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

Name: 2023-2024 FISDAP Medical Surgical Nursing Final Exam With Answers (200 Solved Questions)
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Paramedic FISDAP Final Exam Study Guide
Questions with Correct Detailed answers 199 QS &
Ans 2023-2024.
1. A 30-year-old climber is experiencing sever shortness of breath after reaching
an elevation of 12000feet. The PT is very anxious and has rales noted to all
quadrants but is otherwise healthy. He is not accustomed to high altitudes. What
should 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 response
to 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 fluid
challenge. En route to the hospital her ECG shows a widening QR. You should
administer - Answer Sodium Bicarbonate.
3. You PT experienced trauma yesterday and you are transferring her to a larger
facility. She has been experiencing progressive hypoxia. You notice coarse crackles
in 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 BP
88/40. P120 R 16 you should administer. - Answer sodium bicarbonate
5. Braxton Hicks contractions - Answer occur in the second trimester and are false
labor.
6. A 40-year-old male crashed his motorcycle. He had a brief loss of consciousness,
woke up and
walked home. You find him 2 hours later at home unconscious. You should
suspect. - Answer epidural hematoma

7. A 47-year-old male who was found unconscious on the side of the road respond
only to painful stimulus. When you attempt to establish IV access, he stiffens his
arms and legs. He has minor abrasions all over his body. Vital signs are BO
178/122 P56 R irregular ETCO2 30. What should you do? - Answer Assist
ventilations at 12 breaths per minHg.
8. A 28-year-old female has a sudden onset of tightness in her chest and server
difficulty breathing. Her tongue face and neck appear swollen and she has red
itchy hives on her torso. Her signs are BP 80/40 P 130. You should administer -
Answer Epinephrine 0.3mg
9. 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 be
the best location. - Answer Building in the park
10. You are at a house fire with multiple patients. Which patient should be
transported First to a burn center? - Answer 52-year-old with second degree burns
to face and right hand
11. What is the most common cause of status epilepticus in adults. - Answer
Failure to take prescribed medications
12. A 58-year-old male with history of renal failure complains of dizziness lethargy
and difficulty
breathing. He says he missed his last dialysis appointment. Vital signs are BP
160/90 P 100 R 28 with rales heard in the basses. SPO2 92% you should suspect. -
Answer Fluid Overload.

13. A 12-year-old girl is seizing. Her mom tells you that her daughter has been
feeling tired for days. Her skin is dry and she has been very thirsty. Vital signs are
BP 118/80 P115 R26 you should suspect. - Answer Diabetic ketoacidosis
14. A 42-year-old female has fallen down a flight of stairs. She appears anxious her
skin is cool and clammy her radial pulses are weak at 112 beats per min and she
complains of abdominal pain in the left upper quadrant with radiation to the left
scapula. You should suspect. - Answer Torn or lacerated spleen.
15. Emergency medical responders are ventilating an apneic medical patient with
a bag valve mask. You note abdominal distention and minimal chest rise. What
should you do? - Answer Reposition the head.
16. A 6-month-old male was found lying face down in the crib. He is cyanotic and
apneic. A weak
brachial pulse is present. You are unable to see a chest rise with your second
attempt at rescue
breathing after repositioning the head. What should you do. - Answer Start CPR
17. You have just been called to a dialysis clinic for a 58-year-old male in cardiac
arrest. The online physician may order you to administer which of the following
medications. - 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 lung
sounds on the right and poor chest rise what should you do. - Answer Burp
dressing

19. A 50-pound child is unresponsive pulseless and apneic. The cardiac monitor
displays ventricular fibrillations. CPR is in progress. The initial defibrillator should
be at. - Answer 50 joules.
20. An 11-year-old male has been skateboarding in 100 degrees temperature and
has been drinking caffeinated soft drinks. He complains of palpations. The cardiac
monitor displays a narrow QRS tachycardia at a rate of 160 beats. Vitals signs BP
110/60 P160 R 20 What should you do? - Answer Transport the patient by
ambulance monitor closely and administer fluids en route.
21. An 80-year-old male in server respiratory distress. He has a history of
hypertension and breathing problems. He takes Inderal daily. Vital signs are BP
170/70 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 Decreasing
preload
22. A 50-year-old patient is found lying outside on the ground. The ambient
temperature is 40 degrees F. Your thermometer reads 20C 86F. He is in V-fib and
pulseless and apneic. You should - Answer Defibrillate once perform CPR intubate
and transport rapidly.
23. To successfully accomplish nasotracheal intubation you should advance the
endotracheal tube though the glottic opening to coincide with patient - Answer
Inhalation

