New York NREMT Test Bank:Test Bank with 700+ Questions with Correct Answers ( Graded “A” by Top NREMT Experts), Prepared for

A 30-year-old man sustained partial-thickness burns to the anterior chest and both anterior arms. Based on the Rule of Nines, what percentage of his body surface area has been burned? • A:36% • B:9% • C:18% • D:27% The correct answer is C; Reason: According to the adult Rule of Nines, the anterior trunk (chest and abdomen) accounts for 18% of the total body surface area (TBSA) and each entire arm accounts for 9%. Therefore, the anterior chest, which is one half of the trunk, would account for 9% of the TBSA, and both anterior arms (4.5% each) would account for 9% TBSA, for a total of 18% TBSA burned. Snoring respirations in an unresponsive patient are usually the result of: • A:swelling of the upper airway structures. • B:foreign body airway obstruction. • C:collapse of the trachea during breathing. • D:upper airway obstruction by the tongue. You selected D; This is correct! Reason: In an unresponsive patient, the muscles of the tongue, which attach to the mandible, relax and fall back over the posterior pharynx. This makes obstruction by the tongue the most common cause of airway obstruction in the unresponsive patient. Foreign body upper airway obstructions and upper airway swelling typically produce stridor, a high-pitched sound heard during inhalation. Collapsing of the trachea during breathing would likely present with marked respiratory distress. You are at the scene where a man panicked while swimming in a small lake. Your initial attempt to rescue him should include: • A:rowing a small raft to the victim. • B:reaching for the victim with a long stick. • C:throwing a rope to the victim. • D:swimming to the victim to rescue him. You selected B; This is correct! Reason: General rules to follow when attempting to rescue a patient from the water include "reach, throw, row, and then go." In this case, you should attempt to reach the victim by having him grab hold of a large stick or similar object. If this is unsuccessful, throw the victim a rope or flotation device (if available). If these are not available, row to the patient in a small raft (if available). Going into the water to retrieve the victim is a last resort. The rescuer must be a strong swimmer because patients who are in danger of drowning are in a state of blind panic and will make every attempt to keep themselves afloat, even if it means forcing the rescuer underwater. How should you classify a patient's nature of illness if he or she has a low blood glucose level, bizarre behavior, and shallow breathing? • A:Behavioral emergency • B:Altered mental status • C:Respiratory emergency • D:Cardiac compromise The correct answer is B;