Jones & Bartlett Learning (JBL) Module 4A Practice Exam

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• Which of the following is a common sign of infection?
• Which term describes the clinician's anticipation of potential problems based on patient presentation?
• In the scenario with a 66-year-old female chest pain where nitroglycerin is not prescribed but husband has, what should you do?
• The determination of whether a medical patient is a high-priority or low-priority transport is typically made:
• Which of the following is NOT a common sign or symptom associated with malfunction of an implanted cardiac pacemaker?
• Nitroglycerin is contraindicated in patients:
• Low levels of surfactant would lead to which consequence in the alveoli?
• When caring for a known alcoholic patient with severe trauma to the chest and abdomen, you should be concerned that:
• What is the primary difference between equity and equality in patient care?
• PASTE is an alternate assessment tool used for which patient population?
• An overdose of acetaminophen will MOST likely cause:
• Most AEDs are set up to adjust the voltage based on the impedance, which is the:
• Which risk factor for AMI is non-modifiable?
• Which is a key step in aseptic technique?
• Most treatments provided in the prehospital setting are intended to ________.
• Which statement best describes the mechanism of angina pectoris?
• Bioavailability refers to which of the following?
• Activated charcoal is an example of a(n):
• Most poisonings occur via the __________ route.
• What is a hospital formulary?
• The electrical impulse generated by the heart originates in the:
• Hypotension, hypoventilation, and pinpoint pupils would be expected following an overdose of:
• Which action best describes titration?
• The 2009 H1N1 swine flu pandemic and the 1919 Spanish flu were both examples of:
• The term pharmacology is defined as which of the following?
• A patient with atherosclerotic heart disease experiences chest pain during exertion because:
• If the victim of a toxicologic emergency vomits, an EMT should:
• Which statement about the alveolar region is accurate?
• Victims of inhaled poisoning will require which of the following?
• In assessing a patient with a medical complaint, which component is most informative about the cause?
• Which item is typically monitored as part of post-IV fluid monitoring?
• Which opioid adverse effect is most directly related to central nervous system depression?
• Which of the following is a common sign of anaphylaxis?
• Which component is essential to airborne precautions?
• Which are the components of a SOAP note?
• When caring for a patient with an altered mental status and signs of circulatory compromise, you should:
• Under EMS protocol, who must authorize a medication administration by an EMT?
• A child with an RSV infection presents with decreased air entry bilaterally, fine expiratory wheezes, and coarse wet crackles. The most likely diagnosis is?
• In a spontaneous pneumothorax, which exam finding is most consistent?
• How should dose rounding be approached in medication administration?
• Which organ is most at risk after acetaminophen overdose?
• For efficient pulmonary gas exchange, which statement best describes the necessary process?
• Describe IV infiltration and its signs.
• What is cultural competence in nursing?
• Ten days after exposure to a patient with tuberculosis, a tuberculin skin test yields a positive result. The most likely interpretation is:
• A 66-year-old female with chest pressure; which action should you take?
• In bronchiolitis due to RSV, which auscultation finding is commonly observed?
• Which statement correctly identifies the normal adult respiratory rate?
• Which of the following sets of vital signs would the EMT MOST likely encounter in a patient with acute cocaine overdose?
• Which precautions are used to prevent airborne transmission?
• You and your partner arrive at the scene of a middle-aged man who collapsed about 5 minutes ago. He is unresponsive, apneic, and pulseless. Bystanders are present, but have not provided any care. You should:
• Which of the following lists factors that influence drug absorption?
• A pleural effusion is BEST defined as which of the following?
• Which statement accurately differentiates systolic blood pressure from diastolic blood pressure?
• Which scenario represents a rules-based medication error?
• Which of the following is NOT a factor that influences absorption?
• Which statement best defines a contraindication?
• What criterion forbids nitroglycerin administration in a chest pain patient?
• When should adverse drug reactions be documented?
• The process of binding or sticking to a surface is called:
• Which of the following is NOT categorized as a psychiatric condition?
• Define tachypnea.
• The electrical impulse that initiates the heartbeat originates in which structure?
• What does half-life mean in pharmacology?
• Air medical transport is MOST appropriate in which scenario?
• You arrive at a residence where a man found his wife unresponsive on the couch. The patient’s respiratory rate is 8 breaths/min, her breathing is shallow, her heart rate is 40 beats/min, and her pulse is weak. The husband hands you an empty bottle of hydrocodone, which was refilled the day before. You should:
• What does NPO indicate before a surgical procedure?
• Crackles (rales) are caused by which physiological process?
• Inhaled poisoning cases, which step is the EMS provider most likely to perform as the immediate action?
• After sizing up a scene with a possible infectious disease, what is the next priority?
