2023-2024 FISDAP Medical Surgical Nursing Final Exam With Answers (200 Solved Questions)

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Paramedic FISDAP Final Exam Study GuideQuestions with Correct Detailed answers 199 QS &Ans 2023-2024.1. A 30-year-old climber is experiencing sever shortness of breath after reachingan elevation of 12000feet. The PT is very anxious and has rales noted to allquadrants but is otherwise healthy. He is not accustomed to high altitudes. Whatshould you do? - Answer Administer oxygen while descending to a lower altitude.2. A 26-year-old female does not respond to verbal stimuli but moans in responseto pain. A friend states the patient has ingested approx. 150 amitriptyline tables.Vital Signs are BP 88/50 R16. You establish IV access and administer a fluidchallenge. En route to the hospital her ECG shows a widening QR. You shouldadminister - Answer Sodium Bicarbonate.3. You PT experienced trauma yesterday and you are transferring her to a largerfacility. She has been experiencing progressive hypoxia. You notice coarse cracklesin all lung fields on ventilation. Vital signs are BP 90/50 and SPO2 90%. You should- Answer Transport emergency and continue ventilation.4. An alert 22-year-old male was just disentangled from debris in a house collapse.He denies head or neck pain, but complains of server hip pain. Vital signs are BP88/40. P120 R 16 you should administer. - Answer sodium bicarbonate5. Braxton Hicks contractions - Answer occur in the second trimester and are falselabor.6. A 40-year-old male crashed his motorcycle. He had a brief loss of consciousness,woke up andwalked home. You find him 2 hours later at home unconscious. You shouldsuspect. - Answer epidural hematoma

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7. A 47-year-old male who was found unconscious on the side of the road respondonly to painful stimulus. When you attempt to establish IV access, he stiffens hisarms and legs. He has minor abrasions all over his body. Vital signs are BO178/122 P56 R irregular ETCO2 30. What should you do? - Answer Assistventilations at 12 breaths per minHg.8. A 28-year-old female has a sudden onset of tightness in her chest and serverdifficulty breathing. Her tongue face and neck appear swollen and she has reditchy hives on her torso. Her signs are BP 80/40 P 130. You should administer -Answer Epinephrine 0.3mg9. You are asked to set up a patient treatment area after a box labeled"radioactive" was found unattended in a park. Which of the following would bethe best location. - Answer Building in the park10. You are at a house fire with multiple patients. Which patient should betransported First to a burn center? - Answer 52-year-old with second degree burnsto face and right hand11. What is the most common cause of status epilepticus in adults. - AnswerFailure to take prescribed medications12. A 58-year-old male with history of renal failure complains of dizziness lethargyand difficultybreathing. He says he missed his last dialysis appointment. Vital signs are BP160/90 P 100 R 28 with rales heard in the basses. SPO2 92% you should suspect. -Answer Fluid Overload.

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13. A 12-year-old girl is seizing. Her mom tells you that her daughter has beenfeeling tired for days. Her skin is dry and she has been very thirsty. Vital signs areBP 118/80 P115 R26 you should suspect. - Answer Diabetic ketoacidosis14. A 42-year-old female has fallen down a flight of stairs. She appears anxious herskin is cool and clammy her radial pulses are weak at 112 beats per min and shecomplains of abdominal pain in the left upper quadrant with radiation to the leftscapula. You should suspect. - Answer Torn or lacerated spleen.15. Emergency medical responders are ventilating an apneic medical patient witha bag valve mask. You note abdominal distention and minimal chest rise. Whatshould you do? - Answer Reposition the head.16. A 6-month-old male was found lying face down in the crib. He is cyanotic andapneic. A weakbrachial pulse is present. You are unable to see a chest rise with your secondattempt at rescuebreathing after repositioning the head. What should you do. - Answer Start CPR17. You have just been called to a dialysis clinic for a 58-year-old male in cardiacarrest. The online physician may order you to administer which of the followingmedications. - Answer Sodium Bicarbonate.18. A 27-year-old male has been assaulted with a pen in the supraclavicular area.He is anxious and pale and his vital signs are BP 80/42 P 128 R 32 and shallow.First responders have sealed the wound with a bandage. Assessment reveals lungsounds on the right and poor chest rise what should you do. - Answer Burpdressing

