L A T E S T N R E M T 20 2 5 P R A C T IC E
Q U E S T I ON S A N D V E R I F IE D
A N S W E RS : F U T UR E E MT G R O U P
When assessing the work of breathing in a pediatric patient, you should assess
A. chest expansion, skin color, and presence of wheezes or stridor
B. using inspection, palpation, percussion, and auscultation of chest
C. breath sounds bilaterally, ventilation rate, quality, and volume
D. airway sounds, positioning, and presence of any retractions or nasal flaring -
CORRECT ANSWER -D. airway sounds, positioning, and presence of any
retractions or nasal flaring
Your team is performing CPR on a 68 year old male. You are assigned the
airway. When ventilating him, you should:
A. ventilate him once when CPR stops after 30 compressions
B. Use a two person ventilation technique
C. Use a BVM that can refill in 3 seconds
D. Ventilate every 15 seconds with BVM - CORRECT ANSWER -B. Use a two
person ventilation technique
A 20 year old male was playing basketball and suddenly developed chest pain
and respiratory difficulty. He is alert and oriented. He complains of chest pain.
His vitals are P=140, R=24, Bp=160/90. He has diminished breath sounds on
the left side. He is likely suffering from:
A. tension pneumothorax
B. simple pneumothorax
C. heat exhaustion
D. heat stroke - CORRECT ANSWER -B. simple pneumothorax
A tall, thin 21 year old male tells you he has increasing shortness of breath
after playing basketball. He tells you during the first part of practice he was
tired and the longer he played the more short of breath he became. You notice
swelling around his neck and you hear crackles when you palpate the skin. You
should suspect:
A. pulmonary embolism
B. spontaneous pneumothorax
,C. pernicious anemia
D. cardiomegaly - CORRECT ANSWER -B. spontaneous pneumothorax
Which of the following patient presentations represent the most severe stage of
hypoxia?
A. A restless and agitated 72 year old female with vitals: P=110, R=14, and
BP= 148/92
B. A 68 year old male with skin that is cool and clammy. His vitals: P= 110,
R= 18, and BP= 108/72
C. A sleepy and confused 69 year old male with discolored fingernail beds
D. A 73 year old female with shortness of breath, headache, and tachypenic -
CORRECT ANSWER -C. A sleepy and confused 69 year old male with
discolored fingernail beds
A 2 year old female who has had a cold for the past two days now has
frequent barking coughing. Her skin is warm to touch. She has inspiratory
stridor, and her SpO2 is 98% on room air. When transporting her, you should
prepare for:
A. respiratory arrest
B. sepsis
C. emesis
D. airway obstruction - CORRECT ANSWER -D. airway obstruction
A 67 year old male is unresponsive and snoring. As you insert a tongue
depressor to insert an oropharyngeal airway, he has a gag reflex. You should:
A. insert a nasopharyngeal airway
B. turn him to the recovery position
C. suction his airway
D. maintain head-tilt chin-lift - CORRECT ANSWER -A. insert a nasopharyngeal
airway
A 6 year old male has a fever and difficulty breathing. He is anxious, sitting in
a tripod position, and complains of a sore throat. You should suspect:
A. rubeola
B. pertussis
C. epiglottitis
D. esophagitis - CORRECT ANSWER -C. epiglottitis
The mother of a 3 month old male tells you that his apnea monitor alarmed
and when she checked on him he was not breathing. She stimulated him and
called 9-1-1. He is now breathing on his own. His vital signs are P 160, R 28,
and SpO2 is 98% on room air. You should first:
A. administer blow-by oxygen at 6 L/minute
B. check the functions of the apnea monitor
C. determine what care she provided
, D. instruct her how to ventilate him - CORRECT ANSWER -C. determine what
care she provided
A 71 year old female awoke suddenly complaining of shortness of breath. She
tells you she had a heart attack six months ago. Her vitals are P 96, R 16, BP
108/84, and SpO2 is 91% on room air. You should first:
A. administer oxygen by NRB
B. ask if she takes nitroglycerin
C. lay her flat and elevate legs
D. listen to her lungs for wheezes - CORRECT ANSWER -A. administer oxygen
by NRB
A 74 year old female who was holding her head collapsed suddenly. When you
arrive she is lying supine on the floor unresponsive. You hear gurgling sounds
on inspiration. You should first:
A. ventilate her with a BVM
B. insert a NPA
C. suction her airway
D. log roll her to recovery position - CORRECT ANSWER -C. suction her airway
Which of the following findings indicates a condition where air is trapped in the
lower airways? Common in asthma and COPD
A. rales
B. pleural rub
C. wheezes
D. rhonchi - CORRECT ANSWER -C. wheezes
A 4 year old male has difficulty breathing. He has a sore throat, is leaning
forward with hands on his knees, and his skin is hot to touch. When he speaks
his voice sounds hoarse. His pulse oximeter reading is 94% on room air. You
should:
A. inspect his upper airway, monitor tracheal breath sounds, and transport
rapidly
B. lay him flat, monitor ABCs, and transport
C. administer oxygen, keep him calm, and transport rapidly
D. administer high-flow oxygen, insert oral airway, and transport - CORRECT
ANSWER -C. administer oxygen, keep him calm, and transport rapidly
An 8 year old female who has a history of asthma self-administered her
metered dose inhaler prior to your arrival. Her vital signs are P 96, R 16, BP
108/78, and SpO2 is 94% on room air. You auscultate her lung sounds over
the lower lobes and should expect to hear:
A. bronchovesicular sounds
B. wheezes
C. rhonchi
D. crackles - CORRECT ANSWER -B. wheezes
Q U E S T I ON S A N D V E R I F IE D
A N S W E RS : F U T UR E E MT G R O U P
When assessing the work of breathing in a pediatric patient, you should assess
A. chest expansion, skin color, and presence of wheezes or stridor
B. using inspection, palpation, percussion, and auscultation of chest
C. breath sounds bilaterally, ventilation rate, quality, and volume
D. airway sounds, positioning, and presence of any retractions or nasal flaring -
CORRECT ANSWER -D. airway sounds, positioning, and presence of any
retractions or nasal flaring
Your team is performing CPR on a 68 year old male. You are assigned the
airway. When ventilating him, you should:
A. ventilate him once when CPR stops after 30 compressions
B. Use a two person ventilation technique
C. Use a BVM that can refill in 3 seconds
D. Ventilate every 15 seconds with BVM - CORRECT ANSWER -B. Use a two
person ventilation technique
A 20 year old male was playing basketball and suddenly developed chest pain
and respiratory difficulty. He is alert and oriented. He complains of chest pain.
