Download EMT MIDTERM ACTUAL EXAM 2025 QUESTIONS & ANSWERS UPDATED A+ GUIDE SOLUTION and more Exams Nursing in PDF only on Docsity!
EMT MIDTERM ACTUAL EXAM 2025
QUESTIONS & ANSWERS UPDATED A+
GUIDE SOLUTION
You arrive at the home of a 50-year-old female with severe epistaxis. As you are treating her, it is MOST important to recall that: CORRECT ANSWER>>>> A. The patient may be significantly hypertensive. B. The patient is at risk for vomiting and aspiration C. A detailed exam is needed to determine the cause Answer is B. The patient is at risk for vomiting and aspersion You respond to a young female who was sexually assaulted. The patient is conscious but confused. The last thing she remembers was drinking beer at a club with her friends the night before. When she awoke, she was in the bed of the motel room. You should be MOST suspicious that this patient CORRECT ANSWER>>>> A. is acutely intoxicated. B. is a heroin abuser. C. is abusing marijuana. D. was given flunitrazepam (Rohypnol) Answer is D. was given flunitrazepam (Rohypnol) The components of the pediatric assessment triangle (PAT) are: CORRECT ANSWER>>>> A. appearance, work of breathing, and skin circulation. B. activity, RR quality, and LOC C. skin condition, RR, and LOC
Answer is A, appearance, work of breathing, and skin circulation. Which of the following is a unique function of the emergency dispatcher, EMD CORRECT ANSWER>>>> A. providing callers with life-saving instructions B. obtaining patient info from the caller C. relaying relevant info to the EMTs Answer is A, providing callers with life-saving instructions Following direct trauma to the left upper back, a 44-year-old male presents with diaphoresis and restlessness. His bp is 100/50 mm Hg, his pulse rate is 120 beats/min and weak, and his reps. are 24 breaths/min and labored. You should: CORRECT ANSWER>>>> Apply high flow oxygen, consider spinal precautions, and transport without delay. A 59-year-old male presents with severe vomiting and diarrhea of 3 days' duration. He is confused and diaphoretic, and his radial pulses are absent. His BP is 78/50 mm Hg. After applying 100% supplemental oxygen, you should: CORRECT ANSWER>>>> prepare for immediate transport. A portable oxygen cylinder should have a capacity of a minimum of ______ of oxygen. CORRECT ANSWER>>>> A. 1,000 L B. 750 L C. 250 L D. 500 L Answer is D, 500 L
Observations made when forming a general impression of a patient would include all of the following, Except: CORRECT ANSWER>>>> A. pulse strength B. race and gender C. appearance D. level of distress Answer is A pulse strength which of the following processes occurs during the inflammation phase of the healing process? CORRECT ANSWER>>>> The immune system releases histamines, which cause vasodilation and increased capillary permeability, resulting in local redness and swelling. In general, medevac helicopters should be utilized when: CORRECT ANSWER>>>> A patient has a time-dependent injury or illness and traffic condition would cause a significant delay in definitive care. Upon arriving at the scene of a law enforcement tactical situation, you should ensure your own safety and then: CORRECT ANSWER>>>> Report to the incident commander for instructions According to the National EMS Scope of Practice Model, an EMT would require special permission from the medical director and the state EMS office in order to: CORRECT ANSWER>>>> Perform blood glucose monitoring After delivering your patient to the hospital, you sit down to complete the PCR. When documenting the patient's last blood pressure reading, you inadvertently write 120/60 instead of 130/70. To correct this mistake, you should: CORRECT ANSWER>>>> Draw a single horizontal line through the error, initial it, and write the correct data next to it.
