EMT Final Exam Actual test Graded A with all correct answers

EMT Final Exam (Actual test Graded A+) with all correct answers 833 - Your 36 y/o pt is unresponsive upon attempting to insert an OPA, the patient gags, You should

• Insert a nasal airway
• Suction the oropharynx
• Reattempt using a smaller oral adjunct
• Insert a dual lumen airway - A. Insert a nasal airway

903 - After air passes through the vocal cords during inhalation, which structure does it reach next?

• Trachea
• Epiglottis
• Alveolus
• Bronchus - A. Trachea

906 - You are ventilating an apneic asthmatic pt with a BVM. The patient has inadequate chest rise.You should

• Decrease the rate of ventilations to 10/min
• Use an O2 powered ventilation device
• Increase the forcefulness of ventilations
• Increase the rate of ventilations to 20/min - A. Decrease the rate of ventilations to 10/min

909 - A 72 y/o female pt is unresponsive following an ejection from a MVC, she has an open jaw fracture and a dialated right pupil. What is the best way to open this pt's airway

• Insert an OPA
• Perform a modified head tilt chin lift
• Insert a NPA
• Perform jaw thrust - C. Insert a NPA

910 - A 4-Year-old female tracheostomy pt has pulled out her tracheostomy tube. The opening is partially obstructed with skin. You should

• Use a soft tip catheter and suction until clear
• Insert a nasal airway into stoma
• Wipe the area clean and perform mouth to stoma ventilation
• Cut the skin away from the stoma - A. Use a soft tip catheter and suction until clear

908 - You are using a BVM and an OPA on an apneic pt. Suddenly it becomes difficult to ventilate.You should first suspect that

• The patients diaphragm has contracted
• The pt has an airway obstruction
• The Pt is becoming more responsive
• The pt's lungs have collapsed - B. The pt has an airway obstruction

946 - A 60-year-old pt with stoma is apneic. You have been suctioning pink frothy sputum for 10 seconds and you continue to get more material. You should

• continue suctioning and have a partner ventilate through the pt's mouth
• suction until airway is clear
• stop suctioning and give a breath
• use a saline solution to moisten secretions and continue suctioning - C. stop suctioning and give a

breath

947 - victim of smoke inhalation has developed difficulty breathing. He does not like the smell of the mask you are using to deliver O2. You should

• Switch to a NC set to deliver O2 @ 6 LPM
• Restrain the pt and continue administering O2 via NRB
• Explain that the mask is very important and continue its use

• Administer blow-by O2 via Simple mask - C. Explain that the mask is very important and

continue its use

948 - An unresponsive 82 y/o pt is lying supine. Their airway is most likely to be obstructed by

• loose dentures
• Secretions
• The tongue
• Swelling of the epiglottis - C. The tongue

949 - You are inserting an OPA into a 4 y/o pt you should

• Use a tongue depressor to keep tongue out of the way
• Use a head tilt chin lift
• Insert the tip pointing toward the roof of the mouth
• Use an airway that measures one size too small and rotate - A. Use a tongue depressor to keep

tongue out of the way

951 - Initial assessment reveals an alert adult pt who is SOB. He is seated in a tripod position using accessory muscles to breathe. Vital signs are BP 140/80 P 110, R 22 with crackles, SpO2 95%. You should

• Administer O2 via NRB
• Ventilate the pt with a BVM to slow respirations
• Administer O2 via NC
• Monitor pulse oximetry - A. Administer O2 via NRB

952 When suctioning a patient, you should

• Suction on the way in for no more than 5 seconds
• Suction on the way out for no more than 15 seconds
• Suction on the way in for no more than 15 seconds

• Suction on the way out for no more than 5 seconds - B. Suction on the way out for no more than

15 seconds

1139 - Which of the following is the most appropriate way to measure for an OPA?

• From the patient's earlobe to angle of the jaw
• From the center of pt's mouth to earlobe
• From the corner of the pt's mouth to the earlobe
• From the tip of pt's nose to earlobe - C. From the corner of the pt's mouth to the earlobe

1141 - How should you ventilate an apneic adult pt?

• Perform mouth to mask ventilation 12 breath per minute
• Ventilate with a flow restricted PPV at 12-20 breaths per minute
• Ventilate once every 5-6 seconds with a bag valve mask
• Ventilate once every 3 seconds with a BVM - C. Ventilate once every 5-6 seconds with a bag valve

mask

1142 - Your pt was involved in a MVC he is unresponsive and you hear snoring respirations when he breathes. You should perform a

• Head tilt neck lift with c-spine stabilization
• Jaw thrust with c-spine stabilization
• Tongue jaw lift with c-spine stabilization
• Head tilt lift with c-spine stabilization - B. Jaw thrust with c-spine stabilization

1145 - A 67-year-old female is short of breath and sitting in a tripod position. She is on home oxygen and has had a productive cough over the last few days. During your exam, you note that she is wheezing and breathing with pursed lips. SPO2 is 93%. You should suspect

• Anaphylactic reaction
• Obstructive pulmonary disease