NREMT Final Exam: Medical/Obstetrics/Gynecology, NREMT: Trauma, My EMT 37041 with Cardio, Complete Verified Solution Fall 2023
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NREMT
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NREMT
NREMT Final Exam: Medical/Obstetrics/Gynecology, NREMT: Trauma, My EMT 37041 with Cardio, Complete Verified Solution Fall 2023
You are called to a school for a 9-year-old male who was acting strangely. His teacher tells you that during class, he had several episodes of sitting at his desk starin...
NREMT Final Exam: Medical/Obstetrics/Gynecology,
NREMT: Trauma, My EMT 37041 with Cardio, Complete
Verified Solution Fall 2023
You are called to a school for a 9-year-old male who was acting strangely. His
teacher tells you that during class, he had several episodes of sitting at his desk
staring into space and briefly not responding. He answers your questions
correctly and tells you he does not remember the episodes. What type of seizure
should you suspect?
A. Temporal lobe
B. Absence
C. Psychomotor
D. Focal motor
B. Absence
A 45-year-old female complains of palpitations. She tells you she feels nervous
and tired. She has a history of panic disorder. Her vital signs are P 100, R 24 and
deep, BP 142/84, and SpO2 is 100% on room air. You should:
A. coach her to slow her breathing.
B. administer oxygen by non-rebreather mask.
C. have her breathe into a paper bag.
D. assist her ventilation.
A. coach her to slow her breathing.
A 23-year-old female just delivered a full-term male infant. You should first:
A. clamp the cord eight inches from his abdomen.
B. dry and stimulate him.
C. suction his mouth.
D. suction his nose.
B. dry and stimulate him.
A 19-year-old female who is in her third trimester complains of blurred vision and
a headache. She tells you the baby is moving, and she denies contractions. Her
vital signs are P 84, R 16, BP 152/94, and SpO2 is 97% on room air. You should:
A. check for crowning.
B. notify the hospital of a possible stroke.
C. transport her on her left side.
D. administer aspirin.
C. transport her on her left side.
A 10-month-old female has a two-inch soft bulge under the skin of her belly
button. Her father tells you that the bulge appeared after she was coughing. She
does not cry when you palpate her abdomen. You should suspect a(n):
A. tumor.
B. diaphragmatic rupture.
C. hernia.
D. ascites.
C. hernia.
,A febrile 49-year-old male complains of generalized weakness. He has a history of
HIV/AIDs. He tells you that he has had diarrhea for three days. His mucous
membranes are pale and dry. His vital signs are P 102, R 14, BP 108/76, and SpO2
is 96% on room air. You should:
A. administer oxygen.
B. perform a tilt test.
C. transport him in Fowler's position.
D. don a face mask and gown.
A. administer oxygen.
An unresponsive 58-year-old female had a single seizure prior to your arrival.
Bystanders tell you that she hasn't woken up since she stopped shaking. While
you are performing your assessment, she has a brief tonic period followed by
generalized clonic activity. You should next:
A. remove her clothing and begin to cool her.
B. administer oxygen by nasal cannula and assess her vital signs.
C. assess her blood glucose level and administer oral glucose if needed.
D. protect her head and begin transport.
D. protect her head and begin transport.
An 11-year-old male who has a history of autism has difficulty breathing. You
observe intercostal retractions, and he answers basic questions. While caring for
him, you should:
A. use humor and vague descriptions to inform him of your next assessment and
treatment
steps.
B. treat him in the same manner as other patients.
C. perform a complete toe-to-head assessment.
D. only perform necessary assessments and treatments.
D. only perform necessary assessments and treatments.
A 34-year-old male complains of dizziness and feels like he is going to pass out.
He tells you he just took naproxen for the first time for joint pain. You observe
urticaria and angioedema. His vital signs are P 104, R 20, BP 78/58, and SpO2 is
unobtainable. You should:
A. administer oxygen and transport.
B. administer an epinephrine autoinjector.
C. assess for orthostatic hypotension.
D. apply cold packs to the affected areas.
B. administer an epinephrine autoinjector.
Which of the following assists in regulating the acid-base balance of the
circulatory system by producing bicarbonate?
