Seth Weaver
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Jones and Barlett

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Seth Weaver
Creado por Seth Weaver hace alrededor de 6 años
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EMT 2

EMT 2

Pregunta 1 de 74

1

A 15-year-old boy was killed when he was struck by a car while riding his bicycle. He has numerous disfiguring injuries and has been placed in the back of the ambulance to shield him from curious bystanders. When the child's parents arrive at the scene, they demand to see him. You should:

Selecciona una de las siguientes respuestas posibles:

  • A. advise them that their son had severely disfiguring injuries and ask them if there is anyone they would like you to contact first. Correct

  • B. discreetly escort them to the back of the ambulance and allow them to see their child by themselves while you wait outside.

  • C. let them know that because of the circumstances of their child's death, they will not be permitted to see him at this time.

  • D. express your sincere condolences over their loss and have them escorted away from the scene by a law enforcement officer.

Explicación

Pregunta 2 de 74

1

A 75-year-old male with a terminal illness has died at home. As you and your partner enter the residence, a family member becomes verbally abusive, pushes you, and states that you took too long to get there. You should:

Selecciona una de las siguientes respuestas posibles:

  • retreat and notify law enforcement personnel.

  • tell the family member that it is not your fault.

  • subdue the family member until the police arrive.

  • ignore the family member and assess the patient.

Explicación

Pregunta 3 de 74

1

A critical incident stress debriefing should be conducted no longer than ________ hours following the incident.

Selecciona una de las siguientes respuestas posibles:

  • 6

  • 12

  • 24

  • 72

Explicación

Pregunta 4 de 74

1

A positive TB skin test indicates that:

Selecciona una de las siguientes respuestas posibles:

  • the disease is dormant and may become active.

  • you are actively infected with the disease.

  • you have been exposed to the disease.

  • you have never been exposed to TB.

Explicación

Pregunta 5 de 74

1

According to Occupational Safety and Health Administration (OSHA) regulations, an employer must:

Selecciona una de las siguientes respuestas posibles:

  • screen all prospective employees for bloodborne pathogens.

  • provide gloves and other personal protective equipment (PPE) to full-time paid employees only.

  • offer a workplace environment that reduces the risk for exposure.

  • guarantee a 100% risk-free environment prior to employment.

Explicación

Pregunta 6 de 74

1

According to the CDC, recommended immunizations and tests include a

Selecciona una de las siguientes respuestas posibles:

  • smallpox vaccine every 5 years.

  • TB skin test every 6 months.

  • two-shot hepatitis A vaccination series.

  • tetanus-diphtheria booster every 10 years.

Explicación

Pregunta 7 de 74

1

As an EMT, it is important to remember that the signs and symptoms of cumulative stress:

Selecciona una de las siguientes respuestas posibles:

  • may not be obvious or present all the time.

  • usually manifest suddenly and without warning.

  • cannot be identified and can cause health problems.

  • are most effectively treated with medications.

Explicación

Pregunta 8 de 74

1

At the scene of an automobile crash, a utility pole has been broken, and power lines are lying across the car. The patients inside the car are conscious. You should:

Selecciona una de las siguientes respuestas posibles:

  • mark off a danger zone around the downed lines

  • advise the patients to carefully get out of the car.

  • remove the lines with a nonconductive object.

  • proceed with normal extrication procedures.

Explicación

Pregunta 9 de 74

1

Carbon monoxide blocks the ability of the blood to oxygenate the body because it:

Selecciona una de las siguientes respuestas posibles:

  • binds with the hemoglobin in the red blood cells.

  • fills the lungs with secretions.

  • causes the body to expel too much carbon dioxide.

  • destroys the number of circulating red blood cells.

Explicación

Pregunta 10 de 74

1

Common factors that influence how a patient reacts to the stress of an illness or injury include all of the following, EXCEPT:

Selecciona una de las siguientes respuestas posibles:

  • distrust of the EMT.

  • mental disorders.

  • history of chronic disease.

  • fear of medical personnel.

Explicación

Pregunta 11 de 74

1

Common questions asked by patients with a serious illness or injury include all of the following, EXCEPT:

Selecciona una de las siguientes respuestas posibles:

  • “Am I going to die?”

  • “What hospital am I going to?”

