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NC EMT STATE(North Carolina) EXAM LATEST 2024/2025;ACTUAL QUESTIONS AND ANSWERS 100% CORRECT
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NC EMT STATE(North Carolina) EXAM LATEST 2024/2025;ACTUAL QUESTIONS AND ANSWERS 100% CORRECT
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NC EMT STATE(North Carolina) EXAM LATEST2024/2025;ACTUAL QUESTIONS AND ANSWERS 100%
CORRECT
FIRST STAGE OF LABOR - ANSWERThe first stage occurs from onset of true labor
contractions till dilation and effacement of the uterus.
2nd stage of labor - ANSWERThe hallmark finding in the second stage of labor is the
complete delivery of the baby.
3rd stage of labor - ANSWERThe third stage occurs when the placenta delivers.
Ligaments connect.... - ANSWERBone to Bone
Tendons connect - ANSWERBone to Muscle
START Triage 1st Step - ANSWERSTART triage begins by asking patients to get up
and walk to a collection point
START Triage 2nd step - ANSWERrespirations are assessed
START Triage 3rd Step - ANSWERif the patient is not breathing, the airway is opened.
START Triage 4th Step - ANSWERPulse is then assessed
START Triage 5th Step - ANSWERCheck mental status.
Rule of 9's:Child:BACK - ANSWERchild's back represents 18% of his body surface area
Rule of 9's:Child: Both Legs (Front & Back) - ANSWERthe front and back of both legs
each represent 7%
Rule of 9's:Child:Torso (Front & Back) - ANSWERchild's anterior and posterior torso
would represent 36%
Primary blast stage - ANSWERalso known as the pressure wave), damages hollow, gas
containing organs of the body such as the lungs, GI system, inner ears, and sinuses.
Secondary blast - ANSWERThe secondary phase causes cause blunt and penetration
injuries from flying debris.
,Tertiary phase of blast - ANSWERtertiary phase are injuries sustained from the patient
being thrown back and impacting something (wall, ground, etc.).
A 71-year-old female has fallen and complains of left hip pain. On examination you note
her left foot is rotated laterally. This finding most likely indicates a - ANSWERfemur
fracture
"5 Rights" of medication administration. - ANSWERright patient, right medication, right
route, right dose, and right time.
If you are responsible for establishing the landing zone for the helicopter, what is the
minimum size of the LZ you should prepare assuming the rescue efforts are occurring at
night? - ANSWERThe minimum size of the landing zone at night is 100' by 100'. During
daylight, the minimum LZ zone is 60' by 60'. In either situation the LZ should be square,
with a marker indicating the direction of wind travel
Which one of the following is a sign of Cushing's triad (Cushing's reflex) that occurs with
traumatic brain injury? - ANSWERThe vital signs are an increased blood pressure,
slowing pulse rate, and irregular respirations (classically seen as Cheyne-Stokes).
Classes of hemorrhage - ANSWERA Class III hemorrhage is said to occur when the
patient has lost 30-40% of their circulating blood volume. This is a significant bleed due
to the fact that the body's compensatory mechanisms are maximized, and any
additional blood loss will now create significant disturbances in hemodynamic stability.
In Class I and II hemorrhage, blood pressure remains acceptable, in Class IV
hemorrhage the blood pressure drops dangerously low.
APGAR SCORE - ANSWERAppearance: 0=blue/pale; 1=blue & pink; 2=no cyanosis-all
pink
Pulse Rate: 0=Absent; 1=<100; 2=>100
Reflex: 0=no response to stimuli; 1=grimace; 2=cry or pull away
Activity: 0=None; 1=some flexion,2=flexed arms/legs resisting extension
Respiratory: 0=Absent; 1=weak, irregular; 2=strong, lusty cry
Organs in Upper Right Quadrant of Abs - ANSWERThe liver is found primarily within the
boundaries of the upper right quadrant.
Organs in Upper Left Quadrant of Abs - ANSWERThe stomach and spleen are typically
found in the upper left quadrant.
Bladder location - ANSWERThe bladder is found on the midline between the lower two
quadrants.
,Communication "Reflection" - ANSWERReflection is a technique where you paraphrase
the patient's words to encourage more information and to build trust
Minimum safe residual pressure in oxygen tank is? - ANSWERThe minimum safe
residual pressure in an oxygen tank is 200 psi.
Nasal cannula oxygen flow rate - ANSWER1 to 6L/min
Nasal cannula oxygen concentration - ANSWER24% to 44%
NRB Flow rate - ANSWER12 to 15L/min
NRB oxygen delivered - ANSWER90% to 100%
Venturi mask oxygen delivery - ANSWER24, 28, 35, 40 percent
BVM flow rate and oxygen delivery - ANSWER15L /min and nearly 100%
Cheyne-Stokes Respirations - ANSWERShows irregular respirations followed by a
period of apnea
Ataxic Respirations - ANSWERirregular, ineffective respirations that may or may not
have an identifiable pattern.
ICP (intracranial Pressure) Signs/symptoms - ANSWERdecreased pulse (Bradycardia),
increased B/P (Hypertension), irregular respirations.
ICP Defined - ANSWERAccumulations of blood within the skull or swelling of the brain.
Triad of signs (Cushing's Reflex) are: (Usually seen with ICP) - ANSWER1. Increased
systolic B/P
2. Decreased pulse rate
3. Irregular respirations.
Glascow Comas Scale (GCS) Components; - ANSWEREye opening,
Verbal Response
Motor Response
GCS (Eye Opening) Ratings - ANSWERSpontaneous-4
Verbal response-3
Response to pain-2
None-1
GCS (Verbal Response) Ratings - ANSWEROriented Conversation-5
Confused Conversation-4
, Inappropriate Words-3
Incomprehensible sounds-2
None-1
GCS (Best Motor Response) - ANSWERObeys Commands-6
Localizes Pain-5
Withdraws Pain-4
Abnormal Flexion-3
Abnormal Extension-2
None-1
GCS Scores Total Ratings: - ANSWER13-15: mild dysfunction; 15 is considered a
person with no neurologic disabilities
A oxygen tank which holds 350 liters - ANSWERD Cylinder (portable)
D Tank (PSI): - ANSWER2000 psi
Severe allergic reaction signs: - ANSWERurticaria, bronchosphasm, swelling of lips
Order of assessing a patient after scene size up: - ANSWER1. Initial assessment
2. Focused Assessment
3. Complete assessment
4. Ongoing Assessment
Ethics: - ANSWERPhilosophy of right and wrong, of moral duties,
CQI - ANSWERCircular System of continuous internal and external reviews and audits
of all aspects of an ems system
General Adaptation Syndrome (stress) - ANSWER1. Alarm Response
2. Reaction and Resistance
3. Recovery or exhaustion
Fight or Flight Response - ANSWERThe physiologic response involves the interaction
of the endocrine and nervous systems.
Pulse rate:adult - ANSWER60-100
Pulse rate : newborn - ANSWER140-160
Pulse rate: child(6-12) - ANSWER65-110
PERL: dilated signs - ANSWERCerebral hypoxia, cocaine, Epi, amphetamine
PERL: small eye signs - ANSWERNarcotic, organophosphate
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