NREMT EXAM WITH COMPLETE SOLUTIONS GRADED A+
1. Most severe dysrhythmia
of the heart
Asystole
2. Asystole indicates no electrical activity in the heart
3. PEA indicates some residual electrical activity within
the heart, but not enough for a pulse
4. Ventricular fibrillation shockable rhythm...
2. Asystole indicates no electrical activity in the heart
3. PEA indicates some residual electrical activity within
the heart, but not enough for a pulse
4. Ventricular fibrillation shockable rhythm, heart rhythm problem that
occurs when the heart beats with rapid, erratic
electrical impulses. This causes pumping cham-
bers in your heart (the ventricles) to quiver use-
lessly, instead of pumping blood.
5. Ventricular tachycardia shockable rhythm, in which the lower chambers
of your heart (ventricles) beat very quickly be-
cause of a problem in your heart's electrical
system.
your heart may not be able to pump enough
blood to your body and lungs because the cham-
bers are beating so fast that they don't have time
to properly fill.
6. Cushing's triad Sing of increased intracranial pressure
3 sings
1. Brachicardia
2. hypertension
3. Altered respirations
7. After your paramedic Deliver each breathe over 1 second at a rate of
partner has intubated an 8 to 10 breathes per minute
adult cardiac arrest pa- When an advanced airway is in place, there is no
tient, you are providing pause in chest compressions to deliver breaths.
ventilations as a firefight-
er performs chest com-
pressions. When venti-
lating the patient, you
should?
8.
, NREMT EXAM WITH COMPLETE SOLUTIONS GRADED A+
An airway that is not com- encourage to cough, heimlich is only performed
pletely obstructed on complete obstructions
9. Infant respiratory rate 25-50
10. Bradycardia The condition of having a slow heartbeat, de-
fined as under 60 beats per minute for an adult.
11. Hypertension progressively increasing systolic blood pres-
sure, leading to widening pulse pressure
12. Mediastinum Region in mammals including the thoracic area
just not the lungs, so the heart the trachea, the
thymus gland are all included in it
13. What are the two methods Jaw-thrust and head-tilt chin-lift
for opening the airway of spine injury
an unconscious patient?
When would you use one
over the other?
14. What is the main compli- Could lead to hypoxia
cation of suctioning the
airway for more than 10
seconds?
15. What flow rate for a nasal Flow rate: 1-6 lpm
cannula and when should When it's used: Nasal cannulas are used to
it be used deliver oxygen when a low flow, low or medium
concentration is required, and the patient is in a
stable state.
16. When should you use a Use when patent needs oxygen but can breath
NRM and at what flow on their own and is getting sufficient tidal volume
rate? and O2 percent, flow rate of 10-15 lpm
17. When should you use a Use when patient is unconscious and not
bag-valve mask and at breathing adequately or isn't getting enough O2
what flow rate? or has stopped breathing, use 10-15 lpm, if pa-
tient is breathing less than 12 times a min or
, NREMT EXAM WITH COMPLETE SOLUTIONS GRADED A+
more than 24 use BVM and check to see if it's
working by looking at rise and fall of chest
18. How would you ventilate a If there is a tracheostomy tube in place put the
patient who has a Stoma? BVM on that and ventilate (after taking mask off)
if no tube put a special mask over the stoma and
if you don't have a special tracheostomy stoma
mask use a child or infant BVM mask
cover nose and mouth
19. What is the medicine in- A metered-dose inhaler (MDI) is a device that
side an MDI and how does delivers a specific amount of medication to the
it work? lungs, in the form of a short burst of aerosolized
medicine that is usually self-administered by the
patient via inhalation.
Medications are things like Bronchodilators like
albuterol
20. What are the indications patients with known COPD or asthma with acute
of a MDI? exacerbations.
patients without known respiratory disease who
exhibit expiratory wheezing.
must be prescribed
21. What are the contraindi- Airflow obstruction due to foreign body
cations of a MDI? Airflow obstruction and an MI
Not used as the first drug to help with congestive
heart failure
Hypersensitivity, tachycardia, MI.
22. What can albuterol treat? Albuterol can quickly relieve shortness of
breath, coughing, wheezing, and chest tight-
ness.
relaxes muscles in the airways and increases air
flow to the lungs.
23. Administering MDI Shake for 30 sec, administer while patient in-
hales and encourage to hold breath
24. Dyspnea Difficult or labored breathing
, NREMT EXAM WITH COMPLETE SOLUTIONS GRADED A+
25. Retractions Sign of increased muscle use for breathing,
sings of someone having difficulty breathing
26. Belly breathing Seeing the chest rise when a child is breathing
because their ribcage muscles are not devel-
oped enough to get enough air, ok if the tidal
volume and breathing rate are normal
27. Auscultations Listening to the heart or lungs with stethoscope
28. What does pulse oximetry Measures the O2 saturation of someones blood
measure?
29. What are three conditions Dark nail polish
that can give a false pulse Patient moving too much
oximetry reading? Dust and dirt
Hand tremors
The 3 conditions: peripheral vascular disease,
vasoconstrictor medications, severe hypoten-
sion and hypothermia.
30. peripheral vascular dis- narrowing of the blood vessels that carry blood
ease to the extremities
31. hypotension abnormally low blood pressure, caused by sud-
den loss of blood (shock), severe infection, heart
attack, or severe allergic reaction (anaphylaxis)
32. hypothermia Being severely cold
Decreasing mental status, Decreasing motor
and sensory function and Changing vital signs.
Early or superficial cold injury usually involves
the tips of ears, the nose the tips of toes and
fingers, and the chin
Late or deep cold injury involves both the skin
and tissue beneath it
The pulse, breathing, and blood pressure are
difficult to assess in a hypothermic patient.
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