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NREMT Practice Test Bank Multiple Choice Exam Questions and Verified Rationalized Answers This document offers a full practice test bank for the NREMT (National Registry of Emergency Medical Technicians) exam, featuring multiple choice questions with verified and rationalized answers. It covers all major testing areas including airway management, trauma, cardiology, EMS operations, and medical emergencies. Each answer includes a clear explanation to support deeper understanding and reinforce key concepts, making it an ideal tool for thorough and effective exam preparation.
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Reason:cGeneralcrulesctocfollowcwhencattemptingctocrescuecacpatientcfromcthecwatercincludec"r each,cthrow,crow,candcthencgo."cIncthisccase,cyoucshouldcattemptctocreachcthecvictimcbychavingchim cgrabcholdcofcaclargecstickcorcsimilarcobject.cIfcthisciscunsuccessful,
- D:awakecandcalertcandchascswallowedcaccommercialcdrainccleaner.:c You
selectedcD;cThiscisccorrect! Reason:Activatedccharcoalcadsorbsc(stickscto)cmanycingestedcsubstances,cprevent- cingcthemcfromcbeingcabsorbedcintocthecbodycbycthecstomachcorcintestines.cIncsomeccases,cyo ucmaycgivecactivatedccharcoalctocpatientscwhochavecingestedccertaincsubstances,cifcapprovedc bycmedicalccontrolcorclocalcprotocol.cActivatedccharcoalcisccontraindicatedcforcpatientscwhoch avecingestedcancacidcorcalkalic(ie,cdrainccleaner)corcacpetroleumcproductc(ie,cgasoline),cwhochav ecacdecreasedclevelcofcconsciousnesscandccannotcprotectctheircowncairway,corcwhocarecunablec tocswallow.
**- A:Spinalcinjury
- D:hemoptysis.:c YoucselectedcD;cThiscisccorrect! Reason:Signscandcsymptomscofcgastrointestinalc(GI)cbleedingcincludecabdominalcpain;cvomiti ngcbloodc(hematemesis);cthecpassagecofcdark,ctarrycstoolsc(melena);candcbrightcredcrectalcblee dingc(hematochezia).cIfcbloodclossciscsignificant,cthecpatientcmaychavecsignscofcshockc(eg,ctac hycardia,cdiaphoresis,ctachypnea,chypotension). Hemoptysisc(coughingcupcblood)ciscacsigncofcacpulmonarycinjury,cnotcGIcbleeding.
Reason:cFirst,cyoucmustcdeterminecthecpatient'scweightcinckilogramsc(kg).cEithercofcthecfollowingcf ormulaeccancbecusedctocconvertcpoundsctockilograms:cFormulac1:cweightc(incpounds)c÷c2.2c=cweig htcinckg.cFormulac2:cweightc(incpounds)c÷c 2 c- c10%c=cweightcinckg.cOncthecbasiscofcthecabovecformulae,cac 125 - poundcpatientcweighsc 57 ckg.cUsingcformulac1,cthecequationciscascfollows:c 125 c(weightcincpounds)c÷ c2.2c=c56.81c(57c[roundedctocthecnearestctenth]).cUsingcformulac2,cthecequationciscascfollows:c 12 5 c(weightcincpounds) ÷c 2 c=c62.5c(63c[roundedctocthecnearestctenth]c- c6.3c(10%cofc63)c=c56.7c(57c[roundedctocthecnearestctenth]).cSincecthecdrugcorderciscforc 1 cg/kg,cy oucshouldcadministerc 57 cgcofcactivatedccharcoalctocyourc 125 - poundcpatient.
distress,cyoucshouldcfirstcremovechimcorchercfromcthecmechanicalcventilatorcandcbegincmanualcve ntilationcwithcacbag- maskcdevice;cifcthecpatientcimproves,cyoucwillcknowcthatcthecproblemcwascacmalfunctioncwithcthec mechanicalcventilator.cIfcthecpatientcdoescnotcimprove,cthectracheostomyctubecisclikelycplugge dcwithcthickcmucuscsecretionscandcrequirescsuctioning.cUnlesscyoucarecfamiliarcwithcthecmech anicalcventilatorc(mostcEMTscarecnot),cdocnotcattemptctoctroubleshootcthecdevicecbyccheckingc thecsettings;cthisconlycwastesctime.
becablectocswallowcthecglucose,cwhichccomescincactubecofcgel.cIfcthecpatientciscunresponsivecorc otherwisecunablectocswallowcthecglucose,cyoucshouldcprovidecrapidctransport,cprovidingcthecap propriatecairwaycmanagementcencroute,candcconsidercancALScintercept.
fromcacfamilycmembercpriorctocrestrainingcthecpatient.cJustcenoughcforcectoceffectivelycrestraincth ecpatientciscallcthatciscrequiredctocpreventccausingcunnecessarycinjury.
**- C:treatcthecconsciouscpatientscbecausecthecmotionlesscpatientcisclikelycdeceased.
**- A:determinecifcthecpatientciscbreathingcadequately.
selectedcA;cThiscisccorrect! Reason:Seizurecdeathscarecmostcfrequentlycthecresultcofchypoxia.cWhencacpersonciscactivelycs eizing,checorcsheciscnotcbreathingcadequately.cYourcprimarycfocuscwhenctreatingcacseizurecpatie ntcisctocprotectchimcorchercfromcinjurycandctocensurecadequatecventilationcandcoxygenation.cMa nycseizingcpatientscrequirecassistedcventilation. Suctioncthecoropharynxconlycifcthecpatientchascsecretionscinchiscorchercmouth.cDocNOTcinsertcanyt hingcintocthecmouthcofcacseizingcpatient;cdoingcsocmayccausecancairwaycobstructioncorcdamage cthecsoftctissuescofcthecmouth,cresultingcincbleeding.cDocnotcattemptctocrestraincancactivelycseizi ngcpatient;cdoingcsocmaycresultcincmusculoskeletalcinjuries.cRequestcancALScambulancecpercyo urclocalcprotocols.