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NREMT Practice Questions A+

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NREMT Practice Questions A+ What differences in a child's airway might make airway management more difficult than in an adult? A. smaller jaw, smaller teeth B. longer airway and small tongue C. a smaller jaw and a proportionally larger tongue D. There are no anatomic differences that affect airway management in children versus adults. - CORRECT ANSWER-C. Smaller Jaw and proportionally larger tongue A normal respiratory rate for an adult is ____ while a normal respiratory rate for a newborn is ____. A. 8 to16 and 20 to 40 B. 22 to 30 and 50 C. 12 to 20 and 30 to 60 D. 12 to 20 and 16 to 24 - CORRECT ANSWER-C. 12 to 20 and 30 to 60 What is the first thing you should do before inserting a nasopharyngeal airway? A. Make sure the patient does not have a gag reflex. B. Look up the nose to make sure the nostrils are large enough for a nasopharyngeal airway. C. Select the correct size. D. Tilt the head back, lube the airway, and insert it into the nostril. - CORRECT ANSWER-C. Select the correct size. Emergency care for patients who are not breathing adequately but have a pulse includes all of the following except ____. A. CPR B. supplemental oxygen C. airway management D. ventilatory support - CORRECT ANSWER-A. CPR You arrive on scene to find a young woman who is having trouble talking. She has hives and is starting to gasp for air. Her friend says she was just stung by a bee. Your immediate actions should include all of the following except ____. A. assess the bee sting for signs of an infection B. administer epinephrine (If your state and local EMS protocols allow) C. provide airway support D. administer supplemental oxygen - CORRECT ANSWER-A. assess the bee sting for signs of an infection You're called to a home and find an unresponsive male. Family members said he "passed out." You assess the scene to be safe. The next thing you should do is: A. Get a blood pressure to determine if it's too low and may have caused him to pass out. B. Get a temperature to determine if he has heat stroke. C. Check the patient's blood sugar; he might be a diabetic. D. Simultaneously check for a pulse and breathing. - CORRECT ANSWER-D. Simultaneously check for a pulse and breathing. Wheezing can be described as ____. A. wet, crackling sound B. a high-pitched whistling sound C. loud snoring sound D. tiny popping sound - CORRECT ANSWER-B. a high-pitched whistling sound Wheezing is produced by narrowing or obstruction of the lower airways, which often causes a high-pitched, whistling sound as the air travels through the narrowed space. You're responding to a call for a 44 year-old woman who is complaining of feeling anxious and states, "I can't breathe." You should do the following: A. Assess her respiratory rate and rhythm, check her oxygen saturation and listen to her lungs. B. Place a non-rebreather mask and turn the flow to 6 LPM C. Immediately start manually ventilating since she said she can't breathe. D. Perform an abdominal thrust; she may be choking. - CORRECT ANSWER-A. Assess her respiratory rate and rhythm, check her oxygen saturation and listen to her lungs. The patient is breathing since she is talking. There is no need to manually ventilate her at this time. You should perform a respiratory assessment including checking oxygenation. When assessing breathing, tidal volume refers to ____. A. the rate at which a person breathes B. how regular breathing appears C. whether a person inhales and exhales for the same amount of time D. the depth of the breath - CORRECT ANSWER-D. the depth of the breath Tidal volume is the amount of air a person inhales with one breath or how deeply they are breathing. You are treating an adult patient who is unresponsive and just vomited. You need to suction his airway. You should suction the patient's airway for no more than ____ seconds at a time. A. as long as it takes to remove all of the vomit from the airway B. 5 seconds C. 15—20 seconds D. 10—15 seconds - CORRECT ANSWER-D. 10—15 seconds If manually ventilating a patient, you should squeeze the bag every ____ seconds for an adult and every ____ seconds for a child. A. 5 to 6, 5 to 6 B. 8 to 10, 6 to 8 C. 2 to 3, 6 to 8 D. 5 to 6, 3 to 5 - CORRECT ANSWER-D. 5 to 6, 3 to 5 To maintain adequate perfusion, manual ventilation should be performed at a rate of 1 breath every 5 to 6 seconds in an adult, for a total of 10 to 12 breaths a minute. In a child, manual ventilation should be performed at a rate of 1 breath every 3 to 5 seconds, for a total of 12 to 20 breaths per minute. A nasal cannula can be run at how many LPM? A. 1 to 6 LPM B. 5 to 10 LPM C. 1 to 15 LPM D. 1 to 8 LPM - CORRECT ANSWER-A. 1 to 6 LPM You are manually ventilating a patient using a bag valve mask (BVM). The patient is connected to a pulse oximetry and the oxygen saturation reading is 80. You do not see the chest rise. What steps can you take? A. Do a finger sweep of the mouth to make sure it's clear. B. Put down the ambu bag and start mouth to mouth resuscitation using a barrier device. C. Reposition the head and make sure you have a tight seal with the mask. D. Squeeze the bag much faster. - CORRECT ANSWER-C. Reposition the head and make sure you have a tight seal with

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