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FISDAP MEDICAL CARE AND TREATMENT TEST EXAM QUESTIONS WITH ANSWERS, Exams of Nursing

King's College London (KCL)Nursing

FISDAP MEDICAL CARE AND TREATMENT TEST EXAM QUESTIONS WITH ANSWERS 1. What is the effect of oral glucose? A. Lowers blood sugar B. Raises blood sugar C. Stimulates gluconeogenesis D. Increases the rate of digestion 2. A 14 year old male is hot, dry and complaining of nausea and vomiting after mowing the lawn. What should you suspect? A. Hypothermia B. Heat exhaustion C. Heat stroke D. Hyperemesis

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FISDAP MEDICAL CARE AND TREATMENT TEST
EXAM QUESTIONS WITH ANSWERS
1. What is the effect of oral glucose?
A. Lowers blood sugar
B. Raises blood sugar
C. Stimulates gluconeogenesis
D. Increases the rate of digestion
2. A 14 year old male is hot, dry and complaining of nausea and
vomiting after mowing the lawn. What should you suspect?
A. Hypothermia
B. Heat exhaustion
C. Heat stroke
D. Hyperemesis
3. What occurs during compression of the inferior vena cava?
A. Preeclampsia
B. Supine hypotensive syndrome
C. Pregnancy induced hypertension
D. Eclampsia
4. An unresponsive 32 year old female was pulled from a frozen lake
after 3 minutes of submersion. Vital signs are BP 90/70, P 24, R 8.
Why is it important to handle her gently while transporting? A. Any
lung damage due to submersion is greatly reduced.
B. She could go into shock.
C. It prevents her from losing any limbs.
D. She could convert into V-Fib or V-Tach rhythm.
5. A 56 year old male complains of chest pain after shoveling the
driveway. He states that his pain was a 9/10, but it is now a 5/10
after rest and taking
2 of his nitroglycerin. Vital signs are BP 100/66, P 87, R 16. What
should you do? A. Apply high-flow oxygen.
B. Apply pulse oximetry.
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FISDAP MEDICAL CARE AND TREATMENT TEST

EXAM QUESTIONS WITH ANSWERS

  1. What is the effect of oral glucose? A. Lowers blood sugar B. Raises blood sugar C. Stimulates gluconeogenesis D. Increases the rate of digestion
  2. A 14 year old male is hot, dry and complaining of nausea and vomiting after mowing the lawn. What should you suspect? A. Hypothermia B. Heat exhaustion C. Heat stroke D. Hyperemesis
  3. What occurs during compression of the inferior vena cava? A. Preeclampsia B. Supine hypotensive syndrome C. Pregnancy induced hypertension D. Eclampsia
  4. An unresponsive 32 year old female was pulled from a frozen lake after 3 minutes of submersion. Vital signs are BP 90/70, P 24, R 8. Why is it important to handle her gently while transporting? A. Any lung damage due to submersion is greatly reduced. B. She could go into shock. C. It prevents her from losing any limbs. D. She could convert into V-Fib or V-Tach rhythm.
  5. A 56 year old male complains of chest pain after shoveling the driveway. He states that his pain was a 9/10, but it is now a 5/ after rest and taking 2 of his nitroglycerin. Vital signs are BP 100/66, P 87, R 16. What should you do? A. Apply high-flow oxygen. B. Apply pulse oximetry.

