Paramedic Coaches Official NREMT FINAL Practice Exam
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1. You arrive on scene to a 23 year-old male with com- Administer oxy-
plaints of difficulty breathing after playing a game of gen with non-
football with friends. You notice he is in the tripod rebreather mask
position and his skin is pale. He states he has no and rapid trans-
past medical history of respiratory problems and has port
no known allergies. His vital signs are as follows: BP
114/76, HR 110, RR 28 and shallow, SpO2 95% on
room air. You should...
2. You arrive on scene to a patient that has crashed Acute coronary
his car into a tree on a quiet street. No other cars syndrome
were involved. He was wearing a seatbelt. Upon as-
sessment, you determine he is unresponsive, has no
pulse, and is not breathing. You notice there are no
signs of trauma. What do you suspect MOST likely
caused this patient to crash?
3. You arrive on scene to a 7 year-old female who is hav- 10 seconds
ing a seizure. She begins to vomit. How long should
you suction for?
4. You arrive on scene to a 82 year-old female in a Tachycardia,
nursing home. The nursing staff tells you she has diaphoresis,
become increasingly short of breath and they are not headache
sure why. Which of the following are early signs and
symptoms of respiratory distress?
5. Which of the following is the appropriate method to Cross out the er-
correct an error in your documentation? ror with a line, ini-
tial it, then contin-
ue with your docu-
mentation
6. Your patient is a 32 year-old male who was in a mo- 2
torcycle accident. He sustained multiple rib fractures
on the left side of his chest. How many lobes of the
lung could be affected on the left side?
7.
, Paramedic Coaches Official NREMT FINAL Practice Exam
Study online at https://quizlet.com/_fgon59
You are off duty at the grocery store when you wit- Apply an AED, an-
ness an elderly male collapse in front of you. You have alyze rhythm and
a worker call 911 and have another grab the AED shock if advised
while you confirm he is pulseless and apneic. What
should you do next?
8. You arrive on scene to a 72 year-old male with se- Provide ven-
vere difficulty breathing. His spouse tells you he tilations with
has COPD. You notice cyanosis around his lips and bag-valve mask
nailbeds, and he is having a hard time keeping his
eyes open. He is unresponsive to any of your com-
mands and flexes in reaction to pain. He is currently
on oxygen by nasal cannula at 3 LPM. What is the next
best step?
9. You are treating a 32 year-old male who was pene- Ischemic stroke
trated in the left upper neck with a knife. You are suc-
cessfully managing his hemorrhage and hypotension
while in transport. After a few minutes, the patient
states his face is numb and you notice the right side
of his face is drooping. What do you suspect?
10. You arrive on scene to a 28 year-old male who fell off Maintain cervical
a 10 foot ladder after trying to clean his roof. He is ly- spine and Suction
ing unresponsive on the ground. You notice cyanosis to clear possible
around his lips and nailbeds and hear gurgling res- fluids
pirations. His respiratory rate is 4 breaths per minute
and he has a weak radial pulse. Select TWO next best
steps to perform to manage this patient.
11. Which of the following is the function of the right Pump deoxy-
ventricle? genated blood to
pulmonary artery
12. Which of the following is the normal ETCO2 level in 35-45 mmHg
an adult?
13. You arrive on scene to a 20 year-old male shot in the Apply 3-sided oc-
upper right chest. He is lying supine and looks anx- clusive dressing,
ious. You notice when he inhales his wound makes provide ventila-
, Paramedic Coaches Official NREMT FINAL Practice Exam
Study online at https://quizlet.com/_fgon59
a gurgling sound. His vital signs are as follows: BP tions with bag
86/78, HR 128, RR 40 breaths per minute and shallow, valve mask, rapid-
SpO2 93%. What is the next best step? ly transport
14. Which of the following best describes the purpose of Prevent collapse
pursed lip breathing? of bronchioles dur-
ing exhalation
15. How does the NFPA diamond represent when there is Represents over-
multiple chemicals at a location? all hazard at the
location
16. You respond to a 86 year-old male lying unresponsive Jaw-thrust ma-
on his bathroom floor. His wheelchair is next to him. neuver
His home health aide states she found him like this
and is unsure what happened. His pulse is 54 beats
per minute and strong. What is the next best step?
17. Which of the following is a sign of heart failure? Decreased car-
diac output
18. Which of the following is the most common airway Tongue
obstruction in an adult?
19. You arrive on scene to a 7 year-old child in cardiac Chest compres-
arrest. Which of the following is the proper sequence sions, airway,
when performing pediatric CPR? breathing
20. Which of the following neurological signs is associ- Decerebrate pos-
ated with increased mortality and poor patient out- turing
comes?
21. All of the following should be assessed with respira- Minute volume
tory quality EXCEPT:
22. Which of the following occurs during isovolumetric Semilunar and
contraction in ventricular systole? atrioventricular
valves close
23. Abdominal thrusts
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