NREMT Exam 1 Questions with Correct
Answers
Most severe dysrhythmia of the heart
Asystole
Asystole
indicates no electrical activity in the heart
PEA
indicates some residual electrical activity within the heart, but not enough for a pulse
Ventricular fibrillation
shockable rhythm, heart rhythm problem that occurs when the heart beats with rapid, erratic
electrical impulses. This causes pumping chambers in your heart (the ventricles) to quiver
uselessly, instead of pumping blood.
Ventricular tachycardia
shockable rhythm, in which the lower chambers of your heart (ventricles) beat very quickly
because of a problem in your heart's electrical system.
your heart may not be able to pump enough blood to your body and lungs because the
chambers are beating so fast that they don't have time to properly fill.
Cushing's triad
Sing of increased intracranial pressure
3 sings
1. Brachicardia
,2. hypertension
3. Altered respirations
After your paramedic partner has intubated an adult cardiac arrest patient, you are
providing ventilations as a firefighter performs chest compressions. When ventilating
the patient, you should?
Deliver each breathe over 1 second at a rate of 8 to 10 breathes per minute
When an advanced airway is in place, there is no pause in chest compressions to deliver
breaths.
An airway that is not completely obstructed
encourage to cough, heimlich is only performed on complete obstructions
Infant respiratory rate
25-50
Bradycardia
The condition of having a slow heartbeat, defined as under 60 beats per minute for an adult.
Hypertension
progressively increasing systolic blood pressure, leading to widening pulse pressure
Mediastinum
Region in mammals including the thoracic area just not the lungs, so the heart the trachea, the
thymus gland are all included in it
What are the two methods for opening the airway of an unconscious patient?
When would you use one over the other?
,Jaw-thrust and head-tilt chin-lift
spine injury
What is the main complication of suctioning the airway for more than 10 seconds?
Could lead to hypoxia
What flow rate for a nasal cannula and when should it be used
Flow rate: 1-6 lpm
When it's used: Nasal cannulas are used to deliver oxygen when a low flow, low or medium
concentration is required, and the patient is in a stable state.
When should you use a NRM and at what flow rate?
Use when patent needs oxygen but can breath on their own and is getting sufficient tidal
volume and O2 percent, flow rate of 10-15 lpm
When should you use a bag-valve mask and at what flow rate?
Use when patient is unconscious and not breathing adequately or isn't getting enough O2 or
has stopped breathing, use 10-15 lpm, if patient is breathing less than 12 times a min or more
than 24 use BVM and check to see if it's working by looking at rise and fall of chest
How would you ventilate a patient who has a Stoma?
If there is a tracheostomy tube in place put the BVM on that and ventilate (after taking mask
off) if no tube put a special mask over the stoma and if you don't have a special tracheostomy
stoma mask use a child or infant BVM mask
cover nose and mouth
What is the medicine inside an MDI and how does it work?
, A metered-dose inhaler (MDI) is a device that delivers a specific amount of medication to the
lungs, in the form of a short burst of aerosolized medicine that is usually self-administered by
the patient via inhalation.
Medications are things like Bronchodilators like albuterol
What are the indications of a MDI?
patients with known COPD or asthma with acute exacerbations.
patients without known respiratory disease who exhibit expiratory wheezing.
must be prescribed
What are the contraindications of a MDI?
Airflow obstruction due to foreign body
Airflow obstruction and an MI
Not used as the first drug to help with congestive heart failure
Hypersensitivity, tachycardia, MI.
What can albuterol treat?
Albuterol can quickly relieve shortness of breath, coughing, wheezing, and chest tightness.
relaxes muscles in the airways and increases air flow to the lungs.
Administering MDI
Shake for 30 sec, administer while patient inhales and encourage to hold breath
Dyspnea
Difficult or labored breathing
Retractions
Sign of increased muscle use for breathing, sings of someone having difficulty breathing
Answers
Most severe dysrhythmia of the heart
Asystole
Asystole
indicates no electrical activity in the heart
PEA
indicates some residual electrical activity within the heart, but not enough for a pulse
Ventricular fibrillation
shockable rhythm, heart rhythm problem that occurs when the heart beats with rapid, erratic
electrical impulses. This causes pumping chambers in your heart (the ventricles) to quiver
uselessly, instead of pumping blood.
Ventricular tachycardia
shockable rhythm, in which the lower chambers of your heart (ventricles) beat very quickly
because of a problem in your heart's electrical system.
your heart may not be able to pump enough blood to your body and lungs because the
chambers are beating so fast that they don't have time to properly fill.
Cushing's triad
Sing of increased intracranial pressure
3 sings
1. Brachicardia
,2. hypertension
3. Altered respirations
After your paramedic partner has intubated an adult cardiac arrest patient, you are
providing ventilations as a firefighter performs chest compressions. When ventilating
the patient, you should?
Deliver each breathe over 1 second at a rate of 8 to 10 breathes per minute
When an advanced airway is in place, there is no pause in chest compressions to deliver
breaths.
An airway that is not completely obstructed
encourage to cough, heimlich is only performed on complete obstructions
Infant respiratory rate
25-50
Bradycardia
The condition of having a slow heartbeat, defined as under 60 beats per minute for an adult.
Hypertension
progressively increasing systolic blood pressure, leading to widening pulse pressure
Mediastinum
Region in mammals including the thoracic area just not the lungs, so the heart the trachea, the
thymus gland are all included in it
What are the two methods for opening the airway of an unconscious patient?
When would you use one over the other?
,Jaw-thrust and head-tilt chin-lift
spine injury
What is the main complication of suctioning the airway for more than 10 seconds?
Could lead to hypoxia
What flow rate for a nasal cannula and when should it be used
Flow rate: 1-6 lpm
When it's used: Nasal cannulas are used to deliver oxygen when a low flow, low or medium
concentration is required, and the patient is in a stable state.
When should you use a NRM and at what flow rate?
Use when patent needs oxygen but can breath on their own and is getting sufficient tidal
volume and O2 percent, flow rate of 10-15 lpm
When should you use a bag-valve mask and at what flow rate?
Use when patient is unconscious and not breathing adequately or isn't getting enough O2 or
has stopped breathing, use 10-15 lpm, if patient is breathing less than 12 times a min or more
than 24 use BVM and check to see if it's working by looking at rise and fall of chest
How would you ventilate a patient who has a Stoma?
If there is a tracheostomy tube in place put the BVM on that and ventilate (after taking mask
off) if no tube put a special mask over the stoma and if you don't have a special tracheostomy
stoma mask use a child or infant BVM mask
cover nose and mouth
What is the medicine inside an MDI and how does it work?
, A metered-dose inhaler (MDI) is a device that delivers a specific amount of medication to the
lungs, in the form of a short burst of aerosolized medicine that is usually self-administered by
the patient via inhalation.
Medications are things like Bronchodilators like albuterol
What are the indications of a MDI?
patients with known COPD or asthma with acute exacerbations.
patients without known respiratory disease who exhibit expiratory wheezing.
must be prescribed
What are the contraindications of a MDI?
Airflow obstruction due to foreign body
Airflow obstruction and an MI
Not used as the first drug to help with congestive heart failure
Hypersensitivity, tachycardia, MI.
What can albuterol treat?
Albuterol can quickly relieve shortness of breath, coughing, wheezing, and chest tightness.
relaxes muscles in the airways and increases air flow to the lungs.
Administering MDI
Shake for 30 sec, administer while patient inhales and encourage to hold breath
Dyspnea
Difficult or labored breathing
Retractions
Sign of increased muscle use for breathing, sings of someone having difficulty breathing
