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Nremt Practice Test Bank Questions Updated With Verified Solutions 2024

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Nremt Practice Test Bank Questions Updated With Verified Solutions 2024 Hypoglycemia vand vacute vischemic vstroke vcan vpresent vsimilarly vbecause: • vA:both voxygen vand vglucose vare vneeded vfor vbrain vfunction. • vB:the vmajority vof vstroke vpatients vhave va vhistory vof vdiabetes. • vC:the vmost vcommon vcause vof va vstroke vis vhypoglycemia. • vD:they vare vboth vcaused vby vlow vlevels vof vglucose vin vthe vblood. v- vcorrect vanswer v: v• vA:both voxygen vand vglucose vare vneeded vfor vbrain vfunction. Reason: vAlthough vstroke vand vhypoglycemia vare vtwo vdistinctly vdifferent vconditions, vtheir vsigns vand vsymptoms vare voften vsimilar. vThis vis vbecause vthe vbrain vrequires vboth voxygen vand vglucose vto vfunction vnormally. vAn vacute vischemic vstroke vis vcaused vby va vlack vof voxygen vto va vpart vof vthe vbrain vdue vto va vblocked vcerebral vartery, vwhereas vhypoglycemia v(low vblood vglucose vlevel) vdeprives vthe ventire vbrain vof vglucose. vIn veither vcase, vthe vpatient vpresents vwith vsigns vof vimpaired vbrain vfunction v(ie, vslurred vspeech, vweakness, valtered vmental vstatus). vBoth vconditions vmay vlead vto vpermanent vbrain vdamage vor vdeath vif vnot vtreated vpromptly. When vdealing vwith van vemotionally vdisturbed vpatient, vyou vshould vbe vMOST vconcerned vwith: • vA:gathering vall vof vthe vpatient's vmedications. • vB:safely vtransporting vto vthe vhospital. • vC:whether vthe vpatient vcould vharm vyou. • vD:obtaining va vcomplete vmedical vhistory. v- vcorrect vanswer v: vYou vselected vC; vThis vis vcorrect! Reason: vWhen vmanaging vany vpatient vwith van vemotional vor vpsychiatric vcrisis, vyour vprimary vconcern vis vyour vown vsafety. vSafely vtransporting vthe vpatient vto vthe vhospital vis vyour vultimate vgoal. vIf vpossible, vyou vshould vattempt vto vobtain va vmedical vhistory vand vshould vtake vany vof vthe vpatient's vprescribed vmedications vto vthe vhospital. vHowever, vthis vshould vnot vsupercede vyour vown vsafety vor vinterfere vwith vsafely vtransporting vthe vpatient. You vare vat vthe vscene vwhere va vman vpanicked vwhile vswimming vin va vsmall vlake. vYour vinitial vattempt vto vrescue vhim vshould vinclude: • vA:rowing va vsmall vraft vto vthe vvictim. • vB:reaching vfor vthe vvictim vwith va vlong vstick. • vC:throwing va vrope vto vthe vvictim. • vD:swimming vto vthe vvictim vto vrescue vhim. v- vcorrect vanswer v: vYou vselected vB; vThis vis vcorrect! Reason: vGeneral vrules vto vfollow vwhen vattempting vto vrescue va vpatient vfrom vthe vwater vinclude v"reach, vthrow, vrow, vand vthen vgo." vIn vthis vcase, vyou vshould vattempt vto vreach vthe vvictim vby vhaving vhim vgrab vhold vof va vlarge vstick vor vsimilar vobject. vIf vthis vis vunsuccessful, vthrow vthe vvictim va vrope vor vflotation vdevice v(if vavailable). vIf vthese vare vnot vavailable, vrow vto vthe vpatient vin va vsmall vraft v(if vavailable). vGoing vinto vthe vwater vto vretrieve vthe vvictim vis va vlast vresort. vThe vrescuer vmust vbe va vstrong vswimmer vbecause vpatients vwho vare vin vdanger vof vdrowning vare vin va vstate vof vblind vpanic vand vwill vmake vevery vattempt vto vkeep vthemselves vafloat, veven vif vit vmeans vforcing vthe vrescuer vunderwater. How vshould vyou vclassify va vpatient's vnature vof villness vif vhe vor vshe vhas va vlow vblood vglucose vlevel, vbizarre vbehavior, vand vshallow vbreathing? • vA:Behavioral vemergency • vB:Altered vmental vstatus • vC:Respiratory vemergency • vD:Cardiac vcompromise v- vcorrect vanswer v: vThe vcorrect vanswer vis vB; Reason: vThe vnature vof villness v(NOI) vis vthe vmedical vequivalent vto vmechanism vof vinjury v(MOI). vAltered vmental vstatus vshould vbe vthe vsuspected vNOI vin vany vpatient vwith vany vfluctuation vin vlevel vof vconsciousness, vwhich vcan vrange vfrom vbizarre vbehavior vto vcomplete vunresponsiveness. vCauses vof van valtered vmental vstatus vinclude vhypo- vor vhyperglycemia, vhead vtrauma, vstroke, vbehavioral vcrises, vdrug voverdose, vand vshock, vamong vothers. A vyoung vfemale vis vunresponsive vafter voverdosing von van vunknown vtype vof vdrug. vHer vrespirations vare vslow vand vshallow vand vher vpulse vis vslow vand vweak. vWhich vof vthe vfollowing vdrugs vis vthe vLEAST vlikely vcause vof vher