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Exam (elaborations)

NREMT Exam || 2026 (Actual Exam) Questions with verified Answers (Latest Update 2026) UPDATE!!

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NREMT Exam || 2026 (Actual Exam) Questions with verified Answers (Latest Update 2026) UPDATE!!

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2/20/26, 1:12 PM NREMT Exam || 2026 (Actual Exam) Questions with verified Answers (Latest Update 2026) UPDATE!! Flashcards | Quizlet




NREMT Exam || 2026 (Actual Exam) Questions
with verified Answers (Latest Update 2026)
UPDATE!!

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Terms in this set (295)



cardiogenic shock -the type of shock caused by inadequate function
of the heart. This develops when the heart cannot
maintain sufficient output to meet the demands of
the body
-caused by any disease or event which prevents
heart pumping
-can occur directly after AMI up to 24 hours


Obstructive shock The type of shock that results when conditions that
cause mechanical obstruction of the cardiac
muscle also impact pump function
ex. cardiac tamponade, tension pneumothorax


Beck's triad Signs of a cardiac tamponade. JVD, narrowing BP
pressures, muffled heart sounds


Distributive shock The type of shock when there is widespread
dilation of the small arterioles, venules, or both.
Blood pools in the expanded vascular beds and
tissue perfusion decreases



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Types of distributive shock Septic shock caused by severe infections;
neurogenic shock caused by damage to the spinal
cord (bradycardia, low BP, warm skin); anaphylactic
shock caused by allergic reaction; psychogenic
shock


Hypovolemic shock The type of shock that results from an inadequate
amount of fluid or volume in the system
-15% of blood volume


How do you treat for shock? Keep the patient warm, control bleeding, put the
patient in a position of comfort, and administer
high-flow oxygen


brain damage without oxygen -without enough oxygen, cardiac arrest or brain
damage occurs within about 4 minutes
-permanent brain damage within 6 minutes
-death likely within 10 minutes


FBAO -signs of blockage include inability to cough or
speak or inability to ventilate patient
-bending patient forward at the waist, support
chest with one hand, use heel of hand to give 5
back blows between shoulder blades
-then 5 abdominal thrusts
-alternate between the two until object is
dislodged
-if patient loses consciousness, give CPR starting
with chest compressions
-given even if patient has a pulse, so don't check
-before giving breaths, look inside mouth for any
visible objects




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FBAO in children -using thigh for support, lay facing down along
forearm; ensure head is lower than the body
-give 5 firm back blows between blades
-5 chest thrusts; place 2 to 3 fingers in the middle
of the chest just below the nipples. push down 1.5
inches.
-alternate, unless lose consciousness, then CPR


mouse to mouth/mouth to nose -mouth to mouth performed when patient does not
have adequate breathing and artificial ventilation
not available
-open airway
-place barrier device
-pinch nose and form seal around patient's mouth
-check for FBAO if you do not see chest rise and
fall
-give 1 breath every 5 to 6 seconds for adults and 1
every 3 for peds


Steps of CPR Determine unresponsiveness. Check for breathing
for up to 10 seconds. Check carotid pulse for up to
10 seconds. Begin CPR until AED is available. Give
30 compressions at 100 beats/min and then 2
breaths over the course of 1 second. Once an
advanced airway is inserted, ventilate at a rate of 8-
10 breaths/min and do not stop compressions.


This is exactly the same for children, except two-
rescuer CPR is 15:2. If patient experiences a return
of spontaneous circulation, ventilate at a rate of 10-
12 breaths/min.




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compression to breath ratios under 8 years old:
-2 provider: 15:2
-1 provider: 30:2
-one third of chest diameter


older:
-30:2 always
-2 inches


AED procedure -if cardiac arrest was not seen by EMS, give 5
cycles of 30:2 before defibrillating
-if cardiac arrest was seen, one EMT begins
compressions and the other applies AED
-if only one EMT available, apply AED immediately
-check for pulse 2 minutes after defib
-if no shockable rhythm, wait 2 minutes and re-
analyze


When to place left lateral If patient has adequate breathing and is uninjured.
To maintain a patent airway in an unresponsive
patient.


What to do if you fail to ventilate If the breath doesn't go in successfully, reposition
the patient and try again. If there is still nothing,
assume there is a foreign body obstruction and
begin CPR on an unresponsive apneic patient.
Continue to attempt ventilations and open the
mouth and look in every time.


Pneumothorax signs -dyspnea, pleuritic chest pain that worsens during
inspiration and expiration, absent or decreased
breath sounds
-rupture of visceral lining




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