Which one of the following statements about peritoneal dialysis is true?
A catheter will be inserted into the abdomen.
You have been dispatched to a residence for a 49-year-old male with a partially dislodged tracheostomy tube. At the patient's side, you note the trach tube to be protruding abnormally from the stoma in his neck. Your first action in caring for this patien
evaluate the patient's airway and breathing.
The EMT should recognize a Texas catheter when he observes a:
condom-like device over the patient's penis.
After receiving inconsistent stories from both caregivers, you suspect the bruise to a baby's back to be the result of child abuse. How should you document this on the prehospital care report?
Ecchymosis to upper back, just below the right scapula.
You have been called for a male patient who began complaining of chest pain while receiving hemodialysis. Assessment shows no threats to the airway, breathing, or circulation. His vital signs and blood sugar are normal. Which one of the following question
Was the dialysis session completed?
A 92-year-old female informs you that she suffers from diabetic retinopathy. As such, you recognize that this condition has occurred in relation to:
damage to blood vessels in the eye.
When assessing a dialysis patient and his AV graft, which one of the following is of most concern?
Red and hot skin at the graft site
A confused patient with a tracheostomy tube is breathing shallowly at eight times per minute. He is nonverbal because of the tracheostomy and has an SpO 2 at 81% on room air. Which one of the following should you do?
Attach a bag-valve device to the trachea and start ventilation.
A patient has a dialysis AV graft in his right forearm. Which one of the following is true?
A blood pressure cannot be taken in the right arm.
A patient has accidentally pulled his peripherally inserted central venous catheter (PICC) from his body. Which one of the following would be appropriate in the care of this patient?
Apply a bulky dressing to the insertion site to control any bleeding.
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 bed confined, with care provided by family members. The patient has a gastric tube and indwelling urinary catheter. Which
Cloudy urine in the bag of the urinary catheter
You are caring for a conscious 81-year-old male complaining of weakness. The patient is hearing impaired and is wearing a hearing aid in his right ear. As you attempt to get a history, he shakes his head, claiming that he cannot hear you. Which of the fol
Check the hearing aid to make sure that it is on.
On scene you are presented with a 21-year-old female who suffers from multiple disfigurements due to birth defects. She is nonverbal and according to her home health nurse, has a fever, which requires evaluation in the hospital emergency department. While
Nurse
The wife of a patient with terminal lung cancer and a DNR has called 911 because her husband's pulse oximeter alarmed after the SpO 2 fell below 85%. Assessment reveals him to be conscious and alert, slightly tachypneic with no abnormal lung sounds noted.
Determine SpO2 using your pulse oximeter.
An intraventricular shunt benefits a patient by:
draining cerebral spinal fluid from the brain.
Which one of the following statements about child abuse is correct?
Children who are physically abused tend to show fear when asked about their injuries.
You are by the side of a two-month-old baby who was born prematurely and is on an apnea monitoring. While in your care, the apnea alarm emits a loud alarm. Quick assessment of the baby reveals no respiratory activity. Which one of the following should you
Stimulate the baby
A patient has an intraventricular shunt. As such, you recognize that there is a problem with what system in the body?
Central Nervous system
You have been called to a nursing home for a 39-year-old male with shortness of breath. On scene you discover that the patient unsuccessfully attempted suicide several years ago by discharging a bullet into the front of his brain. The patient is belligere
Is this his normal mental status?
While assessing a patient with altered mental status, you note a catheter-like device protruding from the center of the patient's pelvic region. This is most likely a(n):
suprapubic catheter.
A 77-year-old male who is blind and has a guide dog called 911 for chest pain. On scene you note no immediate life threats and now must move him to the stretcher, located in another room. Which one of the following is most appropriate, given his impairmen
Carry him to the stretcher.
Family has called you after the apnea alarm for their one-month-old baby sounded. They state that the settings seem too high and the alarm goes off frequently. They would like the home health nurse to readjust the settings, so this scenario can be avoided
Contact medical direction
When assessing a patient from an extended care facility, you note the presence of an ostomy bag. As such, you realize that the patient has impaired function of:
Fecal elimination
When suctioning a 46-year-old male with a tracheostomy tube, which one of the following is appropriate?
Insert the suction cannula until resistance is met.
You have been called to a residence for a 63-year-old female with a history of COPD who is short of breath. The patient is moderately dyspneic with the following vital signs: pulse 124, respiration 20, blood pressure 162/56, and SpO 2 at 86%. She is using
Remove the oxygen concentrator and administer high-flow oxygen to the patient.
A neighbor has called 911 for an 83-year-old female who is bedridden and cared for by her son. On scene the woman complains of a headache and has a blood pressure of 244/156 mmHg. When asked, the patient states that her son will not get her prescription f
nEGLECT
The high pressure alarm is sounding on a home ventilator. After finding no problems with the machine itself, you provide positive pressure ventilation but have a difficult time delivering the ventilations due to high resistance. In this case, your next ac
check the patient's breath sounds.
