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Exam 4 EMT basic Exam/157 Questions With Verified Answers
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Exam 4 EMT basic Exam/157 QuestionsWith Verified Answers
A construction worker has a metal rod impaled in his right forearm.
Assessment of the injury indicates heavy bleeding from around the impaled
object. What should you do first? - -Apply direct pressure around the rod
-Another crew has called for your assistance in extricating an obese male
with a nosebleed from a third-floor bedroom. As you enter the room, which
observation indicates proper management of the patient's condition? - -The
patient is sitting upright, leaning forward, with nostrils pinched shut
-You are called for a 2-year-old boy who has a nosebleed. While you are en
route to the call, the dispatcher informs you that the patient has hemophilia.
As an EMT, you should recognize that: - -The bleeding may be significant
-Assessment of an 88-year-old female who fell reveals bruising to her right
buttock. The skin is intact and the patient complains of tenderness to the
area when you palpate. As a knowledgeable EMT, you would recognize this
patient has which type of injury? - -Contusion
-A pregnant 31-year-old female has been shot in the neck. Currently, she is
responsive to verbal stimuli, with an open airway and rapid, but adequate
respirations. Her radial pulse is weak and fast. Vital signs are as follows:
pulse 152 beats/min, respirations 22 breaths/min, blood pressure 92/76
mmHg, and SpO2 100% on high-concentration oxygen as initiated by the fire
department EMRs. Which other intervention by the EMT will most benefit this
patient? - -Place an occlusive dressing on the neck and keep the patient
warm during transport
-You are called for a 78-year-old female who fell earlier in the day. As you
enter her kitchen, you observe her sitting in a chair with ecchymotic areas to
her left cheek and left arm. There also appears to be blood on her pants. She
is on home oxygen for COPD and is breathing in a moderately labored
manner. The patient states that she fell a few hours ago, and now the pain
and swelling in her arm are unbearable. She has also developed significant
lower neck pain. What should you do first? - -Take manual spinal motion
restriction precautions
-The EMT is by the side of a young female who was cut while washing
dishes. She has a jagged laceration to her left forearm that is bleeding
steadily and heavily. When attempting to control the bleeding, the EMT
would first: - -Place a large sterile dressing over the site, with hand pressure
applied over the top of the dressing
, -An alert and oriented patient has had a portion of his hand amputated by a
table saw. Assessment reveals the patient to be in great pain, with a
moderate amount of dark red blood still coming from the injury site. His
airway is open and his breathing is fast, but adequate. The radial pulse is
rapid and strong, and his skin is warm and dry. The patient's amputated
hand has been placed in a bag of ice by coworkers. What should the EMT do
immediately? - -Control the bleeding with direct pressure
-When performing the primary assessment, which sign or symptom best
suggests that the patient is in shock? - -Skin that is cool and diaphoretic
-A male patient has been shot in the chest with a small-caliber gun. Which
presentation indicates that he is in an early stage of shock? - -Alert and
anxious, pulse 96 beats/min, BP 134/88 mmHg, pale and cool skin
-Which statement demonstrates an understanding of shock caused by
internal bleeding? - -"You should always suspect internal bleeding in a
patient with the signs and symptoms of shock but no external bleeding
-A female patient has been involved in a motorcycle crash. Your scene size-
up reveals her to be unresponsive and lying in the roadway. It also appears
that her left leg has been amputated at the knee. What should the EMT do
immediately? - -Perform a jaw-thrust maneuver
-A patient sustained a crush injury after being pinned by a car that fell off
jack-stands while the patient was underneath the car working on it. The
injury occurred to the left upper quadrant of the abdomen. Assessment
shows bruising to that area, with instability noted to the lowest rib. The
EMT's highest concern regarding this injury should be: - -Injury to the spleen
-A patient suffered abrasions to the legs after falling on a moving treadmill.
In relation to the function of the skin, the EMT should be most concerned
about: - -Risk for infection
-Which observations would cause the EMT to classify a patient's soft tissue
injury as an abrasion? - -Skin is scraped and red; blood is oozing from the
injury site
-An injury caused by scraping, rubbing, or shearing away of the skin is a(n) -
-abrasion
-The first step an EMT should take when encountering a patient with severe
bleeding is to - -use appropriate Standard Precautions.
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