His vitals are P=140, R=24, Bp=160/90. He has diminished breath sounds on
the left side. He is likely suffering from:
A. tension pneumothorax
B. simple pneumothorax
C. heat exhaustion
D. heat stroke - CORRECT ANSWER -B. simple pneumothorax
A tall, thin 21 year old male tells you he has increasing shortness of breath
after playing basketball. He tells you during the first part of practice he was
tired and the longer he played the more short of breath he became. You notice
swelling around his neck and you hear crackles when you palpate the skin. You
should suspect:
A. pulmonary embolism
B. spontaneous pneumothorax
,C. pernicious anemia
D. cardiomegaly - CORRECT ANSWER -B. spontaneous pneumothorax
Which of the following patient presentations represent the most severe stage of
hypoxia?
A. A restless and agitated 72 year old female with vitals: P=110, R=14, and
BP= 148/92
B. A 68 year old male with skin that is cool and clammy. His vitals: P= 110,
R= 18, and BP= 108/72
C. A sleepy and confused 69 year old male with discolored fingernail beds
D. A 73 year old female with shortness of breath, headache, and tachypenic -
CORRECT ANSWER -C. A sleepy and confused 69 year old male with
discolored fingernail beds
A 2 year old female who has had a cold for the past two days now has
frequent barking coughing. Her skin is warm to touch. She has inspiratory
stridor, and her SpO2 is 98% on room air. When transporting her, you should
prepare for:
A. respiratory arrest
B. sepsis
C. emesis
D. airway obstruction - CORRECT ANSWER -D. airway obstruction
A 67 year old male is unresponsive and snoring. As you insert a tongue
depressor to insert an oropharyngeal airway, he has a gag reflex. You should:
A. insert a nasopharyngeal airway
B. turn him to the recovery position
C. suction his airway
D. maintain head-tilt chin-lift - CORRECT ANSWER -A. insert a nasopharyngeal
airway
A 6 year old male has a fever and difficulty breathing. He is anxious, sitting in
a tripod position, and complains of a sore throat. You should suspect:
A. rubeola
B. pertussis
C. epiglottitis
D. esophagitis - CORRECT ANSWER -C. epiglottitis
The mother of a 3 month old male tells you that his apnea monitor alarmed
and when she checked on him he was not breathing. She stimulated him and
called 9-1-1. He is now breathing on his own. His vital signs are P 160, R 28,
and SpO2 is 98% on room air. You should first:
A. administer blow-by oxygen at 6 L/minute
B. check the functions of the apnea monitor
C. determine what care she provided
, D. instruct her how to ventilate him - CORRECT ANSWER -C. determine what
care she provided
A 71 year old female awoke suddenly complaining of shortness of breath. She
tells you she had a heart attack six months ago. Her vitals are P 96, R 16, BP
108/84, and SpO2 is 91% on room air. You should first:
A. administer oxygen by NRB
B. ask if she takes nitroglycerin
C. lay her flat and elevate legs
D. listen to her lungs for wheezes - CORRECT ANSWER -A. administer oxygen
by NRB
A 74 year old female who was holding her head collapsed suddenly. When you
arrive she is lying supine on the floor unresponsive. You hear gurgling sounds
on inspiration. You should first:
A. ventilate her with a BVM
B. insert a NPA
C. suction her airway
D. log roll her to recovery position - CORRECT ANSWER -C. suction her airway
Which of the following findings indicates a condition where air is trapped in the
lower airways? Common in asthma and COPD
A. rales
B. pleural rub
C. wheezes
D. rhonchi - CORRECT ANSWER -C. wheezes
A 4 year old male has difficulty breathing. He has a sore throat, is leaning
forward with hands on his knees, and his skin is hot to touch. When he speaks
his voice sounds hoarse. His pulse oximeter reading is 94% on room air. You
should:
A. inspect his upper airway, monitor tracheal breath sounds, and transport
rapidly
B. lay him flat, monitor ABCs, and transport
C. administer oxygen, keep him calm, and transport rapidly
D. administer high-flow oxygen, insert oral airway, and transport - CORRECT
ANSWER -C. administer oxygen, keep him calm, and transport rapidly
An 8 year old female who has a history of asthma self-administered her
metered dose inhaler prior to your arrival. Her vital signs are P 96, R 16, BP
108/78, and SpO2 is 94% on room air. You auscultate her lung sounds over
the lower lobes and should expect to hear:
A. bronchovesicular sounds
B. wheezes
C. rhonchi
D. crackles - CORRECT ANSWER -B. wheezes
