Exam (elaborations)
NREMT EMT COGNITIVE FINAL EXAM
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NREMT EMT COGNITIVE FINAL EXAM
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NREMT EMT COGNITIVE FINAL EXAMWhen assessing a conscious patient with an MOI that suggests spinal injury, you
should: - Answers -determine if the strength in all extremities is equal.
During your assessment of a 20-year-old man with a severe headache and nausea, you
ask him when his headache began, but he does not answer your question immediately.
You should: - Answers -allow him time to think about the question and respond to it.
While at the scene of a motor vehicle crash, you determine that there are two critically
injured patients and that another ambulance is needed. You attempt to contact the
dispatcher with your portable radio but are unsuccessful. You should: - Answers -use
the mobile radio in the ambulance to contact dispatch.
The MOST prominent symptom of decompression sickness is: - Answers -abdominal or
joint pain.
A severe risk of terrorist attacks is indicated by the color _____ by the Department of
Homeland Security Security Advisory System. - Answers -red
When enlisting the help of an interpreter who signs, it is important for you to ask the
interpreter to: - Answers -report exactly what the patient signs and not to add any
commentary.
Which of the following statements regarding striated muscle is correct? - Answers -It
forms the major muscle mass of the body and usually crosses at least one joint.
A mother who is pregnant with her first baby is typically in the first stage of labor for
approximately: - Answers -16 hours
According to the rule of palm method for estimating the extent of a patient's burns, the
palm of the patient's hand is equal to _____ of his or her total BSA. - Answers -1%
A 31-year-old female is experiencing an acute asthma attack. She is conscious and
alert, but in obvious respiratory distress. After assisting her with her prescribed MDI, you
should: - Answers -reassess the patient and document her response to the medication.
In determining the potential for a terrorist attack, you should routinely observe all of the
following on every call, EXCEPT: - Answers -weather conditions
Which of the following statements regarding gonorrhea is correct? - Answers -Painful
urination is a common symptom of gonorrhea in men and women.
Accumulation of blood in the abdominal cavity will MOST likely cause: - Answers -
distention
,You are assessing a 30-year-old woman with multiple large bruises to her chest and
abdomen that she experienced during an assault. She is conscious but restless, and
her skin is cool and pale. You should be MOST concerned with: - Answers -the fact that
her clinical signs could indicate that she is bleeding internally.
Spina bifida is a developmental defect in which: - Answers -a portion of the spinal cord
or meninges protrudes outside of the vertebrae. Correct
Calming and reassuring an anxious patient can be facilitated by: - Answers -maintaining
eye contact with the patient whenever possible.
Which of the following statements regarding glucose is correct? - Answers -The brain
requires glucose as much as it requires oxygen.
You are summoned to a convalescent center for an 88-year-old female with an altered
mental status. A staff nurse advises you that the patient has terminal cancer and her
physician stated that she would probably die within the next few hours; a valid do not
resuscitate (DNR) order is presented to you. When caring for this patient, you should: -
Answers -make her comfortable and provide emotional support.
You are assessing a 45-year-old female who is severely depressed. She states that it
seems as though her entire world is crashing down around her. She further states that
she has had frequent thoughts of suicide, but is not sure if she can actually go through
with it. How should you manage this situation? - Answers -Ask the patient if she has
developed a suicidal plan.
Which of the following statements regarding the rapid extrication technique is correct? -
Answers -The rapid extrication technique is indicated if the scene is unsafe and the
patient is not entrapped in his or her vehicle.
The six-pointed Star of Life® emblem identifies vehicles that: - Answers -meet federal
specifications as licensed or certified ambulances.
Viral hemorrhagic fevers (VHF), such as Ebola, cause the blood to: - Answers -seep out
of the blood vessels and tissues.
To ensure that you will deliver the appropriate number of chest compressions during
one-rescuer adult CPR, you should compress the patient's chest at a rate of least
_______ per minute. - Answers -100
A 19-year-old female was stung multiple times on the legs by fire ants. She states that
she is allergic to fire ants, but does not carry her own epinephrine. The patient is
conscious and alert and complains of pain to the area of the bites. Her blood pressure is
122/70 mm Hg, her pulse is 100 beats/min and strong, and her respirations are 18
, breaths/min and unlabored. You should: - Answers -administer oxygen and transport
her to the hospital.
Which of the following conditions often requires transport to a hospital with specialized
capabilities that may not be available at the closest hospital? - Answers -stroke and
heart attacks
Which of the following would MOST likely result in hemorrhagic shock? - Answers -liver
laceration
The two MOST efficient ways for the body to eliminate excess heat are: - Answers -
sweating and dilation of skin blood vessels.
A 40-year-old male was in his woodworking shop when he felt a sudden, sharp pain in
his left eye. Your assessment reveals a small splinter of wood embedded in his cornea.
You should: - Answers -cover both of his eyes and transport to the hospital.
Diabetes is MOST accurately defined as a(n): - Answers -disorder of carbohydrate
metabolism.
A patient has a blood pressure of 130/70 mm Hg. The "130" represents: - Answers -
ventricular contraction
A 37-year-old female with a history of diabetes presents with excessive urination and
weakness of 2 days' duration. You apply 100% oxygen and assess her blood glucose
level, which reads 320 mg/dL. If this patient's condition is not promptly treated, she will
MOST likely develop: - Answers -acidosis and dehydration
You respond to a residence for a patient with a severe leg injury following an accident
with a chainsaw. When you arrive, you find the patient, a 44-year-old male, lying supine
in the backyard. He has a partial amputation of his right lower leg that is actively
bleeding. The patient is conscious and breathing adequately; however, he is restless
and his skin is diaphoretic. You should: - Answers -apply direct pressure to the wound.
Which of the following statements regarding sudden infant death syndrome (SIDS) is
correct? - Answers -Most cases of SIDS occur in infants younger than 6 months.
Which of the following injuries would MOST likely occur as a direct result of the third
collision in a motor vehicle crash? - Answers -aortic ruptures
Following direct trauma to the left upper back, a 44-year-old male presents with
diaphoresis and restlessness. His blood pressure is 100/50 mm Hg, his pulse rate is
120 beats/min and weak, and his respirations are 24 breaths/min and labored. Your
assessment reveals abrasions and contusions over the left scapula. You should: -
Answers -apply high-flow oxygen, consider spinal precautions, and transport without
delay.
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