JBL EMT Practice Exam

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You are assessing a 49-year-old man who complains of chest pressure that began the night before. He is conscious, but anxious, and tells you he has a history of angina and hypertension. You expose his chest to auscultate his lungs and note that he has a nitroglycerin patch on his right upper chest. His skin is cool and pale, his blood pressure is 78/50 mm Hg, and his pulse is 110 beats/min and irregular. You should:

  1. complete your secondary assessment and reassess his blood pressure in 5 minutes.

  2. move the nitroglycerin patch to the other side of his chest and administer oxygen.

  3. remove the nitroglycerin patch and apply the AED in case he develops cardiac arrest.

  4. remove the nitroglycerin patch, administer oxygen, and place him in a supine position.

The correct answer is: complete your secondary assessment and reassess his blood pressure in 5 minutes.

The correct course of action in this situation is to complete the secondary assessment and reassess the patient's blood pressure in 5 minutes. This is because the patient's symptoms (chest pressure, history of angina and hypertension, nitroglycerin patch) suggest he may be experiencing a heart attack or other cardiac event. The low blood pressure, fast and irregular pulse, and cool and pale skin are all signs of shock, which can be caused by cardiac problems. By completing the secondary assessment, the EMT can gather more information about the patient's condition and reassess the blood pressure to monitor for any changes that may indicate a worsening condition. Option B is incorrect because simply moving the nitroglycerin patch is not enough to treat the patient's potential cardiac emergency. It is important to continue with the secondary assessment and monitor the patient's vital signs. Option C is also incorrect because removing the nitroglycerin patch and applying an AED (automated external defibrillator) is not necessary unless the patient goes into cardiac arrest. This may also cause unnecessary stress and anxiety for the patient. Option D is incorrect because while administering oxygen and placing the patient in a supine position can help with symptoms of shock, it does not address the

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