vcondition? • vA:Seconal • vB:Heroin • vC:Cocaine • vD:Valium v- vcorrect vanswer v: vThe vcorrect vanswer vis vC; Reason: vOf vthe vdrugs vlisted, vcocaine vwould vbe vthe vleast vlikely vcause vof vthe vpatient's vcondition. vCocaine vis va vcentral vnervous vsystem v(CNS) vstimulant; vyou vwould vexpect vher vto vbe vhypertensive, vtachycardic, vtachypneic, vand vperhaps veven vviolent. vHeroin, vValium, vand vSeconal vare vall vCNS vdepressants vand vcould vexplain vher vcondition. vHeroin vis van villegal vnarcotic v(opiate), vValium vis va vbenzodiazepine vsedative-hypnotic vdrug, vand vSeconal vis va vbarbiturate. vNarcotics, vbenzodiazepines, vand vbarbiturates vare vall vCNS vdepressants. vWhen vtaken vin vexcess, vthey vcause va vdecreased vlevel vof vconsciousness, vrespiratory vdepression, vbradycardia, vand vhypotension. Activated vcharcoal vis vcontraindicated vfor va vpatient vwho vis: • vA:conscious vand valert vand vhas vingested va vlarge vamount vof vMotrin. • vB:emotionally vupset vand vhas vingested vtwo vbottles vof vaspirin. • vC:agitated vand vclaims vto vhave vingested va vbottle vof vTylenol. • vD:awake vand valert vand vhas vswallowed va vcommercial vdrain vcleaner. v- vcorrect vanswer v: vYou vselected vD; vThis vis vcorrect! Reason:Activated vcharcoal vadsorbs v(sticks vto) vmany vingested vsubstances, vpreventing vthem vfrom vbeing vabsorbed vinto vthe vbody vby vthe vstomach vor vintestines. vIn vsome vcases, vyou vmay vgive vactivated vcharcoal vto vpatients vwho vhave vingested vcertain vsubstances, vif vapproved vby vmedical vcontrol vor vlocal vprotocol. vActivated vcharcoal vis vcontraindicated vfor vpatients vwho vhave vingested van vacid vor valkali v(ie, vdrain vcleaner) vor va vpetroleum vproduct v(ie, vgasoline), vwho vhave va vdecreased vlevel vof vconsciousness vand vcannot vprotect vtheir vown vairway, vor vwho vare vunable vto vswallow. The vMOST vobvious vway vto vreduce vheat vloss vfrom vradiation vand vconvection vis vto: • vA:move vaway vfrom va vcold vobject. • vB:increase vmetabolism vby vshivering. • vC:wear va vthick vwind-proof vjacket. • vD:move vto va vwarmer venvironment. v- vcorrect vanswer v: vyou vselected vD; vThis vis vcorrect! Reason:In va vcold venvironment, vthe vbody vhas vtwo vways vof vstaying vwarm: vgenerating vheat v(thermogenesis) vand vreducing vheat vloss. vRadiation vis vthe vtransfer vof vheat vby vradiant venergy. vThe vbody vcan vlose vheat vby vradiation, vsuch vas vwhen va vperson vstands vin va vcold vroom. vConvection voccurs vwhen vheat vis vtransferred vto vcirculating vair, vas vwhen vcool vair vmoves vacross vthe vbody's vsurface. vA vperson vstanding vin vwindy vcold vweather, vwearing vlightweight vclothing, vis vlosing vheat vto vthe venvironment vmostly vby vconvection. vThe vquickest vand vmost vobvious vway vto vdecrease vheat vloss vfrom vradiation vand vconvection vis vto vmove vout vof vthe vcold venvironment vand vseek vshelter vfrom vwind. vShivering vincreases vthe vbody's vmetabolism vand vis va vmechanism vfor vgenerating vheat, vnot vreducing vheat vloss. vLayers vof vclothing vtrap vair vand vprovide vexcellent vinsulation; vthus, vlayered vclothing vdecreases vheat vloss vbetter vthan va vsingle, vthick vjacket. vConduction vis vthe vdirect vtransfer vof vheat vfrom va vpart vof vthe vbody vto va vcolder vobject vby vdirect vcontact, vas vwhen va vwarm vhand vtouches vcold vmetal vor vice. vThe vmost vobvious vway vto vdecrease vheat vloss vby vconduction vis vto vremove vyour vhand vfrom vthe vcold vobject. A vnear-drowning vis vMOST vaccurately vdefined vas: • vA:complications vwithin v24 vhours vfollowing vsubmersion vin vwater. • vB:immediate vdeath vdue vto vprolonged vsubmersion vin vwater. • vC:survival vfor vat vleast v24 vhours vfollowing vsubmersion vin vwater. • vD:death vgreater vthan v24 vhours vfollowing vsubmersion vin vwater. v- vcorrect vanswer v: vYou vselected vC; vThis vis vcorrect! Reason:Collectively, vdrowning vand vnear-drowning vare vreferred vto vas vsubmersion vinjuries. vDrowning vis vdefined vas vdeath vafter vsubmersion vin va vliquid vmedium, vusually vwater. vIn va vdrowning, vdeath vis veither vimmediate vor voccurs vwithin v24 vhours vfollowing vsubmersion. vNear-drowning vis vdefined vas vsurvival, vat vleast vtemporarily v(24 vhours), vafter vsubmersion. vIt vshould vbe vnoted, vhowever, vthat vcomplications vsuch vas vpneumonia vand vpulmonary vedema vcan vcause vdeath vgreater vthan v24 vhours vfollowing