Term
| The normal respiratory rate for a newborn should not exceed ___ breaths/min |
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Definition
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Term
| The components of the PAT are: |
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Definition
| Appearance, work of breathing, and skin circulation |
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Term
| Capillary refill time is MOST reliable as an indicator of end-organ perfusion in children younger than: |
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Definition
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Term
| Signs of an upper airway obstruction in an infant or child include all of the following, EXCEPT |
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Definition
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Term
| An 8-year old female with a history of asthma continues to experience severe respiratory distress despite being given multiple doses of her prescribed albuterol by her mother. She is concious but clearly restless. Her heart rate is 130 beats/min and her respiratory rate is 30 breaths/min. She is recieving high flow oxygen via a non rebreathing mask. You should: |
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Definition
| Be prepared to assist her ventilations, transport at once, and request ALS intercept en route to the hospital. |
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Term
| Blood loss in a child exceeding ____ of his or her total blood volume significantly increases the risk of shock. |
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Definition
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Term
| Children with N meningitides would MOST likely present with: |
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Definition
| Cherry-red spots or a purplish rash |
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Term
| A 4yr old female ingested an unknown quantity of liquid drain cleaner. Your assessment reveals that she is concious and alert, is breathing adequately, and has skin burns around her mouth. You should: |
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Definition
| Monitor her airway and give oxygen |
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Term
| When a child is struck by a car, the area of greatest injury depends MOSTLY on the: |
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Definition
| Size of the child and the height of the bumper upon impact. |
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Term
| Which of the following is NOT a known risk factor of SIDS? |
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Definition
| Putting a baby to sleep on his or her back |
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Term
| An infant's blood pressure typically increasing with age because: |
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Definition
| Blood pressure directly corresponds to the body weight |
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Term
| You are dispatched to a call for a 4 month old infant with respiratory distress. While you prepare to take care of this child, you must remember that: |
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Definition
| Small infants are nose breathers and require clear nasal passages at all times |
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Term
| The anterior fontanelle fuses together between the ages of: |
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Definition
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Term
| At what age does seperation anxiety typically peak in infants and small children? |
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Definition
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Term
| The pulse rate of a child from ages 6 to 12 years is approximately: |
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Definition
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Term
| A 16 year old female complains of vaginal bleeding and abdominal cramping that began several hours ago. During your assessment interview, you should: |
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Definition
| Inquire about the possibility of pregnancy in private, if possible |
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Term
| Which of the following statements regarding middle adults is correct? |
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Definition
| Cardiovascular health becomes an issue in this age group, as does the greater incidence of cancer |
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Term
| With increasing age, the heart must work harder to move the blood effectibely because: |
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Definition
| The blood vessels become stiff |
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Term
| Breathing is often more labor intensive in older adults because the: |
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Definition
| Elasticity of the lungs decreases |
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Term
| In late adults, the amount of air left in the lungs after expiration of the maximum amount of air: |
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Definition
| Increases, which hampers diffusion of gases because of stagnant air that remains in the alveoli. |
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Term
| Sedentary behavior while healing from a hip fracture would MOST likely predispose the older patient to: |
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Definition
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Term
| A 69yr old female was involved in a motor vehicle crash. She is semiconscious with a blood pressure of 80/50mm Hg and a heart rate of 74 beats/min that is weak. Her daughter, who was uninjuried in the crash, tells you that her mother has a history of hypertension and takes beta blockers. Considering the fact that this patient is probably in shock, what is the MOST likely explanation for the absense of tachycardia? |
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Definition
| The effects of her antihypertensive medication |
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Term
| The purpose of GEMS diamond is to: |
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Definition
| Help EMS personel remember what is different about elderly patients |
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Term
| Which of the following patients is at highest risk for a pulmonary embolism? |
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Definition
| 71yr old male with recent surgery to a lower extremity |
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Term
| In contrast to delirium, dementia: |
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Definition
| Is usually considered irreversible |
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Term
| Motor nerve neuropathy is characterized by: |
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Definition
| Loss of balance, muslce weakenss, and spasms |
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Term
| When performing your secondary assessment on an older patient who has been injured, it is important to: |
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Definition
| Recall that it will take a less severe mechanism of injury to cause significant injuries |
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Term