  • “What are you doing to me?”

  • “Will I be permanently disabled?”

Explicación

Pregunta 12 de 74

1

Critical incident stress management (CISM) can occur at an ongoing scene in all of the following circumstances, EXCEPT:

Selecciona una de las siguientes respuestas posibles:

  • when personnel are assessed during periods of rest.

  • before personnel are preparing to reenter the scene.

  • when patients are actively being assessed or treated.

  • before leaving the scene after the incident is resolved.

Explicación

Pregunta 13 de 74

1

Determination of exposure is an important component of an infection control plan because it:

Selecciona una de las siguientes respuestas posibles:

  • determines the time of day that most exposures are likely to occur.

  • determines which type of communicable disease might be present in the workplace.

  • defines who is most likely to transmit communicable diseases in the workplace.

  • defines who is at risk for contact with blood and body fluids and which tasks pose a risk of exposure. Correct

Explicación

Pregunta 14 de 74

1

Gloves, a mask, eye protection, and a face shield should be used:
Select one:

Selecciona una de las siguientes respuestas posibles:

  • any time you touch non-intact skin.

  • during routine cleaning of the ambulance.

  • while handling needles or other sharps.

  • when performing endotracheal intubation.

Explicación

Pregunta 15 de 74

1

Hazards that are associated with a structural fire include all of the following, EXCEPT:
Select one:

Selecciona una de las siguientes respuestas posibles:

  • the risk of building collapse.

  • high ambient temperatures.

  • carbon dioxide deficiency

  • smoke and toxic gases.

Explicación

Pregunta 16 de 74

1

If a mask cannot be placed on a coughing patient, the Centers for Disease Control and Prevention (CDC) recommend that you maintain a distance of at least ________ feet if possible.

Selecciona una de las siguientes respuestas posibles:

  • 2

  • 3

  • 4

  • 5

Explicación

Pregunta 17 de 74

1

If a person is partially immune to a particular disease, he or she:
Select one:

Selecciona una de las siguientes respuestas posibles:

  • is not protected from a new infection if exposed to another individual.

  • must be revaccinated at least every 18 months to avoid infection.

  • may develop illness from germs that lie dormant from the initial infection.

  • will not experience future illness, even if his or her immune system is stressed.

Explicación

Pregunta 18 de 74

1

If it is not possible to adequately clean your ambulance at the hospital following a call, you should:
Select one:

Selecciona una de las siguientes respuestas posibles:

  • thoroughly wash the back of the ambulance at a local car wash or similar facility.

  • wait until the end of your shift and then disinfect the entire patient compartment.

  • clean the ambulance at your station in a designated area that is well ventilated.

  • quickly wipe down all high contact surfaces with an antibacterial solution.

Explicación

Pregunta 19 de 74

1

If you are exposed to a patient's blood or other bodily fluid, your first action should be to:

Selecciona una de las siguientes respuestas posibles:

  • report the incident to the infection control officer.

  • abandon patient care and seek medical attention.

  • transfer care of your patient to another EMS provider.

  • vigorously clean the area with soap and water.

Explicación

Pregunta 20 de 74

1

If you use a waterless handwashing substitute in the field, it is important to:
Select one:

Selecciona una de las siguientes respuestas posibles:

  • wash your hands with soap and water at the hospital.

  • immediately dry your hands with a paper towe

  • wait at least 5 minutes before touching another patient.

  • avoid donning another pair of gloves for at least 10 minutes.

Explicación

Pregunta 21 de 74

1

It is especially important for EMS personnel to develop nonadversarial relationships with their coworkers because they:
Select one:

Selecciona una de las siguientes respuestas posibles:

  • may have to bunk in the same rooom

  • must work together every third day.

  • depend on each other for their safety.

  • are highly prone to stress and burnout.

Explicación

Pregunta 22 de 74

1

Patients who become dependent upon EMS personnel or other health care providers often feel:
Select one:

Selecciona una de las siguientes respuestas posibles:

  • shamed.

  • hopeful.

  • superior.

  • relieved.

Explicación

Pregunta 23 de 74

1

Physiologic manifestations of stress include:
Select one:

Selecciona una de las siguientes respuestas posibles:

  • increased blood pressure, decreased blood glucose levels, and chest pain.