vsubmersion. vFor vthis vreason, vall vpatients vwith va vsubmersion vinjury vshould vbe vtransported vto vthe vhospital, veven vif vthey vappear vfine vat vthe vscene. A vyoung vwoman vreports vsignificant vweight vloss vover vthe vlast vmonth, vpersistent vfever, vand vnight vsweats. vWhen vyou vassess vher, vyou vnote vthe vpresence vof vdark vpurple vlesions vcovering vher vtrunk vand vupper vextremities. vYou vshould vsuspect: • vA:end-stage vcancer. • vB:HIV/AIDS. • vC:tuberculosis. • vD:rheumatic vfever. v- vcorrect vanswer v: vYou vselected vB; vThis vis vcorrect! Reason:Weight vloss, vfever, vand vnight vsweats vcould vindicate vtuberculosis vor vHIV/AIDS; vhowever, vthe vdark vpurple vlesions von vthe vskin, vwhich vare vcalled vKaposi's vsarcoma, vare vmalignant vskin vtumors vand vare va vclassic vfinding vin vpatients vin vthe vlater vstages vof vAIDS. A v48-year-old vmale vbecame vacutely vhypoxic, vexperienced va vseizure, vand vis vnow vpostictal. vThe vMOST veffective vway vto vprevent vanother vseizure vis vto: • vA:dim vthe vlights vin vthe vback vof vthe vambulance. • vB:place vhim vin vthe vrecovery vposition. • vC:administer vhigh-flow vsupplemental voxygen. • vD:give vhim voral vglucose vif vhe vcan vswallow. v- vcorrect vanswer v: vYou vselected vC; vThis vis vcorrect! Reason:You vshould vadminister vhigh-flow voxygen vto vall vpatients vwho vare vactively vseizing vand vto vpatients vwho vexperienced va vseizure vand vare vpostictal. vThis vis vespecially vtrue vif vthe vseizure vwas vcaused vby vhypoxia. vIncreasing vthe voxygen vcontent vof vthe vblood, vwhich vminimizes vhypoxia, vmay vprevent vanother vseizure. vThe vrecovery vposition vis vappropriate vfor vuninjured vpatients vwith va vdecreased vlevel vof vconsciousness vand vadequate vbreathing; vit vwill vhelp vmaintain vthe vairway vand vfacilitate vdrainage vof vsecretions vfrom vthe vmouth, vbut vwill vnot vprevent vanother vseizure. vOral vglucose vmay vprevent vanother vseizure vif vhypoglycemia vwas vthe vcause vof vthe vseizure. vYou vshould vdim vthe vlights vin vthe vback vof vthe vambulance vto vhelp vprevent vany vseizure, vnot vjust vthose vthat vare vcaused vby vhypoxia. Which vof vthe vfollowing vconditions vwould vbe vthe vLEAST vlikely vto vbe vpresent vin va vpatient vwho vwas vsubmerged vin vwater? • vA:Spinal vinjury • vB:Gastric vdistention • vC:Hyperglycemia • vD:Laryngospasm v- vcorrect vanswer v: vYou vselected vC; vThis vis vcorrect! Reason: vMany vfactors vcan vcontribute vto vor vresult vfrom va vsubmersion vinjury v(eg, vdrowning, vnear-drowning). vIt vis vnot vuncommon vfor va vperson vto vexperience va vspinal vinjury vafter vdiving vhead vfirst vinto vshallow vwater, vespecially vif vhe vor vshe vis vunder vthe vinfluence vof valcohol. vWhen va vswimmer vpanics, vhe vor vshe vinitially vswallows vlarge vamounts vof vwater, vresulting vin vgastric vdistention. vGastric vdistention vcan vcause vaspiration vif vthe vpatient vregurgitates vwater vduring vrescue vbreathing; vprotect vthe vairway! vDuring vthe vpanic vphase, vthe vvictim vexpends va vtremendous vamount vof venergy v(and vglucose) vfrom vflailing varound vin vthe vwater, vpossibly vresulting vin vhypoglycemia. vInhaling veven va vsmall vamount vof vfresh vor vsalt vwater vcan vseverely virritate vthe vlarynx, vwhich vsends vthe vmuscles vof vthe vlarynx vand vvocal vcords vinto vspasm v(laryngospasm), vresulting vin vairway vblockage vand vhypoxia. A v42-year-old vmale vpresents vwith vfever, va vsevere vheadache, vand va vstiff vneck. vHe vis vconscious, vbut vconfused. vHis vwife vtells vyou vthat vhe vdoes vnot vhave vany vmedical vproblems vand vdoes vnot vtake vany vmedications. vYou vshould vbe vMOST vsuspicious vfor: • vA:acute vstroke. • vB:influenza. • vC:meningitis. • vD:tuberculosis. ( v- vcorrect vanswer v: vYou vselected vC; vThis vis vcorrect! Reason:Meningitis vis van vinflammation vof vthe vprotective vcoverings vof vthe vbrain vand vspinal vcord v(meninges). vCommon vsigns vand vsymptoms vof vmeningitis vinclude vfever, vheadache, vneck vstiffness v(nuchal vrigidity), vand vvomiting. vAn valtered vmental vstatus vis vcommon vin vsevere vcases. vMeningococcal vmeningitis, vcaused vby va vbacterium, vis vthe vmost vcontagious vand vpotentially vfatal vtype vof vmeningitis. vThe vpatient's vsigns vand vsymptoms vare vnot vconsistent vwith vacute vstroke, vtuberculosis v(TB), vor vinfluenza v(the vflu). vAlthough vfever vis vcommon vwith vboth vTB