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19. A 50-pound child is unresponsive pulseless and apneic. The cardiac monitordisplays ventricular fibrillations. CPR is in progress. The initial defibrillator shouldbe at. - Answer 50 joules.20. An 11-year-old male has been skateboarding in 100 degrees temperature andhas been drinking caffeinated soft drinks. He complains of palpations. The cardiacmonitor displays a narrow QRS tachycardia at a rate of 160 beats. Vitals signs BP110/60 P160 R 20 What should you do? - Answer Transport the patient byambulance monitor closely and administer fluids en route.21. An 80-year-old male in server respiratory distress. He has a history ofhypertension and breathing problems. He takes Inderal daily. Vital signs are BP170/70 P72 and irregular R40 and extremely labored skin warm and diaphoretic.Lung sounds are diffuse bilateral crackles and wheezing. He coughs up blood-tinged sputum. Which of the following is most important. - Answer Decreasingpreload22. A 50-year-old patient is found lying outside on the ground. The ambienttemperature is 40 degrees F. Your thermometer reads 20C 86F. He is in V-fib andpulseless and apneic. You should - Answer Defibrillate once perform CPR intubateand transport rapidly.23. To successfully accomplish nasotracheal intubation you should advance theendotracheal tube though the glottic opening to coincide with patient - AnswerInhalation

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25. An alert 23-year-old male presents with a sudden onset of shortness of breathand chest pain after running upstairs. Breath sounds are diminished in the rightside. The most likely cause is. - Answer Spontaneous pneumothorax26. First responders are treating an apneic adult female. You notice that they areapplying frequent long ventilations with an oxygen resuscitator. What effects withtheir actions create. - Answer Increased capillary elasticity.27. You are called to a nursing home on a hot summer day for a 88 year old male.The nurse tells you he missed his dialysis appointment because he wascomplaining of nausea vomiting headache and running a fever. Which differentialdiagnosis should you consider first. - Answer Sepsis and hyperkalemia28. You have just administered adenosine to a 62 year old patient with narrowcomplex tach. The ECG shows an irregular rate of 50 then steadily climbs back to arate of 169. What would should suspect - Answer rapid atrial fibrillation.29. A 63 year old male is having a diabetic emergency . He is unresponsive R12glucometer 28. You cannot establish IV access. You should - Answer administerglucagon IM30. When setting up a night time landing zone for a helicopter what is therecommended area needed. - Answer 100x10031. A 67 year old with hypo-tension and bradycardia has no responded to pacingor atropine. You should - Answer administer dopamine infusion

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32. A 19 year old male has suffered blunt trauma on his left chest. He complains ofserver dyspnea and pain over the affected area. Vital signs are BP 92/60 P 128 R32. Breath sounds are very diminished over the left chest. You should - Answerperform needle thoracostomy33. A 44 year old patient has a persistent cough and occasional spits up bloodysputum . He has been living in a a shelter for the past three weeks and he smellslike alcohol you should. - Answer Put on N95 mask and eye protection.34. While treating a patient with suspected TB. What type of personal protectiveequipment is essential - Answer HEPA respirator35. A 2 year old male has been sick over the last 48 hours with a low grade feverrunny nose and upper respiratory infection. He has a seal bark cough. The patientis using accessory muscles to breath and appears fatigued his upper airway hasstridours sounds. His lung sounds appear clear. SPO2 92% how would you treatthe patient. - Answer Oxygen nebulized racemic epinephrine transport.36. 78 year old male lying unresponsive in his bed vital signs are BP unobtainable.R 12 and normal depth radial pulse rate matches ECG below ECG bradycardia -Answer Perform transcutaneous pacing.37. A 48 year old patient is chocking on a hot dog. He is unresponsive apneic andhas a strong pulse. Chest compression are infective at relieving the obstruction.You should. - Answer use lagosopy and magill forceps to remove the object.