25. An alert 23-year-old male presents with a sudden onset of shortness of breath
and chest pain after running upstairs. Breath sounds are diminished in the right
side. The most likely cause is. - Answer Spontaneous pneumothorax
26. First responders are treating an apneic adult female. You notice that they are
applying frequent long ventilations with an oxygen resuscitator. What effects with
their 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 was
complaining of nausea vomiting headache and running a fever. Which differential
diagnosis should you consider first. - Answer Sepsis and hyperkalemia
28. You have just administered adenosine to a 62 year old patient with narrow
complex tach. The ECG shows an irregular rate of 50 then steadily climbs back to a
rate of 169. What would should suspect - Answer rapid atrial fibrillation.
29. A 63 year old male is having a diabetic emergency . He is unresponsive R12
glucometer 28. You cannot establish IV access. You should - Answer administer
glucagon IM
30. When setting up a night time landing zone for a helicopter what is the
recommended area needed. - Answer 100x100
31. A 67 year old with hypo-tension and bradycardia has no responded to pacing
or 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 of
server dyspnea and pain over the affected area. Vital signs are BP 92/60 P 128 R
32. Breath sounds are very diminished over the left chest. You should - Answer
perform needle thoracostomy
33. A 44 year old patient has a persistent cough and occasional spits up bloody
sputum . He has been living in a a shelter for the past three weeks and he smells
like alcohol you should. - Answer Put on N95 mask and eye protection.
34. While treating a patient with suspected TB. What type of personal protective
equipment is essential - Answer HEPA respirator
35. A 2 year old male has been sick over the last 48 hours with a low grade fever
runny nose and upper respiratory infection. He has a seal bark cough. The patient
is using accessory muscles to breath and appears fatigued his upper airway has
stridours sounds. His lung sounds appear clear. SPO2 92% how would you treat
the 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 and
has 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 and
diaphoretic skin. Pulse matches ECG bradycardia. You should - Answer administer
atropine
39. A 14 year old patient was pulled form a indoor pool. She is pulseless and
apneic. You should - Answer perform CPR endotracheal intubation establish an IV
and administer epinephrine
40. A trauma patient has lost approx 500ml of blood the amount of crystalloid
solutions needed to replace this blood loss is - Answer 1500 ml of saline ( 3 to 1
rule)
41. A 43 year old female has been stuck in the chest with a baseball bat. There is a
large bruise over her sternum. She is obversely in pain an states her heart feels
like it is beating funny Vital signs are BP 109/80 P 124 and irregular R 22 The ECG
show sinus tachycardia with ST elevation and frequent PVC's. You should suspect -
Answer myocardial contusion
42. A 28 year female is speaking very quickly and stating that she is going see the
president of the united states after she buys all her family members a new car. She
has not slept in four days because she does not need sleep. She usually takes
lithium but ran out of her prescription about a week ago . vitals 144/88 P 128 R 28
you should suspect. - Answer manic phase of bipolar disorder
43. A restrained 23 year old pregnant female is her third trimester was involved in
a head on motor vehicle collision. She complains of abdominal pain. initial vital
signs are BP 110/70 P 90 R 20. After rapid extrication and spinal immobilization via
long spine board her vital signs are BP 90/40 P 110 R 28 what is the most likely
explanation 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 240
cyandic nail beds and spo2 at 88% what should you administer. - Answer 0.6 or
adenosine IV
45. A 44 year old male fell from a ladder and is now complaining of pain in the
middle of his back at the level of his shoulders blades. He responds to verbal
stimulus and vitals signs are BP 70/50 P64 R 20. The patient is most likely suffering
from - Answer neurogenic shock
46. A 63 year old female chocked on a piece of steak and is apneic. You partner
has visualized a partial obstruction in the trachea. He has been trying to grab it
with 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 being
struck by a vehicle. The child's parents are not on scene law enforcement and an
EMS supervisor are on scene You should? - Answer transport the patent to
hospital
48. A 38 year old female is crowing. You note the amniotic fluid contains a
substance resembling pea soup. An apneic blue limp infant with a heart rate of 80
beats is delivers. How should you treat the infant. - Answer Suction with a bulb
syringe and ventilate.
49. A 56 year old female has a sudden onset of substernal chest pressure. She
denies 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 ECG
rhythm below R 16 skin warm and dry. and lungs clear bilateral. What should you
do. - Answer Nitroglycerin
50. A 64 year old is sitting in his living room in moderate distress. He is able to
speak to you in full sentences but claims he is not feeling right. Vitals signs are BP
1110/64 R 16. Pulse matches monitor (super vertical tachycardia) what should you
do. - 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 and
believes that the
children plan to harm him. Which of the following statement is most helpful when
treating the patient. - Answer I understand that you are concerned. Can you tell
me more about why you fell this way.
53. A 67 year old man has collapsed and is on the floor. He is pale clammy and
moaning with vomit around his mouth. Vital signs are BP 180/30 P110 and weak
R28 and shallow. Oropharynx is clear and lungs are clear bilaterally. His ECG shows
ventricular tachycardia. That should you do? - Answer Synchronized cardio100J
54. You arrive at the scene of a single vehicle crash. A woman walks up to a your
ambulance with a cut on her forehead. You should - Answer determine if she is
the only victim

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

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