NREMT TEST BANK
NREMT PREDICTOR EXAM 2 TEST
BANK
COMPLETE VERIFIED QUESTIONS
AND CORRECT DETAILED ANSWERS
(VERIFIED RATIONALES) |ALREADY
GRADED A+
Which of the following is a common side effect of nitroglycerin?
• A:Nausea
• B:Headache
• C:Hypertension
• D:Anxiety –
Correct Answer :You selected B; This is correct!
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, NREMT TEST BANK
Reason:
Because nitroglycerin (NTG) causes vasodilation, including the vessels within the brain, cerebral
blood flow increases following the administration of NTG. This often causes a pounding
headache for the patient. As uncomfortable as it is for the patient, headaches are a common and
expected side effect of the drug. The vasodilatory effects of nitroglycerin could result in
hypotension; therefore, the patient's blood pressure should be carefully monitored. Nausea and
anxiety are common symptoms of acute coronary syndrome; they are not common side effects
of nitroglycerin.
While assessing a patient with chest pain, you note that his pulse is irregular. This indicates:
• A:acute myocardial infarction or angina pectoris.
• B:high blood pressure that is increasing cardiac workload.
• C:a dysfunction in the left side of the patient's heart
• D:abnormalities in the heart's electrical conduction system. –
Correct Answer :You selected D; This is correct!
Reason:
An irregular pulse indicates abnormalities in the electrical conduction system of the heart. The
electrical conduction system, beginning with the sinoatrial node as the primary pacemaker, is
responsible for initiating the electrical impulses that stimulate the myocardium to contract. An
irregular pulse could indicate potentially lethal arrhythmias that could result in cardiac arrest.
You should document an irregular pulse and report this important finding to the emergency
department.
Which of the following statements regarding the automated external defibrillator (AED) is
correct?
• A:AEDs can safely be used in infants and children less than 8 years of age
• B:AEDs will analyze the patient's rhythm while CPR is in progress
A+ TEST BANK 2
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• C:The AED should be applied to patients at risk for cardiac arrest
• D:The AED should not be used in patients with an implanted defibrillator –
Correct Answer :You selected A; This is correct!
Reason:
According to the 2010 guidelines for CPR and Emergency Cardiac Care (ECC), the AED can safely
be used in infants and children less than 8 years of age. Although a manual defibrillator is
preferred in infants, an AED can be used. When using the AED in infants and children, you should
use pediatric pads and a dose-attenuating system (energy reducer); however, if these features
are not available, adult AED pads should be used. The AED should only be applied to patients in
cardiac arrest; if a patient is at risk for cardiac arrest, have the AED ready but not applied. The
AED will not analyze the cardiac rhythm if the patient is moving (ie, CPR is in progress). AEDs can
be used in patients with an automated implanted cardioverter/defibrillator (AICD) or implanted
pacemaker; ensure that the pads are at least 1" away from the implanted device.
Which of the following is an abnormal finding when using the Cincinnati stroke scale to assess a
patient who presents with signs of a stroke?
• A:One arm drifts down compared with the other side.
• B:Both arms drift slowly and equally down to the patient's side.
• C:The patient's face is symmetrical when he or she smiles.
• D:One of the pupils is dilated and does not react to light. –
Correct Answer :The correct answer is A;
Reason:
The Cincinnati Stroke Scale is used to assess patients suspected of experiencing a stroke. It
consists of three tests: speech, facial droop, and arm drift. Abnormality in any one of these areas
indicates a high probability of stroke. To test arm drift, ask the patient to hold both arms in front
of his or her body, palms facing upward, with eyes closed and without moving. Over the next 10
seconds, observe the patient's arms. If one arm drifts down toward the ground, you know that
A+ TEST BANK 3
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side is weak; this is an abnormal finding. To test for facial droop, have the patient smile, showing
his or her teeth. The face should be symmetrical (both sides of the face should move equally). If
only one side of the face moves well, you know that something is wrong with the part of the
brain that controls the facial muscles. You should assess the pupils of a patient with a suspected
stroke; however, this is not a component of the Cincinnati Stroke Scale.
Shortly after assisting a 60-year-old woman with her second nitroglycerin treatment, she tells
you that she is lightheaded and feels like she is going to faint. Her symptoms are MOST likely due
to:
• A:low blood pressure.
• B:an irregular heartbeat.
• C:a drop in her blood sugar.
• D:nervousness and anxiety. –
Correct Answer :You selected A; This is correct!
Reason:
Nitroglycerin (NTG) is a vasodilator; as such, it may cause a drop in blood pressure (hypotension)
in some patients. Signs and symptoms of hypotension include dizziness, lightheadedness, and
fainting (syncope), among others. For this reason, you should always assess a patient's blood
pressure before and after administering nitroglycerin. If the patient's systolic BP is less than 100
mm Hg, NTG should not be given. The patient is probably nervous and anxious, and may even
have an irregular heartbeat; however, hypotension is a more likely cause of her symptoms. NTG
does not affect a patient's blood sugar level.
Shock following major trauma is MOST often the result of:
• A:head injury.
• B:long bone fractures.
• C:spinal injury.
