EMT FINAL EXAM 2023-2024 ACTUAL EXAM 2
LATEST VERSIONS 300 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS)ALREADY GRADED A+
1155 – a malfunction of the heart’s electrical system may result in
A. Atherosclerosis
B. Pericarditis
C. Aneurysm
D. Arrhythmia – ….ANSWER …D. Arrhythmia
1156 – All of the following are indications for the use of nitro EXCEPT
A. Patient has a history of cardiac problems
B. The patient’s physician has prescribed nitro
C. Pt complains of CP
D. The pt’s systolic BP is less than 90 – ….ANSWER… D. The pt’s systolic BP is less
than 90
*1157 – A 60 y/o female has chest pain. She has not taken her prescribed nitro you
should
A> Determine what type of cardiac problem the pt has, and assist her with taking the
nitro
B> Immediately attached the AED and begin transport to hospital
C> Administer aspirin only and withhold the nitro
D> Consult medical direction with regard to assisting the pt in taking the nitro –
….ANSWER. ..A> Determine what type of cardiac problem the pt has, and assist her
with taking the nitro
1268 – You have assisted a 56 y/o pt in taking 1 nitro he continues to complain of CP.
Vital signs are: BP 94/64, P 120, R 14, SaO2 98%. You should
A. Reassess his BP
B. Assist him with a 2nd nitro
C. Transport
D. Assess lung sounds and have pt self-administer their inhaler – ….ANSWER….C.
Transport
1269 – You are transporting a pt with CP, when suddenly she becomes unresponsive
you should
A. Start CPR and transport more rapidly
B. Stop the ambulance and confirm absence of pulse
1271 – is a cardiac arrhythmia characterized by a complete
C. Immediately apply an AED and analyze
D. Insert an OPA and ventilate twice – ….ANSWER. ..B. Stop the ambulance and
confirm absence of pulse
disorganization of electrical activity
A. Ventricular tachycardia
B. Pulseless electrical activity
C. Ventricular fibrillation
D. Atrial fibrillation – ….ANSWER….C. Ventricular fibrillation
1273 – One of the most problematic side effects of nitro is
A. Hypotension
B. Bradycardia
C. Angina
D. Dyspnea – ….ANSWER… A. Hypotension
1278 – The strongest portion of the heart that is responsible for circulating blood to the
entire body is the
A. Left atrium
B. Right atrium
C. Left ventricle
D. Right ventricle – ….ANSWER. ..C. Left ventricle
1279 – You are dispatched to a 68 y/o female complaining of discomfort in her upper
back. She is nauseous and appears to be sweaty. Based on these symptoms, which of
the possible causes is most life-threatening.
A. Stroke
B. Diabetic reaction
C. Cardiac compromise
D. Indigestion – ….ANSWER …C. Cardiac compromise
1281 – A 62 y/o female who has been drinking alcoholic beverages is feeling dizzy. She
cannot walk and she complains of severe headache. You should suspect
A. Delirium tremens
B. Severe migraine
C. Hemorrhagic stroke
D. Acute alcohol intoxication – ….ANSWER. ..C. Hemorrhagic stroke
1282 – When you assess a pulse you are feeling the
A. Contraction of the left atrium
B. Relaxation of both ventricles
C. Relaxation of the atria
1282 – When you assess a pulse you are feeling the
A. Contraction of the left atrium
B. Relaxation of both ventricles
C. Relaxation of the atria
D. Contraction of the left ventricle – ….ANSWER….D. Contraction of the left ventricle
1283 – A common symptom of cardiac compromise is CP or discomfort known as
A. Fibrillation
B. Ischemia
C. Myocardial infarction
D. Angina – ….ANSWER… D. Angina
1284 – Your pt is a 65 y/o male CC CP, which of the following would be a
contraindication for assisting with the administration of sublingual nitro?
A. Heart rate <100 B. SBP >100
C. SBP <100 D. HR >100 – ….ANSWER… C. SBP <100
1286 – You are alone when you witness a 57 y/o woman suddenly collapse and become
unresponsive. She is not breathing. After calling for help you find that she has no pulse.
You should
A. Begin chest compressions
B. Leave the pt and obtain an AED
C. Continue rescue breathing
D. Perform blind finger sweep. – ….ANSWER …A. Begin chest compressions
1285 – Which of the following is the build-up of fatty deposits on the inner walls of an
artery?
A. Coronary artery disease
B. Thrombus
C. Aneurysm
D. Atherosclerosis – ….ANSWER. ..D. Atherosclerosis
*1287 – Your pt is a 56 y/o male who collapses while mowing the lawn. He is apneic and
pulseless immediately following collapse. What is the patient most likely experiencing?
A. Heart attack
B. Cardiac Arrest
C. Angina
D. Stroke – ….ANSWER. ..B. Cardiac Arrest
1288 – A 62 y/o female is complaining of crushing CP that radiates to between her
shoulder blades. She is very pale, diaphoretic, and feels nauseous. You should suspect
a/an
A. Cardiac event
B. Cerebrovascular event
C. Hypoglycemic reactions
D. Asthma attack – ….ANSWER. ..A. Cardiac event
1440 – A 67 y/o female just had a syncopal episode while using the toilet. Vitals are BP
100/6-. P 110 irregular, R 12. She is weak and dizzy. You should suspect a
A. gastrointestinal obstruction
B. vertebral vascular accident
C. cardiac rhythm disturbance
D. acute myocardial infarction – ….ANSWER. C. cardiac rhythm disturbance
1763 – A pulseless and apneic 68 y/o male has an implanted pacemaker in his right
shoulder. Without delaying defibrillation where should you apply the AED pads.
A. Left shoulder (to avoid pacemaker) and right lower chest
B. Nipple line under the left and right armpits
C. Anterior chest and back (between shoulder blades)
D. Right shoulder (directly over the pacemaker) and lower left chest. – ….ANSWER… C.
Anterior chest and back (between shoulder blades)
1764 – A pt becomes unresponsive. You find she is apneic and pulseless. You should
A. Start CPR and apply the AED
B. Apply O2 via BVM and apply the AED
C. Apply AED and analyze
D. Request ALS and begin CPR – ….ANSWER….A. Start CPR and apply the AED
1816 – Albuterol is an example of a (an)
A. Vasodilator
B. Vasoconstrictor
C. Antihypertensive
D. Beta-agonist – ….ANSWER… D. Beta-agonist
*1818 – Your 55-year-old pt complains of CP radiating to left arm. You should first
A. Complete a SAMPLE history
B. Administer prescribed nitro
C. Place the pt on O2
D. Perform head to toe assessment – ….ANSWER …A. Complete a SAMPLE history
1826 – After delivering a shock with an AED, the patient begins to move and speak. You
should
A. Assess vitals and begin transport
B. Immediately remove the AED to avoid accidental shock
C. Begin BVM ventilations
D. Perform a sternal rub to assess LOC – ….ANSWER… A. Assess vitals and begin
transport
*1827 – A 56 y/o male is complaining of severe CP. He took Viagra two hours ago and
has been physically active. You should
A. Assist the pt in taking his nitro and apply O2
B. Administer O2 and request an ALS intercept
C. Monitor vitals, if BP is above 100 systolic, administer nitro and apply oxygen