Exam (elaborations)
NREMT EXAM STUDY ME 1 QUESTIONS ANSWERS WITH SOLUTIONS 2024
NREMT EXAM STUDY ME 1 QUESTIONS ANSWERS WITH SOLUTIONS 2024
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NREMT EXAM STUDY ME 1 QUESTIONSANSWERS WITH SOLUTIONS 2024
AL69-year-
oldLfemaleLpatientLcomplainsLofLdifficultyLspeakingLandLanLinabilityLtoLmoveLherLrightLarm.LSheLnotesLtheLsy
mptomsLcameLonLaboutLtwoLhoursLagoLbutLhaveLsinceLsubsided.LSheLisLmostLlikelyLsufferingLfromLa(n):L-
LANSWERLTheLfactLthatLtheLsymptomsLwentLawayLindicatesLthatLthisLisLaLTIA.LTransientLIschemicLAttack
AL68-year-oldLfemaleLcomplainsLofLabdominalLpainLandLvertigo.LSheLnotesLaLthree-
dayLhistoryLofLdark,LblackLstools.LSheLisLpale,LslightlyLdiaphoretic,LandLherLvitalLsignsLare:LpulseL118,Lrespirat
ionL20,LbloodLpressureL88/64.LThoseLfindingsLindicate:L-
LANSWERLhypotensiveLshockLcausedLbyLaLGILbleed.LTheLlowLbloodLpressureLindicatesLhypotensiveLshock.LTh
eLhistoryLofLblackLstoolLindicatesLaLGILbleed.
ALpatientLisLfoundLinLhisLapartmentLsittingLinLaLchairLinLtheLtripodLposition,LmanifestingLnoisyLrespirations,Lc
yanosisLaroundLtheLlips,LandLrestlessness.LVitalLsignsLare:LrespirationsL28L(workingLtoLbreathe),LpulseL100L(s
lightlyLirregular),LandLbloodLpressureL140/90.LOxygenLshouldLbeLprovidedLtoLthisLpatientLbyLwayLof:L-
LANSWERLnonrebreatherLmask.LThisLpatientLisLstillLcontrollingLhisLownLrespirations,LsoLtheLinitialLdeviceLtha
tLshouldLbeLusedLisLaLnonrebreather.LIfLtheLnonrebreatherLisLnotLtolerated,LthenLaLnasalLcannulaLshouldLbeL
used.LIfLtheLpatientLcanLnoLlongerLsupportLhisLownLrespirationsLadequately,LthenLaLbag-
valveLmaskLshouldLbeLusedLor,LifLappropriate,LanLoxygen-poweredLventilationLdevice.
HypovolemicLshockL-LANSWERLshockLresultingLfromLbloodLorLfluidLloss
AL55-year-
oldLfemaleLcomplainsLofLacuteLonsetLpalpitationsLandLchestLpain.LSheLisLalert,LbutLpaleLandLdiaphoretic.LHer
LvitalsLareLpulseL220,LrespirationL28,LbloodLpressureL88/60.LThoseLfindingsLmostLlikelyLindicateL-
LANSWERLcardiogenicLshockLsecondaryLtoLaLcardiacLdysrhythmia.LALheartLrateLofL220LmostLlikelyLindicatesLa
LtachycardicLdysrhythmia.LItLisLpossibleLforLherLtoLhaveLhypovolemia,LbutLtheLacuteLonsetLofLsymptomsLandL
theLlackLofLaLlikelyLcauseLmakeLitLimprobable.
SepticLshockL-
LANSWERLShockLcausedLbyLsevereLinfection,LusuallyLaLbacterialLinfection.LUsuallyLhasLaLgradualLonset
CardiacLdysrhythmiasL-LANSWERL-DeviationsLfromLnormalLcardiacLrateLorLrhythm
-CausedLbyLelectrolyteLabnormalities,Lfever,Lhypoxia,Lstress,Linfection,LdrugLtoxicity
,-ReductionLofLtheLefficiencyLofLtheLheart'sLpumpingLcycle
AL44-year-
oldLmaleLtellsLyouLheLisLsuicidalLandLplansLtoLhangLhimselfLwithLtheLropeLnextLtoLhisLbed.LHeLdoesLnotLwishLt
oLbeLtransportedLtoLtheLhospital.LYouLshould:L-
LANSWERLawaitLlawLenforcementLandLtransportLthisLpatientLagainstLhisLwill.LSuicidalLpatientsLcanLbeLdange
rousLtoLEMTs.LInLthisLcaseLitLisLbestLtoLawaitLlawLenforcementLassistance.LAlthoughLaLsuicidalLpatientLcannot
LrefuseLcare,LitLwouldLbeLbetterLtoLinvolveLtheLpoliceLthanLattemptLtoLrestrainLtheLpatientLalone.
AL12-year-
oldLmaleLisLhavingLanLasthmaLattack.LHeLappearsLtiredLandLpale.LDuringLyourLprimaryLassessmentLyouLnoteL
hisLrespiratoryLrateLtoLbeL40.LHowever,LyouLhaveLdifficultyLhearingLhisLlungLsounds.LWhatLisLtheLmostLlikelyLr
easonLforLtheLdifficultyLhearingLlungLsounds?L-
LANSWERLThereLisLlittleLairLmoving.LAsthmaLcausesLbronchoconstrictionLandLalthoughLitLmayLappearLheLisLb
reathingLrapidly,LtheLnarrowedLairLpassagesLallowLlittleLairLtoLmove.