If you cannot palpate a pulse in an unresponsive patient, you should: CORRECT ANSWER>>>> Immediately begin cardiopulmonary resuscitation (CPR) A young male was shot in the abdomen by an unknown type of gun. He is semiconscious, has shallow breathing, and is bleeding externally from the wound. As you control the external bleeding, your partner should: CORRECT ANSWER>>>> Assist the patient's ventilations A 4-year-old female ingested an unknown quantity of liquid drain cleaner. Your assessment reveals that she is conscious and alert, is breathing adequately, and has skin burns around her mouth. You should: CORRECT ANSWER>>>> Monitor her airway and give oxygen You are ventilating a patient with a stoma; however, air is escaping from the mouth and nose. To prevent this, you should: CORRECT ANSWER>>>> Seal the mouth and nose. Which of the following is NOT an assessment parameter included in the Cincinnati Pre-hospital Stroke Scale? CORRECT ANSWER>>>> Memory A 52-year-old male presents with a fever of 102.5°F and a severe headache. As you assess him, you note the presence of multiple blisters on his face and chest, which are all identical in shape and size. This patient's clinical presentation is MOST consistent with: CORRECT ANSWER>>>> Smallpox Your assessment of a 23-year-old female reveals a core body temperature of 93.4°F (34°C). She is conscious, answers your questions appropriately, is shivering, and complains of nausea. Her skin is cold and pale, her muscles appear rigid, and her respirations are rapid. In addition to monitoring her ABCs, administering oxygen, and turning up the heat in the back of the
Answer is A, 18% A 77-year-old female presents with an acute onset of altered mental status. Her son is present and advises that she has a history of hypertension, atrial fibrillation, type 2 diabetes, and glaucoma. He further advises that she takes numerous medications and that she is normally alert. When you assess this patient, it is important to note that: which suggests a new health CORRECT ANSWER>>>> A. her mental status is likely the result of hypoglycemia and you should give her sugar. B. because of her age and medical history, you should suspect Alzheimer disease. C. the patient is experiencing delirious behavior, which suggests a new health problem. Answer is C. the patient is experiencing delirious behavior, which suggests a new health An injured patient is assigned a total score of 9 on the GCS. He is assigned a score of 2 for eye opening, a score of 3 for verbal response, and a score of 4 for motor response. Which of the following clinical findings is consistent with his GCS score? CORRECT ANSWER>>>> opens eyes in response to pain, uses inappropriate words, withdraws from pain You have assessed an unresponsive middle-aged female and determined that she is in cardiac arrest. When you apply the AED pads, you note that she has a medication patch over the same area where one of the AED pads will be placed. You should CORRECT ANSWER>>>> Remove the medication patch, wipe away any medication residue, and apply the AED pads. You have applied a dressing and roller-gauze bandage to a laceration on the arm of a young female. During transport, she begins to complain of numbness and tingling in her hand. You should: CORRECT ANSWER>>>> Assess distal circulation and readjust the bandage as needed.
Which of the following signs of respiratory distress is seen Most commonly in pediatric patients? CORRECT ANSWER>>>> A. accessory muscle use B. seesaw breathing C. pursed-lip breathing. Answer is B, seesaw breathing Hypoxia is most accurately defined as: CORRECT ANSWER>>>> Inadequate oxygen to the tissues and cells You and your partner arrive at the scene of a fire at a large office complex. Witnesses tell you that they heard a loud explosion shortly before the building caught fire. You should CORRECT ANSWER>>>> Ensure that your ambulance is parked upwind and uphill from the building Dyspnea is Most accurately defined as: CORRECT ANSWER>>>> Shortness of breath or difficulty breathing A 22-year-old male was kicked in the abdomen multiple times during an attack by a gang. He is conscious but restless and his pulse is rapid. Your assessment reveals a large area of bruising to the right upper quadrant of his abdomen. The MOST appropriate treatment for this patient includes: CORRECT ANSWER>>>> Prepare for immediate transport Placenta previa is Most accurately defined as: CORRECT ANSWER>>>> Development of the placenta over the cervical opening A low ETCO2 reading, as measured by capnography, would MOST likely be observed if:
