NREMT Final Exam: Airway, Respiration,
and Ventilation
A 10-year-old female complains of trouble breathing after blending bleach with any other
cleaner. Her skin and apparel are dry. You scent a sturdy smell, and your eyes begin to water.
What direction of exposure must you suspect is inflicting her dyspnea?
A. Injection
B. Ingestion
C. Inhalation
D. Absorption - ANS-C. Inhalation
A 12-12 months-vintage male has issue respiration. He tells you he has had a chilly all week.
You auscultate rhonchi in his left decrease chest. His vital signs are P 104, R 28, BP 104/74,
and SpO2 is 89% on room air. You have to suspect:
A. Respiration misery.
B. Continual allergies.
C. Breathing failure.
D. Septic shock. - ANS-A. Breathing distress.
A thirteen-year-vintage male tells you that he has had a cough for two weeks. He has an
episode of coughing, and you hear an inspiratory whoop after each cough. You auscultate
rhonchi in his left lower lung. His crucial signs and symptoms are P one hundred, R 22, BP
118/76, and SpO2 is 93% on room air. You have to:
A. Assist with the management of his beta2 agonist.
B. Assist his air flow.
C. Administer oxygen through nasal cannula.
D. Help with the administration of his beta1 antagonist. - ANS-C. Administer oxygen by means
of nasal cannula.
A sixteen-12 months-vintage lady complains of a runny nose and a low-grade fever. She has a
burst of fast coughing with an inspiratory whooping sound. While she is coughing her pores and
skin becomes cyanotic. After she stops coughing her pores and skin colour
returns to regular. You have to suspect:
A. Pneumonia.
B. Pertussis.
C. Rubella.
D. Tuberculosis. - ANS-B. Pertussis.
A 16-12 months-old girl states, "Help me...I have...Bronchial asthma and...I...Can't breathe!"
She tells you she used her inhaler as soon as without remedy. You auscultate wheezes in all
fields. Her essential symptoms are P a hundred, R 26 and deep, BP 108/68, and SpO2 is 90%
on room air. After administering oxygen, you should next:
A. Discover considered one of her parents for consent.
,B. Shipping her.
C. Help with the management of her inhaler.
D. Assist her ventilations with a BVM. - ANS-C. Assist with the management of her inhaler.
A 17-12 months-antique lady complains of problem swallowing after smoking crack earlier
today. Her voice is quiet, and he or she is leaning ahead and drooling. Her lungs are clear to
auscultation. Her crucial symptoms are P 16, R 14, BP 116/ 76, and SpO2 is 94% on room air.
You ought to suspect:
A. Cocaine overdose.
B. Epiglottitis.
C. Excited delirium.
D. Laryngotracheobronchitis. - ANS-B. Epiglottitis.
A 19-year-old girl complains of problem respiratory. She tells you she has a history of cystic
fibrosis. Her pores and skin is faded and diaphoretic. You auscultate scattered rhonchi in all
fields. Her essential symptoms are P 78, R 20, BP 118/seventy two, and SpO2 is 92% on room
air. You must:
A. Help her air flow.
B. Administer oxygen.
C. Assist with the administration of her bronchodilator inhaler.
D. Suction her airway. - ANS-B. Administer oxygen.
A 20-yr-antique male is coughing after inhaling chlorine gasoline. He become moved out of
doors to clean air with the aid of coworkers. His most effective court cases are that his throat is
burning, and it's miles tough to capture his breath due to the coughing. You have to first:
A. Collect a pattern of his phlegm.
B. Decontaminate the affected region.
C. Administer oxygen.
D. Allow him to drink water. - ANS-C. Administer oxygen.
A 23-yr-old girl turned into rescued from a residence fireplace. She is coughing up black phlegm
and complains of difficulty breathing. You ought to suspect she inhaled which of the following
gases that is tough for the body to catch up on and can be toxic?
A. Carbon dioxide
B. Cyanide
C. Nitrogen
D. Argon - ANS-B. Cyanide
A 24-yr-old lady complains of proper-sided chest ache and problem breathing. She tells you she
felt a pop in her chest while coughing before the ache and difficulty respiration started. Her
lungs are clear to auscultation. Her vital symptoms are P 82, R 20, BP 108/seventy two, and
SpO2 is 97% on room air. You ought to suspect:
A. Tension pneumothorax.
B. Pleural effusion.
C. Neoplasm.
D. Spontaneous pneumothorax. - ANS-D. Spontaneous pneumothorax.
A 24-yr-old male complains of trouble respiratory. He is sitting in a chair leaning ahead. He tells
you that he become exercising while it started. His lung sounds are clean but faded in the bases
, bilaterally. His vital signs and symptoms are P ninety two, R 22, BP 132/ninety, and SpO2 is
ninety three% on room air. You have to suspect:
A. Spontaneous pneumothorax.
B. Respiration failure.
C. Breathing distress.
D. Tension pneumothorax. - ANS-C. Respiratory distress.
A 25-year-old female complains of issue respiratory. She tells you she took her inhaler with out
remedy. Her mucous membranes are faded. You auscultate decreased lung sounds in the
bases and wheezes in her top lungs. Her important signs and symptoms are P 86, R 24, BP a
hundred thirty/72, and SpO2 is 89% on room air. You ought to:
A. Withhold further use of her inhaler.
B. Administer oxygen by using nasal cannula.
C. Administer oxygen through non-rebreather masks.
D. Help her ventilation. - ANS-C. Administer oxygen via non-rebreather mask.
A 26-yr-old male complains of trouble respiration after playing basketball. His pores and skin is
faded and diaphoretic. You auscultate wheezes in all fields. His important symptoms are P 98, R
22, BP 132/72, and SpO2 is ninety one% on room air. You should suspect:
A. Pleural effusion.
B. Tension pneumothorax.
C. Bronchial asthma.
D. Spontaneous pneumothorax. - ANS-C. Asthma.
A 29-yr-vintage girl complains of problem respiration and numbness in her lips. She tells you
that she has a whole lot of stress and can not take it anymore. Her important symptoms are P
104, R 28 and deep, BP 118/88, and SpO2 100% on room air. You have to suspect:
A. Metabolic alkalosis.
B. Reduced systemic vascular resistance.
C. Thyroid storm.
D. Multiplied alveolar ventilation. - ANS-D. Elevated alveolar air flow.
A 3-12 months-antique male is in respiratory distress. His mother tells you that he has a fever of
102 degrees F. She tells you he can't swallow and is drooling. He is sitting up, leaning forward
and also you hear inspiratory stridor. You must:
A. Vicinity him within the restoration function.
B. Insert an oropharyngeal airway.
C. Administer oxygen.
D. Suction his airway. - ANS-A. Administer oxygen
A 32-year-vintage lady complains of sharp, stabbing pain to the left facet of her chest and
difficulty respiratory. She currently fractured her left tibia, and she or he has a forged on her leg.
You auscultate clear lung sounds. Her vital signs and symptoms are P 94, R 26, BP 118/sixty
four, and SpO2 is 92% on room air. You should suspect:
A. Anxiety pneumothorax.
B. Pulmonary embolism.
C. Pneumonia.
D. Pleurisy. - ANS-B. Pulmonary embolism.
