NREMT STUDY GUIDE ()Latest Update!!

You are called to see a 65 y/o hypertensive female with squeezing chest pain that radiates down her left arm to neck and jaw. She says her heartbeat is faster, she is having difficulty breathing, and she has felt weak for the past couple of days. Which of the following is the most appropriate first step for this patient? A) secure IV access b) Place her in a comfortable position and administer supplemental oxygen. c) do an ECG and defibrillate if there is an irregular rhythm. d) carry out an initial assessment looking for any immediate threats to life. - ANSWERSd) carry out an initial assessment looking for any immediate threats to life. Your team gets a call from an elderly female in the summer. Her 83 y/o husband, who has been vomiting and passing frequent loose stools for the past weak, has passed out. You get there and find a man lying supine on the floor with shallow breathing and Breathing Rate of 32. His lips are dry; his skin is cold; and his pulse is 128 BPM, weak, and thready. His BP is 78/50 mmHg. what is the cause of this presentation? a) Septic Shock b) Psychogenic shock c) anaphylactic shock d) dehydration - ANSWERSd) dehydration You are carrying out a preliminary assessment on a 27 y/o female who was run over by a drunk driver while crossing the street. She is lying supine in a pool of blood and is lethargic, with agonal breathing and multiple abrasions, lacerations, and a crush injury on her left leg. Her skin is also cold and clammy because of shunting of blood to vital organs. Which organ is most important? a) the heart b) the brain c. the lungs d. the kidneys - ANSWERSa) the heart A 22 y/o pregnant female in her first trimester starts bleeding profusely from her vagina after spotting for the past 2 days. On arrival at her home, she is conscious, cold but weak, with a HR of 132 BPM, RR of 28, and a BP 92/60 mmHg. Which of the following actions is most appropriate? a) placing her in a supine position and administering supplemental oxygen b) securing IV access and starting an infusion to increase blood volume. c) Placing her in the modified Trendelenburg position d) Starting her on supplemental oxygen - ANSWERSa) placing her in a supine position and administering supplemental oxygen You are called by neighbors to attend to a middle-aged diabetic man who was robbed at home and pushed down a flight of stairs by his assailant. You find him lying at the foot of the stairs, conscious but complaining of a headache where he hit his head. His skin is warm, and his breathing is labored with a Pulse of 40 and BP of 80/48mmHg. The man has no visible injuries. What is the most likely cause of his presentation? a) hypovolemia b) trauma to his cervical spine c)hypoglycemic shock d) myocardial ischemia - ANSWERSb) trauma to his cervical spine Your team is called to the scene of an accident where a sports car ran into an electric pole at high speed. The sole driver of the vehicle has manager to stumble out but has a shard of glass through his right arm; which is not actively bleeding. You determine scene safety; establish there is one patient; and, on primary assessment, discover that he is conscious but disoriented with a goo