A central intravenous catheter is typically placed for what reason?
Repeated administration of medications
To find an implanted port on a patient, the EMT should:
palpate the anterior chest.
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. When assessing a patient with an intraventr
Blood pressure of 210/126 mmHg
A patient who received peritoneal dialysis has called 911 for generalized weakness. Which one of the following should be of most concern in this patient?
Temperature of 101 F
The mother of a mentally retarded male who is biting his hands called 911 for a jagged laceration to his right hand that is bleeding. As you attempt to control the bleeding by providing direct pressure, the patient continually pulls his hand away and scre
Ask the patient's mother to hold direct pressure to the laceration.
A patient who is completely reliant on his gastric tube has accidentally pulled it from his body. As such, which one of the following is true?
He is unable to receive his oral medications.
You have been dispatched to a residence for a 49-year-old male with a partially dislodged tracheostomy tube. At the patient's side, you note the trach tube to be protruding abnormally from the stoma in his neck. Your first action in caring for this patien
evaluate the patient's airway and breathing.
Assessment of a patient complaining of the sudden onset of chest pain reveals a central intravenous catheter to his right upper chest. Which one of the following signs related to the catheter should be of greatest concern to the EMT?
The line is unclamped and without a cap.
An EMT is on scene with a two-year-old female. Which of the following would the EMT best recognize as neglect or abuse?
She has bruises to her legs, arms, and torso.
When assessing a 32-year-old mentally retarded patient, you note the protrusion of a clamped tube from her back in the area of her right kidney. What should you do to immediately determine what the tube is and why it is in place?
Ask family members.
You suspect that the bruising to the face of an 88-year-old female is the result of abuse by her caregiver. On scene which one of the following is most appropriate?
Apply ice to the bruise and transport the patient to the ED.
While assessing a patient on a home mechanical ventilator, the low pressure alarm sounds. Which one of the following should you do first?
Check the connection between the tubing and tracheostomy.
The primary reason behind a patient using BiPAP at night when sleeping is to:
keep the small airways open.
At a nursing home, a nurse informs you that the patient you will be transporting has a peripherally inserted central catheter (PICC) in place. To find this catheter, you should look at the patient's:
antecubital fossa
Which one of the following statements about peritoneal dialysis is true?
A catheter will be inserted into the abdomen.
You have been dispatched to a residence for a 49-year-old male with a partially dislodged tracheostomy tube. At the patient's side, you note the trach tube to be protruding abnormally from the stoma in his neck. Your first action in caring for this patien
evaluate the patient's airway and breathing.
The EMT should recognize a Texas catheter when he observes a:
condom-like device over the patient's penis.
After receiving inconsistent stories from both caregivers, you suspect the bruise to a baby's back to be the result of child abuse. How should you document this on the prehospital care report?
Ecchymosis to upper back, just below the right scapula.
You have been called for a male patient who began complaining of chest pain while receiving hemodialysis. Assessment shows no threats to the airway, breathing, or circulation. His vital signs and blood sugar are normal. Which one of the following question
Was the dialysis session completed?
A 92-year-old female informs you that she suffers from diabetic retinopathy. As such, you recognize that this condition has occurred in relation to:
damage to blood vessels in the eye.
When assessing a dialysis patient and his AV graft, which one of the following is of most concern?
Red and hot skin at the graft site
A confused patient with a tracheostomy tube is breathing shallowly at eight times per minute. He is nonverbal because of the tracheostomy and has an SpO 2 at 81% on room air. Which one of the following should you do?
Attach a bag-valve device to the trachea and start ventilation.
A patient has a dialysis AV graft in his right forearm. Which one of the following is true?
A blood pressure cannot be taken in the right arm.
A patient has accidentally pulled his peripherally inserted central venous catheter (PICC) from his body. Which one of the following would be appropriate in the care of this patient?
Apply a bulky dressing to the insertion site to control any bleeding.
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 bed confined, with care provided by family members. The patient has a gastric tube and indwelling urinary catheter. Which
Cloudy urine in the bag of the urinary catheter
You are caring for a conscious 81-year-old male complaining of weakness. The patient is hearing impaired and is wearing a hearing aid in his right ear. As you attempt to get a history, he shakes his head, claiming that he cannot hear you. Which of the fol
Check the hearing aid to make sure that it is on.
On scene you are presented with a 21-year-old female who suffers from multiple disfigurements due to birth defects. She is nonverbal and according to her home health nurse, has a fever, which requires evaluation in the hospital emergency department. While
Nurse
The wife of a patient with terminal lung cancer and a DNR has called 911 because her husband's pulse oximeter alarmed after the SpO 2 fell below 85%. Assessment reveals him to be conscious and alert, slightly tachypneic with no abnormal lung sounds noted.
