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JBL EMT EXAM 1 Questions And Answers With Verified Solutions 100% Correct!!!
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JBL EMT EXAM 1 Questions And Answers With Verified Solutions 100% Correct!!!
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JBL Registry Practice Test questionsand answers with verified solutions
latest updated 2024
You are giving a presentation to a group of laypeople on the importance of calling
EMS immediately for cardiac arrest patients. What point should you emphasize the
MOST?
A: CPR and defibrillation are key factors in patient survival.
B: Laypeople are incapable of providing adequate CPR.
C: Rapid transport significantly reduces patient mortality.
D: Cardiac drug therapy is the most important EMS treatment. - ANSWER✔✔A:
CPR and defibrillation are key factors in patient survival.
Early high-quality CPR and defibrillation are the most crucial initial treatments to
provide to a patient in cardiac arrest. Adequately performed CPR can keep the
heart and brain oxygenated, thus increasing the chance of defibrillation success.
Ventricular fibrillation (V-Fib) is the most common initial dysrhythmia seen in
adult patients with sudden cardiac arrest and requires prompt defibrillation.
Untreated V-Fib will rapidly deteriorate to asystole, the mortality rate from which
is very high. You should also advise the audience that compression-only CPR has
been linked to patient survival.
Prior to your arrival, a woman experiencing an asthma attack took two puffs from
her prescribed inhaler without relief. After administering supplemental oxygen,
you should:
A: perform a detailed secondary assessment.
B: contact medical control for further advice.
C: provide immediate transport to the hospital.
,D: administer one more puff from her inhaler. - ANSWER✔✔B: contact medical
control for further advice.
Before assisting a patient with any medication other than oxygen, the EMT must
ensure that the medication is prescribed to the patient and then obtain authorization
from medical control. In this case, the physician probably will allow you to help
the patient take one more puff from her inhaler. Generally, up to three puffs from
an inhaler are delivered in the field. It is important for you to ask the patient how
many puffs were taken from the inhaler before you arrived. The EMT must correct
any airway and/or breathing problems as quickly as possible. After doing so, a
secondary assessment can be performed.
In addition to supplemental oxygen, one of the MOST effective way to minimize
the detrimental effects associated with acute coronary syndrome is to:
A: reassure the patient and provide prompt transport.
B: transport the patient rapidly, using lights and siren.
C: administer nitroglycerin in 15 to 20 minute intervals.
D: request ALS support for any patient who has chest pain. - ANSWER✔✔A:
reassure the patient and provide prompt transport.
Reason:
In addition to increasing the body's oxygen supply with supplemental oxygen, it is
extremely important to decrease oxygen demand and consumption. You can most
effectively accomplish this by keeping the patient calm, providing reassurance, and
providing safe, prompt transport to the hospital. Traveling at a high rate of speed
with lights flashing and siren blasting would clearly increase the patient's anxiety
and the heart's demand for oxygen. The decision to request ALS support is based
on the patient's condition and your transport distance to the closest appropriate
hospital. Unless contraindicated (ie, the patient is hypotensive, the medication is
,not prescribed to the patient), nitroglycerin should be given in 5-minute intervals,
up to three (3) doses.
The immobilization device MOST appropriate to use for a patient with multiple
injuries and unstable vital signs is the:
A: scoop immobilization device.
B: short spine board immobilization device.
C: long spine board immobilization device.
D: vest-style immobilization device. - ANSWER✔✔C: long spine board
immobilization device.
Reason:
When caring for a critically injured patient with multiple injuries, the patient's
entire body should be immobilized. This is most quickly and effectively
accomplished using a long spine board. Vest-style devices or short spine boards
take too long to apply and will not provide full body immobilization. The scoop
(orthopaedic) stretcher is effective for maneuvering patients in narrow spaces but
will not allow for full spinal immobilization because of the vertical opening down
the center of the device.
Which of the following statements regarding two-rescuer child CPR is correct?
A: The chest should not be allowed to fully recoil in between compressions as this
may impair venous return
B: A compression to ventilation ratio of 15:2 should be delivered without pauses in
compressions to deliver ventilations
, C: The chest should be compressed with one hand and a compression to ventilation
ratio of 30:2 should be delivered
D: Compress the chest with one or two hands to a depth that is equal to one third
the diameter of the chest - ANSWER✔✔D: Compress the chest with one or two
hands to a depth that is equal to one third the diameter of the chest
Reason:
When performing two-rescuer CPR on a child (1 year of age to the onset of
puberty [12 to 14 years of age]), the chest should be compressed with one or two
hands (depending on the size of the child), and a compression to ventilation ratio of
15:2 should be delivered. It is important to compress the chest to an adequate
depth—one third the anterior-posterior diameter of the chest (about 1 1/2" in the
child). The chest should be allowed to fully recoil in between compressions in
order to maximize venous return to the heart. If an advanced airway device (ie, ET
tube, multilumen airway, supraglottic airway) is not in place, two rescuers should
deliver "cycles" of CPR; the compressor should pause briefly so the ventilator can
deliver two breaths. A compression to ventilation ratio of 30:2 is used for one-
rescuer child CPR. After an advanced airway device has been inserted, "cycles" of
CPR should not be performed; compressions should be continuous at a rate of at
least 100/min and ventilations should be delivered at a rate of 8 to 10 breaths/min
(one breath every 6 to 8 seconds).
Shortly after assisting a 60-year-old woman with her second nitroglycerin
treatment, she tells you that she is lightheaded and feels like she is going to faint.
Her symptoms are MOST likely due to:
A: a drop in her blood sugar.
B: an irregular heartbeat.
C: low blood pressure.
D: nervousness and anxiety. - ANSWER✔✔C: low blood pressure.
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