NREMT COGNITIVE EXAM 2023 WITH 100% CORRECT ANSWERS

In trauma a low pulse pressure suggests? Significant blood loss Blood pressure has a direct effect on? The perfusion of the bodys tissues Cells that die during a stroke are called? Infarcted cells You are called to a home where a 91 year old man has had a syncopal episode and is vomiting. The caregiver who called 911 stated that the patient's bowel movements have been bright red since yesterday. The patient has not complained of any pain, but is nauseated. What is most likely wrong with this man and which choice includes appropriate treatment steps? Choices: A. He has an upper GI bleed and should be transported sitting up with high flow O2 administered via a non rebreather mask at 15 LPM. B. He has had a TIA and should be given high flow oxygen via NRB and transported on his effected side to the nearest hospital. C. He has pancreatitis and should be given high flow O2 via NRB at 15 LPM. Rapid transport in a left lateral recumbent position while keeping him warm will help avoid shock. D. He has a lower GI bleed and should be given O2 via nasal cannula at 4LPM and transported in a position of comfort while treating for shock D. He has a lower GI bleed and should be given O2 via nasal cannula at 4LPM and transported in a position of comfort while treating for shock Rationale: The bright red blood in the bowel movements is indicative of a lower GI bleed. Answer 1,2, and 3 all utilize an NRB to deliver high flow O2. Given that the patient is vomiting and nauseated, it would be advisable to use a nasal cannula, rather than an NRB, to help avoid potential airway compromise if the patient continues to vomit. If a patient was feeling nauseated this would likely be a_______________response. If a person was tachycardic it would likely be a___________________ response. Parasympathetic/Sympathetic You are assessing an 84 year old man. Upon auscultation of the lungs you discover crackles or rale sounds. He is complaining of chest pain and congestion. These signs and symptoms can indicate? Choices: A. An embolism B. Collapse of the vena cava C. Left ventricular failure D. Right ventricular failure C. Left ventricle failure Rationale: These are signs and symptoms of a possible failure of the left ventricle. The pump portion of the heart is unable to pump efficiently and fluid begins to back up into the lungs. A child between 3-5 would have normal vitals if they were? Choices: A. 35 breaths a minute, pulse of 88, and Systolic BP of 100 B. 24 breaths a minute, pulse of 76, and Systolic BP of 98 C. 20 breaths a minute, pulse of 100, and Systolic BP of 110 D. 20 breaths a minute, pulse of 120, and Systolic BP of 120 20 breaths a minute, pulse of 100, and Systolic BP of 110 Rationale: A child between 3 and 5 (preschool-age) should have respirations between 20-30, a pulse of 80-120, and a systolic BP of 80 - 110. (Toddler 12 to 36 months)