23) Which of the following is the BEST course of action for the EMT to take when caring for a
patient with an AICD who goes into cardiac arrest?
A) The AED should be applied and used, but CPR should not be started while on-scene or
transporting the patient.
B) No action beyond transport is required since the patient already has an implanted defibrillator.
C) CPR and an AED should be used as indicated while on-scene and transporting the patient.
D) CPR should be started, but the AED should not be used while on-scene or transporting the
patient.
Objective: 35.4
24) While ventilating a conscious patient’s tracheostomy tube with a connected bag-valve mask,
the EMT should verify the patient’s comfort level for which of the following?
A) Ventilation volume
B) Ventilation pressure
C) Ventilation rate
D) All of the above
Objective: 35.4
10
25) During a power failure, how should the EMT verify adequate ventilations are being
administered to an unresponsive patient with a tracheostomy tube using a bag-valve mask?
A) Observe for improving skin color.
B) Ensure a good connection between the bag-valve mask and the tracheostomy tube.
C) Observe for chest rise and fall.
D) All of the above
Objective: 35.4
26) During transport, where should the catheter bag be after loading the patient and stretcher into
the ambulance if the patient has an indwelling urinary catheter?
A) In the patient’s lap, but not higher than his heart
B) On the ambulance floor
C) Hanging from the ceiling of the ambulance or IV pole higher than the patient
D) Lower than the patient, but not on the floor
Objective: 35.4
11
27) Which of the following is the main advantage of peritoneal dialysis over hemodialysis?
A) Peritoneal dialysis is much faster.
B) Peritoneal dialysis is more effective.
C) Peritoneal dialysis is likely to be done at the patient’s home.
D) Peritoneal dialysis is less prone to infection.
Objective: 35.4
28) Assessing blood pressure on a patient with an AV shunt, fistula, or graft could lead to which
of the following?
A) Inaccurate blood pressure readings
B) Uncontrollable hemorrhage in the extremity
C) Damage to the AV shunt, fistula, or graft, requiring surgery
D) Nothing, as there is no need to avoid assessing blood pressure in a patient’s arm with an AV
fistula, shunt, or graft.
Objective: 35.4
12
29) Which of the following is the correct position to use when transporting a patient who has a
tracheostomy tube?
A) Shock position
B) Prone
C) Head slightly elevated
D) Supine
Objective: 35.4
30) A patient uses a home ventilator connected to his tracheostomy tube to breathe. Which of the
following is the correct procedure to use when moving this patient to the ambulance?
A) Ventilate the patient’s tracheostomy tube via a connected bag-valve mask at a normal rate and
volume while the patient is disconnected from the ventilator.
B) Do nothing; there is no need to ventilate the patient between the house and the ambulance.
C) Ventilate the patient with mouth-to-mask ventilations at a normal rate and volume while the
patient is disconnected from the ventilator.
D) Ventilate the patient’s nose and mouth with a bag-valve mask at a normal rate and volume
while the patient is disconnected from the ventilator.
Objective: 35.4
13
31) Compare the pain a patient experiences when receiving a shock from a pacemaker against
the pain felt when receiving a shock from an automatic implanted cardiac defibrillator (AICD).
A) Pacemakers are painless and AICDs are painful.
B) Both are painful.
C) Pacemakers are painful and AICDs are painless.
D) Both are painless.
Objective: 35.4
32) To determine the appropriate depth an EMT should insert a catheter tip into a tracheostomy
tube in order to clear a blocked airway, the EMT should:
A) measure from the stoma to the carina.
B) measure against the length of the obturator.
C) insert the catheter until the tip is no longer visible.
D) multiply the internal diameter of the tracheal tube by 10.
Objective: 35.4
14
33) Where are automatic implanted cardiac defibrillators typically placed in patients who require
one?
A) In the upper left chest
B) In the upper right chest
C) In the lower left chest
D) In the lower right chest
Objective: 35.4
34) You are transporting a patient who is experiencing frequent discharges of her automatic
implanted cardiac defibrillator (AICD). En route to the hospital you are caring for the patient in
the back of the ambulance. To protect yourself from being shocked if the defibrillator discharges,
you should:
A) wear protective gloves that cannot conduct electricity.
B) make sure you do not touch the patient directly.
C) limit direct contact with the patient.
D) not worry, since the defibrillator does not pose a danger to others.
Objective: 35.4
15
35) You are transporting a resident of a nursing home to the hospital for a complaint of
abdominal pain for 3 days. During your assessment, you note a tube protruding from the patient‘s
nose, which is connected to a bag of milky-white fluid. This tube is known as a:
A) gastric tube.
B) nasogastric tube.
C) J-tube.
D) tracheal tube.
Objective: 35.4
36) A condition that interferes significantly with a person’s ability to engage in activities of daily
living is referred to as a:
A) developmental disability.
B) physical handicap.
C) disability.
D) special need.
Objective: 35.5
16
37) Chloe was born with a cardiac problem that she will have to manage the rest of her life. This
disease is considered to be:
A) acquired.
B) autoimmune.
C) congenital.
D) genetic.
Objective: 35.5
38) Which of the following is a characteristic of child abusers of special need patients?
A) They rarely feel guilt or remorse.
B) They usually identify with the child’s pain and suffering.
C) Alcohol and drug abuse is uncommon.
D) They usually want the child’s injuries treated.
Objective: 35.5
17
39) Which of the following statements is true regarding child abuse injuries of special needs
patients?
A) Splash burns indicate child abuse.
B) Rib fractures in young children suggest child abuse.
C) Shaken baby syndrome never causes death of the infant.
D) Head injuries are usually the first sign in child abuse.
Objective: 35.5
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