  • perspiration, increased blood glucose levels, and dilated pupils.

  • slow heart rate, low blood pressure, and severe headaches.

  • flushed skin, decreased muscle control, and vomiting.

Explicación

Pregunta 24 de 74

1

Prescription glasses do not provide adequate eye protection because they:
Select one:

Selecciona una de las siguientes respuestas posibles:

  • do not have shatterproof lenses.

  • offer little or no side protection.

  • are not secured with a strap.

  • have large rounded lenses.

Explicación

Pregunta 25 de 74

1

Quid pro quo, a type of sexual harassment, occurs when the harasser:
Select one:

Selecciona una de las siguientes respuestas posibles:

  • makes rude remarks about a person's body parts.

  • stares at certain parts of another person's anatomy.

  • touches another person without his or her consent.

  • requests sexual favors in exchange for something else.

Explicación

Pregunta 26 de 74

1

The BEST way to reduce your risk of contracting a work-related disease following exposure is to:

Selecciona una de las siguientes respuestas posibles:

  • vigorously wash the affected area with an antimicrobial solution.

  • be evaluated by a physician within 72 hours following the exposure.

  • get vaccinated against the disease you think you were exposed to.

  • activate your department's infection control plan as soon as possible.

Explicación

Pregunta 27 de 74

1

The compliance monitoring component of an infection control plan should:
Select one:

Selecciona una de las siguientes respuestas posibles:

  • ensure that employees understand what they should do and why it is important

  • identify who to notify after an exposure and where treatment should be provided.

  • consist of a list of tasks that pose a risk for contact with blood or other body fluids.

  • address issues such as medical waste collection, storage, and ambulance disinfection.

Explicación

Pregunta 28 de 74

1

The final stage of death and dying is MOST commonly displayed as:
Select one:

Selecciona una de las siguientes respuestas posibles:

  • acceptance.

  • depression.

  • denial.

  • anger.

Explicación

Pregunta 29 de 74

1

The general adaptation syndrome is characterized by which of the following phases?
Select one:

Selecciona una de las siguientes respuestas posibles:

  • immediate reaction, psychological exhaustion, and recovery

  • reaction and resistance, euphoria, and physical exhaustion

  • delayed reaction, alarm response, and physical recovery

  • alarm response, reaction and resistance, and recovery

Explicación

Pregunta 30 de 74

1

The hepatitis B vaccine program, a component of the infection control plan, addresses all of the following issues, EXCEPT:
Select one:

Selecciona una de las siguientes respuestas posibles:

  • family history of hepatitis.

  • postvaccine antibody titers.

  • vaccine safety and efficacy.

  • record keeping and tracking.

Explicación

Pregunta 31 de 74

1

The MOST effective way to preserve your own body heat when functioning in cold, wet weather is to:

Selecciona una de las siguientes respuestas posibles:

  • wear socks made of heavy-duty cotton.

  • wear at least three layers of clothing

  • avoid outer clothing with zippers.

  • wear a heavy, thick jacket or coat.

Explicación

Pregunta 32 de 74

1

The MOST important consideration at the scene of a hazardous material incident is:
Select one:

Selecciona una de las siguientes respuestas posibles:

  • identifying the material.

  • calling the hazardous materials team.

  • evacuating the bystanders.

  • ensuring your personal safety.

Explicación

Pregunta 33 de 74

1

The MOST serious consequence of drug or alcohol abuse among EMS personnel is:
Select one:

Selecciona una de las siguientes respuestas posibles:

  • substandard or inappropriate patient care.

  • punitive action and the loss of a job.

  • low morale and frequently missed shifts.

  • tension among coworkers and supervisors.

Explicación

Pregunta 34 de 74

1

The simplest yet most effective method of preventing the spread of an infectious disease is to:
Select one:

Selecciona una de las siguientes respuestas posibles:

  • undergo an annual physical examination.

  • ensure that your immunizations are up-to-date.

  • wash your hands in between patient contacts

  • undergo human immunodeficiency virus (HIV) testing at least twice a year.

Explicación

Pregunta 35 de 74

1

The spread of HIV and hepatitis in the health care setting can usually be traced to:
Select one:

Selecciona una de las siguientes respuestas posibles:

  • a noncompliance with standard precautions.

