NREMT EMT Cognitive Final Exam 2023/2024

NREMT EMT Cognitive Final Exam 2023/2024 When assessing a conscious patient with an MOI that suggests spinal injury, you should: - CORRECT ANSWER-determine if the strength in all extremities is equal. During your assessment of a 20-year-old man with a severe headache and nausea, you ask him when his headache began, but he does not answer your question immediately. You should: - CORRECT ANSWER-allow him time to think about the question and respond to it. While at the scene of a motor vehicle crash, you determine that there are two critically injured patients and that another ambulance is needed. You attempt to contact the dispatcher with your portable radio but are unsuccessful. You should: - CORRECT ANSWER-use the mobile radio in the ambulance to contact dispatch. The MOST prominent symptom of decompression sickness is: - CORRECT ANSWERabdominal or joint pain. A severe risk of terrorist attacks is indicated by the color _____ by the Department of Homeland Security Security Advisory System. - CORRECT ANSWER-red When enlisting the help of an interpreter who signs, it is important for you to ask the interpreter to: - CORRECT ANSWER-report exactly what the patient signs and not to add any commentary. Which of the following statements regarding striated muscle is correct? - CORRECT ANSWER-It forms the major muscle mass of the body and usually crosses at least one joint. A mother who is pregnant with her first baby is typically in the first stage of labor for approximately: - CORRECT ANSWER-16 hours You respond to the residence of a 70-year-old male who complains of weakness and severe shortness of breath. His wife tells you that he is a dialysis patient, but has missed his last two treatments. After applying high-flow oxygen, you auscultate his lungs and hear diffuse rhonchi. The patient is conscious, but appears confused. His blood pressure is 98/54 mm Hg, his pulse rate is 120 beats/min and irregular, and his respirations are 24 breaths/min and labored. You should: - CORRECT ANSWER-leave him in a sitting position, keep him warm, and prepare for immediate transport. You are transporting a stable patient with a possible pneumothorax. The patient is receiving 100% oxygen and has an oxygen saturation of 95%. During your reassessment, you find that the patient is now confused, hypotensive, and profusely diaphoretic. What is MOST likely causing this patient's deterioration? - CORRECT ANSWER-compression of the aorta and vena cava A 60-year-old male is found to be unresponsive, pulseless, and apneic. You should: - CORRECT ANSWER-begin CPR until an AED is available. Equipment and supplies that are carried on an ambulance should be stored: - CORRECT ANSWER-according to the urgency and frequency of their use. Upon arriving at the scene of a law enforcement tactical situation, you should ensure your own safety and then: - CORRECT ANSWER-report to the incident commander for instructions. Which of the following statements regarding the scoop stretcher is NOT correct? - CORRECT ANSWER-A scoop stretcher will provide adequate immobilization of a patient's spinal column. The exocrine gland of the pancreas secretes: - CORRECT ANSWER-pancreatic juice In order to evaluate hazards present at the scene and determine the number of patients, you should: - CORRECT ANSWER-perform a 360° walk-around of the scene You are caring for a semiconscious man with left-sided paralysis. His airway is patent and his respirations are 14 breaths/min with adequate tidal volume. Treatment for this patient should include: - CORRECT ANSWER-oxygen via a nonrebreathing mask, left lateral recumbent position, and transport. A patient who cannot remember the events that preceded his or her head injury is experiencing: - CORRECT ANSWER-retrograde amnesia A 50-year-old male was splashed in the eyes with radiator fluid when he was working on his car. During your assessment, he tells you that he wears soft contact lenses. You should: - CORRECT ANSWER-carefully remove the contact lenses and then irrigate his eyes with saline. You are ventilating an apneic woman with a bag-mask device. She has dentures, which are tight-fitting. Adequate chest rise is present with each ventilation, and the patient's oxygen saturation reads 96%. When you reassess the patency of her airway, you note that her dentures are now loose, although your ventilations are still producing adequate chest rise. You should: - CORRECT ANSWER-remove her dentures, resume ventilations, and assess for adequate chest rise. Which of the following statements regarding anaphylaxis is correct? - CORRECT ANSWER-Anaphylaxis is characterized by airway swelling and hypotension. The MOST reliable indicator of an underlying fracture is: - CORRECT ANSWER-point tenderness Which of the following conditions is more common in women than in men? - CORRECT ANSWER-cystitis Subcutaneous injections deliver the medication: - CORRECT ANSWER-between the skin and the muscle. Medications encased in a gelatin shell taken by mouth are called: - CORRECT ANSWER-capsules According to the rule of palm method for estimating the extent of a patient's burns, the palm of the patient's hand is equal to _____ of his or her total BSA. - CORRECT ANSWER-1% A 31-year-old female is experiencing an acute asthma attack. She is conscious and alert, but in obvious respiratory distress. After assisting her with her prescribed MDI, you should: - CORRECT ANSWER-reassess the patient and document her response to the medication. In determining the potential for a terrorist attack, you should routinely observe all of the following on every call, EXCEPT: - CORRECT ANSWER-weather conditions Which of the following statements regarding gonorrhea is correct? - CORRECT ANSWER-Painful urination is a common symptom of gonorrhea in men and women. Accumulation of blood in the abdominal cavity will MOST likely cause: - CORRECT ANSWER-distention You are assessing a 30-year-old woman with multiple large bruises to her chest and abdomen that she experienced during an assault. She is conscious but restless, and her skin is cool and pale. You should be MOST concerned with: - CORRECT ANSWERthe fact that her clinical signs could indicate that she is bleeding internally. Spina bifida is a developmental defect in which: - CORRECT ANSWER-a portion of the spinal cord or meninges protrudes outside of the vertebrae. Correct Calming and reassuring an anxious patient can be facilitated by: - CORRECT ANSWER-maintaining eye contact with the patient whenever possible. Which of the following statements regarding glucose is correct? - CORRECT ANSWERThe brain requires glucose as much as it requires oxygen. You are summoned to a convalescent center for an 88-year-old female with an altered mental status. A staff nurse advises you that the patient has terminal cancer and her