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LATEST- NREMT PRACTICE EXAM QUESTIONS WITH ANSWERS
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LATEST- NREMT PRACTICE EXAM QUESTIONS WITH ANSWERS
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LATEST- NREMT PRACTICE EXAM QUESTIONS WITHANSWERS
Which of the following indicates that a patient is in decompensated shock?
A:Restlessness and anxiety
B:Diaphoresis and pallor
C:Tachycardia and tachypnea
D:Falling blood pressure CORRECT ANS-D | Reason :
During shock, the compensatory mechanisms of the body attempt to maintain the blood
pressure. This is accomplished by increases in heart rate, shunting of blood from the skin to
more vital organs, and increasing the respiratory rate to increase the oxygen content of the
blood. Once these compensatory mechanisms fail, the blood pressure will fall (hypotension).
Hypotension signifies a state of decompensated shock. You must not rely on the patient's
blood pressure as an indicator of overall perfusion. Restlessness, anxiety, tachycardia,
tachypnea, and cool clammy skin (diaphoresis) are earlier signs of shock and do not
necessarily indicate a decompensated state.
Which of the following is MOST indicative of a primary cardiac problem?
, LATEST- NREMT PRACTICE EXAM QUESTIONS WITH
ANSWERS
A:Irregular pulse
B:Tachypnea
C:Sudden fainting
D:Tachycardia CORRECT ANS-A | Reason :
An irregular pulse signifies an abnormality within the electrical conduction system of the
heart. Tachycardia, sudden fainting (syncope), and tachypnea (rapid breathing) can indicate
many things other than cardiac problems, such as shock, heat-related problems, and diabetic
complications. You should always consider the possibility of a cardiac problem in a patient
with an irregular pulse.
A 50-year-old man presents with crushing chest pain of sudden onset. He is diaphoretic,
apprehensive, and tachypneic. You should:
A:obtain baseline vital signs.
B:apply supplemental oxygen.
, LATEST- NREMT PRACTICE EXAM QUESTIONS WITH
ANSWERS
C:ask him if he takes nitroglycerin.
D:perform a complete physical exam. CORRECT ANS-B: | Reason
All of the interventions and assessments listed in this question should be performed on a
patient who presents with chest pain, pressure, or discomfort. However, supplemental oxygen
is indicated for any patient with a potential cardiac problem and should be given as soon as
possible; this is especially true when the patient has potential respiratory involvement as well
(ie, dyspnea, tachypnea). Administer oxygen in a concentration sufficient to maintain an
oxygen saturation of 94% or greater. Aspirin (up to 325 mg) should also be administered as
soon as possible, unless the patient is allergic to it. After applying oxygen and administering
aspirin, you should perform a physical exam and obtain baseline vital signs. You would inquire
about any prescription medications the patient is taking (eg, NTG) during the SAMPLE history.
Immediately following a generalized motor seizure, most patients are: CORRECT ANS-D: |
Reason -After a generalized (grand mal) motor seizure, the patient typically will be confused,
sleepy, or in some cases, combative. This is referred to as the postictal phase. The patient's
level of consciousness typically improves within 30 minutes. In many cases, the patient's
, LATEST- NREMT PRACTICE EXAM QUESTIONS WITH
ANSWERS
respirations will be fast (tachypnea) following a seizure; this is the body's attempt to
eliminate excess carbon dioxide that accumulated in the blood during the seizure.
Freshly oxygenated blood returns to the heart via the ?
A:vena cavae.
B:aorta.
C:pulmonary artery.
D:pulmonary vein. CORRECT ANS-D: - Reason |
The pulmonary vein is the only vein that carries oxygen-rich blood. It carries blood from the
lungs back to the left atrium. All other veins in the human body, including the vena cavae,
carry deoxygenated blood back to the heart. The aorta is the largest artery in the body and
branches immediately from the left ventricle, carrying freshly oxygenated blood to the rest of
the body. The pulmonary artery carries deoxygenated blood from the right ventricle to the
lungs for reoxygenation.
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