NYS EMT EXAM PRACTICE QUESTIONS COMPILATION

After an EMS call, some crew members begin discussing a recent case with some non-EMS personnel. This is unacceptable behavior because it is:

A breach of the patient's privacy and is unethical

Which form of consent allows you to treat an unconscious patient?

Implied consent

Another name for the left lateral position is:

recovery position

In anatomic terms, an injury midway down the left forearm would be considered:

Distal to the left elbow

If a life-threatening problem is discovered during the initial assessment, you should:

Correct the problem before continuing with the initial assessment

Which of the following is the best definition of the term "auscultation"

Listening

The "A" in the mnemonic AVPU, as it relates to patient assessment, stands for:

Alert

An unconscious trauma victim response to painful stimuli in both extremities. The EMS provider should presume that:

There still may be a spinal injury

The purpose of the first set of vital signs is to:

Establish a baseline for additional evaluations

The alveoli of the lungs are in close contact with the:

Pulmonary capillaries

The tubelike anatomical structure that carries air from the throat to the lungs is the:

Trachea

An unconscious patient with suspected spinal trauma has an obstruction caused by his tongue. Which of the following procedures is an accepted method for correcting this type of obstruction?

Thrusting the patient's jaw forward

The patient who makes a crowing noise (stridor) while attempting to inhale has a:

Severe airway obstruction with poor air exchange

When performing abdominal thrust on a conscious adult patient with a severe airway obstruction, the EMS providers place a thumb side of his/her hand against a patient's abdomen:

Between the navel and the xiphoid process in the midline

You are attempting to ventilate a patient through a stoma and you notice that the patient's chest does not rise completely. Do you feel air escaping through the patient's mouth and nose. Your next step should be to:

Manually seal the patient's mouth and nose

A correct statement concerning airway management of a patient who has a suspected spinal cord injury is that:

Special techniques must be employed to open the airway without moving the cord

When ventilating an infant with inadequate breathing, rescue breaths should be given at a rate of one breath every:

Four seconds

Which of the following organs is MOST SUSCEPTIBLE two damage if you place your hands on the xiphoid process during chest compression?

Liver

You are called to the scene of a drowning. The patient is still in the water and is pulseless and apneic. When should you begin CPR

After removing the patient from the water

During two rescuer CPR, at what point is it appropriate to change compressors

After two minutes

All of the following are criteria for effective chest compressions on an adult EXCEPT:

pause chest compressions to check the polls each minute

When is it necessary to perform CPR while transporting a patient on a stretcher, the EMS provider should:

Move the stretcher slowly so that effective CPR can continue

When you are palpating a pulse in an infant, the American heart association standards recommend that you palpate a/an:

Brachial pulse

When performing CPR on an infant the minimum rate of chest compressions is:

100 per minute

When using a non-rebreather mask with an oxygen reservoir, the EMS provider should adjust the liter flow to:

15 L/min

Which of the following statements regarding nasopharyngeal airway is TRUE

Nasopharyngeal airway is should be coded with a water soluble lubricant prior to insertion

In mouth to mask ventilation, the stomach is likely to be distended if too great a force is used to inflate the lungs. Lung ventilation may become more difficult because stomach inflation:

Pushes up on the diaphragm and increases the likelihood of vomiting

You have inserted an oropharyngeal airway into the mouth of an unconscious victim who reacts by having a gag reflex. you should:

Remove the airway, then reinsert it

The proper technique for suctioning a patient's mouth is to suction:

As you are withdrawing the catheter

An unconscious breathing 18-year-old patient has been rescued from a car that had the engine running. The patient skin is red, vital signs are: BP = 110/70; P = 110; R= 1. Oxygen should be administered with which of the following devices?

Non-rebreathing mask

You have attempted to insert a nasopharyngeal airway into the right nostril of a patient, I have encountered resistance. You should:

Relubricate the tube and try the other nostril

Approximately how many liters of blood does an adult male weighing 150 pounds have in his body?

6 L

How would you describe bleeding from a vein?

