NREMT PARAMEDIC QUESTIONS WITH ACCURATE
ANSWERS
Adult ventilation rate Accurate Answer - 10-12 breaths per minute
Child ventilation rate Accurate Answer - 12-20 breaths per minute
Infant ventilation rate Accurate Answer - 12-20 breaths per minute
How many abdominal thrusts do you perform at a time before rechecking the
airway for the foreign body obstruction Accurate Answer - 5, then
check for object and provide ventilations
Complications of positive pressure ventilations Accurate Answer -
Decreasing cardiac output/dropping blood pressure, gastric distention, and
hyperventilation
Which oxygen delivery device would you use for a patient who has adequate
breathing, speaks full sentences, is alert and calm Accurate Answer -
NRB or nasal cannula
Which oxygen delivery device would you use for a patient who has increasing
respiratory distress, visibly short of breath, speaking 3-4 word sentences, and
has increasing anxiety Accurate Answer - NRB
Which oxygen delivery device would you use for a patient who has severe
respiratory distress, speaking 1-2 word sentences, very diaphoretic, and has
severe anxiety Accurate Answer - Assisted ventilations:
1. Pocket face mask
2. Bag-valve mask (2 person)
3. FROPVD
4. Bag-valve mask (1 person)
Which oxygen delivery device would you use for a patient who continues to
deteriorate, sleepy with head-bobbing, and becomes unarousable
Accurate Answer - Assisted ventilations:
1. Pocket face mask
2. Bag-valve mask (2 person)
,3. FROPVD
4. Bag-valve mask (1 person)
Which oxygen delivery device would you use for a patient who is in
respiratory arrest and is not breathing Accurate Answer - Assisted
ventilations:
