EMT Practice Test

1. Question Content...

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Question1: The purpose of the multidisciplinary team in the critical care setting is to:

Question2: What is the reason of shock in case of intestinal obstruction?

Question3: All of the following are the causes of dysphagia in a patient except:

Question4: During in-patient care, a man was clinically diagnosed as having Infective Endocarditis. Which of the following is not a necessary part of the investigation?

Question5: A known diabetic was maintaining full control of his sugar, when suddenly he gets an infection. How is this infection going to affect his diabetic control?

Question6: All of the following are contraindications to thrombolytic therapy in case of stroke except:

Question7: In a diagnosed case of Irritable Bowel Syndrome, which of the following management options could work?

Question8: In end stage renal disease, what lab value should be monitored in relation to bleeding?

Question9: A boy presented to skin OPD with 3 days history of severe itching and redness in the areas between fingers and axill a. On examination burrows were found in the interdigital spaces and axilla. He told that other family members are also having same complaints. What is the likely diagnosis?

Question10: How many stages of grief are there in Kubler-Ross's proposal?

Question11: In the levels of advocacy, the level 3 nurses advocates for the?

Question12: A former client calls the psychiatric unit and asks for the nurse who was assigned to care for him during his admission. The client is suicidal. The nurse would utilize which of the following techniques when speaking with the client on the phone?

Question13: What is the definitive treatment of Cholecystitis due to Cholelithiasis?

Question14: The synergy model of nursing practice places which of the following as the central focus?

Question15: The nurse is assessing a client who, admitted due to difficulty breathing, underwent a bronchoscopy. On assessment, the nurse notes absence of the gag reflex. Which of the following interventions is the least appropriate for the client?

Question16: Mr. John, who is suffering from advanced dementia, has presented to emergency after being hit by a car. The nurse will assess the pain by:

Question17: Wife of 50 years old male patient told the doctor that her husband has large number of mood swings almost daily. It swings between hyperactive state and depression, accompanied by impaired judgement due to distorted thoughts. What is he facing?

Question18: A patient, with a known case of ischemic heart disease, presented to the cardiac OPD with complaints of being breathless and irritable, even at rest, and not being able to carry out daily life activities. What class of heart failure is patient suffering from?

Question19: What is the first step of problem solving?

Question20: If a patient is anemic, then what do you expect in the cardiovascular examination of the patient?

Question21: A patient was put on ventilator after doing a tracheostomy. What points are considered during the care of a tracheostomy patient?

Question22: A diagnosed case of Infective Endocarditis is being managed in the hospital. Which of the following is the best mode of treatment in this case?

Question23: A known hypertensive man presented with severe headache, altered state of consciousness and a claim that this is the worst headache he has ever experienced. What is the cause?

Question24: Reversible ST-T wave changes occur in ECG in which one of the following types of myocardial infarctions?

Question25: A nurse is caring for a client with left-sided heart failure. Which of the following findings on assessment support the diagnosis?

Question26: All of the following are examples of community acquired pneumonia except:

Question27: A patient is diagnosed with hypoglycemia due to injudicious insulin use and is out of hospital setting.
What will you do to alleviate the symptoms of patient right there?

Question28: A man with a history of prolonged hospitalization presented to medical OPD with low-grade intermittent fever, anorexia, general lassitude and malaise. On examination, he showed weight loss, splenomegaly, hepatomegaly and murmurs. What is the most likely diagnosis?

Question29: A patient being managed in the pulmonology ward for COPD should get all the medications except:

Question30: A young man presented to medical OPD with a history of abdominal pain and distension, hematemesis, and bloody and tarry stools. On examination, he was having hypotension with tachycardia, and was urgently referred to medical emergency. He gives a history of NSAID intake for the last 3 weeks. What is the likely diagnosis?

Question31: While undergoing a heart transplant, a patient experienced right ventricular failure during the surgery due to pulmonary hypertension. Which one of the following treatments is not used?

