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NREMT PRACTICE TEST BANK - MULTIPLE CHOICE QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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NREMT PRACTICE TEST BANK - MULTIPLE CHOICE QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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NREMT PRACTICE TEST BANK -MULTIPLE CHOICE QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
HypoglycemiaBandBacuteBischemicBstrokeBcanBpresentBsimilarlyBbecause:
•BA:bothBoxygenBandBglucoseBareBneededBforBbrainBfunction.
•BB:theBmajorityBofBstrokeBpatientsBhaveBaBhistoryBofBdiabetes.
•BC:theBmostBcommonBcauseBofBaBstrokeBisBhypoglycemia.
•BD:theyBareBbothBcausedBbyBlowBlevelsBofBglucoseBinBtheBblood.B-
BANSWERB•BA:bothBoxygenBandBglucoseBareBneededBforBbrainBfunction.
Reason:BAlthoughBstrokeBandBhypoglycemiaBareBtwoBdistinctlyBdifferentBconditions,BtheirBsignsBandBsympt
omsBareBoftenBsimilar.BThisBisBbecauseBtheBbrainBrequiresBbothBoxygenBandBglucoseBtoBfunctionBnormally.B
AnBacuteBischemicBstrokeBisBcausedBbyBaBlackBofBoxygenBtoBaBpartBofBtheBbrainBdueBtoBaBblockedBcerebralBar
tery,BwhereasBhypoglycemiaB(lowBbloodBglucoseBlevel)BdeprivesBtheBentireBbrainBofBglucose.BInBeitherBcase
,BtheBpatientBpresentsBwithBsignsBofBimpairedBbrainBfunctionB(ie,BslurredBspeech,Bweakness,BalteredBmenta
lBstatus).BBothBconditionsBmayBleadBtoBpermanentBbrainBdamageBorBdeathBifBnotBtreatedBpromptly.
WhenBdealingBwithBanBemotionallyBdisturbedBpatient,ByouBshouldBbeBMOSTBconcernedBwith:
•BA:gatheringBallBofBtheBpatient'sBmedications.
•BB:safelyBtransportingBtoBtheBhospital.
•BC:whetherBtheBpatientBcouldBharmByou.
•BD:obtainingBaBcompleteBmedicalBhistory.B-BANSWERBYouBselectedBC;BThisBisBcorrect!
Reason:BWhenBmanagingBanyBpatientBwithBanBemotionalBorBpsychiatricBcrisis,ByourBprimaryBconcernBisByou
rBownBsafety.BSafelyBtransportingBtheBpatientBtoBtheBhospitalBisByourBultimateBgoal.BIfBpossible,ByouBshouldB
attemptBtoBobtainBaBmedicalBhistoryBandBshouldBtakeBanyBofBtheBpatient'sBprescribedBmedicationsBtoBtheBh
ospital.BHowever,BthisBshouldBnotBsupercedeByourBownBsafetyBorBinterfereBwithBsafelyBtransportingBtheBpat
ient.
YouBareBatBtheBsceneBwhereBaBmanBpanickedBwhileBswimmingBinBaBsmallBlake.BYourBinitialBattemptBtoBrescu
eBhimBshouldBinclude:
,•BA:rowingBaBsmallBraftBtoBtheBvictim.
•BB:reachingBforBtheBvictimBwithBaBlongBstick.
•BC:throwingBaBropeBtoBtheBvictim.
•BD:swimmingBtoBtheBvictimBtoBrescueBhim.B-BANSWERBYouBselectedBB;BThisBisBcorrect!
Reason:BGeneralBrulesBtoBfollowBwhenBattemptingBtoBrescueBaBpatientBfromBtheBwaterBincludeB"reach,Bthr
ow,Brow,BandBthenBgo."BInBthisBcase,ByouBshouldBattemptBtoBreachBtheBvictimBbyBhavingBhimBgrabBholdBofBaB
largeBstickBorBsimilarBobject.BIfBthisBisBunsuccessful,BthrowBtheBvictimBaBropeBorBflotationBdeviceB(ifBavailabl
e).BIfBtheseBareBnotBavailable,BrowBtoBtheBpatientBinBaBsmallBraftB(ifBavailable).BGoingBintoBtheBwaterBtoBretri
eveBtheBvictimBisBaBlastBresort.BTheBrescuerBmustBbeBaBstrongBswimmerBbecauseBpatientsBwhoBareBinBdange
rBofBdrowningBareBinBaBstateBofBblindBpanicBandBwillBmakeBeveryBattemptBtoBkeepBthemselvesBafloat,BevenBi
fBitBmeansBforcingBtheBrescuerBunderwater.
