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Exam (elaborations)

NREMT Airway, Respiration, and Ventilation |130 questions with correct answers

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NREMT Airway, Respiration, and Ventilation |130 questions with correct answers

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Institution
NREMT
Course
NREMT

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Uploaded on
October 31, 2024
Number of pages
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Written in
2024/2025
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NREMT Airway, Respiration, and Ventilation |130
questions with correct answers
A 39-year-old female is lying in bed. When you assess her, which of the
following findings indicate an inadequate airway?
A. She has chest wall expansion with little abdominal wall movement.
B. She has an open pill bottle next to her bed.
C. She is lying on her side.
D. She is unresponsive and snoring. Correct Answer-She is unresponsive
and snoring.


Which of the following describes how albuterol helps a patient who is
having an asthma attack?
A. It decreases pulmonary capillary pressure.
B. It increases airway pressure in the alveoli.
C. It relaxes the smooth muscles of the bronchioles.
D. It reduces inflammation in the bronchus. Correct Answer-It relaxes
the smooth muscles of the bronchioles.


A 9-year-old male has partial-thickness burns around his mouth after
inhaling steam. He has a history of asthma and has had a cold for three
days. His mother tells you he has had chest congestion and she was
trying to break up the phlegm. He is drooling and tells you he cannot
swallow. You should first:
A. administer his metered-dose inhaler.
B. insert an oropharyngeal airway.

,C. begin transport.
D. assess his vital signs. Correct Answer-begin transport.


A 66-year-old male complains of difficulty breathing. He tells you that
his asthma attack began 20 minutes ago, and his inhaler isn't helping.
You auscultate wheezes in all lung fields and good chest rise with
accessory muscle use. His vital signs are P 96, R 24, BP 146/88, and
SpO2 is 93% on room air. You should suspect his minute ventilation is:
A. adequate and administer CPAP.
B. adequate and administer oxygen.
C. inadequate and assist his ventilation.
D. inadequate and administer oxygen. Correct Answer-adequate and
administer oxygen.


A 93-year-old female complains of a sudden onset of difficulty
breathing. She tells you that she has a history of breast cancer. She tells
you it is easier for her to breathe when she is sitting up. She has
decreased lung sounds when you auscultate her left mid-axillary line,
sixth intercostal space. Her vital signs are P 86, R 18, BP 144/92, and
SpO2 is 95% on room air. You should:
A. administer oxygen by nasal cannula.
B. administer oxygen by non-rebreather mask.
C. administer aspirin.
D. assist with the administration of her nitroglycerin. Correct Answer-
administer oxygen by nasal cannula.

,A 47-year-old male complains of difficulty breathing, and he cannot stop
coughing. His conjunctivae are pale and moist. He has a 40 pack-year
smoking history. You should first:
A. determine his past medical history.
B. collect a sample of his phlegm.
C. administer oxygen.
D. assess his vital signs. Correct Answer-administer oxygen.


You are ventilating an unresponsive 47-year-old male who is in
respiratory arrest. How should you determine that you are delivering
adequate tidal volume?
A. Look for slight chest rise.
B. Assess his pulse oximetry.
C. Auscultate for bronchial breath sounds.
D. Fully deflate the BVM. Correct Answer-Look for slight chest rise.


An unresponsive 7-month-old female is lying limp in her father's arms.
He tells you that she was having an asthma attack but is better now. Her
conjunctivae are pale and moist. You are only able to auscultate faint
wheezes in her upper chest. Her vital signs are P 76 and R 18. You
should first:
A. administer oxygen by non-rebreather mask.
B. assist her ventilation with a BVM.
C. assess her oxygen saturation level.
D. assist with the administration of her nebulized albuterol. Correct
Answer-assist her ventilation with a BVM.

, A 49-year-old male complains of a sore throat and has a muffled voice.
He tells you the sore throat started a week ago and has gotten worse. He
looks sick, and his skin is hot to the touch. He has a history of asthma.
You auscultate a slight high-pitched sound occasionally in his upper
airway. His vital signs are P 102, R 16, BP 132/84, and SpO2 is 93% on
room air. You should:
A. inspect his airway.
B. assist with the administration of his MDI.
C. place him supine.
D. administer oxygen. Correct Answer-administer oxygen.


An unresponsive 22-year-old male is lying on the ground outside a bar.
You do not see any chest rise but palpate a carotid pulse. You should
suspect:
A. respiratory arrest.
B. alcohol intoxication.
C. hypoglycemia.
D. head injury. Correct Answer-respiratory arrest.


An 11-year-old male who has a history of cystic fibrosis complains of
difficulty breathing. He tells you he has been coughing up thick mucus.
His vital signs are P 92, R 24, BP 118/76, and SpO2 is 91% on room air.
You should:
A. administer a bronchodilator.
B. apply CPAP.

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