  • excessive blood splashing or splattering.

  • a lack of proper immunizations.

  • careless handling of sharps.

Explicación

Pregunta 36 de 74

1

Upon arriving at the scene of a motor vehicle crash, you note that two small cars collided head-on; the occupants are still in their vehicles. The fire department is in the process of stabilizing the vehicles and law enforcement personnel are directing traffic. After parking the ambulance at a safe distance, you and your partner should:
Select one:

Selecciona una de las siguientes respuestas posibles:

  • put on high-visibility safety vests.

  • quickly begin the triage process.

  • assist with vehicle stabilization.

  • report to the incident commander.

Explicación

Pregunta 37 de 74

1

Vaccination against the hepatitis A virus is unnecessary if you:
Select one:

Selecciona una de las siguientes respuestas posibles:

  • received a hepatitis B vaccination.

  • are older than 35 years of age.

  • have a weak immune system.

  • have been infected in the past.

Explicación

Pregunta 38 de 74

1

Vector-borne transmission of an infectious organism occurs via:
Select one:

Selecciona una de las siguientes respuestas posibles:

  • inanimate objects.

  • direct contact.

  • smoke or dust.

  • animals or insects.

Explicación

Pregunta 39 de 74

1

What should you do before attempting to access a patient trapped in a vehicle?
Select one:

Selecciona una de las siguientes respuestas posibles:

  • Contact medical control.

  • Request another ambulance.

  • Ensure the vehicle is stable

  • Check for other patients.

Explicación

Pregunta 40 de 74

1

What type of stress reaction occurs when an EMT is exposed to many insignificant stressors over a period of several months or years?
Select one:

Selecciona una de las siguientes respuestas posibles:

  • critical incident stress reaction

  • posttraumatic stress reaction

  • cumulative stress reaction

  • acute stress reaction

Explicación

Pregunta 41 de 74

1

When a patient is dying, he or she may experience regression. This is MOST accurately defined as:

Selecciona una de las siguientes respuestas posibles:

  • anger projected toward the EMT or other providers.

  • a decreased ability to exercise age-appropriate judgment.

  • behavior consistent with an earlier developmental stage

  • fear of being completely dependent upon other people.

Explicación

Pregunta 42 de 74

1

When caring for the parents of a child who has died of leukemia, the EMT should:

Selecciona una de las siguientes respuestas posibles:

  • acknowledge the death of their child in private

  • refrain from using words such as “died” or “dead.”

  • tell them that their feelings are understood.

  • immediately refer them to a counselor.

Explicación

Pregunta 43 de 74

1

When considering his or her personal life, it is important for the EMT to realize that:
Select one:

Selecciona una de las siguientes respuestas posibles:

  • it is more difficult to effectively relax at home than it is while on duty.

  • family or friends may not understand the stress associated with EMS.

  • shift work is the least stressful type of an EMS-related work schedule.

  • he or she should not discuss stressful issues with family members.

Explicación

Pregunta 44 de 74

1

When decontaminating the back of your ambulance after a call, you should:
Select one:

Selecciona una de las siguientes respuestas posibles:

  • spray the contaminated areas and then immediately wipe them dry with a towel.

  • clean all surfaces and patient contact areas with a mixture of alcohol and water.

  • use a bleach and water solution at a 1:2 dilution ratio to thoroughly wipe all surfaces.

  • allow surfaces to air dry unless otherwise indicated in the product directions

Explicación

Pregunta 45 de 74

1

When treating a patient who is trapped in a vehicle and covered with broken glass, it is BEST to wear:
Select one:

Selecciona una de las siguientes respuestas posibles:

  • thick fire fighter gloves over two pairs of latex gloves.

  • fire fighter gloves only, to preserve manual dexterity.

  • puncture-proof leather gloves over your latex gloves

  • latex gloves with thick leather gloves underneath.

