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

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