NREMT: CARDIOLOGY AND RESUSCITATION QUESTIONS
WITH ACCURATE ANSWERS
An unresponsive 3-month-old female is in cardiac arrest. While you and your
partner are resuscitating her, you should compress her chest: Accurate
Answer - using a two thumb
—
encircling hands technique.
An 84-year-old male is lying in bed complaining of right-sided weakness and
nausea. He has a history of hypertension and type 2 diabetes. He tells you he
was fine when he went to bed last night. His vital signs are P 68, R 14, BP
142/82, and SpO2 is 95% on room air. His blood glucose level is 168 mg/dL.
You should: Accurate Answer - notify the receiving hospital of your
findings.
You are resuscitating an unresponsive 74-year-old female who is in cardiac
arrest. While you are performing chest compressions, you see her take several
breaths. You should: Accurate Answer - stop compressions and check
for a pulse.
An 83-year-old female complains of a headache. She tells you that she has felt
tired all week. Her face is symmetrical, and her speech is clear. Her grips are
equal, and she does not have arm drift. Her vital signs are P 84, R 16, BP
188/100, and SpO2 is 97% on room air. You should: Accurate Answer -
transport her to the hospital.
The husband of a 56-year-old female called because she has left-sided
weakness. When you arrive, her speech is slurred, and you observe a right-
sided facial droop. As you transport her to the hospital, her speech becomes
clear. Her weakness and facial droop also resolve. You should suspect a(n):
Accurate Answer - transient ischemic attack.
A 3-year-old male was in cardiac arrest. You successfully resuscitated him, but
he remains unresponsive. His vital signs are P 124, R 22, BP 94/70, and SpO2
is 100% on oxygen by non-rebreather mask. You should: Accurate
Answer - switch to a nasal cannula.
,An unresponsive 2-year-old male is lying in his bed. His mother tells you that
he has been sick for four days. You should next: Accurate Answer -
assess his breathing and pulse.
An unresponsive 20-year-old male is taking occasional, gasping breaths. You
are unable to palpate a carotid pulse. His skin is cyanotic, and his pupils are
pinpoint. You should first: Accurate Answer - begin chest
compressions.
An unresponsive 94-year-old female was found by her family on the floor. She
is apneic and pulseless. Your partner is performing chest compressions. The
AED has analyzed her rhythm and advised that you shock the patient. After
the AED has charged, you should next: Accurate Answer - ensure no
one is touching her.
A 68-year-old male complains of difficulty breathing. He tells you that it gets
worse when he walks up the stairs. You auscultate fine crackles in the bases of
his lungs. His vital signs are P 92, R 18, BP 148/94, and SpO2 is 89% on room
air. You should: Accurate Answer - administer oxygen by non-
rebreather mask.
An 85-year-old male tells you that he woke up sweaty and nauseated. He tells
you he has a funny feeling in his chest that he cannot specifically describe. He
tells you he has a history of diabetes and hypertension. His lungs are clear to
auscultation. His vital signs are P 104 and irregular, R 14, BP 102/88, and
SpO2 is 91% on room air. You should first: Accurate Answer -
administer oxygen.
An 88-year-old male was successfully resuscitated after he collapsed. You
performed CPR and defibrillated him once. He tells you that he does not
remember the event. His vital signs are P 96, R 12, BP 108/86, and SpO2 is
95% on oxygen by simple face mask. You should transport him and:
Accurate Answer - continue your treatment.
A 59-year-old male complains of dizziness and palpitations. He denies
dyspnea. His vital signs are P 178, R 16, BP 92/56, and SpO2 is 94% on room
air. You should: Accurate Answer - administer oxygen by nasal
cannula.
, A 94-year-old female complains of increased fatigue for the past day. Her skin
is cool and clammy. Her vital signs are P 104, R 18, BP 92/66, and SpO2 is
94% on room air. You should first: Accurate Answer - administer
oxygen.
What is the primary cause of a cardiac arrest for a patient who is struck by
lightning? Accurate Answer - Asystole
A 37-year-old male complains of a sudden onset of severe headache and
blurred vision in his left eye. When he speaks, he uses the wrong words to
describe his complaint. His pupils are equal and reactive to light. His vital
signs are P 84, R 16, BP 148/90, and SpO2 is 95% on room air. You should
suspect: Accurate Answer - stroke.
An 81-year-old male is experiencing chest pain. He has no signs of dyspnea or
shock. Why should you target oxygen administration to a SpO2 between 94%-
99%? Accurate Answer - To reduce production of free-radicals
An unresponsive 78-year-old male was found on the tiled floor of his
bathroom. His clothing is wet, and you smell urine. You do not observe chest
rise or feel a pulse. His skin is cyanotic. His hands and feet are cold to the
touch. His core is warm. You should suspect: Accurate Answer - cardiac
arrest and begin chest compressions.
A 61-year-old female has tonic-clonic seizure activity that started eight
minutes ago. Her husband tells you her only medical history is high blood
pressure. You observe less stiffening of the muscles in her left arm and leg.
You should suspect: Accurate Answer - stroke.
You are resuscitating a 45-year-old male who is in cardiac arrest. Your
partners are performing chest compressions and operating the AED. You are
ventilating him with a BVM and leading the team. When should you check for
a pulse? Accurate Answer - After you observe he is breathing on his
own
After ROSC, a patient has a SpO2 of 100%. Why should you titrate oxygen
administration to an SpO2 between 94-99%? Accurate Answer - To
reduce production of free radicals
WITH ACCURATE ANSWERS
An unresponsive 3-month-old female is in cardiac arrest. While you and your
partner are resuscitating her, you should compress her chest: Accurate
Answer - using a two thumb
—
encircling hands technique.