C. Obtain a second set of vital signs. D. Administer aspirin.

  1. A 71 year old female is short of breath and has lower leg pain. She took 2 doses of her prescribed nitroglycerine and 324 mg aspirin 10 minutes ago. Vital signs are BP 160/90, P 88, R 24, SpO2 88%. What should you do? A. Administer a third dose of nitroglycerin. B. Apply oxygen by non-rebreather mask. C. Administer an additional dose of aspirin. D. Obtain a second set of vital signs.
  2. A 66 year old female has shortness of breath and diffuse back pain. Auscultation of lungs reveal crackles in the bases. Vital signs are BP 170/110 and P 112. What should you do administer? A. Adenosine B. Furosemide C. Albuterol D. Nitroglycerin Scenario:
  3. An unresponsive 2 day old female is in respiratory distress. Her skin is cyanotic and vital signs are P 184, R 72. What should you do? A. Assist her ventilations. B. Administer albuterol. C. Apply blow-by oxygen. D. Asses for a blood pressure.
  4. A 22 year old male complains of shortness of breath with diminished lung sounds on the right side. Vital signs are BP 130/90, P 86, R 24. What should you suspect? A. Asthma attack B. Pneumothorax C. Tension pneumothorax D. Exacerbation of COPD
  5. An 66 year old female had a syncopal episode while attempting to stand up. She describes a history of COPD, CHF, and gout. Vital signs are BP 96/40, P 56, R 18. What should you suspect?
  1. A 45 year old female had a return of spontaneous circulatoin (ROSC) after 10 minutes in cardiac arrest. She is unresponsive. Vital signs are BP 96/40, P 88, R 18, SpO2 74%. What should you do? A. Assist her ventilations with a BVM. B. Continue to use the AED to analyze her pulse. C. Position her in a recovery position and apply high-flow oxygen. D. Provide low-flow oxygen by non-rebreather mask.
  2. A 16 year old boy tells you that he "caught" his 40 year old mother "holding a handful of sleeping pills." The son explains that she is depressed, and he is convinced that she meant to kill herself. She is extremely agitated and is refusing treatment. What should you do? A. Carefully document the woman's refusal and have her sign the form. B. Request law enforcement assistance to transport the patient. C. Contact social services to recommend they follow up on this family. D. Encourage the patient to see a mental health professional that day.
  3. A 76 year old female complains of chest pain on the right side directly above her 4th intercostal space. She states that she had a "hip replaced" a couple of weeks ago and that she is recovering well. What should you suspect? A. Pulmonary embolism B. Acute coronary syndrome C. Pnemothorax D. Myocardial infarction
  4. A 22 year old intoxicated male responds to voice by moaning. You note vomit in his airway, what should you do? A. Insert a nasal airway. B. Suction the mouth. C. Manually stabilize c-spine. D. Turn the patient on his side.
  5. What is the movement of drugs in the body as they are absorbed, distributed, metabolized, and excreted called? A. Pharmacodynamics B. Pharmacokinetics C. Biotransformation D. The mechanism of action

Scenario:

  1. A 32 year old female attempted to commit suicide by taking sleeping pills and cutting her wrists. She has dark red blood oozing from the wrist lacerations. Vital signs are BP 90/52, P 130 and weak, R 18. What type of bleeding and shock is she experiencing? A. Venous bleeding with hypovolemic shock. B. Arterial bleeding with hypovolemic shock. C. Capillary bleeding with cardiogenic shock. D. Venous bleeding with neurogenic shock.
  2. What is a sign of an upper GI bleed? A. Dark black emesis B. Dry warm skin C. High blood pressure and dizziness D. Pain in the right shoulder
  3. A 40 year old male was stung by a bee. His skin is pink and dry, his lung sounds are clear and he has equal chest rise. Vitals are BP 122/82, P 78, R 18, SpO2 98%. What should you do? A. Administer high-flow oxygen by non-rebreather mask. B. Assist with the administration of his EpiPen. C. Contact poison control. D. Perform a secondary assessment.
  4. A 2 year old male is conscious after ingesting a small quantity of bleach. What should you suspect? A. Hot, dry skin and diarrhea B. Chemical burns around the mouth C. Dilated pupils and labored breathing D. Bright, red skin on child's extremities
  5. A 25 year old female is stung by a bee. She complains of shortness of breath, hives and has audible wheezes. What should you do? A. Assist in the use of her metered dose inhaler. B. Obtain an oxygen saturation reading. C. Have family members confirm her bee allergy. D. Remove the stinger using a credit card.
  6. What signs and symptoms should make you suspect a heroin overdose? A. Pinpoint pupils, coma, and respiratory depression B. Hypertension, tachycardia, and urinary retention C. Lacrimation, bradycardia, and hyperactivity D. Dilated pupils, coma, and hyperpnea