vand vthe vflu, vneither vcauses vneck vstiffness. vAcute vstroke vmay vbe vassociated vwith va vheadache, vespecially va vhemorrhagic vstroke; vhowever, vstroke vpatients vtypically vdo vnot vhave va vfever. All vof vthe vfollowing vare vsigns vof vgastrointestinal vbleeding, vEXCEPT: • vA:melena. • vB:hematemesis. • vC:tachycardia. • vD:hemoptysis. v- vcorrect vanswer v: vYou vselected vD; vThis vis vcorrect! Reason:Signs vand vsymptoms vof vgastrointestinal v(GI) vbleeding vinclude vabdominal vpain; vvomiting vblood v(hematemesis); vthe vpassage vof vdark, vtarry vstools v(melena); vand vbright vred vrectal vbleeding v(hematochezia). vIf vblood vloss vis vsignificant, vthe vpatient vmay vhave vsigns vof vshock v(eg, vtachycardia, vdiaphoresis, vtachypnea, vhypotension). vHemoptysis v(coughing vup vblood) vis va vsign vof va vpulmonary vinjury, vnot vGI vbleeding. A v24-year-old vfemale vpresents vwith va vrash vto vher vleft vleg vand vswollen, vpainful vknee vjoints. vShe vtells vyou vthat vshe vand vher vfriends vreturned vfrom va vhiking vtrip vin vthe vmountains va vweek vago. vShe vis vconscious vand valert vwith va vblood vpressure vof v112/62 vmm vHg, va vpulse vof v84 vbeats/min, vand vrespirations vof v14 vbreaths/min. vHer vsymptoms vare vMOST vlikely vthe vresult vof: • vA:Rocky vMountain vspotted vfever. • vB:tetanus. • vC:Lyme vdisease. • vD:a vlocalized vallergic vreaction. v- vcorrect vanswer v: vYou vselected vC; vThis vis vcorrect! Reason:The vpatient's vsymptoms vand vher vhistory vof va vrecent vhiking vtrip vare vconsistent vwith vLyme vdisease, vwhich vwas vthe vresult vof va vtick vbite. vTicks vcan vcarry vtwo vinfectious vdiseases: vLyme vdisease vand vRocky vMountain vspotted vfever. vBoth vare vspread vthrough vthe vtick's vsaliva, vwhich vis vinjected vinto vthe vskin vwhen vthe vtick vattaches vitself. vThe vfirst vsymptom vof vLyme vdisease, va vrash vthat vmay vspread vto vseveral vparts vof vthe vbody, vbegins vabout v3 vdays vafter vthe vbite vof van vinfected vtick. vThe vrash vmay veventually vresemble va vtarget vbull's-eye vpattern vin vone vthird vof vpatients. vAfter va vfew vmore vdays vor vweeks, vpainful vswelling vof vthe vjoints, vparticularly vthe vknees, voccurs. vIf vrecognized vand vtreated vpromptly vwith vantibiotics, vmany vpatients vrecover vcompletely. vRocky vMountain vspotted vfever, vwhich vis vnot vlimited vto vthe vRocky vMountains, voccurs vwithin v7 vto v10 vdays vafter vbeing vbitten vby van vinfected vtick. vIts vsymptoms vinclude vnausea, vvomiting, vheadache, vweakness, vparalysis, vand vpossibly vcardiopulmonary vfailure. A v50-year-old vwoman vwho vis vconscious vand valert vcomplains vof va vsevere vmigraine vheadache. vWhen vcaring vfor vher, vyou vshould vgenerally vavoid: • vA:transporting vher vin va vsupine vposition. • vB:shining va vlight vinto vher vpupils. • vC:dimming vthe vlights vin vthe vambulance. • vD:applying vice vpacks vto vher vforehead. v- vcorrect vanswer v: vYou vselected vB; vThis vis vcorrect! Reason:Patients vwith vmigraine vor vcluster vheadaches vtypically vhave vphotophobia v(light vsensitivity). vAny vtype vof vbright vlight, vespecially vif vshone vdirectly vinto vthe veyes, vwill vcause vthe vpatient vwith va vheadache vunnecessary vsevere vpain. vDimming vthe vlights vin vthe vambulance vand vmaking vthe vpatient vas vcomfortable vas vpossible vare vthe vtreatments vof vchoice vfor va vpatient vwith va vheadache. vSome vpatients vbenefit vfrom vice vpacks vapplied vto vthe vforehead; vjust vbe vsure vto vwrap vthe vice vpack vwith vroller vgauze. vOxygen valso vshould vbe vadministered vas vneeded. vTypically, vthe vpatient vwill vprefer vto vlie vsupine vor von vthe vside A vpatient vwho voverdosed von vheroin vwould vbe vexpected vto vpresent vwith: • vA:tachycardia. • vB:hyperpnea. • vC:hypotension. • vD:dilated vpupils. v- vcorrect vanswer v: vThe vcorrect vanswer vis vC; Reason:Heroin vis va vSchedule vI v(illegal) vnarcotic vthat vis vtypically vinjected. vAs vwith vall vnarcotics, vlegal vor villegal, voverdose vcauses vdepression vof vthe vcentral vnervous vsystem v(CNS), vresulting vin va vdecreased vlevel vof vconsciousness; vbradycardia; vhypotension; vand vslow, vshallow v(reduced vtidal vvolume) vbreathing. vHyperpnea v(deep vbreathing) vwould vnot vbe vpresent vin va vpatient vwho voverdosed von va vnarcotic. vIn va vnarcotic voverdose, vthe vpupils vare vtypically vconstricted v(miosis). vBarbiturates, vsuch vas vphenobarbital, vare