WEST COAST EMT BLOCK 4 EXAM
LATEST ACTUAL EXAM 2024-2025
QUESTIONS AND DETAILED CORRECT
ANSWERS | ALREADY GRADED A+
A 43-year-old man is experiencing a severe nosebleed.
His blood pressure is 190/110 mm Hg and his heart rate is
90 beats/min and bounding. Preferred treatment for this
patient includes:
Select one:
A. packing both nostrils with gauze pads until the bleeding
stops.
B. placing a rolled 4² × 4² dressing between his lower lip
and gum.
C. pinching the patient's nostrils and having him lean
forward.
D. having the patient pinch his own nostrils and then lie
supine. Correct Answer C. pinching the patient's nostrils
and having him lean forward.
A 67-year-old male presents with weakness, dizziness,
and melena that began approximately 2 days ago. He
denies a history of trauma. His blood pressure is 90/50
mm Hg and his pulse is 120 beats/min and thready. You
should be MOST suspicious that this patient is
experiencing:
Select one:
A. an aortic aneurysm.
B. acute appendicitis.
,C. gastrointestinal bleeding.
D. intrathoracic hemorrhaging. Correct Answer C.
gastrointestinal bleeding.
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:
Select one:
A. perform a secondary assessment.
B. apply a nonrebreathing mask.
C. obtain baseline vital signs.
D. assist the patient's ventilations. Correct Answer D.
assist the patient's ventilations.
Circulation of blood within an organ or tissue in adequate
amounts to meet the cells' oxygen, nutritional, and waste-
removal needs is termed _______.
Select one:
A. perfusion
B. hypoperfusion
C. coagulation
D. hemorrhage Correct Answer A. perfusion
Following blunt trauma to the abdomen, a 21-year-old
female complains of diffuse abdominal pain and pain to
the left shoulder. Your assessment reveals that her
abdomen is distended and tender to palpation. On the
basis of these findings, you should be MOST suspicious of
injury to the:
Select one:
,A. spleen.
B. gallbladder.
C. pancreas.
D. liver. Correct Answer A. spleen.
An 8-year-old male was bitten by a stray dog. He has a
large laceration to the back of his left hand, which your
partner covered with a sterile dressing and bandage. In
addition to transporting the child to the hospital, you
should:
Select one:
A. ask the child's father to try to locate the dog.
B. advise the child that he will need rabies shots.
C. report the incident to the appropriate authorities.
D. administer oxygen via a nonrebreathing mask. Correct
Answer C. report the incident to the appropriate authorities
As you approach a young male who was involved in an
industrial accident, you note that his eyes are closed and
that he is not moving. You can see several large
contusions to his arms, a laceration to his forehead with
minimal bleeding, and a closed deformity to his right leg.
You should:
Select one:
A. assess his pulse for rate, regularity, and quality.
B. perform an immediate head-to-toe assessment.
C. open his airway and assess his breathing status.
D. apply high-flow oxygen and assess his injuries. Correct
Answer C. open his airway and assess his breathing
status.
, Burns to pediatric patients are generally considered more
serious than burns to adults because:
Select one:
A. most burns in children are the result of child abuse.
B. pediatric patients have more surface area relative to
total body mass.
C. pediatric patients have a proportionately larger volume
of blood.
D. pediatric patients are more prone to hyperthermia.
Correct Answer B. pediatric patients have more surface
area relative to total body mass.
During your assessment of a patient who was shot in the
abdomen, you notice a large entrance wound with multiple
small puncture wounds surrounding it. This wound pattern
is MOST consistent with a:
Select one:
A. .22-caliber pistol.
B. shotgun.
C. handgun.
D. .357 magnum. Correct Answer B. shotgun.
In addition to severe bleeding, the MOST life-threatening
complication associated with an open neck injury is:
Select one:
A. an air embolism.
B. a spinal fracture.
C. an ischemic stroke.
D. nerve fiber damage. Correct Answer A. an air
embolism.
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