C. Pain that is relieved by rocking or movement. D. Pain that increase with eating.

  1. What medical term describes wheals on the skin during an allergic reaction? A. Angioedema B. Myxedema C. Urticaria D. Pruritus
  2. What gland joins the nervous system with the endocrine system? A. Hypothalamus B. Thymus C. Pituitary D. Pineal
  3. You assisted a 46 year old female with her prescribed nitroglycerin. She is now light-headed and feels dizzy. What should you do? A. Contact medical control. B. Check her blood sugar. C. Perform a stroke assessment scale. D. Position her supine.
  4. A 20 year old male complains of nausea and headache after working on his car in the garage. Vital signs are BP 130/90, P 76, R 16. What should you suspect? A. CO poisoning B. Cholinergic poisoning C. Migraine D. Brain aneurysm
  5. Lifeguards have rescued an unconscious 42 year old near-drowning victim from the water. What should be your most important treatment for this patient? A. Establish and maintain C-spine immobilization. B. Immediately transport to the local hospital.

C. Perform a rapid primary survey. D. Acquire information about what happened.

  1. A 26 year old male has Kussmaul's respirations. He has a diabetic alert bracelet. What should you suspect? A. Diabetic ketoacidosis (DKA) B. Hyperglycemic hyperosmolar nonketotic coma (HHNC) C. Hypoglycemia D. Insulin shock
  2. A 46 year old male complains of difficulty breathing and a productive cough. He states that his cough began about 2 weeks ago. Lung sounds reveal coarse rhonchi in all fields. His skin color is ashen and he is diaphoretic. What should you do? A. Don an N95 mask. B. Obtain baseline vitals. C. Apply oxygen by non-rebreather mask. D. Assist with administration of his albuterol inhaler.
  3. Possible splenic injury or ectopic pregnancy can have referred left shoulder pain called? A. Kehr's B. Turner's C. Kernig's D. Hammain's
  4. Which of the following is NOT part of the Cincinnati Stroke Test? A. Facial droop B. Ability to walk C. Slurred speech D. Arm drift Scenario:
  5. A 32 year old male is presents with difficulty breathing. He has bilateral inspiratory and expiratory wheezing. Vital signs are BP 120/80, P 89, R 32, SpO2 93%. What should you suspect? A. Emphysema B. Asthma C. Chronic bronchitis
  1. A 58 year old unconscious male has a return of spontaneous circulation (ROSC) after 10 minutes of CPR and 3 shocks from an AED. Vital signs are BP 90/60, P 54, R 4. What should you do? A. Assist his ventilations with a BVM. B. Remove the oral airway. C. Continue CPR. D. Discontinue interventions.
  2. A 51 year old male with a history of COPD is having difficulty breathing. Vital signs are BP 136/74, R 22, P 100, SpO2 95%. What should you do? A. Withhold oxygen to avoid decreasing the hypoxic drive. B. Administer oxygen by nonrebreather mask. C. Apply high-flow oxygen by bag-valve mask. D. Apply low-flow oxygen by nasal cannula.
  3. A 21 year old female was lost in the woods for several hours. The ambient temperature is 25 degrees Fahrenheit. She is lethargic and confused. The skin on her hands is waxy and white. What should you do? A. Apply heat packs on her neck, armpits, and groin. B. Place several heat packs on her legs and arms. C. Gently wrap the patient in several dry blankets. D. Vigorously rub the patient's extremities.
  4. What is the most common communicable disease contracted by blood-borne pathogen exposure? A. AIDS B. Hepatitis A C. HIV D. Hepatitis B
  5. A 22 year old female was recently involved in a sexual assault. She wants to take a shower, what should you do? A. Ask her to wait until she gets admitted to the hospital. B. Allow her to do so after she places her clothing in an evidence bag.

C. Perform a thorough pelvic exam before letting her shower. D. Advise her to speak to a police officer before showering.

