1. A 35-year-old female has just eaten lobster and is now complaining of itchy, watery eyes.

Her blood pressure is beginning to fall, but she denies difficulty breathing. Which of the
following best describes her condition?
a. Anaphylaxis
b. Dyspnea
c. Shock
d. Mild allergy
2. A patient has muscle cramps, extreme thirst, vomiting, a temperature of 100°F (37.8°C),
and orthostatic hypotension. Which heat-related emergency should you suspect?

A. Heat cramps
B. Heat exhaustion
C. Heat edema
D. Heat stroke

3. After being stung on the leg by a jellyfish , a man compliant of severe pain to his leg,
dizziness, and difficulty breathing. He has a red rash covering his trunk and his bp is
90/50 mmHg. The EMT should:

a. Administer oxygen and epinephrine and prepare for rapid transport

b. Remove the stingers from his leg by scraping them with a stiff object.
c. Begin transport and immerse his leg in hot water to help reduce pain
d. Apply warmth to the sting area and cover it with dry, sterile dressing.

4. door indicating that the patient has a latex allergy. Which of the following is the BEST
way to care for the patient?
a. Only perform a history on this patient, not a physical exam, so you can avoid
contacting him with your gloves.
b. Ask the nursing staff if the patient has an epinephrine auto-injector available in case of
a reaction to your gloves.
c. Put on latex gloves anyway; you must protect yourself with BSI.
d. Ask the nursing facility staff to find synthetic exam gloves to wear for contact
with this patient.

