Exam (elaborations)
NREMT AIRWAY, RESPIRATION, AND VENTILATION QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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NREMT AIRWAY, RESPIRATION, AND VENTILATION QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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NREMT AIRWAY, RESPIRATION, ANDVENTILATION QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
AZ39-year-oldZfemaleZisZlyingZinZbed.ZWhenZyouZassess
Zher,ZwhichZofZtheZfollowingZfindingsZindicateZanZinadequateZairway?
A.ZSheZhasZchestZwallZexpansionZwithZlittleZabdominalZwallZmovement.
B.ZSheZhasZanZopenZpillZbottleZnextZtoZherZbed.
C.ZSheZisZlyingZonZherZside.
D.ZSheZisZunresponsiveZandZsnoring.Z-ZANSWERZSheZisZunresponsiveZandZsnoring.
WhichZofZtheZfollowingZdescribesZhowZalbuterolZhelpsZaZpatientZwhoZisZhavingZanZasthmaZattack?
A.ZItZdecreasesZpulmonaryZcapillaryZpressure.
B.ZItZincreasesZairwayZpressureZinZtheZalveoli.
C.ZItZrelaxesZtheZsmoothZmusclesZofZtheZbronchioles.
D.ZItZreducesZinflammationZinZtheZbronchus.Z-ZANSWERZItZrelaxesZtheZsmoothZmusclesZofZtheZbronchioles.
AZ9-year-oldZmaleZhasZpartial-
thicknessZburnsZaroundZhisZmouthZafterZinhalingZsteam.ZHeZhasZaZhistoryZofZasthmaZandZhasZhadZaZcoldZforZ
threeZdays.ZHisZmotherZtellsZyouZheZhasZhadZchestZcongestionZandZsheZwasZtryingZtoZbreakZupZtheZphlegm.Z
HeZisZdroolingZandZtellsZyouZheZcannotZswallow.ZYouZshouldZfirst:
A.ZadministerZhisZmetered-doseZinhaler.
B.ZinsertZanZoropharyngealZairway.
C.ZbeginZtransport.
D.ZassessZhisZvitalZsigns.Z-ZANSWERZbeginZtransport.
AZ66-year-
oldZmaleZcomplainsZofZdifficultyZbreathing.ZHeZtellsZyouZthatZhisZasthmaZattackZbeganZ20Zminutes
Zago,ZandZhisZinhaler
Zisn'tZhelping.ZYouZauscultateZwheezesZinZallZlungZfieldsZandZgoodZchestZriseZwithZaccessoryZmuscleZuse.ZHisZ
vitalZsignsZareZPZ96,ZRZ24,ZBPZ146/88,ZandZSpO2Zis
Z93%ZonZroomZair.ZYouZshouldZsuspectZhisZminuteZventilationZis:
,A.ZadequateZandZadministerZCPAP.
B.ZadequateZandZadministerZoxygen.
C.ZinadequateZandZassistZhisZventilation.
D.ZinadequateZandZadministerZoxygen.Z-ZANSWERZadequateZandZadministerZoxygen.
AZ93-year-
oldZfemaleZcomplainsZofZaZsuddenZonsetZofZdifficultyZbreathing.ZSheZtellsZyouZthatZsheZhasZaZhistoryZofZbrea
stZcancer.ZSheZtellsZyouZitZisZeasierZforZherZtoZbreatheZwhenZsheZisZsittingZup.ZSheZhasZdecreasedZlungZsound
sZwhenZyouZauscultateZherZleftZmid-axillaryZline,ZsixthZintercostalZspace.ZHerZvitalZsignsZareZPZ86,ZRZ18,ZBP
Z144/92,ZandZSpO2ZisZ95%ZonZroomZair.ZYouZshould:
A.ZadministerZoxygenZbyZnasalZcannula.
B.ZadministerZoxygenZbyZnon-rebreatherZmask.
C.ZadministerZaspirin.
D.ZassistZwithZtheZadministrationZofZherZnitroglycerin.Z-ZANSWERZadministerZoxygenZbyZnasalZcannula.
AZ47-year-oldZmaleZcomplainsZofZdifficulty
Zbreathing,ZandZheZcannotZstopZcoughing.ZHisZconjunctivaeZareZpaleZandZmoist.ZHeZhasZaZ40Zpack-
yearZsmokingZhistory.ZYouZshouldZfirst:
A.ZdetermineZhisZpastZmedicalZhistory.
B.ZcollectZaZsampleZofZhisZphlegm.
C.ZadministerZoxygen.
D.ZassessZhisZvitalZsigns.Z-ZANSWERZadministerZoxygen.
YouZareZventilatingZanZunresponsiveZ47-year-
oldZmaleZwhoZisZinZrespiratoryZarrest.ZHowZshouldZyouZdetermineZthatZyouZareZdeliveringZadequateZtidal
Zvolume?
A.ZLookZforZslightZchestZrise.
B.ZAssessZhisZpulseZoximetry.
C.ZAuscultateZforZbronchialZbreathZsounds.
D.ZFullyZdeflateZtheZBVM.Z-ZANSWERZLookZforZslightZchestZrise.
