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41) You are assessing an 82-year-old female that has been lost in the woods behind her nursing
home for several hours on a crisp fall evening. Your pulse oximeter shows her oxygen saturation
to be 82% even though she appears to be breathing adequately. In order to ensure an accurate
reading you should:
A) try a different pulse oximeter.
B) place the probe on the patient's toe.
C) place the probe on the patient's earlobe.
D) warm the patient's hands and try again.
Objective: 13.6
42) Your patient is warm, dry, pink, and denies shortness of breath. Which of the following
should the EMT expect to find when evaluating the patient's oxygen saturation?
A) 91%
B) 98%
C) 102%
D) 95%
Objective: 13.6
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43) The range of normal blood glucose level is from a low of 60 to 80 mg/dL to a high of:
A) 110 to 130.
B) 100 to 120.
C) 90 to 100.
D) 120 to 140.
Objective: 13.6
44) You are about to apply a blood pressure cuff to an unconscious patient when you notice that
she appears to have a tube underneath the skin of her arm. The tube feels like it has fluid going
through it. You should:
A) move the cuff down to the forearm and inflate.
B) continue to take her blood pressure in the arm.
C) find another site to measure her blood pressure.
D) use an automatic blood pressure cuff instead.
Objective: 13.7
20
45) Your patient has a heart rate of 82, a respiratory rate of 16, and a blood pressure of 120/80
and does not appear to be in any distress. You should repeat vital sign measurements at least
every:
A) 5 minutes.
B) 10 minutes.
C) 15 minutes.
D) 20 minutes.
Objective: 13.8
46) Which of the following is a normal respiratory rate for an adult at rest?
A) 12 breaths per minute
B) 10 breaths per minute
C) 24 breaths per minute
D) 22 breaths per minute
Objective: 13.8
21
47) You have a 38-year-old patient who has fainted. Following your local protocol you use a
light wave device to determine the SpO2. As the EMT, you attach the device on the patient's
finger, which gives you a reading of 91. What does that reading indicate?
A) Significant hypoxia
B) Severe hypoxia
C) Normal results
D) Mild hypoxia
Objective: 13.8
48) When pupils are dilated they are:
A) elliptical or elongated in shape.
B) smaller than normal.
C) larger than normal.
D) irregularly shaped.
Objective: 13.8
49) Slight movement of the chest during respiration is usually indicative of which of the
following?
A) Labored breathing
B) Normal breathing
C) Noisy breathing
D) Shallow breathing
Objective: 13.8
22
50) An inaccurate oxygen saturation reading can result in all of the following except:
A) carbon monoxide inhalation.
B) a patient that smokes cigarettes.
C) a patient wearing fingernail polish.
D) Any of the above
Objective: 13.8
51) You respond to a 30-month-old patient who has passed out. Is the patient's blood pressure
important to your treatment and why?
A) Yes, blood pressure must be taken on everyone because without it we cannot impact the
patient's field management.
B) No, blood pressure taken on children younger than age 3 can cause damage to the tender
tissues of the arm that could lead to hypertension in later life.
C) Yes, blood pressure can be taken on children because it is the only way we can understand the
patient's condition.
D) No, blood pressure taken on children younger than age 3 is difficult and has little impact on
the patient's field management.
Objective: 13.9
23
52) An approximate normal systolic blood pressure can be calculated for infants and children by
using which of the following formulas?
A) 80 plus 2 times the age in years
B) 120 plus 2 times the age in years
C) 120 minus 2 times the age in years
D) 80 times 2 plus the age in years
Objective: 13.9
53) If capillary refill is assessed in a child patient, how long should it take the normal pink color
to return to the nail bed?
A) 2 seconds
B) 4 seconds
C) 3 seconds
D) 5 seconds
Objective: 13.9
24
54) What category would include a patient with a blood pressure of 134/84 mmHg?
A) Hypotension
B) Normotension
C) Hypertension
D) Prehypertension
Objective: 13.9
55) You respond to a childcare center for a report of an injured 4-year-old. Her pulse is 130 beats
per minute. Which of the following BEST describes this finding?
A) Bradycardic
B) Normal for the child's age
C) Tachycardic
D) Unable to determine without knowing the family history
Objective: 13.9
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