5. The nurse witnesses a neighbor's husband sustain a fall from the roof of his house. The
nurse rushes to the victim and determines the need to open the airway. The nurse opens
the airway in this victim by using which method?
a. Flexed position
b. Head tilt-chin lift
c. Jaw thrust maneuver
d. Modified head tilt-chin lift
6. The nurse is performing cardiopulmonary resuscitation (CPR) on an infant. When
performing chest compressions, the nurse compresses at least how many times?
 a. 60 times per minute
b. 80 times per minute
c. 100 times per minute
d. 160 times per minute
7. The nurse is teaching cardiopulmonary resuscitation (CPR) to a group of nursing
students. The nurse asks a student to describe the reason why blind finger sweeps are
avoided in infants. The nurse determines that the student understands this reason if the
student makes which statement?
a. "The object may have been swallowed."
b. "The infant may bite down on the finger."
c. "The mouth is too small eo see the object."
d. "The object may be forced back farther into the throat."
8. The nurse witnesses the collapse of a victim in her neighborhood and suspects cardiac
arrest. Which action should the nurse take first?
a. Initiate rescue breathing
b. Begin giving chest compressions
c. Activate the emergency response system
d. Obtain an automated external defribillator
9. The nurse is performing cardiopulmonary resuscitation (CPR) on an adult client. When
performing chest compressions, the nurse should depress the sternum by how many inch
(es)?
a. 3/4 inch
b. 1 inch
c. 2 inches
d. 3 inches
10. Which client will the nurse consider to be at greatest risk for an airway obstruction?
a. A 25 year old with a sinus infection
b. A 35 year old with a traumatic brain injury
c. A 55 year old who wears upper and lower dentures
d. A 65 year old who has chronic mouth dryness and many dental caries
11. What is the priority assessment the will make for a client with a posterior nosebleed who
has posterior packing and is receiving oxygen therapy, antibiotics, and opioid analgesics.
What is the priority assessment?
a. Asking about pain relief
b. Checking gag and cough reflexes
c. Determining the degree of mouth dryness
d. Examining the skin around the nares for breakdown
12. Which behavior indicates to the nurse that a client preparing for discharge after surgery
understands how to perform self-care to prevent harm from aspiration?
a. Chooses thin liquids that cause coughing but knows to take small sips.
b. Eats small frequent meals that include a variety of textures and nutrients.
c. Uses a straw when drinking liquid nutrition supplements.
d. Positions self-upright before eating or drinking anything.
13. What is the priority action for the nurse to take when a client comes to the emergency
department with extremely labored breathing and a history of asthma that is unresponsive
to prescribed inhalers?
a. Establishing IV access to give emergency medications.
b. Asking the client how long he or she has had asthma and what triggered this attack
c. Preparing the client for intubation
d. Placing the client in a high-Fowler position, and starting oxygen
14. Upon delivering a patient to the emergency department, you remove your gloves and find
that your hands are red and itchy. Which of the following is most likely?
a. You are showing early signs of an anaphylactic reaction.
b. You have come into contact with poison ivy in the patient's yard.
c. You have been exposed to an infectious disease through contact with the patient.
d. You are having an allergic reaction to the latex in the gloves.
15. As you prepare to enter a patient's room in a nursing home, you see a sign posted on the
16. Which of the following statements concerning severe allergic reactions is true?
a. The quicker the onset of symptoms, the greater the likelihood of a severe allergic
reaction.
b. A severe allergic reaction can be prevented by the use of an epinephrine auto-injector
before exposure to the substance.
c. Allergies do not develop until a person is in his late teens to early 20s.
d. A severe allergic reaction occurs only when the patient has never been exposed to the
substance before.
17. Which of the following is MOST likely to be a complaint of a patient suffering from
anaphylaxis?
a. "I am having severe muscle pains."
b. "My legs are numb and I can't move them."
c. "My throat feels like it is closing."
d. "I can't remember what happened."
18. You have responded to a park where you find a 23-year-old female sitting on a bench
near a running trail. She states that she has been running for the past 30 minutes, and all
of a sudden, she can't catch her breath. She states that this has never happened before and
she usually runs 5 miles a day. Your assessment reveals that she is flushed, her pulse is
fast and weak, her respirations are fast and she is wheezing, and she has hives on her
arms and chest. She is most likely suffering from which of the following?
a. Anaphylaxis
b. Heat stroke
c. Allergic reaction
d. Hyperventilation syndrome
19. You are managing a patient who has been stung by a bee and has had an allergic reaction
to bee stings in the past. The patient has some localized redness and swelling in the area
 of the bee sting but is not having difficulty breathing. Of the following, which would be
performed first for this patient?
a. Continue the focused assessment.
b. Perform a head-to-toe exam.
c. Advise him to take an oral antihistamine, such as Benadryl.
d. Assist him with his epinephrine auto-injector.
20. Which of the following is a trade name for an epinephrine auto-injector?
a. Autodrenalin
b. AllerPen
c. Anajector
d. Epi-Pen
21. Which of the following explains why a patient may experience difficulty breathing during
anaphylaxis?
a. Swelling in the brain decreases the respiratory drive.
b. Swelling of the airway tissues causes difficulty breathing.
c. Allergens clump together and block blood flow through the lungs.
d. Allergens bind to hemoglobin, preventing it from carrying oxygen.
22. Which of the following is the MOST effective way of controlling external bleeding?
a. Using an ice pack
b. Running cold water over the wound
c. Elevating the affected part
d. Using direct pressure with a dressing
23. Your patient is a 28-year-old male who cut his thigh with a chainsaw. Bleeding is
significant and difficult to control. Which of the following is NOT part of the proper
management of this patient?
a. Replacement of fluid level by giving the patient adequate amounts of water
b. Administering oxygen
c. Use of a tourniquet
d. Using direct pressure to control the bleeding
24. Your patient is a 12-year-old boy who ran his arm through a glass window and has an 8-
inch laceration on his anterior forearm. You have applied a pressure dressing and
bandage, but these have become saturated due to continued bleeding. Which of the
following should you do now?
A. Remove the pressure dressing and bandage, apply direct pressure with your gloved
hand, and elevate the arm.
B. Apply additional dressing material, bandage it in place, and apply pressure to the
brachial artery.
C. Remove the pressure dressing and bandage, apply an ice pack to the wound, and
bandage it in place with an elastic bandage.
D. Elevate that arm and prepare to apply a tourniquet or consider administering a
hemostatic agent.
25. Which of the following is NOT recommended when controlling epistaxis?
A. Having the patient tilt the head backward to elevate the nose
 B. Placing the unconscious patient in the recovery position
C. Keeping the patient calm and quiet
D. Pinching the nostrils together
26. Which of the following is NOT the purpose of making airway management the highest
priority of patient care when managing the patient in shock?
A. It minimizes the chances of aspiration of blood or vomit.
B. It allows for improved elimination of carbon dioxide.
C. It allows the bronchoconstriction of the smaller airways to be reversed. /All of the
above
D. It allows for oxygenation of the lungs.
27. The nurse is providing discharge teaching for a teenager who has experienced
anaphylaxis related to a food allergy. Which statement by the nurse addresses the most
common risk factor for an allergic reaction in a teenager?
A. "eat nutritional meals and drink plenty of fluids."
B. "Monitor what you are eating outside the home."
C. Seek emergency medical help if you feel you have experiencing anaphylaxis."
D. "limit your exposure to the food that caused the reaction."
28. The nurse is caring for a client newly diagnosed with seasonal allergic rhinitis. The client
is experiencing rhinorrhea, water eyes, and itchy throat. Which prescribed initial
treatment does the nurse anticipate?
A. Inhaled corticosteroids
B. Antihistamine
C. Antibiotic
D. Oral steroids
29. The nurse is caring for a client with a history of anaphylaxis related to a known latex
allergy. Which is a priority goal when planning a nursing intervention for the client?
A. the client will avoid the known allergen
B. The client will teach family members about the life-threatening condition
C. The client will verbalize an understanding of the goal
D. The client will avoid the foods linked to the latex allergy.