,AnZunresponsiveZ7-month-oldZfemaleZisZlyingZlimpZinZher
Zfather'sZarms.ZHeZtellsZyouZthatZsheZwasZhavingZanZasthmaZattackZbutZisZbetterZnow.ZHerZconjunctivaeZareZ
paleZandZmoist.ZYouZareZonlyZableZtoZauscultateZfaintZwheezesZinZherZupperZchest.ZHerZvitalZsignsZareZPZ76Za
ndZRZ18.ZYouZshouldZfirst:
A.ZadministerZoxygenZbyZnon-rebreatherZmask.
B.ZassistZherZventilationZwithZaZBVM.
C.ZassessZherZoxygenZsaturationZlevel.
D.ZassistZwithZtheZadministrationZofZherZnebulizedZalbuterol.Z-ZANSWERZassistZherZventilationZwithZaZBVM.
AZ49-year-
oldZmaleZcomplainsZofZaZsoreZthroatZandZhasZaZmuffledZvoice.ZHeZtellsZyouZtheZsoreZthroatZstartedZaZweekZa
goZandZhasZgottenZworse.ZHeZlooks
Zsick,ZandZhisZskinZisZhotZtoZtheZtouch.ZHeZhasZaZhistoryZofZasthma.ZYouZauscultateZaZslightZhigh-
pitchedZsoundZoccasionallyZinZhisZupperZairway.ZHisZvitalZsignsZareZPZ102,ZRZ16,ZBPZ132/84,ZandZSpO2Zis
Z93%ZonZroomZair.ZYouZshould:
A.ZinspectZhisZairway.
B.ZassistZwithZtheZadministrationZofZhisZMDI.
C.ZplaceZhimZsupine.
D.ZadministerZoxygen.Z-ZANSWERZadministerZoxygen.
AnZunresponsiveZ22-year-
oldZmaleZisZlyingZonZtheZgroundZoutsideZaZbar.ZYouZdoZnotZseeZanyZchestZriseZbutZpalpateZaZcarotidZpulse.ZYo
uZshouldZsuspect:
A.ZrespiratoryZarrest.
B.ZalcoholZintoxication.
C.Zhypoglycemia.
D.ZheadZinjury.Z-ZANSWERZrespiratoryZarrest.
AnZ11-year-
oldZmaleZwhoZhasZaZhistoryZofZcysticZfibrosisZcomplainsZofZdifficultyZbreathing.ZHeZtellsZyouZheZhasZbeenZco
ughingZupZthickZmucus.ZHisZvitalZsignsZareZPZ92,ZRZ24,ZBPZ118/76,ZandZSpO2ZisZ91%ZonZroomZair.ZYouZshould:
A.ZadministerZaZbronchodilator.
B.ZapplyZCPAP.
, C.ZadministerZhumidifiedZoxygen.
D.ZassistZhisZventilation.Z-ZANSWERZadministerZhumidifiedZoxygen.
AnZ86-year-oldZfemaleZwhoZhasZaZhistoryZofZemphysemaZcomplainsZofZchestZpain.ZHerZinitialZSpO2Zwas
Z92%ZonZhomeZoxygenZbyZnasalZcannula,Z3ZL/minute.ZYouZadministeredZoxygenZbyZnon-rebreather,Z12
ZL/minute.ZHerZSpO2ZisZnow
Z100%,ZandZherZchestZpainZisZresolvedZafterZaspirinZandZnitroglycerinZadministration.ZYouZshouldZnext:
A.ZdecreaseZtheZflowZrateZtoZ6ZL/minute.
B.ZswitchZtoZaZsimpleZfaceZmask.
C.ZdiscontinueZoxygenZadministration.
D.ZtransportZher.Z-ZANSWERZswitchZtoZaZsimpleZfaceZmask.
BystandersZtellZyouZthatZanZunresponsiveZ22-year-
oldZmaleZfellZ10ZfeetZoffZaZladderZandZlandedZheadZfirst.ZYouZhear
Zirregular,ZgaspingZrespirationsZandZpalpateZaZcarotidZpulse.ZYouZshouldZfirst:
A.ZapplyZaZcervicalZcollar.
B.ZperformZaZjaw-thrustZmaneuver.
C.ZinsertZaZnasopharyngealZairway.
D.ZassessZhisZvitalZsigns.Z-ZANSWERZperformZaZjaw-thrustZmaneuver.
WhichZofZtheZfollowingZmayZbeZaZdirectZimpactZofZpositiveZpressureZventilationZonZperfusionZwhenZventilat
ingZanZinfant?
A.ZDecreasedZcardiacZoutput
B.ZIncreasedZsystemicZresistance
C.ZIncreasedZV/QZmismatch
D.ZDecreasedZpreloadZ-ZANSWERZDecreasedZpreload
AZ40-year-
oldZfemaleZwasZexposedZtoZfumesZfromZaZchemicalZatZworkZwhenZsheZopenedZaZcontainerZthatZisZnowZclos
ed.ZSheZcomplainsZofZdifficultyZbreathing.ZAfterZensuringZtheZsceneZisZsafe,ZyouZshould:
A.ZreadZtheZMaterialZSafetyZDataZSheet.
B.ZactivateZaZHazmatZresponse.
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