  1. An 80 year old male is confused and in his apartment on a hot summer day. Vital signs are BP 80/P, P 132 and regular, R 40 and shallow, skin is hot and dry. What should you suspect? A. Hypoglycemia B. Dementia C. Heat exhaustion D. Heatstroke
  2. What is a contraindication for the administration of nitroglycerin? A. Pain that radiates down the left arm B. Recent use of erectile dysfunction medication C. Blood pressure greater than 100 systolic D. Diastolic blood pressure less than 90
  3. A 12 year old is complaining of an "itchy throat" and stomach cramping after sharing a sandwich at school. What should you suspect? A. Anaphlyaxis B. Food poisoning C. Allergic reaction D. Foreign body airway obstruction
  4. What cardiac dysrhythmia will an AED defribrillate? A. Pulseless electrical activity B. Ventricular tachycardia C. Bradycardia D. Asystole
  5. What are the names of the four valves in the heart? A. Left Atrial, Right Atrial, Septal, Ventricular B. Ventral, Caudal, Transverse, Lateral C. Mitral, Tricuspid, Pulmonic, Aortic D. Mitre, Trigeminal, Pulmonary, Aorta
  6. A 67 year old female is undergoing dialysis treatment for renal failure.

should you do? A. Contact medical direction and transport rapidly. B. Administer activated charcoal. C. Position patient to anticipate vomiting. D. Obtain a second set of vital signs while preparing to transport.

  1. What is the most common complaint of patients with cardiac compromise? A. Hypertension B. Leg pain C. Hypotension D. Dyspnea
  2. An elderly patient has left-sided heart failure. What lung sounds should you suspect to hear? A. Wheezing B. Ronchi C. Stridor D. Crackles
  3. A 84 year old female becomes unconscious while eating her breakfast. Her home-care nurse states that she was "fine one minute and then complained of a bad headache" before losing consciousness. Vital signs are 178/120, P 62, R 10 and irregular. What should you suspect? A. Hemorrhagic stroke B. Hypoglycemia C. Transient ischemic attack D. Myocardial infarction
  4. What is the primary action of insulin? A. Facilitate glucose transport into cells. B. Add a functional group during gluconeogenesis. C. Reduce the glucose consumption of the cells. D. Increase blood glucose levels.
  5. A 45 year old male has chest pain. What should you determine before administering a dose of nitroglycerin? A. His blood pressure

B. A pulse oximetry reading C. Recent use of blood thinners D. Recent use of an inhaler

  1. You have assisted with the administration of an Albuterol inhaler. The patient's heart rate begins to increase. What should you do? A. Obtain an additional set of vitals and transport to the hospital. B. Administer a single dose of nitroglycerin. C. Discontinue administration and apply low-flow oxygen. D. Listen to lung sounds and obtain a SAMPLE history.
  2. A 32 year old male has ingested an unknown quantity of gasoline in an attempt to kill himself. What should you do? A. Administer 75 grams of activated charcoal by mouth. B. Administer 30 mL of syrup of ipecac followed by a glass of water. C. Apply high-flow oxygen and transport immediately. D. Ask him if he plans on hurting others.
  3. You are called to a bar for a 52 year old male who has slurred speech and difficulty sitting upright. He is unable to follow your commands and refuses to leave the bar. Which of the following should you consider LAST? A. Stroke B. Diabetic reaction C. Seizure D. Alcohol intoxication
  4. A 64 year old male is unresponsive. Bystanders tell you he has been down for 10-15 minutes and resuscitation efforts have not been attempted. What should you do? A. Assess a carotid pulse. B. Apply and AED. C. Ventilate him with a BVM. D. Request ALS intercept.
  5. A systolic blood pressure is less than 90. What should this indicate? A. Hypertension B. Hypotension C. Tachycardia D. Bradycardia

