NREMT TEST BANK
TEST BANK NREMT PREDICTOR PREP
EXAM COMPLETE VERIFIED
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED RATIONALES)
|ALREADY GRADED A+
An elderly man is found unresponsive in his kitchen. The patient's wife tells you that her husband
has diabetes and that he took his insulin, but did not eat anything. You should suspect:
A:hypoglycemia.
B:ketoacidosis.
C:hyperglycemia.
D:diabetic coma. –
A+ TEST BANK 1
, NREMT TEST BANK
Correct Answer :A; This is correct!
Reason:
Several factors point to a field impression of hypoglycemia. First, the patient is known to have
diabetes and second, he took his insulin but did not eat. Because insulin promotes the uptake of
glucose into the cells, if the patient does not replace this glucose by eating, the glucose level in
the blood will fall to dangerously low levels. Hypoglycemia can also occur when a patient takes
too much of his or her insulin. Hyperglycemia occurs when a patient does not take his or her
insulin. In such cases, glucose accumulates in the bloodstream and is not able to enter the cell. In
the absence of glucose, the cells begin to metabolize fat, which results in the production of
ketoacids and leads to hyperglycemic ketoacidosis (diabetic coma, hyperglycemic crisis).
A middle-aged man was found floating facedown in a small pond. When you arrive at the scene,
bystanders are present, but nobody has removed him from the water because they thought he
was dead. After reaching the victim, you should:
A:stabilize his head as you remove it from the water and open his airway by tilting his head back.
B:float a buoyant backboard under him, remove him from the pond, and begin rescue breathing.
C:move him to a supine position by rotating the entire upper half of his body as a single unit.
D:grab him by his clothing, remove him from the pond, and assess for breathing and a pulse. –
Correct Answer :C;
Reason:
After safely reaching a drowning victim, you should first turn him to a supine position by rotating
the entire upper half of the body as a single unit; protect the cervical spine as you do this
A+ TEST BANK 2
, NREMT TEST BANK
because a spinal injury cannot be ruled out. Open the patient's airway, without manipulating the
neck, and begin rescue breathing while still in the water. Float a buoyant backboard under the
patient, secure him to it, and remove him from the water. After removing the victim from the
water, assess for a pulse. If the victim is pulseless, begin CPR, dry him off, and apply the AED as
soon as possible.
A man is experiencing a severe allergic reaction after being stung by a scorpion. He does not
have his own epinephrine; however, his wife is allergic to bees and has a prescribed epinephrine
auto-injector. You should:
A:provide rapid transport and consider an ALS rendezvous.
B:request an ALS unit to respond to the scene to administer epinephrine.
C:assist the patient with one half the usual dose of the wife's epinephrine.
D:assist the patient with the wife's prescribed epinephrine. –
Correct Answer :A; This is correct!
Reason:
If a patient does not have a prescribed epinephrine auto-injector and is experiencing a severe
allergic reaction, you should administer supplemental oxygen, assist the patient's ventilations if
needed, and transport without delay. Closely monitor the patient's airway and breathing status
en route and coordinate an ALS rendezvous if possible. If you carry an epinephrine auto-injector
on your ambulance and your protocols allow you to administer it, do so without delay.
Otherwise, the ALS unit will be able to administer epinephrine via the intramuscular or
intravenous route. Never assist a patient with a medication that is not prescribed to him or her
specifically.
A+ TEST BANK 3
, NREMT TEST BANK
When you arrive at a residence for a man who is "not acting right," you enter the house and find
him sitting on his couch. Which of the following findings would be MOST indicative of an altered
mental status?
A:Slurred speech.
B:Odor of alcohol.
C:Tired appearance.
D:Eyes are closed. –
Correct Answer :A; This is correct!
Reason:
Often, an altered mental status can be difficult to assess, especially if you do not know how the
patient normally acts. However, there are key findings that should increase your index of
suspicion. An abnormal speech pattern, such as slurring or incoherent words, can be the result of
a diabetic problem, alcohol intoxication, or drug ingestion. All of these can cause an altered
mental status. The odor of alcohol suggests intoxication as a potential cause of his problem, but
cannot be quantified. Just because the patient's eyes or closed or he has a tired appearance does
not necessarily indicate that he has an altered mental status.
When caring for any patient with a decreased level of consciousness, your primary concern
should be the:
A:possibility of a drug overdose.
B:possibility of a spinal injury.
C:potential for airway compromise.
