Exam (elaborations)
NSC EMT Practice Test (Comprehensive)
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NSC EMT Practice Test (Comprehensive)
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NSC EMT Practice Test (Comprehensive)A 19-year-old female is found unconscious by her roommate. Your primary assessment
reveals that her breathing is inadequate. As you insert an oropharyngeal airway, she
begins to gag violently. You should:
a) continue to insert the airway as you suction her oropharynx
b) remove the airway and be prepared to suction her oropharynx
c) insert the airway no further but leave it in place as a bite block
d) select a smaller oropharyngeal airway and attempt to insert it - ANSWER-b) remove
the airway and be prepared to suction her oropharynx
A 20-year-old male was pulled from cold water by his friends. The length of his
submersion is not known and was not witnessed. Your perform a primary assessment
and determine that the patient is apneic and has a slow, weak pulse. You should:
a) suction his airway for 30 seconds, apply a rigid C-collar, remove his wet clothing, and
transport rapidly
b) provide rescue breathing, remove his wet clothing, immobilize his entire spine, keep
him warm, and transport carefully
c) ventilate with a BVM, apply a rigid c-collar, remove his wet clothing, and transport
rapidly
d) apply high-flow oxygen via a NRB mask, immobilize his spine, keep him warm, and
transport rapidly - ANSWER-b) provide rescue breathing, remove his wet clothing,
immobilize his entire spine, keep him warm, and transport carefully
A 21-year-old male was thrown over the handlebars of his motorcycle when he rear-
ended a car that was stopped at a red light. He was wearing a helmet, which he
removed prior to your arrival. He is conscious, but restless, and has closed deformities
to both of his femurs. His skin is pale, his heart rate is rapid and weak, and his
respirations are rapid and shallow. You should:
a) bind his legs together on the backboard, keep him warm, and transport without delay
b) apply KTD to both of his legs, keep him warm, and transport without delay
c) splint each of his deformed femurs with long board splints and transport without delay
d) splint each of his deformed femurs with air splints, elevate his lower extremities, and
transport - ANSWER-a) bind his legs together on the backboard, keep him warm, and
transport without delay
A 22-year-old male was kicked in the abdomen several times. You find him lying on his
left side with his knees drawn up. He is conscious and alert and complains of increased
pain and nausea when he tries to straighten his legs. His BP is 142/82, his pulse rate is
110 and strong, and his respirations are 22. In addition to administering high-flow
oxygen, you should:
,a) apply full spinal motion restriction precautions
b) keep him on his side but gently straighten his legs
c) place him supine but allow him to keep his knees bent
d) transport him in the position in which you found him - ANSWER-d) transport him in
the position in which you found him
A 23-year-old male experience severe head trauma after his motorcycle collided with an
oncoming truck. He is unconscious, has rapid and shallow breathing, and has copious
bloody secretions in his mouth. How should you manage his airway?
a) Suction his oropharynx with a rigid catheter until all secretions are removed
b) Insert a NPA and provide suction and assisted ventilations
c) Alternate 15 seconds of oral suctioning with 2 minutes of assisted ventilation
d) Provide continuous ventilations with a BVM device to minimize hypoxia - ANSWER-c)
Alternate 15 seconds of oral suctioning with 2 minutes of assisted ventilation
A 30-year-old female was robbed and assaulted as she was leaving a nightclub. She
has massive facial trauma and slow, gurgling respirations. As your partner manually
stabilizes her head, you should:
a) begin immediate ventilatory assistance
b) visualize her mouth for obvious wounds
c) apply oxygen via a NRB mask
d) suction her oropharynx for 15 seconds - ANSWER-d) suction her oropharynx for 15
seconds
A 40-year-old male was in his woodworking shop when he felt a sudden, sharp pain in
his left eye. Your assessment reveals a small splinter of wood embedded in his cornea.
You should:
a) scrape the splinter away with moist, sterile gauze
b) cover his right eye and flush the left eye with saline
c) cover both of his eyes and transport to the hospital
d) remove the object with a cotton-tipped applicator - ANSWER-c) cover both of his
eyes and transport to the hospital
A 40-year-old unrestrained female impacted the steering wheel of her vehicle with her
chest when she hit a tree while traveling at 45 mph. She is conscious and alert, but is
experiencing significant chest pain and shortness of breath. Which of the following
injuries is the LEAST likely?
a) Head injury
b) Cardiac contusion
c) Pulmonary contusion
d) Multiple rib fractures - ANSWER-a) Head injury
, A 50-year-old man with diabetes has an altered mental status and is unable to tell you
when he last ate or took his insulin. Your glucometer keeps malfunctioning and you are
unable to determine his BGL. Which of the following clinical signs would MOST likely
lead you to the correct diagnosis?
a) Rapid and weak pulse
b) Deep and rapid breathing
c) Restlessness and irritability
d) Hypotension and tachycardia - ANSWER-b) Deep and rapid breathing
A 50-year-old was stung by a honeybee approximately 15 minutes ago. He presents
with respiratory distress, facial swelling, and hypotension. After placing him on oxygen
and administering his epinephrine via auto-injector, you note that his breathing has
improved. Additionally his facial swelling is resolving and his blood pressure is stable.
Your next action should be to:
a) reassess his breathing and BP in 15 minutes
b) visualize his airway to assess for oropharyngeal swelling
c) notify medical control of the patient's response to your treatment
d) record the time and dose of the injection and transport promptly - ANSWER-d) record
the time and dose of the injection and transport promptly
A 70-year-old female was recently discharged from the hospital following a total hip
replacement. Today, she presents with restlessness, tachycardia, and a blood pressure
of 100/64 mm Hg. Her skin is hot and moist. You should be MOST suspicious that she
is experiencing:
a) septic shock
b) pump failure
c) a local infection
d) decompensated shock - ANSWER-a) septic shock
A 71-year-old male is semi-conscious following a sudden, severe headache. There is
vomitus on his face and his respirations are slow and shallow. The EMT must
immediately:
a) insert a NPA
b) perform oropharyngeal suctioning
c) apply oxygen via a NRB
d) begin assisting the patient's ventilations - ANSWER-b) perform oropharyngeal
suctioning
A 73-year-old man presents with a generalized rash, which he thinks may have been
caused by an antibiotic that he recently began taking. He has a history of coronary
artery disease, hypertension, and emphysema. He is conscious and alert, his blood
pressure is 144/94 mm Hg, and his pulse is 64 beats/min and regular. You auscultate
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