LIMMER SOLUTIONS NREMT FINAL
EXAM 1 VERIFIED QUESTIONS AND
SOLUTIONS
After a serious call in which children lost their lives, the supervisor should offer to bri
fb fb fb fb fb fb fb fb fb fb fb fb fb fb fb
ng together all crews on the scene in order to conduct
fb fb fb fb fb fb fb fb fb fb
protocol compliance. fb
quality assurance. fb
emotional defusing. fb
outcome debriefings. - ANSWERS-emotional defusing
fb fb fb fb
A diabetic patient who has hyperglycemia will most likely present with
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puerile breathing. fb
Cheyne-Stokes respirations. fb
Kussmaul's respirations. fb
Biot's breathing. - ANSWERS-Kussmaul's respirations
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As EMS approaches a 54-year-
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old patient, the patient makes a fist and points at them. To attempt to de-
fb fb fb fb fb fb fb fb fb fb fb fb fb fb
escalate the situation, the EMT should next
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call law enforcement.
fb fb
back away and develop rapport.
fb fb fb fb
ask the patient why they are angry with EMS.
fb fb fb fb fb fb fb fb
prepare to restrain the patient. - ANSWERS-back away and develop rapport
fb fb fb fb fb fb fb fb fb fb
The most common problem associated with a failure to obtain a proper mask seal wh
fb fb fb fb fb fb fb fb fb fb fb fb fb fb
en ventilating a patient is due to
fb fb fb fb fb fb
the hands of the provider being too small to secure the mask
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not enough pressure on the mask over the bridge of the nose.
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not maintaining an open airway.
fb fb fb fb
improper mask size selected. - ANSWERS-not maintaining an open airway
fb fb fb fb fb fb fb fb fb
An 85-year-
fb
old patient had a syncopal episode and is unable to stand up. During the secondary
fb fb fb fb fb fb fb fb fb fb fb fb fb fb fb
assessment, a pulsating mass is observed in the abdomen, which matches the patie
fb fb fb fb fb fb fb fb fb fb fb fb
nt's pulse rate. The EMT should treat them for
fb fb fb fb fb fb fb fb
orthostatic hypotension. fb
an aortic dissection.
fb fb
dehydration.
peritoneal bleeding. - ANSWERS-an aortic dissection
fb fb fb fb fb
An unresponsive 74-year-
fb fb
old patient collapsed suddenly and has gurgling respirations and left-
fb fb fb fb fb fb fb fb fb
sided weakness. After managing the airway, equal chest rise is observed at a rate of
fb fb fb fb fb fb fb fb fb fb fb fb fb fb fb
12. While preparing for transport, the EMT should
fb fb fb fb fb fb fb
assist the patient's ventilation with a BVM at 20/minute.
fb fb fb fb fb fb fb fb
,administer aspirin, 160 mg. fb fb fb
place oral glucose in the patient's mouth.
fb fb fb fb fb fb
place the patient in the recovery position on the stretcher. - ANSWERS-
fb fb fb fb fb fb fb fb fb fb fb
place the patient in the recovery position on the stretcher
fb fb fb fb fb fb fb fb fb
An EMT is responding to a large multi-
fb fb fb fb fb fb fb
casualty incident about 30 minutes after it started. When they arrive, they should rep
fb fb fb fb fb fb fb fb fb fb fb fb fb
ort to the fb fb
Transportation Unit. fb
location designated by dispatch. fb fb fb
Operations Section Chief. fb fb
Incident Commander. - ANSWERS-location designated by dispatch
fb fb fb fb fb fb
When a patient tells an EMT their chief complaint and continues to provide many spe
fb fb fb fb fb fb fb fb fb fb fb fb fb fb
cifics regarding their disease, the EMT can best develop empathy, respect, and open
fb fb fb fb fb fb fb fb fb fb fb fb
communication with them by using
fb fb fb fb fb
medical terminology. fb
reflection.
explanations.
sympathy. - ANSWERS-reflection fb fb
Which of the following helps to determine a patient's capacity to refuse care?
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They are oriented to time, person, and place
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They explain they have no complaints of pain or illness
fb fb fb fb fb fb fb fb fb
They permit a complete physical exam
fb fb fb fb fb
They tell you they have not consumed alcohol or drugs - ANSWERS-
fb fb fb fb fb fb fb fb fb fb fb
They are oriented to time, person, and place (Orientation to person, place and time f
fb fb fb fb fb fb fb fb fb fb fb fb fb fb
orms the basis for capacity (ability to understand and make informed decisions). Per
fb fb fb fb fb fb fb fb fb fb fb fb
sonal testimony isn't reliable. Permitting you to preform a physical exam is wise, but
fb fb fb fb fb fb fb fb fb fb fb fb fb fb
occult injuries are not always found. However, try to obtain permission and document
fb fb fb fb fb fb fb fb fb fb fb fb
what you have found and pertinent negatives.)