Question32: A patient who presented in cardiac emergency was diagnosed to be suffering from Infective Endocarditis and at that time, Echocardiography revealed that valves are completely fibrosed and adhesive. What is the best possible treatment in this case?

Question33: The branch of ethics that involves making sure that the medical treatment given is the most morally correct choice, given the different options that might be available and the differences inherent in the varied levels of treatment is called:

Question34: Which of the following actions by the nurse demonstrates proper handling and disposing of sharps?

Question35: A 60-year-old male, with a known case of hepatitis C virus infection, presented in medical emergency in altered state of consciousness with an abnormal smell coming from him. On examination he had ascites, palmar erythema, ankle edema, bruises and purpurae all over the body. His testes were small. What diagnosis you make in your mind about the patient?

Question36: If the patient is unable to furrow his forehead or smile and puff out his cheeks, then in which nerve is a lesion most commonly suspected?

Question37: Which is the barrier to systems thinking?

Question38: A 50-year-old male chronic drinker, presented in medical OPD with intermittent fever, epistaxis, ankle edema, indigestion, abdominal pain and palmar erythema. What is he suffering from based on clinical findings?

Question39: What are the findings evident in abdominal x-rays in case of Peritonitis?

Question40: Perirectal abscesses and fistulae are common complications of:

Question41: Ideally, the thrombolytic medication should be given to the patient of stroke within:

Question42: A female client with diabetes mellitus II comes to the facility complaining of weakness and dizziness.
Initial assessment reveals a heart rate of 105 beats per minute, cold extremities, and pallor. The client reported that she had her insulin shot about 2 hours ago. Which of the following actions of the nurse is the least appropriate?

Question43: A patient presents in the cardiac emergency department with left-sided chest pain. His ECG shows ST segment elevations. Patient complains that this pain occurs cyclically, i.e., at the same time each day and during rest period. What is the most likely treatment?

Question44: A known diabetic presented in accident and emergency department with Hyperventilation, and was also very thirsty. On examination, the patient was having kussmaul breathing and specific ketone breath was there as well. He was dehydrated and glucose level was 500 mg /dl. What is the most likely diagnosis?

Question45: A patient suffering from acute lung injury can improve by taking all the treatment options given below except:

Question46: The ability to recognize needs and take action to influence the outcome of a conflict is called:

Question47: A 60 year old man has developed some infection while admitted in hospital, which of the following organisms is responsible for this infection commonly?

Question48: During the round of the ward, consultant was discussing about a 50 years old patient suffering from end stage renal disease. He said that certain metabolic problems start occurring in this condition and creatinine clearance decreased to < 10 ml/min. moreover fluid and electrolyte balance, acid base balance, hormone production and waste removal are also affected. What is he pointing towards?

Question49: All of the following are causes of fulminant hepatic failure except:

Question50: A nurse is assigned to suction a client's tracheostomy. The nurse would wear which personal protective equipment during the procedure?

Question51: Facilitating safe passage is the practice that involves:

Question52: All of the following are causes of Cholecystitis except:

Question53: A patient presented to medical OPD with all the signs and symptoms of heart failure. His echocardiography showed increased right ventricle workload, right ventricle hypertrophy, displaced interventricular septum and tricuspid regurgitation. What is the most important test to confirm the diagnosis in this regard?

Question54: Patient characteristics that must be considered if a nurse's competencies are to match the patient's include:

Question55: A 10-year-old boy comes to the emergency department crying after being hit in the face by a baseball.
The nurse will assess the pain on a scale of:

Question56: The delivery of care is impacted by all of the forces except:

Question57: Working for the best interest of the patient despite personal values in conflict and assisting patients to have access to appropriate resources is called:

Question58: A known hypertensive presented with the features of stroke. His systolic blood pressure was 190 mm of Hg and diastolic pressure was 120 mm of Hg. What is the next thing that should be done?

Question59: Understanding Jehovah's Witnesses is an example of:

Question60: A patient has developed Acute Respiratory Acidosis, with a pH of 7.25 and a PaCO2 of 55. What is the underlying cause of Respiratory Acidosis?

