foot. You should next*sit the patient up.apply a cervical collar.splint the right foot.splint the right arm. 20. A 79-year-old female complains of a sudden inability to move the right side of her body. You note she has a slur to her speech. The patient was fine before the onset of symptoms and reports a long history of COPD. Her vital signs are P 100, R 18, BP 190/100. Her pulse oximetry is 90% on room air. You should first*obtain a blood glucose measurement.administer oral glucose.administer oxygen.lay the patient flat. A 16-year-old female has overdosed on her grandmother’s valium pills. Her friends state she took “several” pills in an attempt to get high but has since become unconscious. You find the patient unresponsive, breathing and your partner identifies a definite carotid pulse. Her vital signs are P 116, R 12, BP 110/64. Her skin is moist and her pulse oximetry is 91%. You should*administer naloxone via the intranasal route.administer high concentration oxygen via non-rebreather mask.initiate positive pressure ventilations via bag mask device.assist the patient with a small volume nebulizer treatment. A 77 year old male is in cardiac arrest. While completing the first phase of chest compressions, the patient vomits and fills his mouth with emesis. Your portable suction is outside in the ambulance. You should*administer 2 rescue breaths.use a blind finger sweep to clear the airway.roll the patient on his side to clear the airway.withhold breathing until the portable suction arrives. A 12-year-old male has collapsed after being struck in the chest with a baseball. Your initial assessment finds him unconscious with irregular, gasping respirations. You should first*attach an AED.begin transport.initiate spinal precautions.administer two rescue breaths. You wish to use closed loop communication to identify a potential scene hazard. Which of the following elements would be considered essential to the closed loop format?*Awaiting a response from the receiving personExpressing the exact level of risk associated with the threatUsing technical languageIdentifying yourself As the leader of a cardiac arrest scene you find yourself being overwhelmed as you attempt to participate in the most important treatment-related skills. You find it difficult to manage the overall scene. You should*focus on one specific skill at a time.avoid time-consuming skills and focus on more efficient steps.work faster with increased concentration.delegate individual skills to specific team members. A 60-year-old female complains of an acute onset of shortness of breath and nausea. The patient notes she was feeling “a bit off” yesterday, but the breathing difficulty came on “suddenly” today. She is alert, but diaphoretic. Her vital are: P 98, R 20, BP 140/80. You should first*obtain a blood glucose.call ALS to obtain a 12-lead ECG.assist her with her albuterol inhaler.perform a detailed assessment. A 30-year-old female complains of an asthma attack after being exposed to cat dander. She says she has an allergy to cats and a long history of asthma. Her difficulty breathing began 10 days ago after moving into her boyfriend’s apartment. Today she is breathing rapidly with wheezes and coughing. You should first*assist the patient with her diphenhydramine.assist this patient with her albuterol inhaler.administer humidified oxygen via simple face mask.administer an auto injector of epinephrine. A 7-year-old male was diagnosed with pneumonia 5 days ago. His mother states he has been getting “sicker and sicker” since. Today she states she is having trouble waking him and a body-wide rash has developed. The patient is semiconscious, mottled and febrile. His vital signs are P 70, R 6, BP 60/38. You should first*initiate positive pressure ventilations.assist the patient with his prescribed inhaler.place the patient in the Trendelenburg position.initiate transport. A 53-year-old male has been defibrillated once on scene to treat his sudden cardiac arrest. Upon analysis, you note spontaneous breathing at a rate of 16 per minute and identify a definite carotid pulse. You should next*initiate rapid transport.continue positive pressure ventilation.remove the AED pads.resume chest compressions. A 28-year-old male has crashed his performance bicycle while racing. He is alert and complains of pain in the right side of his back, lateral to the spine. He denies any other pain. Your examination finds no midline tenderness and motor and sensory function are intact in four extremities. The patient is refusing to lay on the stretcher. You should*apply a cervical collar.restrain him on a long spine board.allow him to walk to the ambulance.place a vest-type extrication device.