fb fb fb fb fb fb fb
A 65-year-old patient awoke at 3:00 a.m. coughing up blood-
fb fb fb fb fb fb fb fb fb
tinged sputum. When EMS arrives, the patient is sitting up in bed, and their skin is di
fb fb fb fb fb fb fb fb fb fb fb fb fb fb fb fb
aphoretic with diffuse cyanosis. The vital signs are P 102, R 16, BP 96/82, and SpO2
fb fb fb fb fb fb fb fb fb fb fb fb fb fb fb
is 88% on room air. The EMT should first
fb fb fb fb fb fb fb fb fb
lay the patient flat.
fb fb fb
assist the patient's ventilations.
fb fb fb
administer oxygen by non-rebreather mask. fb fb fb fb
administer nitroglycerin. - ANSWERS-administer oxygen by non-rebreather mask
fb fb fb fb fb fb fb
An unresponsive patient is locked in a car after a crash. The quickest way to enter th
fb fb fb fb fb fb fb fb fb fb fb fb fb fb fb fb
e car is to
fb fb fb
use a prybar to open the door.
fb fb fb fb fb fb
open the door with a hydraulic spreader.
fb fb fb fb fb fb
remove the windshield. fb fb
break a window opposite the patient. - ANSWERS-
fb fb fb fb fb fb fb
break a window opposite the patient
fb fb fb fb fb
, A 69-year-
fb
old patient is in cardiac arrest. After a shock has been delivered, the EMT should nex
fb fb fb fb fb fb fb fb fb fb fb fb fb fb fb
t
push the analyze button.
fb fb fb
begin chest compressions.
fb fb
ventilate the patient. fb fb
check for a pulse. - ANSWERS-begin chest compressions
fb fb fb fb fb fb fb
While delivering a baby, as the head emerges, the EMT should next
fb fb fb fb fb fb fb fb fb fb fb
press gently above the mother's pubis.
fb fb fb fb fb
suction the mouth and nose. fb fb fb fb
assist in the delivery of the posterior shoulder.
fb fb fb fb fb fb fb
check for a nuchal cord. - ANSWERS-check for a nuchal cord
fb fb fb fb fb fb fb fb fb fb
An unresponsive 18-year-old patient was ejected from a roll-
fb fb fb fb fb fb fb fb
over car crash. There is a scalp laceration that has coagulated, an angled left upper l
fb fb fb fb fb fb fb fb fb fb fb fb fb fb fb
eg, and a hematoma over the right parietal area of the skull. The EMT's priority of car
fb fb fb fb fb fb fb fb fb fb fb fb fb fb fb fb
e should be
fb fb
chest trauma. fb
fracture management. fb
rapid transport. fb
hemorrhage control. - ANSWERS-rapid transport fb fb fb fb
An EMT is the first to arrive on the scene at a roll-
fb fb fb fb fb fb fb fb fb fb fb fb
over crash of a tour bus. The EMT should first
fb fb fb fb fb fb fb fb fb
assess the stability of the bus.fb fb fb fb fb
look for hazards to the EMT and passengers.
fb fb fb fb fb fb fb
implement the Incident Command System. fb fb fb fb
determine how many passengers can walk. - ANSWERS- fb fb fb fb fb fb fb
implement the Incident Command System fb fb fb fb
Which of the following immobilization techniques will provide the best pain relief for a
fb fb fb fb fb fb fb fb fb fb fb fb fb f
fractured clavicle?
b fb
Ladder type splint fb fb
Securing both humeri to the chest fb fb fb fb fb
An air splint
fb fb
Sling and swathe - ANSWERS-Sling and swathe
fb fb fb fb fb fb
Upon arrival, two Emergency Medical Responders are performing CPR on an apneic
fb fb fb fb fb fb fb fb fb fb fb f
and pulseless 63-year-old patient. The EMT should first
b fb fb fb fb fb fb fb
check for a pulse. fb fb fb
ventilate the patient with a BVM. fb fb fb fb fb
attach the AED and analyze the rhythm.