B. Pancreatitis C. Splenic injury D. Kidney failure

  1. Which of the following is a contraindication for Nitroglycerin? A. Renal failure. B. Hypotension. C. MAO Inhibitors. D. Pulmonary hypertension.
  2. A 43 year old male complains of a stiff neck, persistent cough, and fever for the past week. He states he has been in and out of homeless shelters for the past 5 months. What should you do? A. Put on eye protection and a surgical mask. B. Have the patient wear a HEPA mask. C. Apply oxygen by non-rebreather mask. D. Use gloves, gown, and HEPA mask.
  3. What condition is NOT commonly associated with sickle cell anemia? A. Musculoskeletal pain B. Excessive bleeding C. Abdominal pain D. Renal disease
  4. What is status epilepticus? A. When the patient sees an aura prior to a seizure B. A seizure affecting one area of the body C. Two or more continuous seizures D. A seizure that occurs during a fever
  5. A 70 year old male complains of shortness of breath and has wheezing. Vitals signs are BP 126/90, P 74, R 22, SpO2 92%. What should you do? A. Assist his ventilations with a bag-valve mask. B. Apply oxygen by nasal cannula at 2 lpm. C. Apply oxygen by non-rebreather mask at 15 lpm. D. Administer albuterol
  1. A 26 year old female is supine and only responding to voice with unintelligible gurgling noises. Her husband tells you she is an epileptic. She had a seizure during which he was able to gently assist her to the ground. What should you do? A. Apply a c-collar and place her on a long backboard. B. Load the patient on a stretcher and apply soft restraints. C. Roll the patient onto her side and suction the airway. D. Perform a thorough trauma assessment and patient history.
  2. What type of drug abuse is characterized by the pateint "seeing" or "hearing" things that are not present? A. Volatile chemicals B. Downers C. Hallucinogens D. Uppers
  3. You are transporting a 44 year old male complaining of chest pain when he becomes unconscious, pulseless, and stops breathing. What should you do? A. Contact another unit for help. B. Contact medical control for direction. C. Ask your partner to go with lights and siren to the hospital. D. Begin CPR and attach the AED.
  4. What does the body use for fuel in diabetic ketoacidosis? A. Ketones B. Fats C. Acids D. Glucose
  5. What statement is used to gain information about the "P" in OPQRST? A. What were you doing when the pain began? B. Do you have any past history of this complaint? C. Did the pain begin suddenly or gradually? D. Is there anything that worsens or relieves the pain?
  6. A 56 year old male has intercostal retractions and is in the tripod position. Vital signs are BP 116/78, P 90, R 32. What should you do? A. Assist his ventilations. B. Administer oxygen by nasal cannula. C. Administer albuterol. D. Apply a non-rebreather mask at 15 lpm.

C. Begin CPR, and apply the AED. D. Apply AED, and follow directions. Scenario:

  1. A 42 year old female is unconscious and apneic. What should you do? A. Assess the carotid pulse. B. Perform a jaw thrust maneuver. C. Insert oralpharyngeal airway. D. Open the airway with a head-tilt.
  2. How does the blood flow through the heart? A. Left atrium to left ventricle to lungs to right atrium to right ventricle B. Right atrium to right ventricle to lungs to left atrium to left ventricle C. Right ventricle to right atrium to lungs to left ventricle to left atrium D. Left ventricle to left atrium to lungs to right ventricle to right atrium
  3. What should you do when the automated external defibrillator (AED) performs its rhythm analysis? A. Perform chest compressions. B. Administer 2 rescue breaths. C. Remain clear of the patient. D. Check for carotid pulse.
  4. When administering nitroglycerin to a patient with angina, to which structures are you hoping to alleviate ischemia? A. Jugular veins B. Pulmonary veins C. Carotid arteries D. Coronary arteries Scenario:
  1. A 62 year old female complains of chest pain and shortness of breath. She is extremely anxious. Vital signs are BP 80/56, P 118, R 24 with crackles, SpO2 87%. What is the most likely cause? A. Cardiogenic shock B. Hypovolemic shock C. Pulmonary embolus D. Right-sided heart failure
  2. A 3 year old male has inspiratory wheezes. After assisting wth his inhaler you now hear both inspiratory and expiratory wheezing. What should you do? A. Document the respiratory improvement. B. Assist ventilations with a bag-valve mask. C. Call medical control to indicate deterioration. D. Position him on his back and administer oxygen.
  3. Which of the following is NOT a sign of heatstroke? A. Flushed skin B. Unconsciousness C. Diaphoresis D. Dilated pupils
  4. Which of the following is NOT a definitive sign of death? A. Rigor mortis B. Absence of breath sounds C. Dependent lividity D. Putrefactation
  5. What symptom would a person who overdosed on barbiturates have? A. Rapid eye movement B. Sluggish movements C. Pupillary constriction D. Anxiousness
  6. A 57 year old female complains of difficulty breathing. She has jugular vein distension (JVD), pedal edema and fatigue. What chamber of the heart should you suspect is weakened? A. Right ventricle B. Left atrium C. Left ventricle D. Right atrium