30. For a patient with a honeybee sting, which treatment is the priority?

A. Remove the stinger.

B. Apply ice packs to the area.
C. Administer diphenhydramine (Benadryl).
D. Cleanse the wound.
31. Which heat-related emergency occurs when a patient's heat production exceeds his or her
internal heat dissipation mechanisms?

A. Heat stroke
B. Heat cramps
 C. Heat exhaustion
D. Heat edema
32. Which patient statement indicates an accurate understanding of the discharge instructions
related to heat cramps?

A. "I'll take salt tablets to avoid getting these symptoms."

B. "I'll be sure to drink a lot of water."
C. "I'll relax for the rest of the day."
D. "I'll exercise indoors for the next several hours."
33. When caring for a drowning victim, which intervention is the priority?

A. Removal of wet clothing

B. Application of a nonrebreather oxygen mask
C. Initiation of vascular access
D. Cervical spine protection
34. The manifestations of dog bites result from which mechanism?

A. Crush injury
B. Microorganisms
C. Digestive proteins
D. Toxic saliva
35. Shivering in the presence of hypothermia indicates that the:
1. musculoskeletal system is damaged.
2. nerve endings are damaged, causing loss of muscle control.
3. body is trying to generate more heat through muscular activity.
4. thermoregulatory system has failed and body temperature is falling.
36. You are assessing a 27-year-old woman with a heat-related emergency. Her skin is
flushed, hot, and moist and her level of consciousness is decreased. After moving her to a
cool environment, managing her airway, and administering oxygen, you should:
1. give her ice water to drink.
2. place her in the recovery position.
3. cover her with wet sheets and fan her.
4. take her temperature with an axillary probe.
37. Three ambulances respond to a golf course where a group of six golfers were struck by
lightning. Two of the golfers are conscious and alert with superficial skin burns (Group
1). The next two golfers have minor fractures and appear confused (Group 2). The last
two golfers are in cardiac arrest (Group 3). According to reverse triage, which group of
golfers should be treated FIRST?
1. Group 1
2. Group 2
3. Group 3
4. Groups 1 and 2
38. Conscious and confused.... wife chuchu wako kasabot sa tingog ni sir huhu... assessment
find flushed appearance, rapid radial pulses, hot and moist skin...
Ans: heat stroke
39. what is often the sign of Heat stroke
Ans: change in behavior
40. Environmental emergency chuchu.. Laryngospasm
Ans: drowning

41. Which of the ff is severe drowning is korek kemelut

Ans: laryngospasm ff submersion in water chuchu difficult
42. Ff statement regarding lightning strike is korek chuchu kemberlu
Ans: lightning strikes may cause cardiac dysrhythmias contaneously resolve
43. Near drwowning is most accurately defined as:
Ans: recovery the last for at least 24 hours ff submersion in water
44. A 41 year old man was found in the back yard by a neighbor. The whether is hot and
humid, and the patient had been doing yard work all day. The patient’s skin is red, hot,
and moist, and his clothes show signs of heavy perspiration. He is not alert but responds
to verbal stimuli. Which of the following heat-related emergencies should you most
suspect?
a. Transient ischemic attack
b. Heat cramps
c. Hypothermia
d. Heat stroke
45.