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38. 87 year male is complaining of dizziness. Physical exam revals pale cool anddiaphoretic skin. Pulse matches ECG bradycardia. You should - Answer administeratropine39. A 14 year old patient was pulled form a indoor pool. She is pulseless andapneic. You should - Answer perform CPR endotracheal intubation establish an IVand administer epinephrine40. A trauma patient has lost approx 500ml of blood the amount of crystalloidsolutions needed to replace this blood loss is - Answer 1500 ml of saline ( 3 to 1rule)41. A 43 year old female has been stuck in the chest with a baseball bat. There is alarge bruise over her sternum. She is obversely in pain an states her heart feelslike it is beating funny Vital signs are BP 109/80 P 124 and irregular R 22 The ECGshow sinus tachycardia with ST elevation and frequent PVC's. You should suspect -Answer myocardial contusion42. A 28 year female is speaking very quickly and stating that she is going see thepresident of the united states after she buys all her family members a new car. Shehas not slept in four days because she does not need sleep. She usually takeslithium but ran out of her prescription about a week ago . vitals 144/88 P 128 R 28you should suspect. - Answer manic phase of bipolar disorder43. A restrained 23 year old pregnant female is her third trimester was involved ina head on motor vehicle collision. She complains of abdominal pain. initial vitalsigns are BP 110/70 P 90 R 20. After rapid extrication and spinal immobilization vialong spine board her vital signs are BP 90/40 P 110 R 28 what is the most likelyexplanation for her change in vitals. - Answer Supine hypotensive syndrome

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44. A 3 month old infant who weighs 6kg has a history of congenital heart disease.Vital signs are R60 the ECG hows a narrow complex tachycardia at a rate or 240cyandic nail beds and spo2 at 88% what should you administer. - Answer 0.6 oradenosine IV45. A 44 year old male fell from a ladder and is now complaining of pain in themiddle of his back at the level of his shoulders blades. He responds to verbalstimulus and vitals signs are BP 70/50 P64 R 20. The patient is most likely sufferingfrom - Answer neurogenic shock46. A 63 year old female chocked on a piece of steak and is apneic. You partnerhas visualized a partial obstruction in the trachea. He has been trying to grab itwith forceps for more than 2 minutes. What should you advise him to do? -Answer Remove the blade and attempt to ventilate.47. An unconscious 13 year old patient has minor abrasion on his torso after beingstruck by a vehicle. The child's parents are not on scene law enforcement and anEMS supervisor are on scene You should? - Answer transport the patent tohospital48. A 38 year old female is crowing. You note the amniotic fluid contains asubstance resembling pea soup. An apneic blue limp infant with a heart rate of 80beats is delivers. How should you treat the infant. - Answer Suction with a bulbsyringe and ventilate.49. A 56 year old female has a sudden onset of substernal chest pressure. Shedenies any shortness of breath or nausea. She has a history of arthrosporic heart

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disease and is talking verapamil. Vital signs are BP 160/90 pulse matches the ECGrhythm below R 16 skin warm and dry. and lungs clear bilateral. What should youdo. - Answer Nitroglycerin50. A 64 year old is sitting in his living room in moderate distress. He is able tospeak to you in full sentences but claims he is not feeling right. Vitals signs are BP1110/64 R 16. Pulse matches monitor (super vertical tachycardia) what should youdo. - Answer vagal fluids adenosine.51. Which I V will be able to administer the most fluid in the least amount of time.- Answer 14 gauge 1/2 inch IV catheter.52. A 30 year old man is breathing fast and deep. He works at a preschool andbelieves that thechildren plan to harm him. Which of the following statement is most helpful whentreating the patient. - Answer I understand that you are concerned. Can you tellme more about why you fell this way.53. A 67 year old man has collapsed and is on the floor. He is pale clammy andmoaning with vomit around his mouth. Vital signs are BP 180/30 P110 and weakR28 and shallow. Oropharynx is clear and lungs are clear bilaterally. His ECG showsventricular tachycardia. That should you do? - Answer Synchronized cardio100J54. You arrive at the scene of a single vehicle crash. A woman walks up to a yourambulance with a cut on her forehead. You should - Answer determine if she isthe only victim

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