2024 NREMT Paramedic Prep Questions And Answers Graded A+

A patient is experiencing a possible neurological emergency from a blunt force closed head injury. He is found to have abnormal pupillary reactions to light and has lost the ability to move his eyes from side to side to follow your finger movements. He is also unable to identify the number of fingers you are holding up. He reports he is able to see the fingers but is not able to focus enough to identify how many fingers are present. Which of the following cranial nerves should you suspect may be involved in his injury? A. Cranial nerves I, V, and VI B. Cranial nerves V and VII C. Cranial nerves IX and X D. Cranial nerves II, III, and IV - D. A patient suffering from an ST-elevation myocardial infarction or a presumably new-onset left bundle branch block may benefit from the use of fibrinolytic therapy if the agent is given promptly. How long does a patient have to receive the first fibrinolytic agent to salvage ischemic heart tissue? A. Within 12 hours of symptoms onset B. Within the first 90 minutes from symptom onsetC. Within 24 hours of symptoms onset D. Within the first hour ("golden hour") from symptom onset - A. According to the American Heart Association, healthcare providers should not attempt to alter glucose concentration within a specific range because of the increased risk of hypoglycemia. What is the suggested range? A. 60-90 mg/dL B. 80-110 mg/dL C. 186-202 mg/dL D. 110-160 mg/dL - B. After assisting a full-term pregnant patient in the delivery of her newborn, the newborn remains bradycardic with a heart rate of 50 beats per minute and exhibits cyanosis around his mouth, nose, fingers, and toes. He is not responding well and appears lethargic following the five-minute APGAR assessment. What would be the best initial intervention at this point to increase his heart rate?A. Deliver adequate artificial ventilation after ensuring a definitive airway B. Administer epinephrine 1:10,000 at 0.1 mg/mL intravenously C. Administer a vasopressor agent intravenously per medical command recommendations D. "Fast and hard" chest compressions at more than 120 compressions per minute - A. After assisting a pregnant patient to deliver her full-term newborn at home, you quickly dry the infant and open his airway to help begin spontaneous respiration. However, after a few seconds, you realize the newborn has copious secretions in his airway preventing effective spontaneous respiration. Which of the following should you do to safely and effectively clear the infant's airway? A. Use a portable suction machine with a rigid suction catheter to suction his posterior airway B. Use a bulb syringe to suction his nose first and his mouth second C. With assistance, use two bulb syringes to suction his mouth and nose simultaneously D. Use a bulb syringe to suction his mouth first and then his nose second - D.