| You recieve a call for a sick person. When you arrive, you find the patient, a 75yr old male, lying unresponsive in his bed. His respirations are slow and irregular and his pulse is slow and weak. His daughter tells you that he fell the day before, but refused to allow her to dial 911. His past medical history is significant for hypohyrioidis, deep vien thrombosis, heavy alcohol use, and liver cirrhosis. His medications include blood thinners and vitamins. You should be MOST suspicious that this patient is experiencing: |
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Definition
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Term
| In contrast to a living wil, a "DNR" order becomes valid when: |
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Definition
| The patient develops cardiac arrest. |
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Term
| Many older victims of physical abuse may make false statements or lie about the origin of their injuries because: |
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Definition
| The fear retribution from the abuser. |
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Term
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Definition
| Have extreme difficulty with complex task that require many steps |
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Term
| Airway management can be challenging in patients with Down sydrome because their: |
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Definition
| Teeth are misaligned and they have a large tongue |
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Term
| By placing one hand on top of your head and other hand over your abdomen, you are asking a hearing impaired patient if he or she: |
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Definition
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Term
| A 70yr old male complains of shortness of breath. During your assessment, you note that he has bilateral hearing aids. When you ask him questions related to his chief complaint, he does not answer you. You can hear a whistling sound coming from his hearing aids. You should: |
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Definition
| Try repositioning the hearing aid or remove it and turn down the volume. |
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Term
| A significant number of patients with cerebral palsy also have: |
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Definition
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Term
| You are assessing a 440lb man who complainss of shortness of breath and lower back pain. The patient is conscious and alert, his blood pressure is 148/98mm Hg, and his heart rate is 120 beats/min. Your MOST immediate action should be to: |
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Definition
| Avoid placing him in a supine position if possible and administer oxygen. |
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Term
| According to the "E" in the DOPE mnemonic, which of the following actions should you perform to troubleshoot inadequate ventilaions in a patient with a tracheostomy tube? |
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Definition
| Check the mechanical ventilator for malfuntion. |
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Term
| A 13yr child is on a home venilator. The parents calle because the ventilator is malfunctioning and the child has increasing respiratory distress. You should: |
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Definition
| Disconnect the ventilator and use a bag mask device |
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Term
| Under what circumstances is a left ventricular assist device used? |
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Definition
| As a bridge to heart transplantation while a donor heart is being located |
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Term
| Which of the following statements regarding interaction with the caregiver of a child or adult with special health care needs is correct? |
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Definition
| Communication with the patient's caregiver or family members is important because they are the most familar with the patient's condition. |
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Term
| You are dispatched to the residence of an Asian family for a child with a high fever. When you assess the child, you note that he has numerous red marks on his back. The child's parents explain that these represent coining--a traditional Asian healing practice in which hot coins are rubbed on the back. You should: |
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Definition
| Document this on the patient care report and advise the emergency department staff of what the child's parents told you. |
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Term
| During your assement of a 20yr old man with a severe headache and nausea, you ask him when his headache began, but he does not answer your question immediately. You should: |
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Definition
| Allow him time to think about the question and respond to it. |
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Term
| As you are wheeling your patient through the emergency department doors, you recieve another call for a major motor vehicle crash. You should: |
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Definition
| Respond only after giving a verbal patient report to a nurse or physician |
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Term
| The patient care report ensures: |
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Definition
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Term
| After delivering your patient to the hospital, you sit down to complete the PCR. When documenting the patient's last blood pressure reading, you inadvertenly write 120/60 instead of 130/70. To correct this mistake, you should: |
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Definition
| Draw a horizontal line through the error, inital it, and write the correct data next to it. |
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Term
| Which of the following incidents does NOT require a report to be filed with the local authorites? |
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Definition
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Term
| Two-way communication that requires the EMT to "push to talk" and "release to listen" descibes what mode of communication? |
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Definition
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Term
| Immediately after being dispatched to a residence for an elderly patient with diabetic complications, you should: |
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Definition
| Confirm with dispatch that you recieved the call information |
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Term
| Information included in a radio report to the recieving hospital should include all of the following EXCEPT: |
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Definition
| A preliminary diagnosis of the patient's problem. |
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Term
| You and your partner are attemping to resusciate a middle-aged female in cardiac arrest. Because of the remote location you are in, you are unable to contact medical control. What should you do? |
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Definition
| Follow locally established protocols or standing orders |
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