valso vCNS vdepressants vand vcause vthe vsame vsymptoms vseen vwith vnarcotic voverdose. vThe vpatient's vpupils, vhowever, vare vtypically vdilated v(mydriasis), vnot vconstricted. When vcaring vfor vany vpatient vwith va vdecreased vlevel vof vconsciousness, vyour vprimary vconcern vshould vbe vthe: • vA:potential vfor vairway vcompromise. • vB:patient's vblood vglucose vlevel. • vC:possibility vof va vspinal vinjury. • vD:possibility vof va vdrug voverdose. v- vcorrect vanswer v: vYou vselected vA; vThis vis vcorrect! Reason:Altered vmental vstatus vcould vbe vcaused vby va vhigh vor vlow vblood vglucose vlevel, vdrug voverdose, vor vhead vinjury, vamong vother vcauses. vFurthermore, vthe vpossibility vof va vspinal vinjury vshould vbe vconsidered vif vthe vpatient vwas vinjured. vHowever, vyour vprimary vconcern vshould vbe vthe vstatus vof vthe vpatient's vairway. vPatients vwith va vdecreased vlevel vof vconsciousness vare vat vrisk vfor vaspiration vif vvomiting voccurs. vUnless vspinal vtrauma vis vpresent vor vthe vpatient vis vbreathing vinadequately v(eg, vfast vor vslow vrate, vshallow vbreathing v[reduced vtidal vvolume]), vplace vhim vor vher vin vthe vrecovery vposition vto vfacilitate vdrainage vif vvomiting voccurs. vRemember vthis: vno vairway, vno vpatient! A v16-year-old, v125-pound vmale vingested va vbottle vof vaspirin vapproximately v20 vminutes vago. vMedical vcontrol vorders vyou vto vadminister vactivated vcharcoal vin va vdose vof v1 vg/kg. vHow vmuch vactivated vcharcoal vshould vyou vadminister? • vA:54 vg • vB:60 vg • vC:51 vg • vD:57 vg v- vcorrect vanswer v: vYou vselected vD; vThis vis vcorrect! Reason: vFirst, vyou vmust vdetermine vthe vpatient's vweight vin vkilograms v(kg). vEither vof vthe vfollowing vformulae vcan vbe vused vto vconvert vpounds vto vkilograms: vFormula v1: vweight v(in vpounds) v÷ v2.2 v= vweight vin vkg. vFormula v2: vweight v(in vpounds) v÷ v2 v- v10% v= vweight vin vkg. vOn vthe vbasis vof vthe vabove vformulae, va v125-pound vpatient vweighs v57 vkg. vUsing vformula v1, vthe vequation vis vas vfollows: v125 v(weight vin vpounds) v÷ v2.2 v= v56.81 v(57 v[rounded vto vthe vnearest vtenth]). vUsing vformula v2, vthe vequation vis vas vfollows: v125 v(weight vin vpounds) v÷ v2 v= v62.5 v(63 v[rounded vto vthe vnearest vtenth] v- v6.3 v(10% vof v63) v= v56.7 v(57 v[rounded vto vthe vnearest vtenth]). vSince vthe vdrug vorder vis vfor v1 vg/kg, vyou vshould vadminister v57 vg vof vactivated vcharcoal vto vyour v125-pound vpatient. Which vof vthe vfollowing vis vthe vMOST vsignificant vfinding vin va vpatient vwith va vsevere vheadache? • vA:Pain vin vboth vlegs • vB:Chest vdiscomfort • vC:Unilateral vweakness • vD:Abdominal vtenderness v- vcorrect vanswer v: vYou vselected vC; vThis vis vcorrect! Reason: vUnilateral vweakness v(weakness von vone vside vof vthe vbody) vis va vclinically vsignificant vfinding vin va vpatient vwith va vheadache vbecause vit vcould vindicate va vstroke v(ischemic vor vhemorrhagic). vAbdominal, vchest, vand vleg vpain vare vnot vcommon vcomplaints vassociated vwith va vheadache, valthough vthey vshould vbe vnoted vand vinvestigated vif vthey vare vpresent. When vcaring vfor va vpatient vwith vsevere vhypothermia vwho vis vin vcardiac varrest, vyou vshould: • vA:perform vrescue vbreathing vonly. • vB:perform vBLS vand vtransport. • vC:avoid vusing vthe vAED. • vD:hyperventilate vthe vpatient. v- vcorrect vanswer v: vThe vcorrect vanswer vis vB; Reason:Patients vwith vsevere vhypothermia v(core vbody vtemperature v< v86°F) vwho vare vin vcardiac varrest vshould vbe vmanaged vwith vbasic vlife vsupport v(chest vcompressions vand vventilations), vpassive vexternal vrewarming v(ie, vremoval vof vwet vclothing, vapplying vwarm vblankets) vand vrapid vtransport vto vthe vhospital vwhere vthey vcan vbe vactively vrewarmed. vBecause vcold vmuscle vis va vpoor vconductor vof velectricity, vdefibrillation, vif vindicated, vshould vbe vlimited vto v1 vattempt vuntil vthe vpatient's vbody vtemperature vhas vbeen vincreased. vCardiac varrest vpatients vwith vsevere vhypothermia vgenerally vdo vnot vrespond vto vdefibrillation. vHyperventilation vshould vbe vavoided vas vthis vmay vincrease vintrathoracic vpressure vand vimpair vblood vflow vback vto vthe vheart. You vshould vnot vattempt vto vactively vrewarm va vpatient vwith vmoderate vor vsevere vhypothermia vin vthe vfield vbecause: • vA:rewarming vtoo vquickly vcan vcause va vfatal vcardiac vdysrhythmia.