A. Skin
B. Lungs
C. Liver
D. Kidneys
D. Kidneys
A 76-year-old male complains of vomiting and diarrhea. He tells you he has not
been able to keep down food or water for two days. His conjunctivae are pale and
,dry. He has a history of hypertension. His vital signs are P 80, R 18, BP 108/92,
and SpO2 is 92% on room air. You should:
A. administer oxygen.
B. have him take small sips of water.
C. moisten his conjunctivae.
D. place him in the Trendelenburg position.
A. administer oxygen.
Law enforcement officers requested your assistance with a 24-year-old male who
is acting aggressively. He has removed his clothing, is shouting, and throwing
heavy furniture around in his apartment. Law enforcement tells you he has a
history of diabetes and cocaine use. You should suspect:
A. schizophrenia.
B. hyperglycemia.
C. excited delirium.
D. thyroid storm.
C. excited delirium.
A 38-year-old female was found unresponsive in her car by her son. He tells you
she overdosed on heroin, and he administered Narcan® intranasally before
starting CPR four minutes ago. Upon your arrival, she starts to move. She has a
carotid pulse and gasping respirations once every 15 seconds. You should next:
A. administer oxygen by non-rebreather mask.
B. administer another dose of naloxone.
C. assist her ventilation.
D. place her in the recovery position.
C. assist her ventilation.
What is the mechanism of action of naloxone when administered for opioid
overdoses?
A. It antagonizes opioid effects by competing for the same receptor sites.
B. It binds to the serum opioids to prevent absorption into the brain.
C. It enhances hepatic removal of serum opioids.
D. It stimulates the respiratory center of the brain.
A. It antagonizes opioid effects by competing for the same receptor sites.
A 21-year-old male complains of abdominal pain. His abdomen is soft to
palpation, and the pain is the greatest in his left upper abdominal quadrant. He
tells you his stool has been maroon in color for the past two days. His vital signs
are P 104, R 16, BP 110/88, and SpO2 is 94% on room air. You should suspect:
A. peritonitis.
B. lower GI bleeding.
C. upper GI bleeding.
D. renal calculi.
C. upper GI bleeding.
A 32-year-old female complains of crampy abdominal pain. She tells you she is 20
weeks pregnant. She has moderate vaginal bleeding. You should suspect:
A. spontaneous abortion.
B. ectopic pregnancy.
, C. severe mittelschmerz.
D. uterine rupture.
A. spontaneous abortion.
An unresponsive 7-month-old male is found next to a bottle of his grandmother's
oxycontin. There are several tablets on the floor next to him. His skin is cyanotic,
and you observe occasional gasping respirations. You should suspect:
A. hypoglycemia.
B. increased intracranial pressure.
C. hyperglycemia.
D. ingestion of an opioid.
D. ingestion of an opioid.
A confused 74-year-old female has left-sided weakness. She can identify her
husband and follow your commands but is unaware of current events. Her vital
signs are P 70, R 14, BP 142/74, and SpO2 is 99% on room air. Her blood glucose
level is 52 mg/dL. You should:
A. administer oral glucose.
B. activate a stroke alert.
C. administer oxygen.
D. perform a stroke assessment.
A. administer oral glucose.
How do the kidneys assist in buffering the pH of the blood?
A. They produce urea.
B. They produce bicarbonate.
C. They remove carbon dioxide.
D. They remove red blood cells.
B. They produce bicarbonate.
A 36-year-old female is 39 weeks pregnant with her second pregnancy. She tells
you that she started to have contractions and bleeding 15 minutes ago. You
observe a large pool of dark red blood on the floor. Her skin is pale and
diaphoretic. Your priority while transporting her should be to:
A. place her supine and elevate her feet.
B. assess her vital signs and time the contractions.
C. apply sterile dressings to control the hemorrhage.
D. keep her warm and administer oxygen.
D. keep her warm and administer oxygen.
A confused 60-year-old female complains of generalized weakness after working
outside on a hot, humid day. Her skin is hot and moist. After moving her to your
air-conditioned ambulance, you should next:
A. cover her with a dry sheet.
B. assess her vital signs and blood glucose level.
C. apply cold packs to her groin.
D. dry her skin.
C. apply cold packs to her groin.
An 85-year-old female complains of chest pain. She has a history of renal failure.
She receives hemodialysis and has an arterial-venous fistula in her left lower arm.
When assessing her blood pressure, you should:
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