Question 1

Which of the following best describes the etiology of cerebral palsy?

Accepted Answer

Cerebral palsy can be caused by a variety of factors, including infections like German measles, brain damage from cerebral hypoxia or head injury, and certain diseases. There is no single genetic cause, although there may be a genetic predisposition in some cases. Drug and alcohol abuse by the mother can also contribute to cerebral palsy, but it is not the only cause. Typhoid and rubella are also potential causes, but are less common than other factors like brain damage or infection.

Question 2

What is enucleation?

Accepted Answer

Enucleation is the surgical removal of the entire eyeball, leaving the eye muscles and remaining orbital contents intact.

Question 3

Which of the following statements is accurate regarding the care for a child with spina bifida?

Accepted Answer

The answer of Which of the following statements is accurate...

Question 4

You are about to transport a cancer patient who complains of dyspnea. She is hemodynamically stable and has a history of asthma. On assessment, you note that she has some diffuse wheezes. You are going to administer an albuterol treatment and your protocol states that you should start an IV when you give a breathing treatment. The patient says that she has very bad veins, but she has an implanted port under the skin of her left chest. What is the best course of action?

Accepted Answer

The answer of You are about to transport a cancer...

Question 5

A 22-year-old woman is a quadriplegic and requires transport to the hospital for wound on her leg. She is on a portable home ventilator. Which of the following is the best way to transport this patient?

Accepted Answer

The answer of A 22-year-old woman is a quadriplegic and...

Question 6

What is the cause of conductive deafness?

Accepted Answer

Conductive deafness is caused by any condition that prevents sound from being transmitted from the external ear to the middle or inner ear. This can include blockages or damage to the ear canal, ear drum, or middle ear bones. It does not involve nerve damage or a decrease in the sensory threshold voltage of the ear.

Question 7

What is the term for the skin's ability to return to its normal appearance after being subjected to pressure?

Accepted Answer

The answer of What is the term for the skin's...

Question 8

You arrive at the scene of a vehicle-versus-pedestrian accident. At the scene, you find a 32-year-old man with an apparent mid-shaft femur fracture. As you introduce yourself, the man tells you that he is blind, and that a police officer took his guide dog a few minutes ago. Regarding the service dog, you should:

Accepted Answer

Service dogs are important to individuals with disabilities and serve as crucial support for their daily activities. Therefore, it is essential to locate the patient's guide dog and transport it along with the patient to the hospital. This will help ensure the patient's comfort and reduce stress during treatment.

Question 9

A Muslim woman is ill and requires transport to the hospital. The patient's husband is refusing to allow the patient to be examined, as both members of the crew are male. The patient is quiet, but persistently agrees with her husband. How should you respond to this situation?

Accepted Answer

The answer of A Muslim woman is ill and requires...

Question 10

A 5-year-old girl has a high fever and cough. The girl's mother informs you that her daughter has leukemia and finished her most recent round of chemotherapy two days ago. She states that the girl is neutropenic. You recognize that:

Accepted Answer

Neutropenia is a serious condition in which the body has a low level of neutrophils, the white blood cells that help fight infection. It is a common side effect of chemotherapy and can make the patient more susceptible to infections. Neutropenic fever is a medical emergency that requires immediate attention because it can progress rapidly to sepsis, a life-threatening condition. The fact that the child has a cough is concerning because it may indicate an underlying respiratory infection. Pneumonia is one possible cause, but there are many others. The treatment for neutropenic fever typically involves hospitalization, broad-spectrum antibiotics, and supportive care. Albuterol is not indicated in this case because it is a medication for bronchospasm, not infection.

Question 11

A 22-year-old man has fallen at a local park. He has Down syndrome, and is crying. Which of the following strategies may be helpful when caring for this patient?

Accepted Answer

Starting with simple questions can assess the patient's developmental level without talking down to them. Speaking to the patient as you would to a child can be demeaning and treating the patient as you would any adult may not take into account any cognitive or developmental differences related to their Down syndrome. Directing all questions to the caregiver may also be dismissive of the patient's autonomy and ability to communicate.

