NREMT PRACTICE QUESTIONS WITH CORRECT ANSWERS GRADED A+

Your patient a 52 year old male complaining of dull, achy chest pains. He is alert and oriented but upon assessment, you notice his skin is pale, cool and clammy. What is your next step? - Administer Supplemental oxygen Cardiac Compromise - Any type of heart problem. Cardiac compromise is a blanket term used to describe any type of heart problem. As an EMT-B it allows you to identify cardiac problems without going above your scope of practice an AED is used to treat patients is - Ventricular fibrillation or ventricular tachycardia the normal heart rate for a new born (0-3 months) is - 140-160 the two flap valve located on the left side of the heart is the - Mitral Valve also known as the Bicuspid Valve. The three flap valve is called the Tricuspid valve Name the layers of the heart form the outside in - Epicardium, Myocardium, and Endocardium what complain is often used to describe chest pain resulting from a cardiac event - A ton of bricks. or an elephant sitting on my chest. A sharp stabbing pain is often a Pulmonary Embolism What artery carries deoxygenated blood and which vein carried oxygenated bleed? - Pulmonary artery, and Pulmonary vein which are not blood components that are responsible for clot formation - Plaque you are dispatched to a residence of a 46year old female patient who is in severe abdominal pain and vomited twice before your arrival. she ate cheesecake right before. what is the cause of her pain - acute gastroenteritis- may be caused by a bacterial or viral ingestion, toxic ingestion, or ingestion of lactose in a lactose intolerant patient. signs and symptoms include nausea, vomiting diarrhea, and abdominal cramping. your patient is a 32 year old male who was complaining of severe, crushing, feeling in the center of his chest and shortness of breath that began while he was mowing his lawn 45 mins prior to you arrival. he is now only responding to painful stimuli. presently his minute ventilation is still adequate, his pulse oximeter reads 95% on room air and you find his skin to be pale, cool, and diaphoretic. what would your initial action be. - 12-15 L Oxygen by nonrebreather you are called to a nursing home for a patient with swelling in her legs. Upon arrival you find a 76 year old patient sitting in a wheelchair. assessment confirms pitting edema to both lower legs you are able to palpate a dorsalis pedal pulse bilaterally. her skin is pink and dry. her lungs are clear bilaterally. which conditions do you suspect - chronic CHF. Edema to the legs or sacrum is often a result of right sided congestive heart failure. there may also be a jugular vein distention and ascites present as well. the most common cause of right sided heart failure is left sided heart failure. therefore, you may not s&s of left sided heart failure as a dry hacking couch or coughing up pink frothy sputum, shortness of breath orthopnea, paroxysmal nocturnal dyspnea and fatigue. you arrive on the scene of a patient who fell from a ladder. which of the following questions is NOT an important factor in care of the patient? - Height of the ladder You are dispatched to the scene of a 9 year old girl who has been struck by a car. Police are unable to reach her parents. what gives you the ability to treat the girl - implied consent you are dispatched to a call for a injured man. as you approach the door of the home, a man opens the door and tells you "this is none of your business" and to "get out of here". What is the correct course of action in this case? - return to the ambulance drive a safe distance away and call for police to help was correct If a patient refuses treatment and an EMT treats the patient anyway, what crime can the EMT be charged with. - battery This practice of protecting yourself and your patient from the transfer of bodily fluids is known as what? - Body substance isolation What Law provides protection from legal action to someone who provides help to an injured person? - good Samaritan law While responding, ambulances are particularly at risk of collisions in which areas? - intersections you have called an air medical service to come pick up you accident victim form your scene. The helicopter contacts you when they are 5 mins out they ask for landing zone (LZ) info. which of the following should be included in this safety brief - which of the following patients would be appropriate for air medical transport from your scene? - 55 year old male high speed motor cycle accident v.s. a cement highway barrier arriving on scene of a multi-car-accident, the in charge EMT tells dispatch that they have arrived and what they have found/ "squad 3 is on scene. there is a three car accident. all patients are out and walking on the scene" what is this information called? - scene size up while responding to a hazardous material incident, the EMT should approach the scene from - Up wind, up hill, and up river EMS should set up in which zone during a HazMat incident - Cold zone when is it acceptable to take a patient directly from the hot zone without going through decontamination - Never, no matter how sick the patient is they must be decontaminated Headlights are often overlooked as part of the emergency warning lighting system. Headlights should be used while - On the road When You arrive at the receiving facility you must transfer care to the ED staff. by giving a report to the attending nursing staff about the past medical history, the patients complaint assessment, and interventions you have just allowed for what? - continuity of care