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EMT Flexible Testing Engine & EMT Latest Test Online
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Free PDF Quiz Accurate EMT - Emergency Medical Technicians Exam Flexible Testing Engine
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NREMT Emergency Medical Technicians Exam Sample Questions (Q56-Q61):
NEW QUESTION # 56
A 42-year-old male states, "I can't breathe" after being shot in his upper thigh. Bystanders have applied direct pressure to his thigh and the bleeding is controlled. You should first
- A. Replace the bystander's dressing with sterile gauze
- B. Apply a tourniquet
- C. Administer oxygen
- D. Assess for other life-threatening injuries
Answer: C
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Thepatient's complaint of difficulty breathingis anairway/breathing issueand takes precedence over a controlled extremity bleed. The first action is toadminister oxygenand evaluate respiratory effort.
Though reassessing the wound is important,oxygenation is the prioritywhen airway compromise or respiratory distress is present. Tourniquets are foruncontrolled bleeding, which is not the case here.
References:
NREMT Trauma Assessment Guidelines
National EMS Education Standards - Primary Assessment Priorities
Brady Emergency Care (13th ed.) - Chapter: Patient Assessment
NEW QUESTION # 57
A 3-year-old female choked while eating a hot dog and then became unresponsive. You should first
- A. Begin chest compressions
- B. Deliver two rescue breaths
- C. Check her carotid pulse
- D. Perform a head tilt-chin lift maneuver
Answer: A
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
According toPediatric Basic Life Support (PBLS) guidelinesby theAmerican Heart Association (AHA), when a child becomes unresponsive due to foreign body airway obstruction (FBAO), the immediate next step is to beginchest compressions. This is donebefore checking the airway or giving breathsbecause the airway is presumed obstructed. The compressions may dislodge the object.
After 30 compressions, open the airway and check for visible objects. If none are seen, attempt rescue breaths.
This protocol reflects the high risk of complete airway blockage in children with sudden collapse following a choking episode.
References:
AHA PALS and BLS Provider Manual (2020), Pediatric FBAO Algorithm
NREMT Cognitive Exam Blueprint - Pediatric Airway Obstruction
National EMS Education Standards (2011) - Pediatric Emergencies
NEW QUESTION # 58
Heat exhaustion is most frequently associated with
- A. Hypovolemia
- B. Bradycardia
- C. Altered mental status
- D. Hypertension
Answer: A
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Heat exhaustionresults from prolonged exposure to elevated temperatures, leading tofluid and electrolyte loss(especially sodium and water), causinghypovolemia. This can result in:
* Tachycardia
* Weakness
* Dizziness
* Profuse sweating
Unlikeheat stroke, mental status is typically preserved in heat exhaustion. Hypertension and bradycardia are not characteristic.
References:
NREMT Environmental Emergencies Module
National EMS Education Standards - Heat-Related Illnesses
AAOS Emergency Care (11th ed.), Chapter: Environmental Emergencies
NEW QUESTION # 59
A 26-year-old patient has an altered mental status. Family advises that the patient has diabetes. The patient's skin is pale, cool, and clammy. What, if anything, can the EMT infer about the patient's glucose level based on the patient's presentation?
- A. The patient's blood sugar is most likely normal.
- B. The patient's blood sugar cannot be inferred.
- C. The patient's blood sugar is most likely low.
- D. The patient's blood sugar is most likely high.
Answer: C
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Altered mental status, combined withpale, cool, and clammy skin, is strongly suggestive ofhypoglycemia (low blood sugar). Hypoglycemia is especially dangerous in diabetics who take insulin or oral hypoglycemics.
The body'sadrenergic responsecauses the "cool and clammy" presentation.
Hyperglycemia typically presents withwarm, dry skinand develops more slowly. EMTs shouldadminister oral glucoseif the patient can swallow.
References:
NREMT Medical Guidelines - Endocrine Emergencies
AAOS EMT Textbook (11th ed.), Chapter: Endocrine and Metabolic Emergencies National EMS Education Standards - Diabetic Emergencies
NEW QUESTION # 60
A patient has heart failure with pulmonary edema. They have shortness of breath, and crackles are present in both lungs. The patient is nauseated and has vomited once. The vital signs are BP 90/40, P
110, R 10, and SpO# 89% on room air. Which of the following signs or symptoms prevent the EMT from using CPAP? Select the three correct options.
- A. Nausea and vomiting
- B. Crackles in both lungs
- C. Pulse rate
- D. Respiratory rate
- E. Blood pressure
- F. Oxygen saturation
Answer: A,D,E
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Contraindications to CPAP(Continuous Positive Airway Pressure) include:
* Hypotension: CPAP can reduce preload and worsen shock (BP < 90 systolic is a contraindication)
* Respiratory rate too low: A rate of 10 is at the low threshold; CPAP requires spontaneous adequate effort
* Active vomiting or nausea: CPAP increases aspiration risk
Crackles and hypoxia areindications, not contraindications, for CPAP. Pulse rate does not influence CPAP use directly.
References:
NREMT Airway Management and Cardiovascular Guidelines
National EMS Education Standards - Respiratory Failure and CPAP
AHA ACLS Provider Manual - Heart Failure and Pulmonary Edema Management
NEW QUESTION # 61
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