• D:hemorrhage. –
A+ TEST BANK 4
NREMT PREDICTOR EXAM 2 TEST
BANK
COMPLETE VERIFIED QUESTIONS
AND CORRECT DETAILED ANSWERS
(VERIFIED RATIONALES) |ALREADY
GRADED A+
Which of the following is a common side effect of nitroglycerin?
• A:Nausea
• B:Headache
• C:Hypertension
• D:Anxiety –
Correct Answer :You selected B; This is correct!
A+ TEST BANK 1
, NREMT TEST BANK
Reason:
Because nitroglycerin (NTG) causes vasodilation, including the vessels within the brain, cerebral
blood flow increases following the administration of NTG. This often causes a pounding
headache for the patient. As uncomfortable as it is for the patient, headaches are a common and
expected side effect of the drug. The vasodilatory effects of nitroglycerin could result in
hypotension; therefore, the patient's blood pressure should be carefully monitored. Nausea and
anxiety are common symptoms of acute coronary syndrome; they are not common side effects
of nitroglycerin.
While assessing a patient with chest pain, you note that his pulse is irregular. This indicates:
• A:acute myocardial infarction or angina pectoris.
• B:high blood pressure that is increasing cardiac workload.
• C:a dysfunction in the left side of the patient's heart
• D:abnormalities in the heart's electrical conduction system. –
Correct Answer :You selected D; This is correct!
Reason:
An irregular pulse indicates abnormalities in the electrical conduction system of the heart. The
electrical conduction system, beginning with the sinoatrial node as the primary pacemaker, is
responsible for initiating the electrical impulses that stimulate the myocardium to contract. An
irregular pulse could indicate potentially lethal arrhythmias that could result in cardiac arrest.
You should document an irregular pulse and report this important finding to the emergency
department.
Which of the following statements regarding the automated external defibrillator (AED) is
correct?
• A:AEDs can safely be used in infants and children less than 8 years of age
• B:AEDs will analyze the patient's rhythm while CPR is in progress
A+ TEST BANK 2
, NREMT TEST BANK
• C:The AED should be applied to patients at risk for cardiac arrest
• D:The AED should not be used in patients with an implanted defibrillator –
Correct Answer :You selected A; This is correct!
Reason:
According to the 2010 guidelines for CPR and Emergency Cardiac Care (ECC), the AED can safely
be used in infants and children less than 8 years of age. Although a manual defibrillator is
preferred in infants, an AED can be used. When using the AED in infants and children, you should
use pediatric pads and a dose-attenuating system (energy reducer); however, if these features
are not available, adult AED pads should be used. The AED should only be applied to patients in
cardiac arrest; if a patient is at risk for cardiac arrest, have the AED ready but not applied. The
AED will not analyze the cardiac rhythm if the patient is moving (ie, CPR is in progress). AEDs can
be used in patients with an automated implanted cardioverter/defibrillator (AICD) or implanted
pacemaker; ensure that the pads are at least 1" away from the implanted device.
Which of the following is an abnormal finding when using the Cincinnati stroke scale to assess a
patient who presents with signs of a stroke?
• A:One arm drifts down compared with the other side.
• B:Both arms drift slowly and equally down to the patient's side.
• C:The patient's face is symmetrical when he or she smiles.
• D:One of the pupils is dilated and does not react to light. –
Correct Answer :The correct answer is A;
Reason:
The Cincinnati Stroke Scale is used to assess patients suspected of experiencing a stroke. It
consists of three tests: speech, facial droop, and arm drift. Abnormality in any one of these areas
indicates a high probability of stroke. To test arm drift, ask the patient to hold both arms in front
of his or her body, palms facing upward, with eyes closed and without moving. Over the next 10
seconds, observe the patient's arms. If one arm drifts down toward the ground, you know that
A+ TEST BANK 3
, NREMT TEST BANK
side is weak; this is an abnormal finding. To test for facial droop, have the patient smile, showing
his or her teeth. The face should be symmetrical (both sides of the face should move equally). If
only one side of the face moves well, you know that something is wrong with the part of the
brain that controls the facial muscles. You should assess the pupils of a patient with a suspected
stroke; however, this is not a component of the Cincinnati Stroke Scale.
Shortly after assisting a 60-year-old woman with her second nitroglycerin treatment, she tells
you that she is lightheaded and feels like she is going to faint. Her symptoms are MOST likely due
to:
• A:low blood pressure.
• B:an irregular heartbeat.
• C:a drop in her blood sugar.
• D:nervousness and anxiety. –
Correct Answer :You selected A; This is correct!
Reason:
Nitroglycerin (NTG) is a vasodilator; as such, it may cause a drop in blood pressure (hypotension)
in some patients. Signs and symptoms of hypotension include dizziness, lightheadedness, and
fainting (syncope), among others. For this reason, you should always assess a patient's blood
pressure before and after administering nitroglycerin. If the patient's systolic BP is less than 100
mm Hg, NTG should not be given. The patient is probably nervous and anxious, and may even
have an irregular heartbeat; however, hypotension is a more likely cause of her symptoms. NTG
does not affect a patient's blood sugar level.
Shock following major trauma is MOST often the result of:
• A:head injury.
• B:long bone fractures.
• C:spinal injury.
• D:hemorrhage. –
A+ TEST BANK 4
