NREMT FINAL EXAM TEST BANK

NREMT FINAL EXAM TEST BANK LATEST EXAM 370+ QUESTIONS AND CORRECT ANSWERS WITH RATIONALES|AGRADE Question 1: You are assessing a patient for hypoperfusion. Which of the following signs and symptoms would indicate the presence of hypoperfusion? a. Extreme thirst, restlessness b. Poor mentation, stridor c. Cyanosis, slow respirations d. Pale skin, hypertension - ANSWER- a. Extreme thirst, restlessness Rationale: Extreme thirst and restlessness are both classic signs and symptoms of shock. You would also expect to find pale, cool, clammy skin, altered mental status, rapid and shallow respirations, and increased heart rate. Question 2: You arrive on scene with your partner to a slip and fall. The patient is a 49 year old male who slipped and fell while jumping out of a boat and onto a dock. After hitting the dock he fell into the water where his friends pulled him out. He is conscious and complaining only of pain in his left shoulder. He is laying supine on the dock. He is shivering and holding his elbow. The proper course of action would be? a. Cut off the wet clothing, high flow Ó, and check CMS b. Load him on a backboard with c spine precautions, Ó, and transport c. Put a blanket on him, Ó, and traction splinting d. Ó, traction splinting, and transport - ANSWER- a. Cut off the wet clothing, high flow Ó, and check CMS Rationale: Getting the wet clothes off him to help prevent shock, along with High flow Ó, and checking the ciruclation, motor function, and sensation of the affected limb would be the best choice. The other answers never checked CMS which is very necessary. Question 3: Where is the ulna located in the body? a. The thumb side of the arm b. The big toe side of the leg c. The little toe side of the leg d. The little finger side of the arm - ANSWER- d. The little finger side of the arm Rationale: The ulna is the outside bone of the arm in line with the little finger. Question 4: What is the best definition of a fistula used in hemodialysis? a. An external shunt b. An internal connection between a graft and a shunt c. A surgically created connection between a venule and an artery. d. An internal shunt - ANSWER- d. An internal shunt Rationale: The best definition of a fistula used in hemodialysis is "an internal shunt" which connects an artery to a vein. Question 5: It is your duty as an EMT to diagnose a diabetic condition as: a. Hypoglycemic b. Hyperglycemic c. Serious d. None of the above - ANSWER- d. None of the above Rationale: You need to manage airway, breathing, and circulation, and transport in a safe and expedient manner. It is not your job to diagnose. Question 6: Proper use of an AED should include: a. Measuring from the corner of the mouth to the earlobe b. Moistening the pads to ensure electrical conductivity c. Establishing the patient does not have a pulse d. Three consecutive shocks - ANSWER- c. Establishing the patient does not have a pulse Rationale: An AED should only be used on a patient who has no pulse. CPR should be continued after each shock, per the 2010 AHA Guidelines. Question 7: You and your partner Bob are called to the scene of a man down. The report said the man has no pulse and that family members are doing CPR. Upon arriving at the scene what 3 things are you going to do first? a. Open their airway, tell the bystander to stop CPR, and put your gloves on b. Question the bystanders, direct them to stop CPR ,and check for pulse c. Hook up the AED, open their airway, and insert an adjunct d. Attach the AED, tell everyone to stand back, and hit the analyze button - ANSWER- b. Question the bystanders, direct them to stop CPR ,and check for pulse Rationale: Your gloves should be on prior to coming in contact with the patient. You would attach an AED and shock if indicated, according to AHA Guidelines Question 8: Which of the following can mimic alcohol intoxication? a. Head injury b. Hypoglycemia c. Diabetic ketoacidosis d. All of the above - ANSWER- d. All of the above Rationale: All of these things can mimic alcohol intoxication. Hypoxia, postictal state from seizure, stroke, tumors, and of course drug use may all appear as intoxication by alcohol. Question 9: Blood that is unoxygenated moves into the lungs through the? a. Pulmonary artery b. Pulmonary valve c. Pulmonary vein d. Aortic arch - ANSWER- a. Pulmonary artery Rationale: Blood travels into the lungs from the pulmonary artery. This is the only artery in the body that carries unoxygenated blood. Question 10: You and your partner Mark arrive on scene to find a 35 year old man who is slurring hisspeech. He shows positive for left arm drift and the left side of his face is drooping slightly when he tries to speak. How should this patient be transported? a. On their left side b. In Fowler's c. Trendelenburg d. On their right side - ANSWER- a. On their left side