NREMT PRACTICE QUESSTION (LATEST) QUESTIONS WITH 100% SOLVED SOLUTIONS!!

A 45 year old male patient is experiencing chest discomfort. after placing him in his position of comfort your next action should be? - Administer oxygen by nonrebreather mask at 15L/min (there is no info to indicate that the patient requires ventilator support any patient experiencing chest discomfort should receive the highest possible concentration of oxygen) a 64 year old female has just collapsed in cardiac arrest. you are alone. after your initial assessment you should give two ventilations then - analyze the rhythm, and deliver a shock if indicated (while ther is limited info that people extended periods of cardiac arrest may benefit form CPR before defibrillation, overwhelming info indicated that defibrillating very early in a "fresh" arrest situation will provide the best opportunity for correcting the most common cause of cardiac arrest- ventricular fibrillation) a female patient complains of chest discomfort. she tells you she has a heart condition and that she hasn't been feeling well for three or four days, which of the following would most lead you to believe the cause wasn't cardiac related? - fever and chillsRATIONAL: fever and chills most likely indicate an infectious process like pneumonia. this is the stongest indication that the problem is not cardiac in nature. while a slight elevatin in temperature may e seen in a cardiac event, fever and chilled indicate a significant infection. the 3-4 day duration of the symptoms also matches an illness like pneumonia Acute coronary syndrome is - a group of conditions brought on by reduced blood flow to the heart. (RATIONAL: Acute coronary syndrome is a term for a group of conditions that are caused by reduced blood flow to the heart. These conditions include myocardial infarction and unstable angina) an AED is used to treat patients is - Ventricular fibrillation or ventricular tachycardiaarriving 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 blue or grayish coloration of the skin caused by lack of oxygen in the blood is called> - cyanosis (cyanosis occurs when the oxygen saturation of arterial blood falls below 85-90%. it is often presented in the lips and nail beds first) 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 cyanosis can be checked by observing the patients___? - Nail beds (Early signs of cyanosis often presents more clearly in the nail beds and lips) Define Myocardial infarction - Myocardial infarction is a clinical term for heart attack- occurs when blood flow stops to part of the heart causing damage to the heart muscle. EMS should set up in which zone during a HazMat incident - Cold zone Headlights are often overlooked as part of the emergency warning lighting system. Headlights should be used while - On the road How do you care for a new born immediately after delivery - Dry the babyand keep them warm. assess the baby, baby should be moving and crying (both should be vigerous) Evaluate the babys breathing, heart rate If a patient refuses treatment and an EMT treats the patient anyway, what crime can the EMT be charged with. - batteryList the contraindications for use of an inhaler - -Patient has already taken the maximum dose -The patient is breathing inadequately and not able to bring the medication deep into the lungs -The inhaler is not the patients prescribed device (for assisting with the patients inhaler) -Medical direction has not approved or directed use of the inhaler List three considerations for scene management when caring for multiple births - Multiple births may be premature and require more aggressive care or resuscitation Multiple births create a "mini MCI" with the mother plus two or more neonates. make sure additional resources are called for early Not all patients (e.g. those who haven't had prenatal care) are aware they are carrying multiple babies. be alert for signs of additional pending births (e.g. large abdomen after delivering one baby) Name the layers of the heart form the outside in - Epicardium, Myocardium, and Endocardium Oral and nasal airway should be - used to keep the tongue from blocking the airway (when a patients is unconscious, the tongue has a tendency to fall back in the mouth and block the airway an oral or nasal airway is used to prevent this) Patients commonly describe heart attack pain as which of the following characteristics? - Crushing or squeezing (Myocardial pain is often difficult to determine because it can take on many different characteristics, however, patients most commonly describe the pain of a myocardial infarction as a crushing, squeezing pressure that radiates outward to the arms and upper back) Prolapsed umbilical cord - is on e the presents first(before the baby) during labor. this is a serious emergency because the babys head in the birth canal will occlude the cord against the vaginal wall and stop delivery of oxygen to the baby The correct flow of blood through the heart and lungs is - Inferior/Superior vena cavae, right atrium, right ventricle, lungs, left atrium, left ventricle, aortathe inability to move enough air required for adequate perfusion is known as what - Respiratory Failure (Respiratory failure is a medical term for inadequate gas exchange by the respiratory system. Respiratory failure can be indicated by observing a drop in O2 saturation and breathing rate/quality The normal heart rate for a child between the ages of The normal heart rate for a child over 6 is - 80-100 the normal heart rate for a new born (0-3 months) is - 140-160