Question61: Mrs. Smith, a 54-year-old housewife, was encouraged to exercise and role from side to side frequently while she was admitted in hospital. She was being given IV fluids and naso-gastric aspiration was done.
Moreover, she was nil per oral. What is she suffering from?

Question62: Which of the following insulins has the longest duration of action?

Question63: A known diabetic is taking anti-diabetic medications regularly. What is the best lab investigation that can tell us about the long-term good blood glucose control?

Question64: A 53-year-old male presented in emergency with left-sided chest pain radiating to left arm, neck and jaw. He also had palpitations. The duration of pain was more than 30 minutes. On examination, his BP was 160/100 mm of Hg and chest had invariable crackles. On ECG there was ST segment elevation in all the leads. Which is the most likely cause?

Question65: In Q wave Myocardial Infarction, the peak CK levels occur in:

Question66: Stroke or cerebrovascular accidents are classified as:

Question67: The patient who is experiencing cardiogenic shock is at risk for what complication?

Question68: All of the following measures are helpful in the treatment of foreign body aspiration except:

Question69: A 38-year-old woman presented to accident and emergency department with short history of abdominal pain and distention, severe constipation, vomiting, dehydration and respiratory distress. On examination, she was having abdominal rigidity and no bowel sounds were audible. What is the most likely diagnosis based on this clinical scenario?

Question70: A child was diagnosed with Acute Epiglotitis. Which one of the following features is a symptom of Epiglotitis?

Question71: A man comes to a gastroenterologist and complains that for the last 6 months, he has experienced abdominal pain that is relieved with defecation. Moreover, he also complains of loose watery stools almost 3 to 4 times daily. Occasional straining and abdominal distention is also there. All the tests are normal. What is the likely diagnosis?

Question72: A 49 year old male patient has experienced a myocardial infarction with an approximate 55% damage to his ventricle. What interventions would most likely NOT be performed for this patient to avoid the complication of cardiogenic shock?

Question73: Which one of the following laboratory pictures is true for disseminated intravascular coagulation (DIC)?

Question74: According to Kubler-Ross's 5 Stages of Grief, the last stage is:

Question75: The nurse is caring for a 75-year-old Chinese American, who is dying. When interacting with the client's family, which of the following actions is the most appropriate?

Question76: A 50-year-old smoker presents with minimal dyspnea, with or without cough and sputum. FEV1 is > 80%.
FEV1/FVC is < 70%. What is the stage of COPD?

Question77: A patient with suspected head injury presented to surgical emergency. A nurse is assigned to check the olfactory senses of the patient. How will she do that?

Question78: What is the immediate management of Tension Pneumothorax?

Question79: A child presented with sharp piercing chest pain, fever, malaise, irritability, poor appetite and Dysrhythmia. He had undergone a recent surgery for valvular abnormality of the heart. What is the most likely disease to occur?

Question80: A young boy has ingested 20 tylenol (acetaminophen). What do you expect he is likely to have due to this?

Question81: The nurse is assessing the tests of a patient with a diagnosis of acute right-sided Heart Failure. What parameter would be elevated in right-sided Heart Failure?

Question82: Arterial blood gases have been taken of the patient admitted into ICU with respiratory failure. All of the following information can be achieved with the help of ABGs except:

Question83: What investigation would you carry out after stabilizing a patient of head trauma with altered state of consciousness?

Question84: The nurse in a mental health facility is caring for a female client noted with hallucinations and irrational beliefs on assessment. One afternoon, the nurse notes that the client appears severely agitated as he watches a television show in the dayroom. It appears that the client is experiencing active hallucinations. Which of the following interventions is the least appropriate?

Question85: Leadership styles include all of the following except:

Question86: In the approaches to teaching, internet modules are suitable for:

Question87: While examining the patient with head injury, the nurse was asked to check the oculomotor nerve.
Which of the following functions will be checked by the nurse?

Question88: To patients who have been indicated as do-not-resuscitate (DNR), the nursing staff should do the following: