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Prehospital Emergency Care Practice Test: Handling Patients with Special Challenges
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When handling patients with special challenges, EMTs can: Assess the patient: EMTs should be aware of the patient's condition and treat what they find. They should also consider that all conditions exist on a continuum and not assume the patient has the most or least severe traits. Assess the environment: EMTs should document the environment thoroughly and observe the patient's behavior. They should also consider that some geriatric patients may have cognitive disabilities that can make it difficult to communicate effectively. Ask questions and listen attentively: EMTs should allow the... Show more
Prehospital Emergency Care Practice Test: Handling Patients with Special Challenges
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25 Questions

1. Which medical problem commonly leads to vision problems?
2. A confused patient with a tracheostomy tube is breathing shallowly at 8 times per minute. The family states they accidentally overdosed him on some of his medications when two different family members were caring for him at two different times today. The patient is nonverbal because of the tracheostomy and has an SpO2 of 81% on room air. What would your immediate action be?
3. With the current trend of providing medical technologies in the home, the EMT:
4. While assessing a patient on a home mechanical ventilator, the low pressure alarm sounds. What would your immediate action be?
5. A patient has accidentally removed his peripherally inserted central venous catheter (PICC). What would appropriate care for this patient include?
6. Which statement about peritoneal dialysis is true?
7. In the cycle of domestic violence, in which phase does the violence occur on a regular basis?
8. What is the most common reason for an EMS response to a patient with an implanted VAD?
9. The EMT would recognize the patient has a sensory impairment when he encounters:
10. You have been called to a residence for a patient who is sick and not feeling well. The patient has multiple medical problems and is confined to bed, with care provided by family members. The patient has a gastric tube and an indwelling urinary catheter. Which assessment finding should raise your suspicion that the patient has a urinary tract infection?
11. Upon your arrival on at a residential address for a patient with a previous traumatic brain injury, you are taken to the patient, who is ventilator dependent. The patient presents as unresponsive, cyanotic, and listless, and has a weak carotid pulse. Ventilator alarms are sounding. What is your immediate action?
12. A patient who requires ongoing home medical oxygen complains of generalized weakness. Assessment indicates a patent airway and adequate respirations. His radial pulse is strong and regular, and his skin is warm and dry. Vital signs are pulse, 92 beats/min; respirations, 18 breaths/min; blood pressure, 156/88 mmHg; and SpO2, 95%. The patient is currently on 2 lpm of oxygen via an oxygen concentrator positioned bedside. What would be appropriate care in the management of this patient?
13. You are preparing a patient with an indwelling urinary catheter for transport. Pertaining to the catheter, which action must the EMT take?
14. On scene, you must lead a patient's visually impaired wife from the house to the ambulance. This is best accomplished by:
15. Because of the improvements in life span and medical technology:
16. At a long-term care facility, a nurse informs you that the patient whom you will be transporting has a peripherally inserted central catheter (PICC) in place. To find this catheter, you should look at the patient's:
17. The fundamental reason a patient uses BiPAP when sleeping is to:
18. A 17-year-old male with cerebral palsy and severe developmental challenges fell down five stairs and is crying. To best determine if the patient is in pain, the EMT should:
19. A patient has terminal lung cancer and a valid Do Not Resuscitate (DNR) order. His wife has called 911 because her husband's pulse oximeter reading fell below 85% and an alarm sounded. The patient is currently receiving home oxygen through a nasal cannula. Assessment reveals him to be alert and oriented and slightly tachypneic with no abnormal lung sounds. At this time, your next action would be to:
20. On scene, you are presented with a nonverbal 21-year-old female with multiple disfigurements from birth defects. According to her home health nurse, the patient has a fever, which requires transport to the emergency department. Your partner is familiar with the patient because he transported her last week for the same condition. When obtaining the patient's past medical history, which source should be tried first?
21. At the scene of a fall in a mall parking lot, you begin to suspect that the victim, who received only minor injuries from the fall and refuses transport, is a victim of human trafficking. What should you do next?
22. When assessing a 65-year-old male patient, you note a tube-like device inserted into the lower portion of his trachea. You recognize that the device has most likely been placed to:
23. You have been called to a residence for an unknown medical problem. As you enter the house, which scene clue would most likely suggest the use of home medical oxygen?
24. At an elderly extended care facility, a ventilator-dependent patient is going to be transported to the emergency department for a suspected urinary tract infection. The ventilator settings are rate, 10; tidal volume, 425; and oxygen concentration, 50%. Given this information, which statement is true?
25. A patient with quadriplegia most likely experienced an injury to his:

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