Explicación

Pregunta 46 de 74

1

Which of the following factors is NOT taken into consideration when assessing a person's potential for violence?
Select one:

Selecciona una de las siguientes respuestas posibles:

  • large physical size

  • substance abuse

  • tattoos, such as those with gang identification

  • poor impulse control

Explicación

Pregunta 47 de 74

1

Which of the following infectious diseases confers no protection from re-infection after exposure?
Select one:

Selecciona una de las siguientes respuestas posibles:

  • mumps

  • rubella

  • syphilis

  • chickenpox

Explicación

Pregunta 48 de 74

1

Which of the following is the MOST effective strategy for managing stress?
Select one:

Selecciona una de las siguientes respuestas posibles:

  • Frequently reflect on troublesome calls.

  • Avoid friends and interests outside of EMS.

  • Request overtime to increase your income.

  • Focus on delivering high-quality patient care

Explicación

Pregunta 49 de 74

1

Which of the following is the MOST significant factor in determining if a person will become ill from certain germs?

Selecciona una de las siguientes respuestas posibles:

  • immunity

  • gender

  • race

  • age

Explicación

Pregunta 50 de 74

1

Which of the following scenarios MOST accurately depicts a posttraumatic stress disorder (PTSD) reaction?
Select one:

Selecciona una de las siguientes respuestas posibles:

  • An EMT becomes distracted at the scene of a motor vehicle crash involving the same type of car in which a child was previously killed.

  • An EMT is emotionally exhausted and depressed after a school bus crash involving critical injuries and the death of several children.

  • A newly certified EMT becomes extremely nauseated and diaphoretic at the scene of an incident involving grotesque injuries.

  • An EMT with many years of field experience becomes irritable with her coworkers and experiences headaches and insomnia.

Explicación

Pregunta 51 de 74

1

Which of the following signs would indicate that your partner is experiencing significant stress?
Select one:

Selecciona una de las siguientes respuestas posibles:

  • acute increase in his or her appetite

  • hyperactivity during an EMS call

  • isolation from the rest of the crew

  • increased interest in daily activities

Explicación

Pregunta 52 de 74

1

Which of the following statements is MOST consistent with the bargaining phase of the grieving process?
Select one:

Selecciona una de las siguientes respuestas posibles:

  • “The doctors must be wrong in their diagnosis because I have always been healthy.”

  • “I understand that my death is inevitable and I am ready to die when the time comes.”

  • “I will be compliant with all my medications if I can just see my grandson graduate.

  • “It is because of our lousy health care system that I developed this brain tumor.”

Explicación

Pregunta 53 de 74

1

Which of the following statements regarding a patient with a behavioral crisis is correct?
Select one:

Selecciona una de las siguientes respuestas posibles:

  • People who say that they are “hearing voices” are usually bluffing you.

  • Depression accounts for a very small percentage of violent attacks.

  • A quiet patient is not as likely to attack you as one who is screaming

  • A past history of violence is an unreliable indicator of future violence.

Explicación

Pregunta 54 de 74

1

Which of the following statements regarding HIV is correct?
Select one:

Selecciona una de las siguientes respuestas posibles:

  • There is no vaccine against HIV infection.

  • HIV is transmitted exclusively via blood.

  • It is far more contagious than hepatitis B.

  • It is easily transmittable in the EMS field.

Explicación

Pregunta 55 de 74

1

Which of the following statements regarding the different stages of the grieving process is correct?
Select one:

Selecciona una de las siguientes respuestas posibles:

  • Bargaining is the most unpleasant stage of the grieving process.

  • The grieving process typically begins with severe depression.

  • It is rare that people will jump back and forth between stages.

  • The stages of the grieving process may occur simultaneously.

Explicación

Pregunta 56 de 74

1

Which of the following statements regarding the hepatitis B vaccine is correct?

Selecciona una de las siguientes respuestas posibles:

  • Vaccination with the hepatitis B vaccine confers immunity against hepatitis A.

  • The hepatitis B vaccine provides protection against the disease for 2 years.

  • OSHA requires that your employer offer you the vaccine free of charge

  • Vaccination against hepatitis B provides partial immunity for life.

Explicación

Pregunta 57 de 74

1

Which of the following statements would NOT be appropriate to say to the family of a dying patient?

Selecciona una de las siguientes respuestas posibles:

  • Things will get better in time

  • “It is okay to be angry and sad.”

  • This must be painful for you.”

  • “Tell me how you are feeling.”