Question 12

You are assisting with the transport of a bariatric patient who needs to be removed from her top-floor bedroom. Due to the patient's size and weight, multiple resources are being used to get the patient out through an upstairs window. Which of the following considerations should be a top priority in this scenario?

Accepted Answer

The top priority in this scenario should be protecting the patient's dignity throughout the process, ensuring her comfort and safety. It is important to treat the patient with respect and ensure their emotional well-being, especially considering the already challenging circumstances they are facing. While minimizing damage to the patient's house and property is important, it should not take precedence over the patient's well-being. The priority should be to safely and effectively remove the patient, even if it means extending the operation or using multiple resources. The speed at which the operation is performed should not be the primary concern, as the focus should be on ensuring the patient's safety above all else. Using as few resources as possible is also not a top priority in this scenario, as the immediate concern is the patient's health and well-being.

Question 13

You are caring for a male patient who has not spoken to answer any of your questions, but will nod or shake his head. He appears to have a developmental disability. Which of the following is the best way to document this information on your patient care report?

Accepted Answer

Option B provides an accurate description of the patient's communication abilities, without making assumptions about the patient's willingness to answer questions or cognitive abilities. Option C may be considered inappropriate language, as it labels the patient based on a disability rather than focusing on the patient's abilities. Options A and D are inaccurate, as the patient is able to communicate non-verbally.

Question 14

You arrive at the scene to find a patient who has fallen. She appears to be homeless. After introducing yourself, you begin to assess her. However, she states that she does not want your help because she cannot afford it. What would be an appropriate response?

Accepted Answer

Option D acknowledges the patient's financial concerns while still emphasizing the importance of seeking medical attention. It also reassures the patient that the hospital will work with her to address any financial issues. Option A is inappropriate as not all patients have Medicare coverage. Option B and C do not address the patient's financial concerns and may not necessarily solve the problem.

Question 15

You have arrived on the scene of an injured person. The person has been identified by the police as having a hearing impairment. What is the best way to communicate with this person?

Accepted Answer

Using written words or pictures is the best way to communicate with someone who has a hearing impairment. It ensures that the message is clear and understood without relying on verbal communication or hand gestures, which may not be effective. Additionally, it is important to avoid assuming that the person has a hearing aid or uses American Sign Language, as not all individuals with hearing impairments have these resources.

Question 16

A school nurse has called EMS because an 8-year-old girl has a fever and is dehydrated. Just after your arrival, the girl's parents arrive. They calmly inform you that they do not believe in Western medicine, and that they will take the girl home to treat her. The child has an altered mental status and appears to be in serious condition. You should:

Accepted Answer

The answer of A school nurse has called EMS because...

Question 17

You have responded to a report of an injured person. When you arrive, you find a 55-year-old woman who has fallen and sustained a small laceration to her forehead. She is holding a small dog and asks if she can bring it with her to the hospital. What is the most appropriate action to take regarding transport?

Accepted Answer

By asking if the dog is a service animal and what it is trained to do, you can determine if it is necessary for the dog to accompany the patient to the hospital. If the dog is a service animal, it must accompany the patient. If it is not, the patient will need to make arrangements for someone to care for the animal.

Question 18

An injury to which cervical vertebra(e) may prevent a person from breathing?

Accepted Answer

The answer of An injury to which cervical vertebra(e) may...

Question 19

A 34-year-old man is having trouble breathing. As you introduce yourself, his 7-year-old daughter tells you that he is deaf and communicates via American Sign Language. Which of the following is an appropriate means of communicating with this patient?

Accepted Answer

The answer of A 34-year-old man is having trouble breathing....

Question 20

Which of the following is NOT a common cause of vision loss?

Accepted Answer

Multiple sclerosis typically affects the nervous system and can lead to symptoms such as muscle weakness and fatigue, but it does not commonly cause vision loss as the other options listed do.

Quiz 5: Gynecology