Dark red; flowing steadily

The PRINCIPAL cause of hypoperfusion (shock) in a victim with massive body burns is lots of:

Plasma

The type of hypoperfusion (shock) that results from a considerable loss of blood or fluid is:

Hypovolemic

Sudden dilation of the blood vessels causing the blood pressure to fall is called:

Distributive shock

Which of the following is a LATE sign of hypoperfusion (shock)?

Falling blood pressure

Which of the following are signs of an allergic reaction?

Decreased blood pressure, itching, swelling, difficulty breathing

Treatment for the patient in hypovolemic shock includes:

Keeping the patient warm and on his/her back with the legs elevated

What is the recommended procedure for the transportation of a severed limb to the hospital?

Wrap the limb in sterile gauze, place on ice, then seal both in a plastic bag

An automobile collision patient has a piece of glass that penetrated through his cheek and is bleeding severely from the injury. The EMS provider should:

Remove the glass from the cheek and apply a dressing on both sides of the wound

To assess the circulatory status of a patient limbs, distal to an injury site, you should check:

Pulses, skin color, and temperature

A close bone or joint injury is BEST defined as an injury:

In which there is no break in the continuity of the skin

After immobilizing a painful, swollen, deformed collarbone, your NEXT priority would be to:

Check the radial pulse

The MOST SERIOUS problem associated with an injury to a joint is that this type of injury:

Is frequently accompanied by nerve and vascular damage

The recommended treatment for a painful, swollen deformity to the forearm is to immobilize the:

Elbow and wrist

A machine shop operator injured his hand while using a drill press. If the injured hand is to be splinted, the EMS Provider should splint it:

In the position of function

In the presence of good circulation, the EMS Provider should NOT straighten a dislocated joint before splinting because:

There is danger of impairing nerve function in blood supply

The treatment for a trauma victim of a sustained a hip joint injury is to:

Apply padded boards balloons and a long spine board

A 10-year-old boy on a bicycle was hit by a car. During your initial assessment, you determine that there are no immediate life threats. Your rapid trauma assessment reveals possible fractures of the right lower arm and right femur. Your treatment should be to:

Check the snow pulses and sensation, and splinter involved extremities before moving

Soft pillow splint can be used to split an injury to the:

Ankle

You are called to a gym wear a 25-year-old woman has fallen. She is complaining of severe pain in her right elbow, which is swollen and deformed. You should:

Split the elbow in the position found

The patient was struck in the head with a pipe during a fight. The patient is unresponsive and bleeding from within the ear. You should:

Apply loose sterile dressing to the ear

To control a nosebleed in a patient WITHOUT suspected spinal trauma, the EMS provider should:

Pinch the patient's nostrils together and sit the patient leaning forward to allow drainage

The central nervous system consists of the:

Brain and spinal cord

A patient with a severe head injury and increasing pressure within the skull will often present with:

Elevated blood pressure and slow pulse

When treating a patient with a brain injury, it is important to record changes in the patient's:

Mental status

All of the following are signs and/or symptoms of a head injury EXCEPT:

Sensation and motion in the arms but not in the legs

Which of the following is a sign of a skull fracture?

Cerebrospinal fluid leaking from the ears

Which of the areas of the spine are comprised of five vertebrae each?

Lumbar and sacrum

Which of the following levels does injury to the spinal cord result in loss of arm and leg function?

Cervical

Lots of voice, severe airway obstruction, and air leakage into the soft tissue of the neck and result from an injury to the:

Trachea

You have arrived at the scene of an automobile accident. One of the victims has a bleeding, depressed scalp wound. What would you do?

Loosely cover the wound with a sterile dressing

In rescuing a diving accident victim from a swimming pool, the EMS Provider's FIRST action is to:

Immobilize the victims entire spine before removing him/her from the water

A woman has slipped on the ice-covered sidewalk on her property. She has an injured jaw and is bleeding from a laceration of the tongue. You should do all the following EXCEPT:

Bend the patients head forward to move the tongue away from the airway

65 year-old male was involved in a two car motor vehicle crash. Upon examination he complains of chest pain upon breathing and tenderness of the sternum. Your INITIAL care would be to:

Administer high-concentration oxygen

I'm just a dream may interfere mechanically with the functioning of the:

Lungs

You are treating a male patient who has a penetrating chest wound and frothy bright-red blood at the mouth. About 10 minutes after sealing the chest wall, you notice that the patient's breathing becomes much worse. At this point, you should:

Left one corner of the dressing

Signs and symptoms of multiple broken limbs include:

Unequal chest expansion, inadequate breathing, deformity, and pain

You are called to treat a patient with a chest injury. There is no suspected spinal injury. How should this patient be transported?

