ALL NREMT SET 4 UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
◉ Pneumothorax signs. Answer: -dyspnea, pleuritic chest pain that
worsens during inspiration and expiration, absent or decreased
breath sounds
-rupture of visceral lining
◉ Pulmonary embolism signs. Answer: -dyspnea, acute chest pain,
hemoptysis, cyanosis, tachypnea, hypoxia, tachycardia?**
◉ GCS Eye Opening. Answer: Spontaneous = 4
To voice = 3
To pain = 2
None = 1
◉ GCS Verbal Response. Answer: Oriented = 5
Confused = 4
Inappropriate words = 3
Incomprehensible words = 2
None = 1
,◉ GCS Motor Response. Answer: Obeys commands = 6
Localizes pain = 5
Withdraws (pain) = 4
Flexion (pain) = 3
Extension (pain) = 2
None = 1
◉ Rule of nines (adults). Answer: Head = 9%
Front = 18%
Back = 18%
Each arm = 9%
Groin = 1%
Each leg = 18%
◉ Rule of nines (child). Answer: Head = 18%
Front = 18%
Back = 18%
Each arm = 9%
Each leg = 14%
,◉ Cushing's triad. Answer: Sign there might be an increase in
intracranial pressure. Hypertension, bradycardia, and abnormal
breathing.
◉ Appendicitis pain. Answer: -pain to the RLQ
-rebounding pain
-fever
◉ peritonitis. Answer: -inflammation of peritoneum
-abdominal pain, lack of appetite, markle test
◉ markle heel drop. Answer: markle test; used to assess a patient
with abdominal pain, patient drops down onto heels, pain will be felt
in region of pain source
◉ cholecystitis pain. Answer: RUQ pain, referred to the right
shoulder
◉ gastrointestinal bleeding. Answer: -hematemesis
-hematochezia (blood in stool)
-melena (dark, tarry stool)
, ◉ esophageal varices. Answer: -weakening of blood vessels in
esophagus
-alcoholism
-vomiting large amounts of bright red blood
◉ Aortic aneurysm pain. Answer: Lower back and lower quadrants
pain; tearing
◉ Mallory Weiss syndrome. Answer: When the junction between the
esophagus and the stomach tears. Alcoholism and eating disorders
can cause this
◉ Three P's of diabetes. Answer: Polyuria, polyphagia, and
polydipsia. When the patient has hyperglycemia, glucose is excreted
by the kidney and the process requires a large amount of water.
◉ DKA. Answer: Without glucose in the cells, the body will break
down fat. When fat is used as an immediate energy source,
chemicals called ketones and fatty acids are formed as waste
products and are hard for the body to excrete
signs: Kussmaul respirations, vomiting, abdominal pain, tachycardia
◉ Kussmaul respirations. Answer: Help the body blow off excess
acids (CO2) which are deep, rapid breaths
QUESTIONS AND CORRECT ANSWERS
◉ Pneumothorax signs. Answer: -dyspnea, pleuritic chest pain that
worsens during inspiration and expiration, absent or decreased
breath sounds
-rupture of visceral lining
◉ Pulmonary embolism signs. Answer: -dyspnea, acute chest pain,
hemoptysis, cyanosis, tachypnea, hypoxia, tachycardia?**
◉ GCS Eye Opening. Answer: Spontaneous = 4
To voice = 3
To pain = 2
None = 1
◉ GCS Verbal Response. Answer: Oriented = 5
Confused = 4
Inappropriate words = 3
Incomprehensible words = 2
None = 1
,◉ GCS Motor Response. Answer: Obeys commands = 6
Localizes pain = 5
Withdraws (pain) = 4
Flexion (pain) = 3
Extension (pain) = 2
None = 1
◉ Rule of nines (adults). Answer: Head = 9%
Front = 18%
Back = 18%
Each arm = 9%
Groin = 1%
Each leg = 18%
◉ Rule of nines (child). Answer: Head = 18%
Front = 18%
Back = 18%
Each arm = 9%
Each leg = 14%
,◉ Cushing's triad. Answer: Sign there might be an increase in
intracranial pressure. Hypertension, bradycardia, and abnormal
breathing.
◉ Appendicitis pain. Answer: -pain to the RLQ
-rebounding pain
-fever
◉ peritonitis. Answer: -inflammation of peritoneum
-abdominal pain, lack of appetite, markle test
◉ markle heel drop. Answer: markle test; used to assess a patient
with abdominal pain, patient drops down onto heels, pain will be felt
in region of pain source
◉ cholecystitis pain. Answer: RUQ pain, referred to the right
shoulder
◉ gastrointestinal bleeding. Answer: -hematemesis
-hematochezia (blood in stool)
-melena (dark, tarry stool)
, ◉ esophageal varices. Answer: -weakening of blood vessels in
esophagus
-alcoholism
-vomiting large amounts of bright red blood
◉ Aortic aneurysm pain. Answer: Lower back and lower quadrants
pain; tearing
◉ Mallory Weiss syndrome. Answer: When the junction between the
esophagus and the stomach tears. Alcoholism and eating disorders
can cause this
◉ Three P's of diabetes. Answer: Polyuria, polyphagia, and
polydipsia. When the patient has hyperglycemia, glucose is excreted
by the kidney and the process requires a large amount of water.
◉ DKA. Answer: Without glucose in the cells, the body will break
down fat. When fat is used as an immediate energy source,
chemicals called ketones and fatty acids are formed as waste
products and are hard for the body to excrete
signs: Kussmaul respirations, vomiting, abdominal pain, tachycardia
◉ Kussmaul respirations. Answer: Help the body blow off excess
acids (CO2) which are deep, rapid breaths
