NREMT: Airway, respiration, ventilation Exam Test with Answers
1. pneumonia A febrile 37-year-old female who has a history of HIV
complains of difficulty breathing. She tells you she has
been coughing up yellow phlegm for two days. Her skin is
pale and sweaty. You auscultate crackles in her right lower
lung. You should suspect:
2. insert an oropha- An unresponsive 45-year-old male was found lying on
ryngeal airway. the ground outside. You do not see any obvious signs of
trauma. He has snoring respirations and a carotid pulse.
After opening his airway, you should next:
3. pertussis A 16-year-old female complains of a runny nose and a
low-grade fever. She has a burst of rapid coughing with
an inspiratory whooping sound. While she is coughing her
skin becomes cyanotic. After she stops coughing her skin
color returns to normal. You should suspect:
4. switch to a sim- An 86-year-old female who has a history of emphysema
ple face mask. complains of chest pain. Her initial SpO2 was 92% on
home oxygen by nasal cannula, 3 L/minute. You admin
tered oxygen by non-rebreather, 12 L/minute. Her SpO
is now 100%, and her chest pain is resolved after aspiri
and nitroglycerin administration. You should next:
5. Her tongue An unresponsive 76-year-old female is lying in bed, a
you hear snoring respirations. What should you suspect
is partially occluding her airway?
6. Beta2 agonist A 64-year-old male is having an asthma attack. Which
class of medication can help improve his alveolar venti-
lation?
7. respiratory dis- A 12-year-old male has difficulty breathing. He tells you he
tress has had a cold all week. You auscultate rhonchi in his left
lower chest. His vital signs are P 104, R 28, BP 104
and
SpO2 is 89% on room air. You should suspect:
8. pulmonary ede- A 59-year-old female complains of difficulty breathing.
ma She is hiking at high altitude and tells you that she has no
, NREMT: Airway, respiration, ventilation Exam Test with Answers
past medical problems. When you auscultate her lungs,
you hear rales in her lower lungs. Her vital signs are P
78, R 18, BP 138/76, and SpO2 is 94% on room air
should suspect:
9. administer oxy- A 60-year-old female is resting alongside the roadway
gen. during a marathon. She tells you that while she was
running, she became short of breath, so she sat down.
She has been resting for 10 minutes, and she is still shor
of breath. You should first:
10. administer oxy- A 25-year-old female complains of difficulty breathing.
gen by non-re- She tells you she took her inhaler without relief. Her
breather mask. mucous membranes are pale. You auscultate decreased
lung sounds in the bases and wheezes in her upper lungs.
Her vital signs are P 86, R 24, BP 130/72, and SpO
89% on room air. You should:
11. administer oxy- A 13-year-old male tells you that he has had a cough fo
gen by nasal can- two weeks. He has an episode of coughing, and you hea
nula. an inspiratory whoop after each cough. You auscultate
rhonchi in his left lower lung. His vital signs are P 100,
R 22, BP 118/76, and
SpO2 is 93% on room air. You should:
12. administer oxy- A 39-year-old male starts to have difficulty breathing while
gen by non-re- hiking at 9000 feet above sea level. He is coughing, and
breather mask you observe pink, frothy sputum. His skin is pale and
while moving moist. You auscultate rales in all fields. His vital signs are
him to a lower el- P 96, R 22, BP 118/68, and SpO2 is 89% on room
evation. should:
13. stridor Which of the following sounds indicates an upper airway
obstruction in a child who is in respiratory distress?
14. respiratory ar- An unresponsive 22-year-old male is lying on the ground
rest outside a bar. You do not see any chest rise but palpate a
carotid pulse. You should suspect:
15.
, NREMT: Airway, respiration, ventilation Exam Test with Answers
administer oxy- An 86-year-old male tells you that after a coughing
gen. episode, he had a sudden onset of right-sided chest pain
and difficulty breathing. He has a history of emphysema.
He describes a pleuritic-type chest pain that stops him
from taking a deep breath. You auscultate decreased
breath sounds over his right apex. His vital signs are P
76, R 20, BP 130/78, and SpO2 is 92% on room air
should:
16. administer oxy- An 18-year-old male complains of abdominal pain and
gen by nasal can- diarrhea. He tells you he has a history of cystic fibrosis.
nula. You auscultate rhonchi in his lower lungs. His vital signs
are P 88, R 22, BP 126/78, and SpO2 is 93% on r
You should:
17. Decreased pre- Which of the following may be a direct impact of positive
load pressure ventilation on perfusion when ventilating an in-
fant?
18. assist his venti- A 65-year-old male who has a history of congestive hear
lation. failure is slumped in a chair not responding to you. His
wife tells you that his difficulty breathing started an hour
ago and has been getting worse. He is tachypneic, and
you auscultate rales in all fields. You should first:
19. asthma An 83-year-old female complains of difficulty breathing.
She tells you that it started after carrying in her groceries.
You observe pursed lips breathing. She is tachypneic, an
you auscultate diffuse wheezes. You should suspect:
20. Simple diffusion Which process allows gas exchange between the alveoli
and capillaries?
21. decrease your You are assisting the ventilation of a 57-year-old female
ventilation rate. who is in respiratory failure. Her initial vital signs were P
102, R32, BP 142/84, and SpO2 was 88% on room ai
After five minutes of assisted ventilation, her vital signs
are P 96, R 18 assisted with slight chest rise, BP 10
and SpO2 is 95% on oxygen 15 L/minute by BVM. Yo
should:
