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Prehospital Emergency Care Practice Test: Respiratory Emergencies
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Avg score: 38% Most missed: “The EMT is correctly assessing a patient for subcutaneous emphysema when he:”
In an emergency, EMTs should assess a patient's airway and help them breathe using artificial ventilation. Oxygen is the main treatment for respiratory difficulty. Here are some basic steps to take: Position: If the patient is breathing adequately, use a nonrebreather mask at 12-15 liters per minute. If the patient is not breathing well, have them lie down to receive artificial ventilations. Comfort: Have the patient sit up in a comfortable position. Inhalers: If the patient has an inhaler, you can help them use it after consulting with medical direction.  Respiratory distress, also... Show more
Prehospital Emergency Care Practice Test: Respiratory Emergencies
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25 Questions

1. 'see-saw' breathing
2. You are assisting a patient in taking her metered-dose inhaler for the first time. Which of these statements about the side effects of the medication would be most appropriate?
3. You are having a hard time getting the past medical history of a patient who is short of breath. Which piece of information would lead the EMT to believe that the patient has a history of chronic lung disease, such as emphysema or chronic bronchitis?
4. You suspect a patient of being infected with pertussis. While performing the primary assessment, you note a deep cough with clear breath sounds. Her vital signs are pulse, 108; respirations, 16 breaths/min; and SpO2, 96% on room air. Given this scenario, which action by the EMT would be most appropriate?
5. A 26-year-old male patient has summoned EMS after lifting a heavy box and suddenly experiencing shortness of breath and sharp pain to the left side of his chest that worsens with deep inspiration. Given this description, you immediately become suspicious of a pneumothorax. Which action should you perform next to help confirm this suspicion?
6. Following a call in which you treated a pediatric patient with croup, a new EMT who is in orientation asks you how you can differentiate croup from epiglottitis. Which of these responses would be most appropriate?
7. A confused and cyanotic patient is breathing 8 times per minute with poor chest rise and fall. Which instruction would you give your partner about the respiratory care of this patient?
8. A patient with an unknown medical problem is responsive to painful stimuli and breathing poorly at a rate of 8 breaths/min. The airway is patent and the skin warm and moist. The patient's radial pulse is strong and irregular. Breath sounds are absent over the bases of the lungs. Vital signs are pulse, 84; blood pressure, 256/120 mmHg; and SpO2, 81%. The best treatment for this patient's breathing difficulty would be:
9. As compared to an adult, how would you describe the respiratory rate of an infant?
10. A patient has a medical problem characterized by an increase of interstitial fluid in and around his alveoli. This condition would disrupt normal oxygen and carbon dioxide exchange by creating which type of disturbance?
11. A patient in respiratory distress is exhibiting pursed lip breathing. You realize that he is doing this to:
12. You have been called for a 2-year-old male patient who is sick and having a difficult time breathing. On scene, you find the patient in his mother's arms. He appears to have labored breathing and skin that is warm to the touch. Which of these additional assessment findings would you recognize as the most serious?
13. You have been called to a residence for a patient with altered mental status and shortness of breath. On scene, an Emergency Medical Responder meets you and states that he believes the patient had a stroke and is unresponsive. As you enter the room, you see the patient lying in bed with snoring respirations. Oxygen at 15 liters per minute has been applied. Your immediate action when you reach the patient's side would be to:
14. You are treating a patient who states that he has been short of breath for the past month. Tonight, his breathing just 'got too bad' and he decided to call 911. The 67-year-old male patient is alert and oriented and has a patent airway. He appears to have an adequate tidal volume. His pulse is strong and regular, and his skin is warm. Vital signs are pulse, 92; respirations, 22 breaths/min; blood pressure, 128/66 mmHg; and SpO2, 93% while on home oxygen at 2 lpm. Which instruction would you give to your partner regarding this patient's care?
15. You realize the EMT is properly ventilating an unresponsive adult male patient when:
16. A 4-year-old female patient with a decreased level of consciousness is in respiratory distress. Her airway is patent and respirations are 12 per minute. Breath sounds are diminished bilaterally, and there is noted accessory muscle use with inspiration and expiration. Her pulse is 84 and SpO2 88%. What should be your immediate action?
17. At a health fair, a patient informs you that she has just been prescribed a metered-dose inhaler (MDI) for her asthma. She is confused about how to take the medication when needed. Which of these statements about the MDI would be most appropriate for you to make?
18. You have been dispatched for a young child with difficulty breathing. As you enter the apartment, which scene size-up clue would best indicate that the patient is experiencing a problem in her upper airway?
19. The EMT is properly using a small-volume nebulizer when she:
20. Which of these pieces of information would heighten the EMT's suspicion that a child with a persistent cough may have whooping cough?
21. Auscultation of breath sounds in a patient complaining of shortness of breath reveals wheezing. Which condition is responsible for this finding?
22. A patient who is nonverbal from a previous stroke is in severe respiratory distress. A family member states that she has multiple medical problems, including high blood pressure, diabetes, and heart failure. When assessing this patient, which sign or symptom would raise your suspicion that the patient has heart failure?
23. A 911 call was placed for a 3-year-old child with difficulty breathing. On scene, you note that the child is upright with slight stridor upon inspiration. He is alert and breathing at a rate of 30 breaths/min. His skin is warm and dry, and his radial pulse strong and regular. His breath sounds are clear and equal. His mother states that he was fine all day until 15 minutes ago, when he was playing with friends in the playroom and suddenly started having difficulty breathing. As an EMT, you should suspect which condition?
24. When instructing a patient on how to use a small-volume nebulizer, which of these statements would be correct?
25. The EMT is correctly assessing a patient for subcutaneous emphysema when he: