NREMT Test Bank Exam(2024)Correctly Answered And Explanations / A GRADE

NREMT Test Bank Exam(2024)Correctly Answered And Explanations / A GRADE Which of the following is an example of an unsafe scene for an EMT-Basic to enter? A. Fifty-four-year old male with difficulty breathing B. Twenty-three-year old female with abdominal pain C. Eighteen-year old adolescent with a gunshot wound to the chest D. Four-year old child with leg pain correct answer C. Eighteen-year old adolescentwith a gunshot wound to the chest Reason: Any dispatch to a call with violence involved, such as a gunshot wound, must be secured by police prior to EMS involvement. The other calls do not give any inidication of being unsafe. The arterioles connect the and the capillaries. A. Veins B. Venules C. Arteries D. Vena cavae correct answer C. Arteries Reason: The path of blood flow goes from the heart to the aorta to the arteries to the arterioles to the capillaries to the venules to the veins to the vena cavae to the heart. Which of the following patients is at greatest risk for hypothermia? A. Thirty-year old firefighter B. Twelve-year old skier C. Forty-five year old EMT D. Seventy-year old librarian correct answer D. Seventy-year old librarian Reason: The very young and very old are greater rsk for hypothermia The zygomatic bones are located in the A. Chest B. Lower leg C. Back D. Face correct answer D. Face Reason: The zygomatic bones are the cheekbones Which of the following federal laws was created to prevent "patients dumping" and the practice of denying treatment to patients with no insurance? A. Emergency Medical Treatment and Active Labor Act (EMTALA) B. The White Paper Act C. Health Insurance Portability and Accountability Act (HIPAA) D. The Medical Practice Act of 1988 correct answer A. Emergency Medical Treatmentand Active Labor Act (EMTALA) Reason: The EMTALA was enacted by Congress in 1986 to ensure public access to emergency services regardless of their ability to pay. This act was also created to prevent hospitals from dumping their patients on other hospitals because of the patient's financial status. The White Paper (A) was not an act, but was a paper published in 1966 addressing the inadequacy of pre-hospital emergency medical care. The Health Insurance Portability and Accountability Act (HIPAA) (C) was created to protect the provacy of healthcare information. There is no such act as the Medical Practice Act of 1988 (D). When using air transport, the EMT-Basic should approach a helicopter A. From the uphill side B. From the rear C. Only when instructed by a helicopter crew member D. Under no circumstances, but instead allow the crew to come to them Correct answer C. Only when instructed by a helicopter crew member Reason: Helicopters are dangerous vechicles, and safety rules include never approaching from the uphill side because of the danger of the rotors, or from the rear because of the tail rotor. In addition, EMT-Basics should never approach until instructed by a helicopter crew member so that the patient loading can be coordinated safely. Not approaching the helicopter at all may be impractical due to patient care concerns. Which of the following should be noted as insignificant in conducting the patient assessment? A. Medication bottles B. Comments of bystanders and family members C. Physical condition of the patient D. Patient's medical insurance correct answer D. Patient's medical insurance Reason: (A), (B), and (C) are all significant in conducting patient assessment. A patient's medical insurance is not a consideration in treating emergency patients. Which of the following is NOT a component of the Glasgow Coma Scale? A. Eye opening B. Verbal response C. Motor response D. Tactile sensatory response correct answer D. Tactile sensatory response Reason: (A), (B), and (C) are all components of the Glasgow Coma Scale You have an EMT student riding with you one day. The student is studying for an upcoming test and cannot remember a legal term. The student knows that you must have four elements in order to prove this type of claim. The student knows that the four elements are duty, breach of duty, proximate cause, and harm caused. What term is the EMT student studying? A. Abandonment B. Simple negligence C. Gross negligence D. Malpractice - correct answer B. Simple negligence Reason: In order to prove simple (also called ordinary) negligence, there must be four elements; duty, breach of duty, proximate cause, and harm caused The head is to the chest. A. Inferior B. Anterior C. Superior D. Posterior correct answer C. Superior Reason: Superior refers to an upper region, so the head is considered superior to the chest, while the chest would be considered inferior to the head. Anterior is the front, and posterior is the back What does the "A" stand for in DCAP-BTLS A. Anascoria B. Arterial bleeding C. Alert response D. Abrasions correct answer D. Abrasions Reason: The "A" in DCAP-BTLS stands for abrasions There are vertebrae in the lumbar section A. 5 B. 12 C. 14 D. 19 correct answer A. 5 Reason: The cervical section of the spine has 7 vertebrae, the thoracic 12, the lumber 5, the sacral 5, and the coccyx 4 Signs and symptoms of post-traumatic stress disorder (PTSD) include the following EXCEPT A. Loss of sexual desire B. Loss of appetite C. Loss of interest in work D. Loss of spontaneity correct answer D. Loss of spontaneity Reason: Loss of spontaneity is not a characterisitc symptom of the post-traumatic stress disorder. The other answers are all symptoms of PTSD, and if they last longer than a few days, the EMT-Basic should be referred for professional help The letter "G" in the APGAR score stands for A. Grating B. Grimace C. Guarding D. Gurgling correct answer B. Grimace Reason: The baby's ability to make facial expressions is indicative of its ability to function in the outside world. Grating refers to rubbing of two organs together, guarding is when one protects a portion of the body with one's hands, and gurgling is the sound one makes when there is fluid in the oropharynx. None of these are indicators in the APGAR score You are dispatched to an auto accident on a local city street. You respond priority and arrive on scene with suitable precautions. The police are on scene. There is one victim, a woman seated in the car. Her car backed into another car as she was pulling out of her driveway at low speed. As you approach the car, she advises you that she is 36 weeks pregnant with her first child. She advises you that she has no injuries and no hemorrhaging and is not in any pain; however, she wishes to be checked out at the hospital. In what position should she be transported? A. Trendelenburg B. Fowler C. Left lateral recumbent D. Right lateral recumbent correct answer C. Left lateral recumbent Reason: Unless contraindicated by some other condition, women in their third trimester of pregnancy should be transported on their left side to prevent the weight of the child from compressing their vena cavae and causing circulatory problems, which could lead to impairment of consciousness and other complications. Trendelenburg is when the legs are elevated to help combat hypotension, and Fowler position is seated upright You respond to a 18-year old male patient who is threatening suicide. The fire department states that before you arrived, the patient told them that he wanted to kill himself. Now, the patient is telling you that he does not want to hurt himself and he just wants to be left alone. Which of the following is the most appropriate treatment? A. Explain the risks of staying at home with suicidal thoughts, and then have the patient sign a refusal form if he appears mentally competent. B. Inform the patient that because he told the fire department that he wants to hurt himself that he will have to go to the hospital. Have the police department assist you with ensuring that the patient is transported to the h