NC EMT-Basic Exam questions with
actual answers.
After administering 0.3 mg of epinephrine via auto-injector to a 22-year-old female with an allergic
reaction, you note improvement in her breathing and dissipation of her hives. However, she is still
anxious and tachycardic. You should:
A. contact medical control and obtain authorization to administer another 0.3 mg of epinephrine.
B. transport her rapidly, as it is obvious that she is having a severe reaction to the epinephrine.
C. monitor her closely but recall that anxiety and tachycardia are side effects of epinephrine.
D. consider administering 0.15 mg of epinephrine to completely resolve her allergic reaction. ANS - C.
monitor her closely but recall that anxiety and tachycardia are side effects of epinephrine
While auscultating breath sounds of a patient who was stung multiple times by a yellow jacket, you hear
bilateral wheezing over all lung fields. This indicates:
A. rapid swelling of the upper airway tissues.
B. a significant amount of fluid in the alveoli.
C. narrowing of the bronchioles in the lungs.
D. enlargement of the bronchioles in the lungs. ANS - C. narrowing of the bronchioles in the lungs.
You are assessing a young male who was stung on the leg by a scorpion. He is conscious and alert, his
breathing is regular and unlabored, and his blood pressure is 122/64 mm Hg. Assessment of his leg
reveals a wheal surrounded by an area of redness. He states that he had a "bad reaction" the last time
he was stung by a scorpion, and carries his own epinephrine auto-injector. You should:
A. apply high-flow oxygen, apply a chemical cold pack directly to the injection site, and transport at
once.
B. apply high-flow oxygen, obtain approval from medical control to assist him with his epinephrine, and
transport.
C. assess his ABCs and vital signs in 15 minutes and allow him to drive himself to the hospital if he
remains stable.
D. apply oxygen as needed, clean the area with soap and water or a mild antiseptic, and transport him to
the hospital. ANS - D. apply oxygen as needed, clean the area with soap and water or a mild antiseptic,
and transport him to the hospital.
, Chemicals that are responsible for the signs and symptoms of an allergic reaction to a bee sting include:
A. the bee venom itself.
B. adrenaline and histamines.
C. leukocytes and epinephrine.
D. histamines and leukotrienes. ANS - D. histamines and leukotrienes.
A 48-year-old male is found unconscious in the garden by his wife. When you arrive at the scene and
assess the man, you find that he is unresponsive, has severely labored breathing, and has hives over his
entire trunk. You should:
A.
perform a detailed secondary assessment.
B.
maintain his airway and assist his ventilations.
C.
ask his wife if he has any known allergies.
D.
apply the automated external defibrillator (AED) in the event that cardiac arrest occurs. ANS - B.
maintain his airway and assist his ventilations.
You have administered one dose of epinephrine to a 40-year-old female to treat an allergic reaction that
she developed after being stung by a scorpion. Your reassessment reveals that she is still having
difficulty breathing, has a decreasing mental status, and has a blood pressure of 80/50 mm Hg. You
should:
A. monitor her en route to the hospital and call medical control if she worsens.
B. crush up an antihistamine tablet and place it in between her cheek and gum.
C. request permission from medical control to give another dose of epinephrine.
D. administer a nebulized bronchodilator to improve the status of her breathing. ANS - C. request
permission from medical control to give another dose of epinephrine
The two MOST common signs of anaphylaxis are:
A. wheezing and widespread urticaria.
actual answers.
After administering 0.3 mg of epinephrine via auto-injector to a 22-year-old female with an allergic
reaction, you note improvement in her breathing and dissipation of her hives. However, she is still
anxious and tachycardic. You should:
A. contact medical control and obtain authorization to administer another 0.3 mg of epinephrine.
B. transport her rapidly, as it is obvious that she is having a severe reaction to the epinephrine.
C. monitor her closely but recall that anxiety and tachycardia are side effects of epinephrine.
D. consider administering 0.15 mg of epinephrine to completely resolve her allergic reaction. ANS - C.
monitor her closely but recall that anxiety and tachycardia are side effects of epinephrine
While auscultating breath sounds of a patient who was stung multiple times by a yellow jacket, you hear
bilateral wheezing over all lung fields. This indicates:
A. rapid swelling of the upper airway tissues.
B. a significant amount of fluid in the alveoli.
C. narrowing of the bronchioles in the lungs.
D. enlargement of the bronchioles in the lungs. ANS - C. narrowing of the bronchioles in the lungs.
You are assessing a young male who was stung on the leg by a scorpion. He is conscious and alert, his
breathing is regular and unlabored, and his blood pressure is 122/64 mm Hg. Assessment of his leg
reveals a wheal surrounded by an area of redness. He states that he had a "bad reaction" the last time
he was stung by a scorpion, and carries his own epinephrine auto-injector. You should:
A. apply high-flow oxygen, apply a chemical cold pack directly to the injection site, and transport at
once.
B. apply high-flow oxygen, obtain approval from medical control to assist him with his epinephrine, and
transport.
C. assess his ABCs and vital signs in 15 minutes and allow him to drive himself to the hospital if he
remains stable.
D. apply oxygen as needed, clean the area with soap and water or a mild antiseptic, and transport him to
the hospital. ANS - D. apply oxygen as needed, clean the area with soap and water or a mild antiseptic,
and transport him to the hospital.
, Chemicals that are responsible for the signs and symptoms of an allergic reaction to a bee sting include:
A. the bee venom itself.
B. adrenaline and histamines.
C. leukocytes and epinephrine.
D. histamines and leukotrienes. ANS - D. histamines and leukotrienes.
A 48-year-old male is found unconscious in the garden by his wife. When you arrive at the scene and
assess the man, you find that he is unresponsive, has severely labored breathing, and has hives over his
entire trunk. You should:
A.
perform a detailed secondary assessment.
B.
maintain his airway and assist his ventilations.
C.
ask his wife if he has any known allergies.
D.
apply the automated external defibrillator (AED) in the event that cardiac arrest occurs. ANS - B.
maintain his airway and assist his ventilations.
You have administered one dose of epinephrine to a 40-year-old female to treat an allergic reaction that
she developed after being stung by a scorpion. Your reassessment reveals that she is still having
difficulty breathing, has a decreasing mental status, and has a blood pressure of 80/50 mm Hg. You
should:
A. monitor her en route to the hospital and call medical control if she worsens.
B. crush up an antihistamine tablet and place it in between her cheek and gum.
C. request permission from medical control to give another dose of epinephrine.
D. administer a nebulized bronchodilator to improve the status of her breathing. ANS - C. request
permission from medical control to give another dose of epinephrine
The two MOST common signs of anaphylaxis are:
A. wheezing and widespread urticaria.