HowBshouldByouBclassifyBaBpatient'sBnatureBofBillnessBifBheBorBsheBhasBaBlowBbloodBglucoseBlevel,BbizarreBbe
havior,BandBshallowBbreathing?
•BA:BehavioralBemergency
•BB:AlteredBmentalBstatus
•BC:RespiratoryBemergency
•BD:CardiacBcompromiseB-BANSWERBTheBcorrectBanswerBisBB;
Reason:BTheBnatureBofBillnessB(NOI)BisBtheBmedicalBequivalentBtoBmechanismBofBinjuryB(MOI).BAlteredBmen
talBstatusBshouldBbeBtheBsuspectedBNOIBinBanyBpatientBwithBanyBfluctuationBinBlevelBofBconsciousness,Bwhi
chBcanBrangeBfromBbizarreBbehaviorBtoBcompleteBunresponsiveness.BCausesBofBanBalteredBmentalBstatusBin
cludeBhypo-
BorBhyperglycemia,BheadBtrauma,Bstroke,BbehavioralBcrises,BdrugBoverdose,BandBshock,BamongBothers.
AByoungBfemaleBisBunresponsiveBafterBoverdosingBonBanBunknownBtypeBofBdrug.BHerBrespirationsBareBslowB
andBshallowBandBherBpulseBisBslowBandBweak.BWhichBofBtheBfollowingBdrugsBisBtheBLEASTBlikelyBcauseBofBhe
rBcondition?
•BA:Seconal
•BB:Heroin
•BC:Cocaine
•BD:ValiumB-BANSWERBTheBcorrectBanswerBisBC;
,Reason:BOfBtheBdrugsBlisted,BcocaineBwouldBbeBtheBleastBlikelyBcauseBofBtheBpatient'sBcondition.BCocaineBis
BaBcentralBnervousBsystemB(CNS)Bstimulant;ByouBwouldBexpectBherBtoBbeBhypertensive,Btachycardic,Btachyp
neic,BandBperhapsBevenBviolent.BHeroin,BValium,BandBSeconalBareBallBCNSBdepressantsBandBcouldBexplainBh
erBcondition.BHeroinBisBanBillegalBnarcoticB(opiate),BValiumBisBaBbenzodiazepineBsedative-
hypnoticBdrug,BandBSeconalBisBaBbarbiturate.BNarcotics,Bbenzodiazepines,BandBbarbituratesBareBallBCNSBde
pressants.BWhenBtakenBinBexcess,BtheyBcauseBaBdecreasedBlevelBofBconsciousness,BrespiratoryBdepression,B
bradycardia,BandBhypotension.
ActivatedBcharcoalBisBcontraindicatedBforBaBpatientBwhoBis:
•BA:consciousBandBalertBandBhasBingestedBaBlargeBamountBofBMotrin.
•BB:emotionallyBupsetBandBhasBingestedBtwoBbottlesBofBaspirin.
•BC:agitatedBandBclaimsBtoBhaveBingestedBaBbottleBofBTylenol.
•BD:awakeBandBalertBandBhasBswallowedBaBcommercialBdrainBcleaner.B-
BANSWERBYouBselectedBD;BThisBisBcorrect!
Reason:ActivatedBcharcoalBadsorbsB(sticksBto)BmanyBingestedBsubstances,BpreventingBthemBfromBbeingBab
sorbedBintoBtheBbodyBbyBtheBstomachBorBintestines.BInBsomeBcases,ByouBmayBgiveBactivatedBcharcoalBtoBpa
tientsBwhoBhaveBingestedBcertainBsubstances,BifBapprovedBbyBmedicalBcontrolBorBlocalBprotocol.BActivatedB
charcoalBisBcontraindicatedBforBpatientsBwhoBhaveBingestedBanBacidBorBalkaliB(ie,BdrainBcleaner)BorBaBpetrol
eumBproductB(ie,Bgasoline),BwhoBhaveBaBdecreasedBlevelBofBconsciousnessBandBcannotBprotectBtheirBownBa
irway,BorBwhoBareBunableBtoBswallow.
TheBMOSTBobviousBwayBtoBreduceBheatBlossBfromBradiationBandBconvectionBisBto:
•BA:moveBawayBfromBaBcoldBobject.
•BB:increaseBmetabolismBbyBshivering.