1. Pocket face mask
2. Bag-valve mask (2 person)
3. FROPVD
4. Bag-valve mask (1 person)
Hypoxia Accurate Answer - insufficiency of oxygen in the body's
tissues
Major causes of hypoxia Accurate Answer - Patient trapped in a fire,
patient has emphysema, drug overdose that has a depressing effect on the
respiratory system, heart attack
Vital signs of hypoxia Accurate Answer - increased pulse and
respirations
Signs and symptoms of emphysema Accurate Answer - Shortness of
breath, wheezing, and coughing, possible weight loss
Signs and symptoms of a stroke Accurate Answer - One sided
weakness, headache, partial or complete loss of the ability to use words,
confusion, dizziness, impaired vision, high bp, unequal pupils, seizures
Signs and symptoms of myocardial infarction Accurate Answer -
Angina, shortness of breath, dizziness, faintness, and nausea
Patient care steps for a cardiac patient who becomes unresponsive
Accurate Answer - 1. Call help
2. Early CPR
3. AED
4. Transport
Side effects of epinephrine Accurate Answer - Increased heart rate,
pallor, dizziness, chest pain, headache, nausea, vomiting, anxiety
,Rules to follow when communicating with a patient who is experiencing a
behavioral or psychiatric emergency Accurate Answer - 1. Identify
yourself and your role
2. Speak slowly and clearly, use a calm and reassuring tone
3. Make eye contact
4. Listen, repeat what is said by the patient
5. Do not be judgemental, show compassion
6. Possitive body language
7. Acknowledge patients feelings
8. Do not enter personal space
9. Be alert of changes in emotional status
Signs and symptoms of hyperglycemia Accurate Answer - Chronic
thirst and hunger, increase urination, nausea, dehydration
Signs and symptoms of anxiety attack Accurate Answer - Sweating,
shortness of breath, chest pain, nausea, dizziness, fear
Signs and symptoms of tuberculosis Accurate Answer - Weight loss,
poor apetite, fever, night sweats, loss of energy
Patient care steps for a patient presenting with hyperthermia and moist, pale,
normal-to-cool skin Accurate Answer - 1. Remove patient from hot
environment
2. Administer oxygen by NRB
3. Loosen or remove clothing, fan without chilling
4. Put in supine position and elevate legs
5. If reponsive and not nauseated, give small sips of water
6. Apply moist towels over cramped muscles
7. Transport
Patient care steps for a patient presenting with hyperthermia and hot, dry or
moist skin Accurate Answer - 1. Remove from hot environment
2. Remove patients clothing. Apply cool packs to neck, groin, and armpits.
Keep skin wet and fan patient
3. Administer oxygen
4. Transport
, What is your top concern with a patient with facial trauma Accurate
Answer - Airway. The need to suction or the possibility for obstructions
How to provide oxygen to pediatric patients with respiratory distress
Accurate Answer - Pediatric NRB but if patient does not tolerate use the blow-
by technique
How to provide oxygen to pediatric patients with respiratory failure or arrest
Accurate Answer - Assisted ventilations with pediatric pocket mask or BVM
Steps in the inverted pyramid of neonatal resuscitation Accurate
Answer - 1. Drying. Warming. Positioning. Suction. Tactile stimulation
2. Oxygen
3. BVM
4. Chest compressions
5. Intubation (Advanced)
6. Medications (Advanced)
At what rate should you ventilate a neonate that is not breathing after delivery
Accurate Answer - 40-60 per minute
What heart rate should a neonate have after delivery Accurate Answer
- Above 100
What should you do if a neonates pulse is below 100 Accurate Answer
- Ventilate with a BVM at 40-60 per minute
What should you do if a neonates pulse is below 60 Accurate Answer -
Start compressions and ventilations at a rate of 120 events per minute. 90
Compressions and 30 ventilations, a 3:1 ratio
When should supplemental oxygen be administered to a neonate
Accurate Answer - When the pulse is greater than 100 but the neonate has
persistant cyanosis and oxygen saturation remains low after 10 mintues after
delivery. Either by NRB or blow-by oxygen
Signs and symptoms of an asthma attack Accurate Answer - Patient
exhales forcefully, wheezing, shortness of breath, chest pain or tightness,
coughing
ANSWERS
Adult ventilation rate Accurate Answer - 10-12 breaths per minute
Child ventilation rate Accurate Answer - 12-20 breaths per minute
Infant ventilation rate Accurate Answer - 12-20 breaths per minute
How many abdominal thrusts do you perform at a time before rechecking the
airway for the foreign body obstruction Accurate Answer - 5, then
check for object and provide ventilations
Complications of positive pressure ventilations Accurate Answer -
Decreasing cardiac output/dropping blood pressure, gastric distention, and
hyperventilation
Which oxygen delivery device would you use for a patient who has adequate
breathing, speaks full sentences, is alert and calm Accurate Answer -
NRB or nasal cannula
Which oxygen delivery device would you use for a patient who has increasing
