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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. A 77-year-old male, who is blind and has a guide dog, called 911 for chest discomfort. As you are preparing to transport the patient, he indicates that he wants to take his dog. How should you respond?
2. It is common for victims of human trafficking to:
3. Because of the improvements in life span and medical technology:
4. Which statement about peritoneal dialysis is true?
5. You are responding to a patient with a tracheostomy tube who is weak and has a fever. In this situation, you can assume:
6. A 92-year-old female informs you that she has diabetic retinopathy. You recognize that this condition involves:
7. With the current trend of providing medical technologies in the home, the EMT:
8. A patient with a past history of quadriplegia from a four-wheeler accident would most likely be unable to:
9. A ventilator-dependent patient is being ventilated with a bag-valve mask as he is transported to the hospital. Which finding is the best indication that the patient is being adequately ventilated during transport?
10. You are assessing a patient with COPD who uses an oxygen concentrator. In this case, you recognize:
11. The friend of an impoverished 50-year-old male called 911 because his friend had chest discomfort. On scene, the patient informs you that he does have a cardiac history and has not seen his cardiologist in more than a year because he lost his job. The patient does not want treatment or transport since he knows that both are expensive and he will be unable to pay for such care. In this situation, what would your best response be?
12. You have been called to an extended care facility for a 39-year-old male with shortness of breath. On scene, you discover that the patient attempted suicide several years ago by shooting himself in the head. The patient is now belligerent and swears at you as you assess him. Which question should be asked of the nursing staff first?
13. When assessing a patient undergoing dialysis, including his AV graft, which finding would be of greatest concern to the EMT?
14. The high pressure alarm is sounding on a home ventilator. As your partner prepares the bag- valve mask, you quickly determine that no problem exists with the machine itself. As positive pressure ventilation is initiated, you note high resistance to the ventilations and have a difficult time adequately squeezing the bag. Your next action would be to:
15. A central intravenous catheter is typically placed for which reason?
16. An 87-year-old female has called 911 for generalized weakness. When assessing her pupils, you note the right eye to be cloudy, making the assessment difficult. Based on this finding, you should be suspicious of:
17. A 66-year-old male has summoned your assistance because he is short of breath and his home pulse oximeter is reading 89%, despite 3 lpm of home medical oxygen. Assessment reveals an intact airway and adequate breathing. The patient's radial pulse is normal, and his skin is hot and dry. Vital signs are pulse, 84 beats/min; respirations, 18 breaths/min; and blood pressure, 166/86 mmHg. Breath sounds are clear bilaterally. The patient's pulse oximeter reading is fluctuating between 88% and 90%. In this situation, you would first:
18. The fundamental reason a patient uses BiPAP when sleeping is to:
19. How important is it to make accommodations such as advocating for the impoverished when providing medical care?
20. A terminally ill female with ovarian cancer is receiving palliative care when she:
21. When assessing a patient at an extended care facility, you note the presence of an ostomy bag. Based on this finding, you realize that the patient has impaired function of:
22. A skilled nursing facility has called you for a patient who has a problem with his intraventricular shunt. The patient is a 21-year-old man who was born with hydrocephalus and had the shunt placed shortly after birth. When assessing the patient, which sign would raise your suspicion that the shunt is occluded?
23. A patient who is completely reliant on his gastric tube for feeding has accidentally pulled it from his body. Which statement is most accurate about this patient?
24. Which statement about abuse is true?
25. Hospice care indicates that a patient is:

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