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Nremt Practice Test Bank Questions Updated With
Verified Solutions 2024

Hypoglycemia vand vacute vischemic vstroke vcan vpresent vsimilarly vbecause:



• vA:both voxygen vand vglucose vare vneeded vfor vbrain vfunction.

• vB:the vmajority vof vstroke vpatients vhave va vhistory vof vdiabetes.

• vC:the vmost vcommon vcause vof va vstroke vis vhypoglycemia.

• vD:they vare vboth vcaused vby vlow vlevels vof vglucose vin vthe vblood. v- vcorrect vanswer v: v• vA:both voxygen
vand vglucose vare vneeded vfor vbrain vfunction.




Reason: vAlthough vstroke vand vhypoglycemia vare vtwo vdistinctly vdifferent vconditions, vtheir vsigns vand
vsymptoms vare voften vsimilar. vThis vis vbecause vthe vbrain vrequires vboth voxygen vand vglucose vto vfunction

vnormally. vAn vacute vischemic vstroke vis vcaused vby va vlack vof voxygen vto va vpart vof vthe vbrain vdue vto va

vblocked vcerebral vartery, vwhereas vhypoglycemia v(low vblood vglucose vlevel) vdeprives vthe ventire vbrain vof

vglucose. vIn veither vcase, vthe vpatient vpresents vwith vsigns vof vimpaired vbrain vfunction v(ie, vslurred vspeech,

vweakness, valtered vmental vstatus). vBoth vconditions vmay vlead vto vpermanent vbrain vdamage vor vdeath vif

vnot vtreated vpromptly.




When vdealing vwith van vemotionally vdisturbed vpatient, vyou vshould vbe vMOST vconcerned vwith:

• vA:gathering vall vof vthe vpatient's vmedications.

• vB:safely vtransporting vto vthe vhospital.

• vC:whether vthe vpatient vcould vharm vyou.

• vD:obtaining va vcomplete vmedical vhistory. v- vcorrect vanswer v: vYou vselected vC; vThis vis vcorrect!