respiratory distress, visibly short of breath, speaking 3-4 word sentences, and
has increasing anxiety Accurate Answer - NRB
Which oxygen delivery device would you use for a patient who has severe
respiratory distress, speaking 1-2 word sentences, very diaphoretic, and has
severe anxiety Accurate Answer - Assisted ventilations:
1. Pocket face mask
2. Bag-valve mask (2 person)
3. FROPVD
4. Bag-valve mask (1 person)
Which oxygen delivery device would you use for a patient who continues to
deteriorate, sleepy with head-bobbing, and becomes unarousable
Accurate Answer - Assisted ventilations:
1. Pocket face mask
2. Bag-valve mask (2 person)
,3. FROPVD
4. Bag-valve mask (1 person)
Which oxygen delivery device would you use for a patient who is in
respiratory arrest and is not breathing Accurate Answer - Assisted
ventilations:
1. Pocket face mask
2. Bag-valve mask (2 person)
3. FROPVD
4. Bag-valve mask (1 person)
Hypoxia Accurate Answer - insufficiency of oxygen in the body's
tissues
Major causes of hypoxia Accurate Answer - Patient trapped in a fire,
patient has emphysema, drug overdose that has a depressing effect on the
respiratory system, heart attack
Vital signs of hypoxia Accurate Answer - increased pulse and
respirations
Signs and symptoms of emphysema Accurate Answer - Shortness of
breath, wheezing, and coughing, possible weight loss
Signs and symptoms of a stroke Accurate Answer - One sided
weakness, headache, partial or complete loss of the ability to use words,
confusion, dizziness, impaired vision, high bp, unequal pupils, seizures
Signs and symptoms of myocardial infarction Accurate Answer -
Angina, shortness of breath, dizziness, faintness, and nausea
Patient care steps for a cardiac patient who becomes unresponsive
Accurate Answer - 1. Call help
2. Early CPR
3. AED
4. Transport
Side effects of epinephrine Accurate Answer - Increased heart rate,
pallor, dizziness, chest pain, headache, nausea, vomiting, anxiety
,Rules to follow when communicating with a patient who is experiencing a
behavioral or psychiatric emergency Accurate Answer - 1. Identify
yourself and your role
2. Speak slowly and clearly, use a calm and reassuring tone
3. Make eye contact
4. Listen, repeat what is said by the patient
5. Do not be judgemental, show compassion
6. Possitive body language
7. Acknowledge patients feelings
8. Do not enter personal space
9. Be alert of changes in emotional status
Signs and symptoms of hyperglycemia Accurate Answer - Chronic
thirst and hunger, increase urination, nausea, dehydration
Signs and symptoms of anxiety attack Accurate Answer - Sweating,
shortness of breath, chest pain, nausea, dizziness, fear
Signs and symptoms of tuberculosis Accurate Answer - Weight loss,
poor apetite, fever, night sweats, loss of energy
Patient care steps for a patient presenting with hyperthermia and moist, pale,
normal-to-cool skin Accurate Answer - 1. Remove patient from hot
environment
2. Administer oxygen by NRB
3. Loosen or remove clothing, fan without chilling
4. Put in supine position and elevate legs
5. If reponsive and not nauseated, give small sips of water
6. Apply moist towels over cramped muscles
7. Transport
Patient care steps for a patient presenting with hyperthermia and hot, dry or
moist skin Accurate Answer - 1. Remove from hot environment
2. Remove patients clothing. Apply cool packs to neck, groin, and armpits.
Keep skin wet and fan patient
3. Administer oxygen
4. Transport
, What is your top concern with a patient with facial trauma Accurate
Answer - Airway. The need to suction or the possibility for obstructions
How to provide oxygen to pediatric patients with respiratory distress
Accurate Answer - Pediatric NRB but if patient does not tolerate use the blow-
by technique
How to provide oxygen to pediatric patients with respiratory failure or arrest
Accurate Answer - Assisted ventilations with pediatric pocket mask or BVM
Steps in the inverted pyramid of neonatal resuscitation Accurate
Answer - 1. Drying. Warming. Positioning. Suction. Tactile stimulation
2. Oxygen
3. BVM
4. Chest compressions
5. Intubation (Advanced)
6. Medications (Advanced)
At what rate should you ventilate a neonate that is not breathing after delivery
Accurate Answer - 40-60 per minute
What heart rate should a neonate have after delivery Accurate Answer
- Above 100
What should you do if a neonates pulse is below 100 Accurate Answer
- Ventilate with a BVM at 40-60 per minute
What should you do if a neonates pulse is below 60 Accurate Answer -
Start compressions and ventilations at a rate of 120 events per minute. 90
Compressions and 30 ventilations, a 3:1 ratio
When should supplemental oxygen be administered to a neonate
Accurate Answer - When the pulse is greater than 100 but the neonate has
persistant cyanosis and oxygen saturation remains low after 10 mintues after
delivery. Either by NRB or blow-by oxygen
Signs and symptoms of an asthma attack Accurate Answer - Patient
exhales forcefully, wheezing, shortness of breath, chest pain or tightness,
coughing