Explicación

Pregunta 58 de 74

1

While assisting an advanced life support (ALS) ambulance crew, you are accidentally stuck with an IV needle. You should:

Selecciona una de las siguientes respuestas posibles:

  • discontinue patient care and seek medical attention.

  • get immunized against hepatitis as soon as possible.

  • report the incident to your supervisor after the call.

  • immerse your wound in an alcohol-based solution.

Explicación

Pregunta 59 de 74

1

While on duty, your partner asks you out on a date and touches you in an inappropriate location without your consent. You should:
Select one:

Selecciona una de las siguientes respuestas posibles:

  • tell your partner to stop and report the incident to your supervisor.

  • notify law enforcement personnel and have your partner arrested.

  • warn your partner that you will report him or her if it happens again.

  • tell your partner to quit kidding around and focus on his or her job.

Explicación

Pregunta 60 de 74

1

While providing care to a patient, blood got onto the ambulance stretcher. Because the stretcher was not properly cleaned afterward, a virus was transmitted to another emergency medical technician (EMT) several days later. What route of transmission does this scenario describe?

Selecciona una de las siguientes respuestas posibles:

  • vector-borne transmission

  • airborne transmission

  • indirect contact

  • direct contact

Explicación

Pregunta 61 de 74

1

While trying to make a family member feel better after a loved one has died, your partner uses trite statements. The family members may view this as:
Select one:

Selecciona una de las siguientes respuestas posibles:

  • your partner's caring and supportive attitude.

  • coaching them through the grieving process.

  • a show of respect for the person who has died.

  • your partner's attempt to diminish their grief.

Explicación

Pregunta 62 de 74

1

You and your partner are EMTs and have been dispatched to standby at the scene of a residential fire. While standing next to the ambulance observing the fire fighters, you see a woman frantically moving around in her burning house. You should:
Select one:

Selecciona una de las siguientes respuestas posibles:

  • immediately notify the incident commander or safety officer.

  • stay where you are until fire fighters remove her from the house.

  • don a self-contained breathing apparatus (SCBA) and rescue the woman.

  • request permission from the fire chief to enter the structure.

Explicación

Pregunta 63 de 74

1

You and your partner respond to the residence of a 66-year-old male with shortness of breath. As you are assessing the patient, his wife tells you that he was recently diagnosed with lung cancer. The patient is verbally abusive and tells you that failure of the health care system caused his disease. What stage of the grieving process is this patient's behavior consistent with?
Select one:

Selecciona una de las siguientes respuestas posibles:

  • depression

  • bargaining

  • anger

  • denial

Explicación

Pregunta 64 de 74

1

You are assessing a middle-aged man with chest pain that you suspect is caused by a cardiac problem. The patient tells you that he does not want to go to the hospital and insists that you leave him alone. You should:
Select one:

Selecciona una de las siguientes respuestas posibles:

  • reassure him that he will not receive a bill for the EMS call if he cannot pay.

  • tell him that he is having a heart attack and that he needs to go to the hospital.

  • explain the seriousness of the situation to him, but avoid causing undue alarm.

  • proceed to treat him because the stress of the situation has impaired his thinking.

Explicación

Pregunta 65 de 74

1

You are assessing a woman who was thrown from her horse. She is located in a large field and you can see that a thunderstorm is rapidly approaching. Suddenly, you feel your skin begin to tingle and the hair on your arms stands on end. The ambulance is located about 30 yards away. You should:
Select one:

Selecciona una de las siguientes respuestas posibles:

  • immediately lie down on your side and draw your knees into your abdomen.

  • quickly cover the patient with a blanket and then lie down flat on the ground.

  • sit down, bend your knees, and hold your crossed arms close to your body.

  • crouch down in a position so that only your feet are touching the ground.

Explicación

Pregunta 66 de 74

1

You are caring for a 35-year-old female with pregnancy-related complications. She is clearly experiencing significant stress and is crying uncontrollably. Your MOST appropriate action would be to:
Select one:

Selecciona una de las siguientes respuestas posibles:

  • restrain her if she is extremely emotional and will not calm down.

  • explain to her that “everything will be all right” in order to calm her down.

  • discourage her from expressing fears until a counselor is available.

  • demonstrate courtesy and speak with a professional tone of voice.