D:patient's blood glucose level. - Correct Answer :C;
A+ TEST BANK 4
TEST BANK NREMT PREDICTOR PREP
EXAM COMPLETE VERIFIED
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED RATIONALES)
|ALREADY GRADED A+
An elderly man is found unresponsive in his kitchen. The patient's wife tells you that her husband
has diabetes and that he took his insulin, but did not eat anything. You should suspect:
A:hypoglycemia.
B:ketoacidosis.
C:hyperglycemia.
D:diabetic coma. –
A+ TEST BANK 1
, NREMT TEST BANK
Correct Answer :A; This is correct!
Reason:
Several factors point to a field impression of hypoglycemia. First, the patient is known to have
diabetes and second, he took his insulin but did not eat. Because insulin promotes the uptake of
glucose into the cells, if the patient does not replace this glucose by eating, the glucose level in
the blood will fall to dangerously low levels. Hypoglycemia can also occur when a patient takes
too much of his or her insulin. Hyperglycemia occurs when a patient does not take his or her
insulin. In such cases, glucose accumulates in the bloodstream and is not able to enter the cell. In
the absence of glucose, the cells begin to metabolize fat, which results in the production of
ketoacids and leads to hyperglycemic ketoacidosis (diabetic coma, hyperglycemic crisis).
A middle-aged man was found floating facedown in a small pond. When you arrive at the scene,
bystanders are present, but nobody has removed him from the water because they thought he
was dead. After reaching the victim, you should:
A:stabilize his head as you remove it from the water and open his airway by tilting his head back.
B:float a buoyant backboard under him, remove him from the pond, and begin rescue breathing.
C:move him to a supine position by rotating the entire upper half of his body as a single unit.
D:grab him by his clothing, remove him from the pond, and assess for breathing and a pulse. –
Correct Answer :C;
Reason:
After safely reaching a drowning victim, you should first turn him to a supine position by rotating
the entire upper half of the body as a single unit; protect the cervical spine as you do this
A+ TEST BANK 2
, NREMT TEST BANK
because a spinal injury cannot be ruled out. Open the patient's airway, without manipulating the
neck, and begin rescue breathing while still in the water. Float a buoyant backboard under the
patient, secure him to it, and remove him from the water. After removing the victim from the
water, assess for a pulse. If the victim is pulseless, begin CPR, dry him off, and apply the AED as
soon as possible.
A man is experiencing a severe allergic reaction after being stung by a scorpion. He does not
have his own epinephrine; however, his wife is allergic to bees and has a prescribed epinephrine
auto-injector. You should:
A:provide rapid transport and consider an ALS rendezvous.
B:request an ALS unit to respond to the scene to administer epinephrine.
C:assist the patient with one half the usual dose of the wife's epinephrine.
D:assist the patient with the wife's prescribed epinephrine. –
Correct Answer :A; This is correct!
Reason:
If a patient does not have a prescribed epinephrine auto-injector and is experiencing a severe
allergic reaction, you should administer supplemental oxygen, assist the patient's ventilations if
needed, and transport without delay. Closely monitor the patient's airway and breathing status
en route and coordinate an ALS rendezvous if possible. If you carry an epinephrine auto-injector
on your ambulance and your protocols allow you to administer it, do so without delay.
Otherwise, the ALS unit will be able to administer epinephrine via the intramuscular or
intravenous route. Never assist a patient with a medication that is not prescribed to him or her
specifically.
A+ TEST BANK 3
, NREMT TEST BANK
When you arrive at a residence for a man who is "not acting right," you enter the house and find
him sitting on his couch. Which of the following findings would be MOST indicative of an altered
mental status?
A:Slurred speech.
B:Odor of alcohol.
C:Tired appearance.
D:Eyes are closed. –
Correct Answer :A; This is correct!
Reason:
Often, an altered mental status can be difficult to assess, especially if you do not know how the
patient normally acts. However, there are key findings that should increase your index of
suspicion. An abnormal speech pattern, such as slurring or incoherent words, can be the result of
a diabetic problem, alcohol intoxication, or drug ingestion. All of these can cause an altered
mental status. The odor of alcohol suggests intoxication as a potential cause of his problem, but
cannot be quantified. Just because the patient's eyes or closed or he has a tired appearance does
not necessarily indicate that he has an altered mental status.
When caring for any patient with a decreased level of consciousness, your primary concern
should be the:
A:possibility of a drug overdose.
B:possibility of a spinal injury.
C:potential for airway compromise.
D:patient's blood glucose level. - Correct Answer :C;
A+ TEST BANK 4
