Test Prep NREMT Exam Practice Questions (P. 5)
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Question #41
Your patient is a 35-year-old trauma victim who is not breathing. You are unable to open the airway by means of the jaw thrust and suctioning. You should:
- AAttempt a mouth-to-mask ventilation.
- BUse the head-tilt/chin-lift technique.
- CVentilate with a bag-valve-mask unit.
- DInsert an airway through a tracheostomy.
Correct Answer:
B
Although the head-tilt/chin-lift is not ordinarily used on trauma patients because it interferes with spinal immobilization and alignment, opening the airway takes priority over all other considerations. Be sure to document your actions in the patient care report.
B
Although the head-tilt/chin-lift is not ordinarily used on trauma patients because it interferes with spinal immobilization and alignment, opening the airway takes priority over all other considerations. Be sure to document your actions in the patient care report.
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Question #42
Which statement about inadequate breathing is correct?
- AA breathing rate that is either too fast or too slow may indicate inadequate breathing.
- BInadequate breathing is much less common in small children than in older adults.
- CIncreased effort of breathing is often a normal sign and is not associated with inadequate breathing.
- DA patient breathing very deeply or very shallowly is compensating for an abnormal respiratory rate.
Correct Answer:
A
A respiratory rate that is either too fast or too slow may be a sign of inadequate breathing. Respiratory distress occurs with many medical and trauma problems and spans the age groups, making choice b inaccurate. An increased work (effort) of breathing frequently accompanies inadequate breathing as the patient attempts to compensate, but it should never be considered a "normal sign" as suggested by choice c. Patients may breathe shallowly or deeply for a number of reasons, only one of which is to compensate for an abnormal rate, making choice d inaccurate.
A
A respiratory rate that is either too fast or too slow may be a sign of inadequate breathing. Respiratory distress occurs with many medical and trauma problems and spans the age groups, making choice b inaccurate. An increased work (effort) of breathing frequently accompanies inadequate breathing as the patient attempts to compensate, but it should never be considered a "normal sign" as suggested by choice c. Patients may breathe shallowly or deeply for a number of reasons, only one of which is to compensate for an abnormal rate, making choice d inaccurate.
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Question #43
Your patient is a 52-year old male complaining of dull, achy chest pains. He is alert & oriented but upon assessment, you notice his skin is pale, cool and clammy.
What is your next step?
What is your next step?
- AObtain SAMPLE History
- BApply an AED
- CAdminister Supplemental Oxygen
- DAssist the patient with his wife’s nitroglycerin.
Correct Answer:
C
Giving Oxygen to a cardiac patient as soon as possible can help reduce damage to the heart muscle.
C
Giving Oxygen to a cardiac patient as soon as possible can help reduce damage to the heart muscle.
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Question #44
Cardiac Compromise is:
- AAngina
- BA heart attack
- CA period of time when the heart stops
- DAny type of heart problem
Correct Answer:
D
Cardiac Compromise is a blanket term used to describe any type of heart problem. As an EMT-B, it allows you to identify that the patient has cardiac problem without going above your scope of practice
D
Cardiac Compromise is a blanket term used to describe any type of heart problem. As an EMT-B, it allows you to identify that the patient has cardiac problem without going above your scope of practice
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Question #45
An AED is used to treat patients in:
- AVentricular Fibrillation
- BAsystole
- CPulseless Electrical Activity
- DAcute Myocardial Infarction
Correct Answer:
A
An AED is used to treat pulseless, apneic patients in ventricular fibrillation or ventricular tachycardia.
A
An AED is used to treat pulseless, apneic patients in ventricular fibrillation or ventricular tachycardia.
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Question #46
The normal heart rate for an infant under the age of 1 is:
- A140 – 160
- B120 – 140
- C100 – 120
- D80– 100
Correct Answer:
B
The normal heart rate for a newborn is 140 160 and an infants is 120 140 beats per minutes. Children between the ages of 1-6 have a heart rate of 100 120, while children over the age of 6 have a heart rate of 80 100 BPM.
B
The normal heart rate for a newborn is 140 160 and an infants is 120 140 beats per minutes. Children between the ages of 1-6 have a heart rate of 100 120, while children over the age of 6 have a heart rate of 80 100 BPM.
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Question #47
The two-flap valve located on the left side of the heart is the:
- ABivalve
- BAortic valve
- CBicuspid valve
- DPulmonary Valve
Correct Answer:
C
The two-flap valve is called the mitral valve, also known as the bicuspid valve. The three-flap valve is the tricuspid valve.
C
The two-flap valve is called the mitral valve, also known as the bicuspid valve. The three-flap valve is the tricuspid valve.
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Question #48
The cardiovascular system or the circulatory system is made up of three major components; which of the following is not a component of the cardiovascular system?
- AHeart
- BBlood vessels
- CMyoglobin
- DBlood
Correct Answer:
C
The heart, blood vessels and blood are all major components of the cardiovascular system. Myoglobin is a component of muscle, when large muscle masses are injured they give off myoglobin into the blood stream. Myoglobin molecules are large and cause problems with renal system during times of trauma, elocution or burns.
C
The heart, blood vessels and blood are all major components of the cardiovascular system. Myoglobin is a component of muscle, when large muscle masses are injured they give off myoglobin into the blood stream. Myoglobin molecules are large and cause problems with renal system during times of trauma, elocution or burns.
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Question #49
Name the layers of the heart from the outside in.
- APericardium, endocardium, epicardium
- BMyocardium, epicardium, endocardium
- CEpicardium, myocardium, endocardium
- DEndocardium, myocardium, epicardium
Correct Answer:
C
The layers of the heart from the outer most to the innermost layer. The pericardium is actually the protective sac which surrounds the heart. The heart is covered with a thin layer of slippery tissue called the epicardium, it provides a surface which can move inside the pericardium without causing friction. The myocardium is the muscle tissue of the heart which conducts electricity which causes the muscle to squeeze pumping blood. The endocardium is made of the same type of tissue as the epicardium. The endocardium is very smooth to prevent clots from forming and adhering to the valves.
C
The layers of the heart from the outer most to the innermost layer. The pericardium is actually the protective sac which surrounds the heart. The heart is covered with a thin layer of slippery tissue called the epicardium, it provides a surface which can move inside the pericardium without causing friction. The myocardium is the muscle tissue of the heart which conducts electricity which causes the muscle to squeeze pumping blood. The endocardium is made of the same type of tissue as the epicardium. The endocardium is very smooth to prevent clots from forming and adhering to the valves.
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Question #50
What complaints describes a typical presentation of chest pain is often used to describe a cardiac event type of pain?
- ASharp stabbing pain which can be located with one finger
- BA ton of bricks on my chest
- CA tickling feeling
- DDull tooth ach nagging discomfort
Correct Answer:
B
Typical cardiac related chest pain is often referred to as a pressure, like "a ton of bricks on my chest" or an elephant sitting on their chest. You can rule out a cardiac event on type of chest pain described alone. Some patients will have atypical chest pain which could be described as anything from sharp pain to a pulled muscle to a tooth ach. Sharp stabbing pain which can be located with one finger is often a Pulmonary Embolism.
B
Typical cardiac related chest pain is often referred to as a pressure, like "a ton of bricks on my chest" or an elephant sitting on their chest. You can rule out a cardiac event on type of chest pain described alone. Some patients will have atypical chest pain which could be described as anything from sharp pain to a pulled muscle to a tooth ach. Sharp stabbing pain which can be located with one finger is often a Pulmonary Embolism.
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