Reason: vWhen vmanaging vany vpatient vwith van vemotional vor vpsychiatric vcrisis, vyour vprimary vconcern vis
vyour vown vsafety. vSafely vtransporting vthe vpatient vto vthe vhospital vis vyour vultimate vgoal. vIf vpossible, vyou

vshould vattempt vto vobtain va vmedical vhistory vand vshould vtake vany vof vthe vpatient's vprescribed

vmedications vto vthe vhospital. vHowever, vthis vshould vnot vsupercede vyour vown vsafety vor vinterfere vwith

vsafely vtransporting vthe vpatient.

,You vare vat vthe vscene vwhere va vman vpanicked vwhile vswimming vin va vsmall vlake. vYour vinitial vattempt vto
vrescue vhim vshould vinclude:



• vA:rowing va vsmall vraft vto vthe vvictim.

• vB:reaching vfor vthe vvictim vwith va vlong vstick.

• vC:throwing va vrope vto vthe vvictim.

• vD:swimming vto vthe vvictim vto vrescue vhim. v- vcorrect vanswer v: vYou vselected vB; vThis vis vcorrect!



Reason: vGeneral vrules vto vfollow vwhen vattempting vto vrescue va vpatient vfrom vthe vwater vinclude v"reach,
vthrow, vrow, vand vthen vgo." vIn vthis vcase, vyou vshould vattempt vto vreach vthe vvictim vby vhaving vhim vgrab

vhold vof va vlarge vstick vor vsimilar vobject. vIf vthis vis vunsuccessful, vthrow vthe vvictim va vrope vor vflotation

vdevice v(if vavailable). vIf vthese vare vnot vavailable, vrow vto vthe vpatient vin va vsmall vraft v(if vavailable). vGoing

vinto vthe vwater vto vretrieve vthe vvictim vis va vlast vresort. vThe vrescuer vmust vbe va vstrong vswimmer vbecause

vpatients vwho vare vin vdanger vof vdrowning vare vin va vstate vof vblind vpanic vand vwill vmake vevery vattempt vto

vkeep vthemselves vafloat, veven vif vit vmeans vforcing vthe vrescuer vunderwater.




How vshould vyou vclassify va vpatient's vnature vof villness vif vhe vor vshe vhas va vlow vblood vglucose vlevel, vbizarre
vbehavior, vand vshallow vbreathing?



• vA:Behavioral vemergency

• vB:Altered vmental vstatus

• vC:Respiratory vemergency

• vD:Cardiac vcompromise v- vcorrect vanswer v: vThe vcorrect vanswer vis vB;



Reason: vThe vnature vof villness v(NOI) vis vthe vmedical vequivalent vto vmechanism vof vinjury v(MOI). vAltered
vmental vstatus vshould vbe vthe vsuspected vNOI vin vany vpatient vwith vany vfluctuation vin vlevel vof

vconsciousness, vwhich vcan vrange vfrom vbizarre vbehavior vto vcomplete vunresponsiveness. vCauses vof van

valtered vmental vstatus vinclude vhypo- vor vhyperglycemia, vhead vtrauma, vstroke, vbehavioral vcrises, vdrug

voverdose, vand vshock, vamong vothers.




A vyoung vfemale vis vunresponsive vafter voverdosing von van vunknown vtype vof vdrug. vHer vrespirations vare
vslow vand vshallow vand vher vpulse vis vslow vand vweak. vWhich vof vthe vfollowing vdrugs vis vthe vLEAST vlikely

vcause vof vher vcondition?



• vA:Seconal

• vB:Heroin

• vC:Cocaine

,• vD:Valium v- vcorrect vanswer v: vThe vcorrect vanswer vis vC;



Reason: vOf vthe vdrugs vlisted, vcocaine vwould vbe vthe vleast vlikely vcause vof vthe vpatient's vcondition. vCocaine
vis va vcentral vnervous vsystem v(CNS) vstimulant; vyou vwould vexpect vher vto vbe vhypertensive, vtachycardic,

vtachypneic, vand vperhaps veven vviolent. vHeroin, vValium, vand vSeconal vare vall vCNS vdepressants vand vcould

vexplain vher vcondition. vHeroin vis van villegal vnarcotic v(opiate), vValium vis va vbenzodiazepine vsedative-

hypnotic vdrug, vand vSeconal vis va vbarbiturate. vNarcotics, vbenzodiazepines, vand vbarbiturates vare vall vCNS
vdepressants. vWhen vtaken vin vexcess, vthey vcause va vdecreased vlevel vof vconsciousness, vrespiratory

vdepression, vbradycardia, vand vhypotension.




Activated vcharcoal vis vcontraindicated vfor va vpatient vwho vis:

• vA:conscious vand valert vand vhas vingested va vlarge vamount vof vMotrin.

• vB:emotionally vupset vand vhas vingested vtwo vbottles vof vaspirin.

• vC:agitated vand vclaims vto vhave vingested va vbottle vof vTylenol.

• vD:awake vand valert vand vhas vswallowed va vcommercial vdrain vcleaner. v- vcorrect vanswer v: vYou vselected vD;
vThis vis vcorrect!