• What is the primary purpose of medication reconciliation?
• Which statement differentiates subjective and objective data in nursing assessment?
• Which of the following is NOT a component of a SOAP note?
• A dissecting aortic aneurysm occurs when:
• A patient with LVAD presenting with chest pain is most likely to have experienced which event?
• Which statement differentiates antiseptic from disinfectant?
• Which action is recommended when evaluating a suspected overdose scene to ensure safety?
• Activated charcoal is given to patients who have ingested certain substances because it:
• Identify common intramuscular injection sites in adults.
• The signs of a hypertensive emergency would MOST likely be delayed in patients who:
• Which of the following statements regarding the Salmonella bacterium is correct?
• What do the abbreviations PO, IV, and IM stand for?
• Which of the following describes subjective data?
• The term 'pharmacology' is MOST accurately defined as:
• In a health care worker who tests positive on a tuberculin skin test after exposure to TB, the most likely interpretation is:
• In apparent suicide attempt involving amitriptyline, when transporting this patient, you should be MOST alert for:
• Which of the following is required for an EMT to administer a drug to a patient?
• The recommended treatment for absorbed or contact poisons includes _________.
• Which of the following is a common adverse effect of opioids?
• What is titration in pharmacology?
• Which statement best describes critical thinking in nursing?
• What is the normal resting heart rate range for adults?
• What is antibiotic stewardship?
• Which dosage form is defined as a medication enclosed in a gelatin shell and taken by mouth?
• Which term describes a medication that is gelatin-coated and intended for oral administration?
• Which routes have rapid absorption?
• Which statement about the use of epinephrine in anaphylaxis is most accurate in EMS practice?
• Which profile has the highest risk for influenza complications?
• Which of the following statements is not supported by the Salmonella item in the material?
• For a drug with a narrow therapeutic index, what is a critical nursing consideration?
• Which of the following signs is commonly observed in patients with right-sided heart failure?
• After evaluating chest pain, which statement about initial management is true?
• What is the goal of medication reconciliation?
• Which description best describes half-life in pharmacology?
• Which of the following is a component of the five rights of medication administration?
• The BEST way to prevent infection from whooping cough is to:
• In a poisoning scenario, what is the most appropriate initial action for a known opioid overdose with respiratory depression?
• Which risk factor for acute myocardial infarction cannot be controlled?
• The amount of medication that is given is known as the _________.
• When preparing to obtain a 12-lead ECG, the 'LL' and 'RL' electrodes should be placed:
• What defines an isotonic solution?
• The EMT should use an AED on a child between 1 month and 8 years of age if:
• Which statement best describes equity in patient care?
• Which statement about opioid overdose management is consistent with the cases described?
• Asthma is caused by a response of which body system?
• Continuous positive airway pressure (CPAP) would be contraindicated in which scenario?
• In chest pain scenario, what is the recommended aspirin dose?
• Which statement about glucose is accurate?
• Which of the following is an example of a rules-based medication error?
• Palliative care vs curative treatment: which statement is true?
• External defibrillator vest interference; EMT should:
• In a toxicologic emergency, what is the proper action if the patient vomits?
• Heroin is an example of a(n):
• When forming your general impression of a patient with a medical complaint, it is important to remember that:
• Which statement about parenteral medications is correct?
• Which device is used to measure blood pressure noninvasively?
• According to the case, you are attending to a 27-year-old male driver who had been acting strangely and then unconscious, with diabetes and stress. This is an example of a:
• Hepatitis B is more virulent than hepatitis C, which means that it:
• In the scenario of a young female with a severe allergic reaction in a park, what is the recommended action when epinephrine auto-injectors are available and you are unable to contact medical control?
• Which statement best differentiates a drug interaction from a contraindication?
• You and your paramedic partner are caring for a patient who ingested codeine, acetaminophen (Tylenol), and hydrocodone (Vicodin). The patient is unresponsive, his breathing is slow and shallow, and his pulse is slow and weak. Treatment for this patient should include:
• Why is hand hygiene critical in infection control?
• While assisting a paramedic in resuscitation of a patient in cardiac arrest, you should expect the paramedic to:
• What does parenteral mean?
• Nitroglycerin contraindication: which of the following patient histories is a contraindication?
• Advil, Nuprin, and Motrin are trade names for the generic medication:
• What is the primary purpose of therapeutic drug monitoring?
• After taking diphenhydramine (Benadryl) for an allergic reaction, a person experiences drowsiness and a dry mouth. These findings are an example of a(n):
• What is the correct expansion for the medication abbreviation PO?
• Which practice helps maintain a sterile field during procedures?
• Which clinical sign would necessitate the administration of naloxone (Narcan)?
