Deck 2: Paramedic Trauma, and Patient Care

Question 1

Which of the following are beta1 effects of the epinephrine released during shock compensation?

A)Increase in chronotropy (heart rate)
B)Increase in inotropy (strength of muscular contractions)
C)Increase in dromotropic rate (electrical pulses in the heart).
D)Increase in peripheral vascular resistance
E)Relaxation of smooth musculature in the GI tract

Answer 1

Increase in chronotropy (heart rate)
Increase in inotropy (strength of muscular contractions)
Increase in dromotropic rate (electrical pulses in the heart).

Question 2

You are monitoring a child who had a tonsillectomy. On assessment, which findings would indicate to you that the child might be bleeding?

A)Decreased pulse
B)Elevation in blood pressure
C)Complaints of discomfort
D)Frequent swallowing

Answer 2

Frequent swallowing

Question 3

You have delegated care of a patient in restraints to a nursing assistant. How often should the nursing assistant assess skin integrity for this patient?

A)Every 30 minutes
B)Every 2 hours
C)Every 3 hours
D)Every 4 hours

Answer 3

Every 30 minutes

Question 4

You are working in the emergency department and find out that a tornado has hit the local area. Numerous casualties are being sent to the emergency department. What action should you take at this time?

A)Prepare the triage room.
B)Obtain additional supplies.
C)Activate the agency disaster plan.
D)Call in additional staff.

Question 5

You are preparing to give an intravenous dose of 400,000 units of penicillin G benzathine (Bicillin). The 10 mL ampule label reads penicillin G benzathine 300,000 units per mL. You prepare to administer how much of the medication?

A)1)3 mL
B)1)5 mL
C)10 mL
D)13 mL

Question 6

You are preparing to give potassium chloride 30 mEq in 1000 ml of normal saline over 10 hours. The medication label reads 40 mEq per 20 mL. How many milliliters of potassium chloride do you need to administer the correct dose?

A)10 mL
B)15 mL
C)20 mL
D)50 mL

Question 7

You enter a patient's room and find the patient not breathing, no pulse, and unresponsive. You have called for help. What is the next step?

A)Bag mask ventilations
B)Chest compressions
C)Oxygen
D)Open airway

Question 8

What is the proper technique for opening the airway on a trauma patient?

A)Head tilt-chin lift
B)Flexed position
C)Modified head tilt-chin lift
D)Jaw thrust maneuver

Question 9

The most appropriate place to check the pulse on a 1-month-old infant is:

A)Brachial
B)Carotid
C)Popliteal
D)Radial

Question 10

You are encouraging your postoperative patient to cough and take deep breaths. The patient questions why it is so important to do this. Your response would include the understanding that retaining pulmonary secretions can lead to:

A)Fluid imbalance
B)Carbon dioxide retention
C)Pulmonary edema
D)Pneumonia

Question 11

Which of the following would you want to include in an education session to the staff on HIV and AIDS?

A)Newborn infants of HIV positive mothers usually test positive.
B)The hematological system is usually attacked by HIV.
C)With AIDS, T4 cells cannot form protective antibodies due to depleted B cells.
D)T lymphocytes are destroyed because the virus attacks the immune system.

Question 12

You are conducting a teaching session for mothers at a local school on rubeola (measles). Which of the following would you not want to include in this education?

A)Profuse runny nose, coughing and fever occur before the rash develops.
B)The child may develop small, blue-white spots with a red base in the mouth
C)Ears usually develop a rash first, which then spreads toward the feet.
D)The communicable period usually ranges from 10 to 15 days after the rash appears.

Question 13

You are providing a teaching session to a group of patients regarding skin cancer. Which of the following statements would you not want to include in this education?

A)Wear sunscreen when engaged in outdoor activities.
B)The body should be examined monthly for any lesions that appear suspicious.
C)A hat, opaque clothing, and sunglasses should be worn when in the sun.
D)Avoid sun exposure after 3pm.

Question 14

You are teaching a group of mothers how to apply permethrin (Elimite, Nix) for pediculosis capitus. Which of the following would be the correct application technique?

A)Apply at bedtime and wash out in the morning.
B)Apply before washing hair.
C)Apply to hair avoiding scalp.
D)Apply to hair for 10 minutes and then rinse.

Question 15

You are preparing a teaching session on tuberculosis. What is one of the first symptoms that the group might notice in someone who has tuberculosis?

A)Bloody, productive cough
B)Cough with mucoid sputum
C)Chest pain
D)Dyspnea

Question 16

The older patient that you have been assigned to is having difficulty distinguishing between hot and cold temperatures. Alteration of what gland activity would lead to this problem?

A)Parotid
B)Thymus
C)Pineal
D)Sweat

Question 17

Which of the following would not encourage effective communication between a dying patient and his family?

A)Discussing feelings openly
B)Making decisions for the family and patient
C)Assisting family and patient in performing spiritual practices
D)Acceptance when family and patient express anger

Question 18

You are working in a community that has just experienced a hurricane. You are trying to find housing and counseling for those who need it. Which type of level of preventions are you representing?

A)Primary level
B)Secondary level
C)Tertiary level
D)Forth level

Question 19

You are preparing to administer a rubella vaccination to a 2 day postpartum patient. Which of the following potential risks would you identify for this patient?

A)Sunlight
B)Scratching of the site
C)Pregnancy within 2 to 3 months of vaccination
D)Sexual intercourse with 2 to 3 months of vaccination

Question 20

You are helping out at a local health fair when a patient admits to you that he does not eat a well-balanced diet. Which of the following would be a correct statement about the Food Guide Pyramid?

A)6 to 11 servings of bread, cereal, pasta, or rice a day
B)2 to 3 servings of vegetables a day
C)4 to 5 servings of milk, yogurt or cheese a day
D)4 to 6 servings of meat, poultry, fish, dry beans or nuts a day