Exam (elaborations)
NREMT FINAL EXAM 4 QUESTIONS AND ANSWERS
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NREMT FINAL EXAM 4 QUESTIONS AND ANSWERS
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NREMT FINAL EXAM 4 QUESTIONS AND ANSWERSA 26 year old male suffered a gunshot wound to his left chest. On arrival he is very pale
and you see blood on his shirt. You expose the wound and manage it. Your partner
reports his vital signs are BP 86/palp, P 118 and thready, R 6 and shallow. You should
next - Answers -ventilate him with a BVM.
When you arrive at a car crash a male driver complains of neck pain. He is moving all
extremities and has normal sensations. How should you assess him? - Answers -Apply
slight pressure to every cervical spinous process.
A man called 9-1-1 because his 78 year old wife could not get out of bed in the morning.
When you arrive she has right-sided weakness. He says she went to bed at 10:00 PM
last night and she was feeling OK. You should record the time of onset of her symptoms
to be - Answers -10:00 PM.
Continuing education regarding patient care topics throughout your EMS career is -
Answers -a professional responsibility.
The primary cause of symptoms in a patient with asthma is - Answers -
bronchoconstriction.
A 21 year old woman is out to dinner. She was unaware shellfish was an ingredient in
her food. She began to have urticaria, a hoarse voice, edema and weakness. When you
arrive her husband hands you an epinephrine auto-injector. You should - Answers -pull
up her skirt and inject her in the mid-thigh on the lateral side.
You discover a nuchal cord after a newborn's head has been delivered. You should next
- Answers -attempt to slip it over the baby's head.
A female who is 35 weeks pregnant was involved in a minor car crash. She has a scalp
laceration that requires sutures. When transporting her you should - Answers -lay her
on her left side.
A 72 year old woman with a history of chronic bronchitis is cyanotic in small capillary
beds. When you arouse her she says "I'm tired." When you again arouse her she says
"leave me alone." Her SpO2 is 82% on 3 Lpm home oxygen. You suspect her
responses to your arousals to be due to cerebral - Answers -hypoxia.
Which of the following is part of the National Incident Command System? - Answers -
Operations
, You've applied the AED to an apneic and pulseless 62 year old male. The AED says
"no shock advised." You should next - Answers -begin chest compressions.
A young man was involved in a roll-over car crash. He was wearing a seatbelt and you
see multiple deployed airbags in his car. You find him standing beside the roadway
talking on his cell phone. You ask him to hang up the phone and he refuses your care.
You advise him to allow you to do an assessment and he refuses. You do not smell any
alcohol on him and he is walking around unassisted. You should - Answers -advise him
regarding monitoring his own health after the accident.
The AED shocked a 58 year old man and after doing a series of chest compressions he
opens his eyes. You detect a pulse. You should first - Answers -stop chest
compressions and leave the AED on him.
You've delivered a newborn boy. After 1 minute his pulse remains 56 and his respiration
rate is 10. You should first - Answers -ventilate him.
Transporting a mentally competent patient against his will is - Answers -false
imprisonment.
The most frequent cause of chest pain in middle aged men is - Answers -
atherosclerosis.
On arrival a 42 year old male reports he's having chest pain for the first time in his life.
The pain is squeezing and substernal. His vital signs are BP 118/86, P 116, R 18 and
his SpO2 is 95% on room air. You should first - Answers -administer aspirin, 160 mg.
A 23 year old man has a gunshot wound in the RUQ of his abdomen with minimal
bleeding. When you arrive he says he is weak. His vital signs are BP 94/palp, P 118
and thready and R is 8 and irregular. His SpO2 is 94% on room air. You should first -
Answers -ventilate him with a BVM.
A 21 year old woman with a history of seizures has a seizure at work. After 5 minutes of
seizing, the employer calls 9-1-1. When you arrive she continues to have tonic-clonic
movements. En route she stops seizing and 8 minutes later has another seizure. You
should report she - Answers -is in status epilepticus.
A 68 year old man had a syncopal episode. When you arrive he can make a smile but
cannot hold his left arm up as well as his right. He tells you he fainted because he was
tired. You should suspect - Answers -stroke.
A 76 year old man has been home alone when a neighbor calls you because he can't
stand up. When you arrive he is confused and weak. She tells you he is typically strong
for his age. She also says she found dark colored stools in his toilet which he forgot to
flush. His vital signs are BP 108/78, P 98, R 20 and his SpO2 is 88% on room air. You
should manage him for - Answers -hypovolemic shock.
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