OCEMT FINAL EXAM ACTUAL QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
2025/2026 |ALREADY GRADED A+
What are the respiratory rates when we should consider a BVM? - less than 8 ventilate, over
25
How do we determine adequate respirations? - equal chest rise and fall
improved skin signs
Wheezing - high pitched sound in lungs = lower airway
Ronchi - loud rumbling, thick secretions (congestion)
Crackles (Rales) - wet, gurgling
Stridor - strained, high-pitched sound
upper airway
Corrective action if we no longer see visible chest rise while performing PP ventilation -
reposition the airway
still not rise and fall = obstruction, so suction
Oxygen flow rates for: Nasal cannula - 1-6 L
Oxygen flow rates for: Non-rebreather mask - 10-15L
,Oxygen flow rates for: BVM - 15-25L
Oxygen flow rates for: Nebulized breathing treatment - 6-8L
What to ask and how to approach a patient who is possibly choking - "are you choking"
if conscious with airway patent= allow them to cough it out
if conscious with no airway= Heimlich
Witness patient collapses.......what should your first objective be - chest compressions
When do we simply encourage them to cough? - if they are moving air and they can talk a
little bit
How to treat a patient with a STOMA that is not with adequate respirations - BVM over
stoma, and suction if needed (frenchie if clogged)
When to treat a patient with humidified oxygen? Hint: think of croup in a pediatric patient. -
upper respiratory infection
breath in hot air
swollen airway = to help get swelling down
How to ask questions to a patient with extreme SOB (shortness of breathe) , what to ask and
when...... - onset and provoction
, sudden? onset?
NPA vs. OPA (when they are indicated and contra-indicated) - Not breathing
OPA = no gag relex, unconscious
NPA = gag reflex, conscious -- facial trauma
When to suction a patient and what suction catheter would be best for oropharynx -
secretions, gurgling sounds, airway not patent
yanker tip, rigid tip catheter
Signs and symptoms of "Spontaneous Pneumothorax" and "Tension Pneumothorax" - S.P =
diminished lung sounds to one side, fast breathing, increased heart rate, chest pain
T.P = JVD, TD, tachycardia, diminished lung sounds, hypnotic skin signs
Signs and symptoms of Pneumonia and its etiology - chills
fever
cough
wheezing/ crackles
green septum
treatment: bls or als, transport with O2
assess: lung sounds, respirations, vital signs
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
2025/2026 |ALREADY GRADED A+
What are the respiratory rates when we should consider a BVM? - less than 8 ventilate, over
25
How do we determine adequate respirations? - equal chest rise and fall
improved skin signs
Wheezing - high pitched sound in lungs = lower airway
Ronchi - loud rumbling, thick secretions (congestion)
Crackles (Rales) - wet, gurgling
Stridor - strained, high-pitched sound
upper airway
Corrective action if we no longer see visible chest rise while performing PP ventilation -
reposition the airway
still not rise and fall = obstruction, so suction
Oxygen flow rates for: Nasal cannula - 1-6 L
Oxygen flow rates for: Non-rebreather mask - 10-15L
,Oxygen flow rates for: BVM - 15-25L
Oxygen flow rates for: Nebulized breathing treatment - 6-8L
What to ask and how to approach a patient who is possibly choking - "are you choking"
if conscious with airway patent= allow them to cough it out
if conscious with no airway= Heimlich
Witness patient collapses.......what should your first objective be - chest compressions
When do we simply encourage them to cough? - if they are moving air and they can talk a
little bit
How to treat a patient with a STOMA that is not with adequate respirations - BVM over
stoma, and suction if needed (frenchie if clogged)
When to treat a patient with humidified oxygen? Hint: think of croup in a pediatric patient. -
upper respiratory infection
breath in hot air
swollen airway = to help get swelling down
How to ask questions to a patient with extreme SOB (shortness of breathe) , what to ask and
when...... - onset and provoction
, sudden? onset?
NPA vs. OPA (when they are indicated and contra-indicated) - Not breathing
OPA = no gag relex, unconscious
NPA = gag reflex, conscious -- facial trauma
When to suction a patient and what suction catheter would be best for oropharynx -
secretions, gurgling sounds, airway not patent
yanker tip, rigid tip catheter
Signs and symptoms of "Spontaneous Pneumothorax" and "Tension Pneumothorax" - S.P =
diminished lung sounds to one side, fast breathing, increased heart rate, chest pain
T.P = JVD, TD, tachycardia, diminished lung sounds, hypnotic skin signs
Signs and symptoms of Pneumonia and its etiology - chills
fever
cough
wheezing/ crackles
green septum
treatment: bls or als, transport with O2
assess: lung sounds, respirations, vital signs