What part of the patient assessment process focuses on obtaining additional information about the patient's chief complaint and any medical problems he or she may have? CORRECT ANSWER>>>> History taking The hypoxic drive-the primary stimulus to breathe for patients with certain chronic respiratory diseases--is influenced by. CORRECT ANSWER>>>> low blood oxygen levels In order to avoid exacerbating a patients injury it is especially important to use extreme caution when providing positive-pressure ventilation to patients with a: CORRECT ANSWER>>>> Pneumothorax Compared to adults, infants and children are at higher risk for hypothermia for all of the following reasons, EXCEPT: CORRECT ANSWER>>>> A relatively small surface area A female patient with a suspected spinal injury is breathing with a marked reduction in tidal volume. The MOST appropriate airway management for her includes: CORRECT ANSWER>>>> Assisting ventilations at an age-appropriate rate A 45-year old female was the unrestrained passenger of a small car that rear ended another vehicle at a moderate rate of speed. She is conscious and alert, but complains of pain to both of her knees. There is visible damage to the dashboard on the passengers side of the vehicle. In addition to fractures or dislocations of the knees, you should be MOST suspicious for: CORRECT ANSWER>>>> Posterior hip dislocation Which of the following statements regarding the epinephrine auto-injector is correct? CORRECT ANSWER>>>> The epinephrine auto-injector delivers a preset amount of the drug
A 58-year-old male presents with confusion, right-sided weakness, and slurred speech. His wife is present and is very upset. As your partner is applying oxygen, it is MOST important for you to: CORRECT ANSWER>>>> Ask his wife when she noticed the symptoms. You are dispatched to a residence where a middle aged man was found unconscious in his front yard. There are no witnesses who can tell you what happened. You find him in a prone position, his eyes are closed and he is not moving. Your first action should be. CORRECT ANSWER>>>> To log roll him as a unit to a supine position When assessing a patient with a hemothorax, you will Most likely find: CORRECT ANSWER>>>> Signs and symptoms of shock A 52-year-old unrestrained female struck the steering wheel with her face when her truck collided with another vehicle. She has obvious swelling to her face and several dislodged teeth. A visual exam of her mouth reveals minimal bleeding. She is conscious and alert with a blood pressure of 130/80 mm Hg, a pulse of 110 beats/min, and respirations of 22 breaths/min with adequate tidal volume. You should: CORRECT ANSWER>>>> Apply supplemental oxygen, immobilize her spine, attempt to locate the dislodged teeth, suction as needed, and transport. Infants are often referred to as belly breathers because: CORRECT ANSWER>>>> Their rib cage is less rigid and the ribs sit horizontally You receive a call to a local gymnasium for a basketball player with a dislocated shoulder. Upon arrival, you find the patient, a 17-year-old male, sitting on the ground. He is holding his left arm in a fixed position away from his body. There is an obvious anterior bulge to the area of injury. You should: CORRECT ANSWER>>>> Assess distal pulse, motor, and sensory functions. A tight-fitting motorcycle helmet should be left in place unless: CORRECT ANSWER>>>> It interferes with your assessment of the airway
You are dispatched to a residence for a patient with chest pain; however, you are unfamiliar with the address and cannot find the location in your map book. A nearby police officer radios you and tells you that he knows how to get to the scene. You should: CORRECT ANSWER>>>> Turn off your lights and carefully follow the police officer to the scene. Structures of the lower airway include all of the following, Except the: CORRECT ANSWER>>>> Epiglottis A 10-year-old male fell from his skateboard and struck his head on the ground; he was not wearing a helmet. He is responsive to painful stimuli only and has a large hematoma to the back of his head. After your partner stabilizes his head and opens his airway, you assess his breathing and determine that it is slow and irregular. His pulse is slow and bounding. You should: CORRECT ANSWER>>>> assist his ventilations, be prepared to suction his mouth if he vomits, apply full spinal precautions, and prepare for immediate transport to a trauma center. Which of the following is Not a common factor that would affect a 75-year-old patient's vital signs? CORRECT ANSWER>>>> Increased weight Common IV solutions used in the pre-hospital setting include all of the following, Except: CORRECT ANSWER>>>> 5% albumin solution Eclampsia is Most accurately defined as: CORRECT ANSWER>>>> Seizures that result from severe hypertension. Which of the following statements regarding V-fib is Most correct? CORRECT ANSWER>>>> Survival rates decreases by 7% to 10 % for each minute that v-fib persists.