Reason:Activated vcharcoal vadsorbs v(sticks vto) vmany vingested vsubstances, vpreventing vthem vfrom vbeing
vabsorbed vinto vthe vbody vby vthe vstomach vor vintestines. vIn vsome vcases, vyou vmay vgive vactivated vcharcoal

vto vpatients vwho vhave vingested vcertain vsubstances, vif vapproved vby vmedical vcontrol vor vlocal vprotocol.

vActivated vcharcoal vis vcontraindicated vfor vpatients vwho vhave vingested van vacid vor valkali v(ie, vdrain

vcleaner) vor va vpetroleum vproduct v(ie, vgasoline), vwho vhave va vdecreased vlevel vof vconsciousness vand

vcannot vprotect vtheir vown vairway, vor vwho vare vunable vto vswallow.




The vMOST vobvious vway vto vreduce vheat vloss vfrom vradiation vand vconvection vis vto:

• vA:move vaway vfrom va vcold vobject.

• vB:increase vmetabolism vby vshivering.

• vC:wear va vthick vwind-proof vjacket.

• vD:move vto va vwarmer venvironment. v- vcorrect vanswer v: vyou vselected vD; vThis vis vcorrect!



Reason:In va vcold venvironment, vthe vbody vhas vtwo vways vof vstaying vwarm: vgenerating vheat
v(thermogenesis) vand vreducing vheat vloss. vRadiation vis vthe vtransfer vof vheat vby vradiant venergy. vThe vbody

vcan vlose vheat vby vradiation, vsuch vas vwhen va vperson vstands vin va vcold vroom. vConvection voccurs vwhen

vheat vis vtransferred vto vcirculating vair, vas vwhen vcool vair vmoves vacross vthe vbody's vsurface. vA vperson

, vstanding vin vwindy vcold vweather, vwearing vlightweight vclothing, vis vlosing vheat vto vthe venvironment
vmostly vby vconvection. vThe vquickest vand vmost vobvious vway vto vdecrease vheat vloss vfrom vradiation vand

vconvection vis vto vmove vout vof vthe vcold venvironment vand vseek vshelter vfrom vwind. vShivering vincreases

vthe vbody's vmetabolism vand vis va vmechanism vfor vgenerating vheat, vnot vreducing vheat vloss. vLayers vof

vclothing vtrap vair vand vprovide vexcellent vinsulation; vthus, vlayered vclothing vdecreases vheat vloss vbetter

vthan va vsingle, vthick vjacket. vConduction vis vthe vdirect vtransfer vof vheat vfrom va vpart vof vthe vbody vto va

vcolder vobject vby vdirect vcontact, vas vwhen va vwarm vhand vtouches vcold vmetal vor vice. vThe vmost vobvious

vway vto vdecrease vheat vloss vby vconduction vis vto vremove vyour vhand vfrom vthe vcold vobject.




A vnear-drowning vis vMOST vaccurately vdefined vas:

• vA:complications vwithin v24 vhours vfollowing vsubmersion vin vwater.

• vB:immediate vdeath vdue vto vprolonged vsubmersion vin vwater.

• vC:survival vfor vat vleast v24 vhours vfollowing vsubmersion vin vwater.

• vD:death vgreater vthan v24 vhours vfollowing vsubmersion vin vwater. v- vcorrect vanswer v: vYou vselected vC; vThis
vis vcorrect!




Reason:Collectively, vdrowning vand vnear-drowning vare vreferred vto vas vsubmersion vinjuries. vDrowning vis
vdefined vas vdeath vafter vsubmersion vin va vliquid vmedium, vusually vwater. vIn va vdrowning, vdeath vis veither

vimmediate vor voccurs vwithin v24 vhours vfollowing vsubmersion. vNear-drowning vis vdefined vas vsurvival, vat

vleast vtemporarily v(24 vhours), vafter vsubmersion. vIt vshould vbe vnoted, vhowever, vthat vcomplications vsuch

vas vpneumonia vand vpulmonary vedema vcan vcause vdeath vgreater vthan v24 vhours vfollowing vsubmersion.

vFor vthis vreason, vall vpatients vwith va vsubmersion vinjury vshould vbe vtransported vto vthe vhospital, veven vif

vthey vappear vfine vat vthe vscene.




A vyoung vwoman vreports vsignificant vweight vloss vover vthe vlast vmonth, vpersistent vfever, vand vnight vsweats.
vWhen vyou vassess vher, vyou vnote vthe vpresence vof vdark vpurple vlesions vcovering vher vtrunk vand vupper

vextremities. vYou vshould vsuspect:



• vA:end-stage vcancer.

• vB:HIV/AIDS.

• vC:tuberculosis.

• vD:rheumatic vfever. v- vcorrect vanswer v: vYou vselected vB; vThis vis vcorrect!



Reason:Weight vloss, vfever, vand vnight vsweats vcould vindicate vtuberculosis vor vHIV/AIDS; vhowever, vthe
vdark vpurple vlesions von vthe vskin, vwhich vare vcalled vKaposi's vsarcoma, vare vmalignant vskin vtumors vand vare

va vclassic vfinding vin vpatients vin vthe vlater vstages vof vAIDS.
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