An 84-year-old male is lying in bed complaining of right-sided weakness and
nausea. He has a history of hypertension and type 2 diabetes. He tells you he
was fine when he went to bed last night. His vital signs are P 68, R 14, BP
142/82, and SpO2 is 95% on room air. His blood glucose level is 168 mg/dL.
You should: Accurate Answer - notify the receiving hospital of your
findings.
You are resuscitating an unresponsive 74-year-old female who is in cardiac
arrest. While you are performing chest compressions, you see her take several
breaths. You should: Accurate Answer - stop compressions and check
for a pulse.
An 83-year-old female complains of a headache. She tells you that she has felt
tired all week. Her face is symmetrical, and her speech is clear. Her grips are
equal, and she does not have arm drift. Her vital signs are P 84, R 16, BP
188/100, and SpO2 is 97% on room air. You should: Accurate Answer -
transport her to the hospital.
The husband of a 56-year-old female called because she has left-sided
weakness. When you arrive, her speech is slurred, and you observe a right-
sided facial droop. As you transport her to the hospital, her speech becomes
clear. Her weakness and facial droop also resolve. You should suspect a(n):
Accurate Answer - transient ischemic attack.
A 3-year-old male was in cardiac arrest. You successfully resuscitated him, but
he remains unresponsive. His vital signs are P 124, R 22, BP 94/70, and SpO2
is 100% on oxygen by non-rebreather mask. You should: Accurate
Answer - switch to a nasal cannula.
,An unresponsive 2-year-old male is lying in his bed. His mother tells you that
he has been sick for four days. You should next: Accurate Answer -
assess his breathing and pulse.
An unresponsive 20-year-old male is taking occasional, gasping breaths. You
are unable to palpate a carotid pulse. His skin is cyanotic, and his pupils are
pinpoint. You should first: Accurate Answer - begin chest
compressions.
An unresponsive 94-year-old female was found by her family on the floor. She
is apneic and pulseless. Your partner is performing chest compressions. The
AED has analyzed her rhythm and advised that you shock the patient. After
the AED has charged, you should next: Accurate Answer - ensure no
one is touching her.
A 68-year-old male complains of difficulty breathing. He tells you that it gets
worse when he walks up the stairs. You auscultate fine crackles in the bases of
his lungs. His vital signs are P 92, R 18, BP 148/94, and SpO2 is 89% on room
air. You should: Accurate Answer - administer oxygen by non-
rebreather mask.
An 85-year-old male tells you that he woke up sweaty and nauseated. He tells
you he has a funny feeling in his chest that he cannot specifically describe. He
tells you he has a history of diabetes and hypertension. His lungs are clear to
auscultation. His vital signs are P 104 and irregular, R 14, BP 102/88, and
SpO2 is 91% on room air. You should first: Accurate Answer -
administer oxygen.
An 88-year-old male was successfully resuscitated after he collapsed. You
performed CPR and defibrillated him once. He tells you that he does not
remember the event. His vital signs are P 96, R 12, BP 108/86, and SpO2 is
95% on oxygen by simple face mask. You should transport him and:
Accurate Answer - continue your treatment.
A 59-year-old male complains of dizziness and palpitations. He denies
dyspnea. His vital signs are P 178, R 16, BP 92/56, and SpO2 is 94% on room
air. You should: Accurate Answer - administer oxygen by nasal
cannula.
, A 94-year-old female complains of increased fatigue for the past day. Her skin
is cool and clammy. Her vital signs are P 104, R 18, BP 92/66, and SpO2 is
94% on room air. You should first: Accurate Answer - administer
oxygen.
What is the primary cause of a cardiac arrest for a patient who is struck by
lightning? Accurate Answer - Asystole
A 37-year-old male complains of a sudden onset of severe headache and
blurred vision in his left eye. When he speaks, he uses the wrong words to
describe his complaint. His pupils are equal and reactive to light. His vital
signs are P 84, R 16, BP 148/90, and SpO2 is 95% on room air. You should
suspect: Accurate Answer - stroke.
An 81-year-old male is experiencing chest pain. He has no signs of dyspnea or
shock. Why should you target oxygen administration to a SpO2 between 94%-
99%? Accurate Answer - To reduce production of free-radicals
An unresponsive 78-year-old male was found on the tiled floor of his
bathroom. His clothing is wet, and you smell urine. You do not observe chest
rise or feel a pulse. His skin is cyanotic. His hands and feet are cold to the
touch. His core is warm. You should suspect: Accurate Answer - cardiac
arrest and begin chest compressions.
A 61-year-old female has tonic-clonic seizure activity that started eight
minutes ago. Her husband tells you her only medical history is high blood
pressure. You observe less stiffening of the muscles in her left arm and leg.
You should suspect: Accurate Answer - stroke.
You are resuscitating a 45-year-old male who is in cardiac arrest. Your
partners are performing chest compressions and operating the AED. You are
ventilating him with a BVM and leading the team. When should you check for
a pulse? Accurate Answer - After you observe he is breathing on his
own
After ROSC, a patient has a SpO2 of 100%. Why should you titrate oxygen
administration to an SpO2 between 94-99%? Accurate Answer - To
reduce production of free radicals
