NREMT AEMT PREP| Exam Q&A|
(Complete Solutions) | #2025
What is the primary action of epinephrine when administered during an anaphylactic reaction?
It causes bronchodilation and vasoconstriction to reverse airway swelling and hypotension.
Which type of shock is characterized by warm, flushed skin and a normal capillary refill time in
its early stages?
Neurogenic shock.
What is the correct dose and route for administering 50% dextrose in a hypoglycemic adult
patient?
25-50 mL IV push.
When providing fluid resuscitation to a patient with suspected internal bleeding, what is the
target systolic blood pressure?
Maintain a systolic pressure of 80-90 mmHg.
What is the most reliable indicator of endotracheal tube placement in a prehospital setting?
Continuous waveform capnography.
What is the maximum time recommended to suction a patient's airway during advanced airway
management?
1
, 10 seconds.
During cardioversion, why is it critical to synchronize the shock with the R wave on the ECG?
To avoid inducing ventricular fibrillation by shocking during the T wave.
What is the priority treatment for a patient experiencing ventricular tachycardia with a pulse but
signs of instability?
Perform synchronized cardioversion.
How does a tension pneumothorax affect cardiac output?
It decreases cardiac output by compressing the heart and great vessels.
What is the appropriate needle size and site for decompression of a tension pneumothorax?
A 14-gauge needle in the second intercostal space at the midclavicular line.
Which medication is used to manage bradycardia in an adult, and what is the initial dose?
Atropine, 0.5 mg IV every 3-5 minutes, up to a maximum of 3 mg.
What is the most common cause of airway obstruction in an unconscious adult patient?
The tongue blocking the airway.
Which type of IV solution is most appropriate for a patient in hypovolemic shock?
2
, Normal saline or lactated Ringer's solution.
What is the first priority in managing a patient with suspected spinal cord injury at the scene of a
motor vehicle crash?
Stabilize the cervical spine.
What is the purpose of administering a nitroglycerin tablet to a patient experiencing chest pain?
To dilate coronary arteries and improve myocardial oxygen supply.
What are the hallmark signs of a basilar skull fracture?
Battle’s sign, raccoon eyes, and cerebrospinal fluid leakage from the nose or ears.
Why is glucagon administered in the prehospital setting for a hypoglycemic patient who does not
have IV access?
It stimulates glycogenolysis in the liver, increasing blood glucose levels.
When managing a patient with a suspected stroke, what is the most important time-sensitive
action in the prehospital phase?
Document the exact time the patient was last known to be normal.
What is the initial treatment for a patient presenting with supraventricular tachycardia and stable
vital signs?
3
, Perform a vagal maneuver.
What is the preferred ventilation rate for an adult patient with a pulse undergoing assisted
ventilation?
10-12 breaths per minute.
How do you calculate the total amount of fluid to administer to a burn patient in the first 24
hours using the Parkland formula?
4 mL x body weight (kg) x percentage of total body surface area burned.
In a patient with suspected opioid overdose, what is the correct initial dose of naloxone and
route?
0.4-2 mg IV, IM, or intranasal.
What is the most appropriate position for a pregnant trauma patient in her third trimester to
prevent supine hypotensive syndrome?
Tilt her to the left side by elevating the right hip.
Which type of medication is indicated for treating status asthmaticus in the prehospital setting?
Bronchodilators like albuterol via nebulizer.
What is the proper sequence of steps in managing a pulseless electrical activity (PEA) arrest?
4
(Complete Solutions) | #2025
What is the primary action of epinephrine when administered during an anaphylactic reaction?
It causes bronchodilation and vasoconstriction to reverse airway swelling and hypotension.
Which type of shock is characterized by warm, flushed skin and a normal capillary refill time in
its early stages?
Neurogenic shock.
What is the correct dose and route for administering 50% dextrose in a hypoglycemic adult
patient?
25-50 mL IV push.
When providing fluid resuscitation to a patient with suspected internal bleeding, what is the
target systolic blood pressure?
Maintain a systolic pressure of 80-90 mmHg.
What is the most reliable indicator of endotracheal tube placement in a prehospital setting?
Continuous waveform capnography.
What is the maximum time recommended to suction a patient's airway during advanced airway
management?
1
, 10 seconds.
During cardioversion, why is it critical to synchronize the shock with the R wave on the ECG?
To avoid inducing ventricular fibrillation by shocking during the T wave.
What is the priority treatment for a patient experiencing ventricular tachycardia with a pulse but
signs of instability?
Perform synchronized cardioversion.
How does a tension pneumothorax affect cardiac output?
It decreases cardiac output by compressing the heart and great vessels.
What is the appropriate needle size and site for decompression of a tension pneumothorax?
A 14-gauge needle in the second intercostal space at the midclavicular line.
Which medication is used to manage bradycardia in an adult, and what is the initial dose?
Atropine, 0.5 mg IV every 3-5 minutes, up to a maximum of 3 mg.
What is the most common cause of airway obstruction in an unconscious adult patient?
The tongue blocking the airway.
Which type of IV solution is most appropriate for a patient in hypovolemic shock?
2
, Normal saline or lactated Ringer's solution.
What is the first priority in managing a patient with suspected spinal cord injury at the scene of a
motor vehicle crash?
Stabilize the cervical spine.
What is the purpose of administering a nitroglycerin tablet to a patient experiencing chest pain?
To dilate coronary arteries and improve myocardial oxygen supply.
What are the hallmark signs of a basilar skull fracture?
Battle’s sign, raccoon eyes, and cerebrospinal fluid leakage from the nose or ears.
Why is glucagon administered in the prehospital setting for a hypoglycemic patient who does not
have IV access?
It stimulates glycogenolysis in the liver, increasing blood glucose levels.
When managing a patient with a suspected stroke, what is the most important time-sensitive
action in the prehospital phase?
Document the exact time the patient was last known to be normal.
What is the initial treatment for a patient presenting with supraventricular tachycardia and stable
vital signs?
3
, Perform a vagal maneuver.
What is the preferred ventilation rate for an adult patient with a pulse undergoing assisted
ventilation?
10-12 breaths per minute.
How do you calculate the total amount of fluid to administer to a burn patient in the first 24
hours using the Parkland formula?
4 mL x body weight (kg) x percentage of total body surface area burned.
In a patient with suspected opioid overdose, what is the correct initial dose of naloxone and
route?
0.4-2 mg IV, IM, or intranasal.
What is the most appropriate position for a pregnant trauma patient in her third trimester to
prevent supine hypotensive syndrome?
Tilt her to the left side by elevating the right hip.
Which type of medication is indicated for treating status asthmaticus in the prehospital setting?
Bronchodilators like albuterol via nebulizer.
What is the proper sequence of steps in managing a pulseless electrical activity (PEA) arrest?
4