fb fb fb fb fb fb
complete one cycle of CPR. - ANSWERS-attach the AED and analyze the rhythm
fb fb fb fb fb fb fb fb fb fb fb fb
Each of the following are signs occurring in a patient who has dyspnea. Drag them in
fb fb fb fb fb fb fb fb fb fb fb fb fb fb fb
to the categories depending on whether the sign indicates respiratory failure or respir
fb fb fb fb fb fb fb fb fb fb fb fb
atory distress. fb
Low Tidal Volumefb fb
Spo2 of 91% fb fb
EXAM 1 VERIFIED QUESTIONS AND
SOLUTIONS
After a serious call in which children lost their lives, the supervisor should offer to bri
fb fb fb fb fb fb fb fb fb fb fb fb fb fb fb
ng together all crews on the scene in order to conduct
fb fb fb fb fb fb fb fb fb fb
protocol compliance. fb
quality assurance. fb
emotional defusing. fb
outcome debriefings. - ANSWERS-emotional defusing
fb fb fb fb
A diabetic patient who has hyperglycemia will most likely present with
fb fb fb fb fb fb fb fb fb fb
puerile breathing. fb
Cheyne-Stokes respirations. fb
Kussmaul's respirations. fb
Biot's breathing. - ANSWERS-Kussmaul's respirations
fb fb fb fb
As EMS approaches a 54-year-
fb fb fb fb
old patient, the patient makes a fist and points at them. To attempt to de-
fb fb fb fb fb fb fb fb fb fb fb fb fb fb
escalate the situation, the EMT should next
fb fb fb fb fb fb
call law enforcement.
fb fb
back away and develop rapport.
fb fb fb fb
ask the patient why they are angry with EMS.
fb fb fb fb fb fb fb fb
prepare to restrain the patient. - ANSWERS-back away and develop rapport
fb fb fb fb fb fb fb fb fb fb
The most common problem associated with a failure to obtain a proper mask seal wh
fb fb fb fb fb fb fb fb fb fb fb fb fb fb
en ventilating a patient is due to
fb fb fb fb fb fb
the hands of the provider being too small to secure the mask
fb fb fb fb fb fb fb fb fb fb fb
not enough pressure on the mask over the bridge of the nose.
fb fb fb fb fb fb fb fb fb fb fb
not maintaining an open airway.
fb fb fb fb
improper mask size selected. - ANSWERS-not maintaining an open airway
fb fb fb fb fb fb fb fb fb
An 85-year-
fb
old patient had a syncopal episode and is unable to stand up. During the secondary
fb fb fb fb fb fb fb fb fb fb fb fb fb fb fb
assessment, a pulsating mass is observed in the abdomen, which matches the patie
fb fb fb fb fb fb fb fb fb fb fb fb
nt's pulse rate. The EMT should treat them for
fb fb fb fb fb fb fb fb
orthostatic hypotension. fb
an aortic dissection.
fb fb
dehydration.
peritoneal bleeding. - ANSWERS-an aortic dissection
fb fb fb fb fb
An unresponsive 74-year-
fb fb
old patient collapsed suddenly and has gurgling respirations and left-
fb fb fb fb fb fb fb fb fb
sided weakness. After managing the airway, equal chest rise is observed at a rate of
fb fb fb fb fb fb fb fb fb fb fb fb fb fb fb
12. While preparing for transport, the EMT should
fb fb fb fb fb fb fb
assist the patient's ventilation with a BVM at 20/minute.
fb fb fb fb fb fb fb fb
,administer aspirin, 160 mg. fb fb fb
place oral glucose in the patient's mouth.
fb fb fb fb fb fb
place the patient in the recovery position on the stretcher. - ANSWERS-
fb fb fb fb fb fb fb fb fb fb fb
place the patient in the recovery position on the stretcher
fb fb fb fb fb fb fb fb fb
An EMT is responding to a large multi-
fb fb fb fb fb fb fb
casualty incident about 30 minutes after it started. When they arrive, they should rep
fb fb fb fb fb fb fb fb fb fb fb fb fb
ort to the fb fb
Transportation Unit. fb
location designated by dispatch. fb fb fb
Operations Section Chief. fb fb
Incident Commander. - ANSWERS-location designated by dispatch
fb fb fb fb fb fb
When a patient tells an EMT their chief complaint and continues to provide many spe
fb fb fb fb fb fb fb fb fb fb fb fb fb fb
cifics regarding their disease, the EMT can best develop empathy, respect, and open
fb fb fb fb fb fb fb fb fb fb fb fb
communication with them by using
fb fb fb fb fb
medical terminology. fb
reflection.
explanations.
sympathy. - ANSWERS-reflection fb fb
Which of the following helps to determine a patient's capacity to refuse care?
fb fb fb fb fb fb fb fb fb fb fb fb
They are oriented to time, person, and place
fb fb fb fb fb fb fb
They explain they have no complaints of pain or illness
fb fb fb fb fb fb fb fb fb
They permit a complete physical exam
fb fb fb fb fb
They tell you they have not consumed alcohol or drugs - ANSWERS-
fb fb fb fb fb fb fb fb fb fb fb
They are oriented to time, person, and place (Orientation to person, place and time f
fb fb fb fb fb fb fb fb fb fb fb fb fb fb
orms the basis for capacity (ability to understand and make informed decisions). Per
fb fb fb fb fb fb fb fb fb fb fb fb
sonal testimony isn't reliable. Permitting you to preform a physical exam is wise, but
fb fb fb fb fb fb fb fb fb fb fb fb fb fb
occult injuries are not always found. However, try to obtain permission and document
fb fb fb fb fb fb fb fb fb fb fb fb
what you have found and pertinent negatives.)
