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Prehospital Emergency Care Practice Test: Handling Patients with Special Challenges
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Avg score: 50% Most missed: “At a long-term care facility, a nurse informs you that the patient whom you will…”
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 definition correctly identifies a stoma?
2. You are called to a residence for a 27-year-old woman who fell and hurt her arm. As you begin your assessment, you begin to realize that there may be abuse involved. Suddenly the husband decides that he will transport the woman and you are no longer needed. You are unable to change the husband's mind and he is becoming more agitated. What should you do next?
3. How important is it to make accommodations such as advocating for the impoverished when providing medical care?
4. The family of a patient in hospice care for the final stage of lung cancer has summoned 911 because their father is short of breath. The patient is responsive to verbal stimuli and has an open airway with adequate respiration of 18 to 20 breaths per minute. His skin is cool and diaphoretic with diminished breath sounds bilaterally. Your partner reports a heart rate of 112 beats/min, blood pressure of 96/44 mmHg, and SpO2 of 82% on room air. The patient has a valid DNR order, but family is scared and wants him transported to the ED for evaluation. Your next action would be to:
5. 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?
6. While assessing a patient on a home mechanical ventilator, the low pressure alarm sounds. What would your immediate action be?
7. 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?
8. A patient with a past history of quadriplegia from a four-wheeler accident would most likely be unable to:
9. A family has called you after the apnea alarm for their 1-month-old baby sounded. They state that the settings seem too sensitive and the alarm goes off frequently. They would like the EMS squad to readjust the settings, so that this scenario can be avoided in the future. They do not want the patient transported to the hospital and are prepared to sign a refusal-of-care form. Assessment reveals no life threats to the patient's airway, breathing, or circulation. Given the situation, you would:
10. 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:
11. On scene, you must lead a patient's visually impaired wife from the house to the ambulance. This is best accomplished by:
12. Poor positioning of an obese patient on the stretcher would most likely result in which immediate danger?
13. After assessing a 67-year-old male, your partner informs you that it appears the patient had a stroke and has dysarthria. In relation to the dysarthria, you would anticipate the patient being unable to:
14. A central intravenous catheter is typically placed for which reason?
15. The EMT would recognize the patient has a sensory impairment when he encounters:
16. 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:
17. 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?
18. A patient with quadriplegia most likely experienced an injury to his:
19. A 92-year-old female informs you that she has diabetic retinopathy. You recognize that this condition involves:
20. A patient has accidentally removed his peripherally inserted central venous catheter (PICC). What would appropriate care for this patient include?
21. A pediatric patient has an intraventricular shunt, according to the parents. Based on this information, you recognize that there is a problem with which system in the body?
22. To find an implanted medication port on a patient, the EMT should:
23. What is the most common reason for an EMS response to a patient with an implanted VAD?
24. The EMT should recognize a Texas catheter when he observes a:
25. In the cycle of domestic violence, in which phase does the violence occur on a regular basis?