A 50-year-old female is entrapped in her passenger car after it struck a tree. As the rescue team is preparing to extricate her, you quickly assess her and determine that she is breathing shallowly and that her radial pulse is absent. You should: CORRECT ANSWER>>>> Maintain spinal stabilization as she is extricated. What is the minute volume of a patient with a tidal volume of 500 mL, a dead space volume of 150 mL, and a respiratory rate of 16 breaths/min CORRECT ANSWER>>>> 5, 500 - 150= 350x16=5, You are assessing a woman who was thrown from her horse. She is located in a large field and you can see that a thunderstorm is rapidly approaching. Suddenly, you feel your skin begin to tingle and the hair on your arms stands on end. The ambulance is located about 30 yards away. You should: CORRECT ANSWER>>>> Crouch down in a position so that only your feet are touching the ground. A 75-year-old male with a terminal illness has died at home. As you and your partner enter the residence, a family member becomes verbally abusive, pushes you, and states that you took too long to get there. You should CORRECT ANSWER>>>> Retreat and notify law enforcement personnel cardiac monitoring pharmacological interventions, and other advanced treatment skills are functions of the? CORRECT ANSWER>>>> Paramedic The AED has delivered a shock to an elderly male in cardiac arrest. Following 2 minutes of CPR, you reanalyze the patient's cardiac rhythm and receive a "no shock advised" message. After further resuscitation, you restore a palpable carotid pulse. Your next action should be to: CORRECT ANSWER>>>> Reassess airway and breathing and treat accordingly.
How does Cpap improve oxygenation and ventilation in patients with certain respiratory problems? CORRECT ANSWER>>>> It forces the alveoli open and pushes more O across the alveolar membrane. When assessing a patient's abdomen, you will typically evaluate for all of the following, Except: CORRECT ANSWER>>>> Subcutaneous emphysema You receive a call for a sick person. When you arrive, you find the patient, a 75-year-old male, lying unresponsive in his bed. His respirations are slow and irregular and his pulse is slow and weak. His daughter tells you that he fell the day before, but refused to allow her to call 9- 1 - 1. His past medical history is significant for hypothyroidism, deep vein thrombosis, heavy alcohol use, and liver cirrhosis. His medications include blood thinners and vitamins. You should be MOST suspicious that this patient is experiencing: CORRECT ANSWER>>>> A subdural hematoma A 39-year-old male was struck in the head by a baseball during a game. He is confused, has a large hematoma in the center of his forehead, and cannot remember the events preceding the injury. After manually stabilizing his head and assessing his airway, you should: CORRECT ANSWER>>>> Administer high-flow oxygen. A patient without a history of seizures experiences a sudden convulsion. The least likely cause of this seizure is: CORRECT ANSWER>>>> Epilepsy If you are exposed to a patient's blood or other bodily fluid, your first action should be to: CORRECT ANSWER>>>> Transfer care of your patient to another EMS provider. An apneic infant or child should be ventilated a maximum of ____ times per minute.
CORRECT ANSWER>>>> 20
After using the PAT to form your general impression of a sick or injured child, you should: CORRECT ANSWER>>>> Perform a hands-on assessment of the ABCs When is it Most appropriate to consider requesting additional ambulances at an accident scene? CORRECT ANSWER>>>> When you determine there are multiple patients Intraosseous IO needles are used when CORRECT ANSWER>>>> Immediate IV access is difficult or impossible to obtain. You are assessing a 25-year-old woman who is 39 weeks pregnant. She is experiencing regular contractions that are approximately 3 minutes apart and states that her amniotic sac broke 2 hours ago. After taking the standard precautions, you should: CORRECT ANSWER>>>> A) apply 100% oxygen. B) place her on her left side. C) assess her for crowning. D) transport her immediately. = C) assess her for crowning. The partial pressure of O2 in the alveoli is ___ mmHg, while the partial pressure of carbon dioxide in the alveoli is ___ mmHg. CORRECT ANSWER>>>> 104, 40 Aspirin is beneficial to patients suspected of having a heart attack because it: CORRECT ANSWER>>>> Prevents the aggregation of platelets
When you arrive at the designated landing zone, you should: CORRECT ANSWER>>>> Survey the area for power lines or other hazards Following delivery of a pulseless and apneic infant who has a foul odor, skin sloughing, and diffuse blistering, you should: CORRECT ANSWER>>>> Provide emotional support to the mother. A common cause of shock in an infant is: CORRECT ANSWER>>>> Dehydration from vomiting and diarrhea