Supine with feet elevated

A high school football player has received a hard direct blow to the abdomen. Which of the following may indicate internal bleeding?

Weak rapid pulse, tenderness, guarding, or pain in the abdomen

Upon arriving at the scene of an accident, you find a victim who has bowel loops protruding through an abdominal laceration. You should cover the loops:

With a moist sterile dressing

A patient in severe pain due to an abdominal injury should be placed in which of the following positions?

In a position of comfort

A patient with a history of diabetes has an altered mental status due to a diabetic emergency. The EMS provider should:

Administer a sugar concentrate, if there is no danger that the patient will aspirate

You are treating a patient who is complaining of chest pain and difficulty breathing. You should have the patient lie:

And whatever position feels most comfortable

According to one theory, the way in which nitroglycerin relieves chest pain is by:

Dilating coronary arteries

A sign or symptom of decreased oxygen to the heart muscle is:

Chest pain

A patient suffering from a diabetic emergency (hypoglycemia) will exhibit which of the following signs and/or symptoms

Rapid pulse and cool clammy skin

A woman in her late 40s had been complaining of headaches and vision difficulties. On your arrival, you find that -she is responsive to pain, and has a droopy eyelid, unequal pupils and slow shallow respirations. Your FIRST action should be to:

Administer high-concentration oxygen

On arriving at a home, you find an alert three-year-old child who has ingested an unknown quantity of drain cleaner. Which of the following would you do FIRST?

Consult with medical control

Which of the following oxygen delivery devices should be used for treatment of a conscious patient who has inhaled a poisonous gas?

Non-rebreathing mask

An EMS provider can assist a conscious patient in taking his/her prescribed nitroglycerin pill by seeing to it that the patient:

Place is it under his/her tongue

In most cases, patients with Cardiac-related chest pain complain of:

Pressure or heaviness that does not vary with breathing

The MOST OBVIOUS indication of a paralyzed in a non-traumatic brain injury patient is that the limb will:

Appear loose and will lack muscle tone when it is moved by the EMS provider

Proper care for a victim of a respiratory emergency is:

Assisting the patient with his/her inhaler

Which of the following are respiratory effects of an allergic reaction?

Swelling of the face, neck, hands, and feet

In which position should the mother be placed for delivery?

Lying on a firm surface, with her knees drawn up and spread out

Which of the following is an important function of the amniotic sac?

Protecting the fetus from injury

If difficulties arise during delivery of the baby's upper shoulder, the EMS Provider should assist by gently:

Putting the babies head downward

During a delivery, if the umbilical cord is wrapped around the infants neck and you cannot slip it free, you should

Clamp the cord immediately and cut between the clamps

A man has received burns on his chest, I had a man and his entire left arm during a house fire. What percentage of the body surface will the EMS provider estimate to determine the severity of the burn?

27%

The FIRST objective in the care of any burn is to:

Stop the burning process

From which direction should you approach an airborne contamination incident?

Upwind from the incident

And I hazardous materials incident involving injuries, the FIRST thing you should do is to:

Evaluate the potential hazard to you, the rescuer

You are caring for a patient suffering from a heat emergency. The patient has hot dry skin. Which of the following should NOT be done?

Maintain body temperature

The treatment for an unconscious patient with generalized hypothermia would be to:

Prevent further heat loss and transport gently

Proper rewarming of elite or deep local cord injury to the hand is accomplished by:

Immersion in warm water

Life-threatening signs of a heat emergency include:

High temperature and dry skin

You receive a call for a "man down." The patient is unresponsive, pale, and cold to the touch, and has a very weak pulse. You should:

Avoid rough handling and maintain body heat

When assessing the pulse of a hypothermic patient, you should check the pulse for how many seconds?

30