Explicación

Pregunta 67 de 74

1

You are caring for a 40-year-old female who was involved in a motor vehicle crash. Her husband, who was driving the vehicle, was killed. When the patient asks you if her husband is all right, you should:
Select one:

Selecciona una de las siguientes respuestas posibles:

  • avoid answering her questions and focus on her injuries.

  • let clergy or hospital staff relay the bad news if possible.

  • immediately tell her of his death so that she may grieve.

  • tell her that he is being resuscitated by other EMTs.

Explicación

Pregunta 68 de 74

1

You are dispatched to the scene of a crash involving a large tanker truck. While you are en route, dispatch advises you that there are multiple patients and that the fire department is en route as well. As you approach the scene, you should:
Select one:

Selecciona una de las siguientes respuestas posibles:

  • don PPE and quickly triage all patients.

  • immediately begin evacuating residents that live near the crash site.

  • cordon off the area and quickly remove all of the injured patients.

  • maintain a safe distance and try to read the placard with binoculars.

Explicación

Pregunta 69 de 74

1

You are summoned to a convalescent center for an 88-year-old female with an altered mental status. A staff nurse advises you that the patient has terminal cancer and her physician stated that she would probably die within the next few hours; a valid do not resuscitate (DNR) order is presented to you. When caring for this patient, you should:
Select one:

Selecciona una de las siguientes respuestas posibles:

  • make her comfortable and provide emotional support.

  • provide no interventions and transport to the hospital.

  • start cardiopulmonary resuscitation (CPR) if she experiences cardiopulmonary arrest.

  • depart the scene and allow her to die with dignity.

Explicación

Pregunta 70 de 74

1

You are transporting a 40-year-old male with respiratory distress. The patient tells you that he recently had a positive tuberculosis (TB) skin test and is currently being evaluated for possible TB. You should:
Select one:

Selecciona una de las siguientes respuestas posibles:

  • apply a nasal cannula on the patient and a sterile surgical mask on yourself.

  • apply a sterile surgical mask on yourself and a HEPA respirator on the patient.

  • remain at least 3 feet away from the patient and apply a surgical mask on him.

  • apply a nonrebreathing mask on the patient and a high-efficiency particulate air (HEPA) respirator on yourself.

Explicación

Pregunta 71 de 74

1

You are transporting an elderly woman who has possibly experienced a stroke. She is obviously scared but is unable to talk and cannot move the entire right side of her body. In addition to providing the medical care that she needs, you should:
Select one:

Selecciona una de las siguientes respuestas posibles:

  • tell her that you understand why she is scared and that everything will likely be okay.

  • maintain eye contact at all times and tell her that there is no need for her to be scared.

  • acknowledge that she is scared and tell her that you are going to take good care of her.

  • reassure her that after proper treatment in the hospital, she will regain her speech in time.

Explicación

Pregunta 72 de 74

1

You arrive at the scene of a domestic violence situation. As you approach the doorway of the apartment, you hear screaming and the statement “He has a gun!” Your MOST appropriate action should be to:
Select one:

Selecciona una de las siguientes respuestas posibles:

  • seek a safe place and request law enforcement assistance.

  • get in your ambulance and leave the scene immediately.

  • proceed into the apartment and apprehend the gunman.

  • continue into the apartment using extreme caution.

Explicación

Pregunta 73 de 74

1

You have been working at the scene of a major building collapse for 8 hours. Many injured people are still being removed, and everyone is becoming frustrated and losing focus. This situation is MOST effectively managed by:
Select one:

Selecciona una de las siguientes respuestas posibles:

  • providing large amounts of caffeine to the rescue workers.

  • requesting a CISM team to provide on-scene peer support.

  • conducting a critical incident stress debriefing the next day.

  • allowing each worker to sleep in 15- to 30-minute increments.

Explicación

Pregunta 74 de 74

1

Your partner, a veteran EMT who you have worked with regularly for the past 4 years, seems unusually agitated during a call involving an elderly patient. Upon arrival back at your station, you note the obvious smell of alcohol on his breath. What should you do?
Select one:

Selecciona una de las siguientes respuestas posibles:

  • Remain quiet and simply request another partner.

  • Report the incident to your EMS medical director.

  • Discreetly report your suspicions to your supervisor.

  • Tell your partner that he must seek professional help.

Explicación

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