fb fb fb fb fb fb fb
A 65-year-old patient awoke at 3:00 a.m. coughing up blood-
fb fb fb fb fb fb fb fb fb
tinged sputum. When EMS arrives, the patient is sitting up in bed, and their skin is di
fb fb fb fb fb fb fb fb fb fb fb fb fb fb fb fb
aphoretic with diffuse cyanosis. The vital signs are P 102, R 16, BP 96/82, and SpO2
fb fb fb fb fb fb fb fb fb fb fb fb fb fb fb
is 88% on room air. The EMT should first
fb fb fb fb fb fb fb fb fb
lay the patient flat.
fb fb fb
assist the patient's ventilations.
fb fb fb
administer oxygen by non-rebreather mask. fb fb fb fb
administer nitroglycerin. - ANSWERS-administer oxygen by non-rebreather mask
fb fb fb fb fb fb fb
An unresponsive patient is locked in a car after a crash. The quickest way to enter th
fb fb fb fb fb fb fb fb fb fb fb fb fb fb fb fb
e car is to
fb fb fb
use a prybar to open the door.
fb fb fb fb fb fb
open the door with a hydraulic spreader.
fb fb fb fb fb fb
remove the windshield. fb fb
break a window opposite the patient. - ANSWERS-
fb fb fb fb fb fb fb
break a window opposite the patient
fb fb fb fb fb
, A 69-year-
fb
old patient is in cardiac arrest. After a shock has been delivered, the EMT should nex
fb fb fb fb fb fb fb fb fb fb fb fb fb fb fb
t
push the analyze button.
fb fb fb
begin chest compressions.
fb fb
ventilate the patient. fb fb
check for a pulse. - ANSWERS-begin chest compressions
fb fb fb fb fb fb fb
While delivering a baby, as the head emerges, the EMT should next
fb fb fb fb fb fb fb fb fb fb fb
press gently above the mother's pubis.
fb fb fb fb fb
suction the mouth and nose. fb fb fb fb
assist in the delivery of the posterior shoulder.
fb fb fb fb fb fb fb
check for a nuchal cord. - ANSWERS-check for a nuchal cord
fb fb fb fb fb fb fb fb fb fb
An unresponsive 18-year-old patient was ejected from a roll-
fb fb fb fb fb fb fb fb
over car crash. There is a scalp laceration that has coagulated, an angled left upper l
fb fb fb fb fb fb fb fb fb fb fb fb fb fb fb
eg, and a hematoma over the right parietal area of the skull. The EMT's priority of car
fb fb fb fb fb fb fb fb fb fb fb fb fb fb fb fb
e should be
fb fb
chest trauma. fb
fracture management. fb
rapid transport. fb
hemorrhage control. - ANSWERS-rapid transport fb fb fb fb
An EMT is the first to arrive on the scene at a roll-
fb fb fb fb fb fb fb fb fb fb fb fb
over crash of a tour bus. The EMT should first
fb fb fb fb fb fb fb fb fb
assess the stability of the bus.fb fb fb fb fb
look for hazards to the EMT and passengers.
fb fb fb fb fb fb fb
implement the Incident Command System. fb fb fb fb
determine how many passengers can walk. - ANSWERS- fb fb fb fb fb fb fb
implement the Incident Command System fb fb fb fb
Which of the following immobilization techniques will provide the best pain relief for a
fb fb fb fb fb fb fb fb fb fb fb fb fb f
fractured clavicle?
b fb
Ladder type splint fb fb
Securing both humeri to the chest fb fb fb fb fb
An air splint
fb fb
Sling and swathe - ANSWERS-Sling and swathe
fb fb fb fb fb fb
Upon arrival, two Emergency Medical Responders are performing CPR on an apneic
fb fb fb fb fb fb fb fb fb fb fb f
and pulseless 63-year-old patient. The EMT should first
b fb fb fb fb fb fb fb
check for a pulse. fb fb fb
ventilate the patient with a BVM. fb fb fb fb fb
attach the AED and analyze the rhythm.
fb fb fb fb fb fb
complete one cycle of CPR. - ANSWERS-attach the AED and analyze the rhythm
fb fb fb fb fb fb fb fb fb fb fb fb
Each of the following are signs occurring in a patient who has dyspnea. Drag them in
fb fb fb fb fb fb fb fb fb fb fb fb fb fb fb
to the categories depending on whether the sign indicates respiratory failure or respir
fb fb fb fb fb fb fb fb fb fb fb fb
atory distress. fb
Low Tidal Volumefb fb
Spo2 of 91% fb fb