• What is orthostatic hypotension?
• Informed consent entails which of the following?
• What role does critical thinking play in nursing practice?
• Deoxygenated blood from the body returns to the:
• After the AED has delivered a shock, the EMT should:
• The signs and symptoms of a hypertensive emergency would MOST likely be delayed in patients who:
• As you enter the residence of a patient who has possibly overdosed, you should:
• Which abbreviation means intravenous?
• Activated charcoal is given in poison ingestions because it:
• Which term describes the process of ensuring antibiotics are used appropriately to minimize resistance?
• Which vital signs should be monitored after administering IV fluids?
• What does NKA stand for in patient histories?
• Which symptom is most commonly associated with infectious diseases?
• Prior to attaching the AED to a cardiac arrest patient, the EMT should:
• Which finding is important to assess in a patient with a suspected neurologic problem?
• The determination of high-priority versus low-priority transport is typically made after the primary assessment has been completed.
• A person who routinely misuses a substance and requires increasing amounts to achieve the same effect is experiencing:
• Which patient population typically requires a modified drug dose?
• You and your EMT partner arrive at the residence of a 50-year-old man who complains of weakness. Your primary assessment reveals that he is critically ill and will require aggressive treatment. The closest hospital is 25 miles away. You should:
• How many milliliters are in 1 liter?
• In suspected acute coronary syndrome with crushing chest pain, which action is appropriate first?
• In __________ administration, you are administering medication to yourself or your partner.
• Air medical transport is most appropriate for which scenario?
• Medications encased in a gelatin shell that are taken by mouth are called:
• An infectious disease is most accurately defined as:
• What is the primary purpose of a medical record?
• Which statement is true about bioavailability?
• A 49-year-old male with confusion, sweating, and visual hallucinations in the setting of heavy alcohol use is most likely experiencing which condition?
• The primary purpose of most prehospital interventions is to:
• LVAD patient: Which condition should you suspect?
• What is the most appropriate action when a patient is critically ill and transport to hospital will be lengthy?
• In a life-threatening allergic reaction where cell signal is lost, which action aligns with EMS practice?
• After assisting a patient with an inhaler during an acute asthma attack, what is the best next step?
• Which fasting blood glucose range indicates prediabetes?
• Which of the following is NOT one of the five rights of medication administration?
• What does absorption mean in pharmacokinetics?
• Angina pectoris occurs when:
• Of the four avenues of poisoning, generally ___________ is the most worrisome in terms of treatment to the EMS provider.
• Prior to attaching the AED, which action is recommended if the chest is wet?
• Which of the following questions would be LEAST pertinent during the initial questioning of a patient who ingested a substance?
• Which of the following is NOT a common sign of infection?
• What is the primary purpose of HIPAA in healthcare?
• Which scale is commonly used to assess pain intensity?
• What is the route of administration for the epinephrine auto-injector in anaphylaxis?
• Assessment of the medical patient is usually focused on the _______.
• What is the normal adult respiratory rate range?
• After assisting a patient with a prescribed metered-dose inhaler during an acute asthma attack, what is the best next action?
• When assessing a patient with a medical complaint, which of the following would MOST likely reveal the cause of the problem?
• Which overdose is most closely associated with the triad of hypotension, slowed respiration, and pinpoint pupils?
• Most patients with an infectious disease will have ________.
• Which component of a clinical note outlines the plan for future care?
• Which electrolyte imbalance can cause arrhythmias?
• Which statement is true about bioavailability?
• For absorbed poisons, which action is explicitly recommended?
• Which statement describes pediatric dosing in EMS?
• Which of the following is bacterium resistant to most antibiotics and causes skin abscesses?
• Which of the following patients is at greatest risk for complications caused by the influenza virus?
• When approaching a patient with suspected infectious disease, the immediate safety step is to implement:
• In an anaphylactic emergency with hypotension and facial swelling, what is the MOST important treatment?
• A patient taking atorvastatin (Lipitor) and amlodipine (Norvasc) most likely has a history of which condition?
• What is the difference between a therapeutic effect and a toxic effect?
• A COPD patient with emphysema experiences sudden shortness of breath and chest pain, a barrel-shaped chest, and unilateral diminished breath sounds after a forceful cough. What is the most likely diagnosis?
• Which is an example of an isotonic saline solution?
• Barrel-shaped chest is most commonly associated with which chronic lung disease?
• In which part of the lungs does respiration (gas exchange) primarily occur?
• Before surgery, what does NPO require?
• Which lab value best indicates kidney function?
• How do poisons typically act to harm the body?
• A patient with chest pain who has not taken nitroglycerin yet: after administering supplemental oxygen if needed and contacting medical control, which action is appropriate?