nremt missed questions

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While working out at the gym, you witness someone collapse. The patient is apneic with a pulse. You begin performing mouth-to-mask ventilations. What percentage of oxygen is your patient receiving?

16%

Acute hypoglycemia typically causes

Acute hypoglycemia results from a sudden drop in blood glucose levels. This frequently causes a sudden loss of consciousness. Severe respiratory distress is not common with acute hypoglycemia.

When a pulse oximeter is available, how should oxygen be administered to a patient experiencing chest pain?

Administer oxygen to maintain a pulse oximeter reading of at least 94%.

Which of the following statements about use of the automated external defibrillator (AED) is correct?

Adult AED pads can be used on pediatric patients if pediatric pads are not available.

You are treating a 35-year-old man who was stung by a bee. He is allergic to bees and has a prescribed epinephrine auto-injector. His breath sounds are clear and non-labored. His BP is 130/82. How should you manage this patient?

Assess the patient for signs of hypoxia, administer oxygen as needed, and transport.

Your 5-year-old patient is unresponsive. A carotid pulse is present at 40 beats per minute. Breaths are shallow at six per minute. You should immediately

Begin chest compressions. CPR, beginning with chest compressions, is indicated for unresponsive children with a pulse rate below 60.

Your patient is unresponsive following blunt trauma to the head. Which of the following is the EMT's first priority for an unresponsive patient?

Determine if CPR is indicated

The primary assessment of an adult with chest pain includes:

Determine the transport priority.

Which of the following statements regarding febrile seizures is correct?

Febrile seizures pose little risk of permanent injury.

Which of the following statements regarding febrile seizures is correct?

Febrile seizures pose little risk of permanent injury.Febrile seizures rarely lead to permanent injury and are the result of a high, rapidly rising fever, not trauma or hypoglycemia. Infants and younger children are at the highest risk of febrile seizures

You are caring for a 22-year-old female who complains of respiratory distress after exercising. She is alert, speaking full sentences, and has a persistent cough. She is most likely experiencing:

Respiratory distress with adequate breathing

Your pediatric patient has spontaneous respirations. This means the patient is breathing:

Spontaneous breaths are unassisted breaths taken by the patient. Spontaneous breaths may occur at any rate or tidal volume and with or without difficulty.

Which of the following is true regarding the Emergency Response Guide (ERG):

The ERG helps identify the evacuation distance for specific hazardous materials.

Which of the following is true during inhalation of a spontaneously breathing patient?

There is a drop in pressure within the thorax.

An elderly female reportedly had a severe headache for the last 24 hours. She was recently found unconscious in bed. Her family reports she has a history of hypertension and transient ischemic attacks (TIAs). The patient's current condition is most likely due to:

a hemorrhagic stroke

Which of the following patients should be your highest transport priority?

a partial-thickness burn with respiratory compromise.

Acute hypoglycemia typically causes:

a sudden loss of consciousness.

Esophageal varices typically occurs in patients with a history of:

alcohol abuse.

You are dispatched to a neighborhood park on a warm day for an 8-year-old with difficulty breathing. You find the patient breathing adequately but with some accessory muscle use. You note expiratory wheezes and a persistent cough. You suspect the patient is experiencing:

an asthma attack.

You respond to a preschool facility for an ill child. Upon arrival, you find an unresponsive 8-month-old. The infant has a palpable pulse of 50 beats per minute. Your next action should be to:

begin chest compressions.

You are dispatched to the local jail for a prisoner found unresponsive in her cell. Her airway is clear. Respirations are rapid and shallow. The pulse oximeter (SaO2) reads 90%. Your first action should be to:

begin positive pressure ventilations.

You are dispatched to a soccer game for a 12-year-old female with signs and symptoms of an allergic reaction. Upon arrival, the patient's mother hands you an epinephrine auto-injector. You should:

begin the primary assessment.

Nerve agents and choking agents are examples of:

chemical agents.

Which of the following accurately describes supine hypotensive syndrome?

compression of the inferior vena cava by the uterus.

Which of the following provides oxygenated blood directly to the heart?

coronary arteries.

Which of the following conditions would most likely cause hypovolemic shock?

laceration of the liver.

Which of the following conditions would most likely cause hypovolemic shock?

laceration of the liver. The liver is a solid organ and can bleed profusely when injured. Laceration of the liver would likely lead to hypovolemic shock. A spinal cord injury would most likely lead to distributive shock due to vasodilation. Insulin shock is not a common cause of hypovolemia (DKA is). Appendicitis is more likely to lead to septic shock.

You are caring for a 12-year-old who was injured at the neighborhood skate park. He was not wearing a helmet and is responsive to pain. You note snoring respirations and deformity to the left ankle. You should:

open the airway using a jaw-thrust maneuver.

The hypoxic respiratory drive works by monitoring:

oxygen levels,The hypoxic drive is the body€™s backup system to the CO2 drive. It monitors oxygen levels in the blood, not CO2 or blood glucose.

The hypoxic respiratory drive works by monitoring:

oxygen levels.

Your 8-year-old patient has blunt chest trauma after being struck by a car. The patient is alert. His airway is clear, breathing is adequate, and pulses are present but weak at 110 beats per minute. Which of the following should you do next?

perform a rapid scan

Your 8-year-old patient has blunt chest trauma after being struck by a car. The patient is alert. His airway is clear, breathing is adequate, and pulses are present but weak at 110 beats per minute. Which of the following should you do next?

perform a rapid scan. The next action should be a rapid scan to assess for life threatening injuries. This is more important than a pulse oximeter reading. A minor patient cannot provide consent. An OPA is not indicated for a responsive patient. See chapter 12 for additional information.

Which of the following physiological responses helps protect the body from overheating:

peripheral vasodilation Peripheral vasodilation helps the body dissipate body heat. Peripheral vasoconstriction helps the body conserve body heat. Shivering helps generate body heat. Syncope can result from overheating; it is not a protective mechanism.

You are considering administration of oral glucose to your diabetic patient. This drug is contraindicated when it:

poses a significant risk of harm.

patient with an isolated concussion injury will likely:

progressively improve over time.

Which of the following vessels carries deoxygenated blood?

pulmonary arteries.

The left side of the heart receives oxygenated blood from the:

pulmonary veins.

You are conducting a primary assessment on an elderly fall victim who complains of hip pain. While assessing circulation, you should check:

pulses, external bleeding and skin condition

You are caring for an apneic patient with a suspected overdose. You have loaded the patient into the ambulance and entered the patient compartment. You should first:

put on your seat belt.

Epinephrine stimulates which of the following physiological effects?

tachycardia.

When caring for a patient with a behavioral emergency, remember:

the behavior may be caused by a physiological condition.

Severe internal bleeding is most likely following an injury to which of the following organs?

the spleen

Your patient has been exposed to a chemical that over-stimulates the parasympathetic nervous system. You would expect this patient to exhibit:

vomiting.

Your patient has been exposed to a chemical that over-stimulates the parasympathetic nervous system. You would expect this patient to exhibit:

vomiting.The parasympathetic nervous system exerts control over digestive functions. Over stimulation can lead to vomiting. Dilated pupils, dry mouth, and hypertension are more likely caused by stimulation of the sympathetic nervous system.


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