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Prehospital Emergency Care Practice Test: Shock and Resuscitation
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Avg score: 14% Most missed: “You have arrived at the residence of a 66-year-old female patient who is in card…”
According to Unitek EMT, if a device advises you to, you should deliver one shock, then immediately resume CPR, starting with chest compressions, or give chest compressions only, for about two minutes. You can then use the defibrillator to check the person's heart rhythm. If necessary, the defibrillator will give another shock. You should repeat this cycle.  Shock is a clinical syndrome with four stages: initial, compensatory, progressive, and refractory. There are broadly four types of shock: distributive, cardiogenic, hypovolemic, and obstructive.  Here are some types of... Show more
Prehospital Emergency Care Practice Test: Shock and Resuscitation
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25 Questions

1. After two cardiac arrests occurred on its premises over the last 6 months, a large home improvement center has purchased a fully automated AED. You have been asked to provide education on its use. During an instructional session, a student asks you what will happen when the AED indicates that a shock is indicated. Your response should be:
2. Which of these statements about the AED and its use in the treatment of cardiac arrest is true?
3. Which of these statements made by your EMT partner best indicates an understanding of the prehospital role in caring for the patient in shock?
4. A patient with a severe gastrointestinal bleeding is in shock. Which ALS or hospital interventions would best correct the patient's underlying problem?
5. A 47-year-old patient has been in cardiac arrest for 6 minutes. While you set up the AED, you would direct your partner to:
6. A patient has just gone into cardiac arrest. His heart is most likely in which rhythm?
7. You are preparing to attach an AED when you notice that the patient has an implanted pacemaker. What should you do?
8. Mechanical external compression devices are recommended:
9. After analyzing the heart rhythm of a patient in cardiac arrest, the AED provides a 'deliver shock' message. After clearing the patient, the EMT's next step should be to:
10. You have arrived at a residence where a 4-month-old baby was found in his crib in cardiac arrest. Emergency Medical Responders have been on scene for 5 minutes prior to arrival. They began CPR immediately on reaching the patient's side. You have an AED with adult pads with you, but not pediatric pads. After rechecking and confirming that the patient is in cardiac arrest, you would:
11. Which statement made by a patient's family member would cause the EMT to suspect that a patient is experiencing hypovolemic shock?
12. After the AED gives a 'no shock advised' message, it is determined that the patient has a weak pulse and slow and shallow respirations. You would immediately:
13. When presenting information on cardiac arrest and automated external defibrillation to a community group, a man asks why people should perform CPR prior to the arrival of EMS if the EMS responders will provide a shock after they arrive. Your response would be:
14. Which of these conditions could be responsible for causing obstructive shock?
15. Which of these remarks made by the patient best reinforces your suspicion that he is in the early stages of hypovolemic shock?
16. An unrestrained 37-year-old female patient is in cardiac arrest after her vehicle struck a tree head-on at a high rate of speed. Assessment reveals that the patient suffered massive blunt trauma to the chest and abdomen. The patient is quickly extricated from the vehicle and placed in a supine position on the ground. It is estimated that the patient has been in cardiac arrest for approximately 10 minutes, during which time CPR was not performed. At this time, the EMT would:
17. Why is defibrillation in the first few minutes of cardiac arrest so critical?
18. While using the AED to treat a patient in cardiac arrest, your partner informs you that he can feel a carotid pulse. What should you do immediately?
19. Which of these unresponsive patients would the EMT recognize as in cardiac arrest?
20. When paramedics administer IV fluids as treatment for hemorrhagic shock, the fluids will:
21. A patient has been involved in a very serious motor vehicle collision and is in shock. Assessment findings indicate that he sustained blunt trauma to the abdominal and pelvic areas. Which type of shock is the patient most likely suffering?
22. A 28-year-old male patient was cutting limbs from a tree when he lost his footing and fell approximately 20 feet. He is unresponsive and has shallow breathing, with a rate of 28 breaths/min. His radial pulse is weak and thready, and his skin is cool to the touch. Emergency Medical Responders (EMRs) have placed him on a nonrebreather face mask and are holding manual spine motion restriction. His respirations are sonorous. Based on these assessment findings, which of these instructions would you next provide to the EMRs?
23. You believe that a young male patient, who has been shot in the lower abdomen, is bleeding internally and is in the early stage of shock. Which of these descriptions includes appropriate prehospital care of this patient?
24. It is critical that the EMT never apply the AED to a person who is not in cardiac arrest because an accidental shock could:
25. Which of these statements about the heart rhythm of ventricular fibrillation is true?