Determine SpO2 using your pulse oximeter.
An intraventricular shunt benefits a patient by:
draining cerebral spinal fluid from the brain.
Which one of the following statements about child abuse is correct?
Children who are physically abused tend to show fear when asked about their injuries.
You are by the side of a two-month-old baby who was born prematurely and is on an apnea monitoring. While in your care, the apnea alarm emits a loud alarm. Quick assessment of the baby reveals no respiratory activity. Which one of the following should you
Stimulate the baby
A patient has an intraventricular shunt. As such, you recognize that there is a problem with what system in the body?
Central Nervous system
You have been called to a nursing home for a 39-year-old male with shortness of breath. On scene you discover that the patient unsuccessfully attempted suicide several years ago by discharging a bullet into the front of his brain. The patient is belligere
Is this his normal mental status?
While assessing a patient with altered mental status, you note a catheter-like device protruding from the center of the patient's pelvic region. This is most likely a(n):
suprapubic catheter.
A 77-year-old male who is blind and has a guide dog called 911 for chest pain. On scene you note no immediate life threats and now must move him to the stretcher, located in another room. Which one of the following is most appropriate, given his impairmen
Carry him to the stretcher.
Family has called you after the apnea alarm for their one-month-old baby sounded. They state that the settings seem too high and the alarm goes off frequently. They would like the home health nurse to readjust the settings, so this scenario can be avoided
Contact medical direction
When assessing a patient from an extended care facility, you note the presence of an ostomy bag. As such, you realize that the patient has impaired function of:
Fecal elimination
When suctioning a 46-year-old male with a tracheostomy tube, which one of the following is appropriate?
Insert the suction cannula until resistance is met.
You have been called to a residence for a 63-year-old female with a history of COPD who is short of breath. The patient is moderately dyspneic with the following vital signs: pulse 124, respiration 20, blood pressure 162/56, and SpO 2 at 86%. She is using
Remove the oxygen concentrator and administer high-flow oxygen to the patient.
A neighbor has called 911 for an 83-year-old female who is bedridden and cared for by her son. On scene the woman complains of a headache and has a blood pressure of 244/156 mmHg. When asked, the patient states that her son will not get her prescription f
nEGLECT
The high pressure alarm is sounding on a home ventilator. After finding no problems with the machine itself, you provide positive pressure ventilation but have a difficult time delivering the ventilations due to high resistance. In this case, your next ac
check the patient's breath sounds.
A central intravenous catheter is typically placed for what reason?
Repeated administration of medications
To find an implanted port on a patient, the EMT should:
palpate the anterior chest.
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. When assessing a patient with an intraventr
Blood pressure of 210/126 mmHg
A patient who received peritoneal dialysis has called 911 for generalized weakness. Which one of the following should be of most concern in this patient?
Temperature of 101 F
The mother of a mentally retarded male who is biting his hands called 911 for a jagged laceration to his right hand that is bleeding. As you attempt to control the bleeding by providing direct pressure, the patient continually pulls his hand away and scre
Ask the patient's mother to hold direct pressure to the laceration.
A patient who is completely reliant on his gastric tube has accidentally pulled it from his body. As such, which one of the following is true?
He is unable to receive his oral medications.
You have been dispatched to a residence for a 49-year-old male with a partially dislodged tracheostomy tube. At the patient's side, you note the trach tube to be protruding abnormally from the stoma in his neck. Your first action in caring for this patien
evaluate the patient's airway and breathing.
Assessment of a patient complaining of the sudden onset of chest pain reveals a central intravenous catheter to his right upper chest. Which one of the following signs related to the catheter should be of greatest concern to the EMT?
The line is unclamped and without a cap.
An EMT is on scene with a two-year-old female. Which of the following would the EMT best recognize as neglect or abuse?
She has bruises to her legs, arms, and torso.
When assessing a 32-year-old mentally retarded patient, you note the protrusion of a clamped tube from her back in the area of her right kidney. What should you do to immediately determine what the tube is and why it is in place?
Ask family members.
You suspect that the bruising to the face of an 88-year-old female is the result of abuse by her caregiver. On scene which one of the following is most appropriate?
Apply ice to the bruise and transport the patient to the ED.
While assessing a patient on a home mechanical ventilator, the low pressure alarm sounds. Which one of the following should you do first?
Check the connection between the tubing and tracheostomy.
The primary reason behind a patient using BiPAP at night when sleeping is to:
keep the small airways open.
At a nursing home, a nurse informs you that the patient you will be transporting has a peripherally inserted central catheter (PICC) in place. To find this catheter, you should look at the patient's:
antecubital fossa