•BC:wearBaBthickBwind-proofBjacket.
•BD:moveBtoBaBwarmerBenvironment.B-BANSWERByouBselectedBD;BThisBisBcorrect!
Reason:InBaBcoldBenvironment,BtheBbodyBhasBtwoBwaysBofBstayingBwarm:BgeneratingBheatB(thermogenesis)
BandBreducingBheatBloss.BRadiationBisBtheBtransferBofBheatBbyBradiantBenergy.BTheBbodyBcanBloseBheatBbyBra
diation,BsuchBasBwhenBaBpersonBstandsBinBaBcoldBroom.BConvectionBoccursBwhenBheatBisBtransferredBtoBcirc
ulatingBair,BasBwhenBcoolBairBmovesBacrossBtheBbody'sBsurface.BABpersonBstandingBinBwindyBcoldBweather,B
wearingBlightweightBclothing,BisBlosingBheatBtoBtheBenvironmentBmostlyBbyBconvection.BTheBquickestBandB
mostBobviousBwayBtoBdecreaseBheatBlossBfromBradiationBandBconvectionBisBtoBmoveBoutBofBtheBcoldBenviro
, nmentBandBseekBshelterBfromBwind.BShiveringBincreasesBtheBbody'sBmetabolismBandBisBaBmechanismBforBg
eneratingBheat,BnotBreducingBheatBloss.BLayersBofBclothingBtrapBairBandBprovideBexcellentBinsulation;Bthus,B
layeredBclothingBdecreasesBheatBlossBbetterBthanBaBsingle,BthickBjacket.BConductionBisBtheBdirectBtransferBo
fBheatBfromBaBpartBofBtheBbodyBtoBaBcolderBobjectBbyBdirectBcontact,BasBwhenBaBwarmBhandBtouchesBcoldB
metalBorBice.BTheBmostBobviousBwayBtoBdecreaseBheatBlossBbyBconductionBisBtoBremoveByourBhandBfromBth
eBcoldBobject.
ABnear-drowningBisBMOSTBaccuratelyBdefinedBas:
•BA:complicationsBwithinB24BhoursBfollowingBsubmersionBinBwater.
•BB:immediateBdeathBdueBtoBprolongedBsubmersionBinBwater.
•BC:survivalBforBatBleastB24BhoursBfollowingBsubmersionBinBwater.
•BD:deathBgreaterBthanB24BhoursBfollowingBsubmersionBinBwater.B-
BANSWERBYouBselectedBC;BThisBisBcorrect!
Reason:Collectively,BdrowningBandBnear-
drowningBareBreferredBtoBasBsubmersionBinjuries.BDrowningBisBdefinedBasBdeathBafterBsubmersionBinBaBliqu
idBmedium,BusuallyBwater.BInBaBdrowning,BdeathBisBeitherBimmediateBorBoccursBwithinB24BhoursBfollowingB
submersion.BNear-
drowningBisBdefinedBasBsurvival,BatBleastBtemporarilyB(24Bhours),BafterBsubmersion.BItBshouldBbeBnoted,Bho
wever,BthatBcomplicationsBsuchBasBpneumoniaBandBpulmonaryBedemaBcanBcauseBdeathBgreaterBthanB24Bh
oursBfollowingBsubmersion.BForBthisBreason,BallBpatientsBwithBaBsubmersionBinjuryBshouldBbeBtransportedBt
oBtheBhospital,BevenBifBtheyBappearBfineBatBtheBscene.
AByoungBwomanBreportsBsignificantBweightBlossBoverBtheBlastBmonth,BpersistentBfever,BandBnightBsweats.B
WhenByouBassessBher,ByouBnoteBtheBpresenceBofBdarkBpurpleBlesionsBcoveringBherBtrunkBandBupperBextre
mities.BYouBshouldBsuspect:
•BA:end-stageBcancer.
•BB:HIV/AIDS.
•BC:tuberculosis.
•BD:rheumaticBfever.B-BANSWERBYouBselectedBB;BThisBisBcorrect!
Reason:WeightBloss,Bfever,BandBnightBsweatsBcouldBindicateBtuberculosisBorBHIV/AIDS;Bhowever,BtheBdarkBp
urpleBlesionsBonBtheBskin,BwhichBareBcalledBKaposi'sBsarcoma,BareBmalignantBskinBtumorsBandBareBaBclassicB
findingBinBpatientsBinBtheBlaterBstagesBofBAIDS.
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