WhileLperformingLaLsceneLsize-upLforLaLreportLofLworkersLovercomeLinLaLfactoryLyouLseeLaLdiamond-
shapedLplacardLonLtheLbuildingLwithLfourLnumbers.LGenerallyLspeaking,LtheLhigherLtheLnumberLinLeachLqua
drant,LwhatLcanLbeLinferred?L-
LANSWERLTheLmoreLdangerousLtheLcontents.LTheLplacard,LwhichLisLcolorLcodedLforLhealthL(blue),LfireL(red),L
reactivityL(yellow),LorLadditionalLinformationL(white)L-LuseLaLseriesLofLnumbersLinLeachLquadrantL(0-
4)LtoLrepresentLtheLstatusLofLtheLcontentsLgivenLthoseLfourLcriteria.LGenerallyLspeaking,LtheLhigherLtheLnum
ber,LtheLmoreLdangerousLtheLcontentsLwithinLare.
ApproachingLtheLsceneLofLaLsingle-
carLcrash,LyouLobserveLsmokeLinLtheLvicinityLofLtheLvehicle.LYouLareLconcernedLthatLthereLmayLbeLsomeoneL
stillLinside.LAsLtheLfirstLemergencyLresponderLonLscene,LwhereLshouldLyouLpositionLyourLvehicle?L-
LANSWERL100LfeetLupwindLfromLtheLvehicle.LTheLdangerLzoneLforLthisLincidentLisLwithinL100LfeetLofLtheLvehi
cleLfire.LYourLemergencyLvehicleLshouldLbeLparkedLupwindLsoLtheLsmokeLdoesLnotLcomeLbackLintoLtheLpathL
betweenLEMSLpersonnelLandLtheLscene.
WhileLventilatingLaLpatientLwithLaLbag-
valveLmask,LyouLsqueezeLtheLbagLinLorderLtoLventilateLtheLpatient.LNowLthatLtheLlungsLhaveLbeenLfilled,LbyL
whatLprocessLdoesLtheLairL(oxygen)LleaveLtheLlungsLbeforeLtheLnextLventilationLisLprovided?L-
LANSWERLPassive,LbecauseLtheresLnoLassist
YouLareLassistingLinLtheLmanagementLofL4LinjuredLpatientsLinLaLremoteLareaLofLtheLcounty.LYouLhaveLatLyourL
disposalLoneLhelicopterLcapableLofLtransportingLoneLcriticalLpatient,LandL2LmoreLgroundLambulancesLthatL
, willLhandleLtheLotherLthreeLpatients.LPleaseLselectLtheLpatientLbelowLthatLyouLwouldLelectLtoLreceiveLtransp
ortLbyLtheLhelicopter.L-LANSWERL39-year-
oldLpatientLwithLheadLinjury,LandLsignsLofLherniation.LAirLmedicalLtransportLshouldLbeLreservedLforLthoseLpa
tientsLwhoLhaveLaLtimeLsensitiveLconditionLinLwhichLexpedientLtransportLtoLtheLhospitalLisLessentiallyLaLreq
uiredLcomponentLforLsurvivability.
YouLarriveLfirstLonLtheLsceneLofLaLcarLthatLhasLstruckLaLtree.LModerateLdamageLhasLoccurred.LYouLensureLth
eLsceneLsafety,LdonLappropriateLpersonalLprotectiveLequipment,LandLrequestLadditionalLresources.LYouLnot
eLtheLpatientLisLnotLrespondingLandLyouLareLunableLtoLgainLaccessLthroughLtheLfrontLdoors.LWhatLshouldLyo
uLdoLnext?L-
LANSWERLAttemptLtoLopenLaLrearLdoorLandLenterLtheLcar.LOftenLwhenLfrontLdoorsLareLjammed,LtheLrearLdo
orsLareLfunctional.
DuringLtheLmanagementLofLaLfemaleLtraumaLpatientLwhoLisL8LmonthsLpregnantLwithLherLsecondLchild,LyouL
electLtoLimmobilizeLherLonLaLbackboardLforLsuspectedLspinalLinjury.LWhenLpreparingLforLtransport,LwhatLim
portantLtreatmentLconsiderationLmustLyouLprovideLregardingLtransportLonLaLbackboard?L-
LANSWERLTiltLtheLbackboardLtoLtheLleftLsideLtoLavoidLpotentialLhypotension.LWithLpregnantLfemalesLneedin
gLimmobilizationLorLevenLregularLtransportLonLtheLcot,LalwaysLtiltLtheLpatientLtoLherLleftLside.LremovesLweig
htLfromLspine.
AL20-year-oldLfemaleLhasLbeenLinvolvedLinLaLminorLmotor-
vehicleLcrash.LSheLisLambulatoryLonLarrivalLandLcomplainsLofLdifficultyLbreathing.LSheLisLalertLandLvitalsLareL
pulseL110,LrespirationL40,LandLbloodLpressureL122/80.LHerLskinLisLflushed.LConsideringLherLrespiratoryLstat
us,LyouLshould:L-LANSWERLapplyLaLnonrebreatherLmask.
RespiratoryLDistressL-
LANSWERLincreasedLworkLofLbreathing;LaLsensationLofLshortnessLofLbreathLoxygenLbyLNRB
respiratoryLFailureL-
LANSWERLaLconditionLinLwhichLtheLlevelLofLoxygenLinLtheLbloodLbecomesLdangerouslyLlowLorLtheLlevelLofLca
rbonLdioxideLbecomesLdangerouslyLhigh.LOxygenLbyLBVM
AlveolarLventilationLrefersLtoLtheLamountLof:L-LANSWERLairLmovedLinLandLoutLofLtheLalveoliLperLminute.
TheLamountLofLairLthatLdoesLnotLreachLtheLalveoliLduringLnormalLinhalationLwouldLreferLtoLasL-
LANSWERLdeadLspaceLair
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