NREMT - Cardiology & Resuscitation
Questions and Answers
A 9-year-old male complains of pain in the middle of his chest. He tells you that the pain
increases with deep inspiration. His
mother tells you that he has had frequent coughing for the past week. She denies any other
medical history and tells you he
is up-to-date with his vaccinations. His lungs are clear to auscultation. His vital signs are P 110, R
18, BP 110/70, and SpO2
is 97% on room air. You should suspect:
A. chest pain of a cardiac origin.
B. chest pain of a non-cardiac origin.
C. pertussis.
D. laryngotracheobronchitis. - correct answer: B. chest pain of a non-cardiac origin.
A 3-year-old female complains of pain in her chest. Her father tells you that she has mitral valve
prolapse. Her skin is
cyanotic. Her lungs are clear on auscultation. Her vital signs are P 136 and irregular, R 30, BP
94/64, and SpO2 is 93% on
room air. You should administer:
A. nitroglycerin.
B. aspirin.
C. oxygen by nasal cannula.
D. oxygen by non-rebreather mask. - correct answer: C. oxygen by nasal cannula.
An 11-year-old male passed out while playing soccer. When you arrive, he is conscious and tells
you he had dizziness and
,sharp chest pain before he passed out. He points to his mid-sternum when you ask him the
location of the pain. He denies
any pain currently. His vital signs are P 66, R 18, BP 114/72, and SpO2 is 95% on room air. You
should:
A. administer oxygen by nasal cannula.
B. transport him in a position of comfort.
C. administer oxygen by non-rebreather mask.
D. transport him fully immobilized to a long backboard. - correct answer: B. transport him in a
position of comfort.
A 6-month-old female is non-responsive to stimuli and has central cyanosis. Her father tells you
she has had a cold. Her
vital signs are P 80, R 24 and shallow, and her capillary refill is three seconds. What should you
suspect is causing her
bradycardia?
A. Hypoxia
B. Atherosclerosis
C. Myocardial ischemia
D. Sick sinus syndrome - correct answer: A. Hypoxia
A 7-year-old male passed out while playing soccer. He has a history of asthma. He is alert now
and tells you he feels like
his heart is beating out of his chest. He is dyspneic, and you auscultate clear lung sounds. His
pulse is too fast to count, and
the rest of his vital signs are R 32, BP 88/58, and SpO2 is 92% on room air. You should:
A. administer aspirin.
B. assist with the administration of albuterol.
C. administer oxygen.
,D. assist with the administration of nitroglycerin. - correct answer: C. administer oxygen.
An unresponsive 10-month-old female is lying in her crib. You observe cyanosis in her lips and
tongue. Her vital signs are P
76, R 18 and shallow, and her capillary refill is four seconds. You should first:
A. assist her ventilation.
B. assess her blood pressure.
C. assess her pulse oximetry.
D. begin chest compressions. - correct answer: A. assist her ventilation.
An unresponsive 2-year-old male is lying in his bed. His mother tells you that he has been sick
for four days. You should
next:
A. assess his breathing and pulse.
B. attach the AED and analyze his rhythm.
C. ventilate him.
D. begin chest compressions. - correct answer: A. assess his breathing and pulse.
An unresponsive 3-month-old female is in cardiac arrest. While you and your partner are
resuscitating her, you should
compress her chest:
A. approximately one half of the anterior-posterior diameter of the chest.
B. using a two thumb — encircling hands technique.
C. over the upper third of her sternum.
D. using a two-finger technique. - correct answer: B. using a two thumb — encircling hands
technique.
, You are resuscitating a 6-year-old male who is in cardiac arrest. After you analyze his rhythm,
the AED announces, "No
shock advised." You should immediately:
A. ventilate him twice.
B. assess his breathing.
C. resume chest compressions.
D. assess his pulse. - correct answer: C. resume chest compressions.
An unresponsive 14-year-old female was rescued from the bottom of a pool. Bystanders are
performing high-quality CPR
and tell you they do not know how long she was submerged. You should first:
A. apply a cervical collar.
B. attach the AED.
C. determine if the pool is saltwater or chlorinated.
D. perform abdominal thrusts. - correct answer: B. attach the AED.
An unresponsive 1-year-old male is lying on the floor with full-thickness burns to his left hand
and right knee. He is apneic
and pulseless. You should have your partner first:
A. ventilate him.
B. apply sterile dressings to his wounds.
C. begin chest compressions.
D. apply the AED and analyze his rhythm. - correct answer: C. begin chest compressions.
An unresponsive 8-year-old female was found outside on a cold night. She is apneic, pulseless,
and her skin is cold. You
begin chest compressions, attach the AED, and analyze her rhythm. The AED announces, "Shock
advised." You should:
Questions and Answers
A 9-year-old male complains of pain in the middle of his chest. He tells you that the pain
increases with deep inspiration. His
mother tells you that he has had frequent coughing for the past week. She denies any other
medical history and tells you he
is up-to-date with his vaccinations. His lungs are clear to auscultation. His vital signs are P 110, R
18, BP 110/70, and SpO2
is 97% on room air. You should suspect:
A. chest pain of a cardiac origin.
B. chest pain of a non-cardiac origin.
C. pertussis.
D. laryngotracheobronchitis. - correct answer: B. chest pain of a non-cardiac origin.
A 3-year-old female complains of pain in her chest. Her father tells you that she has mitral valve
prolapse. Her skin is
cyanotic. Her lungs are clear on auscultation. Her vital signs are P 136 and irregular, R 30, BP
94/64, and SpO2 is 93% on
room air. You should administer:
A. nitroglycerin.
B. aspirin.
C. oxygen by nasal cannula.
D. oxygen by non-rebreather mask. - correct answer: C. oxygen by nasal cannula.
An 11-year-old male passed out while playing soccer. When you arrive, he is conscious and tells
you he had dizziness and
,sharp chest pain before he passed out. He points to his mid-sternum when you ask him the
location of the pain. He denies
any pain currently. His vital signs are P 66, R 18, BP 114/72, and SpO2 is 95% on room air. You
should:
A. administer oxygen by nasal cannula.
B. transport him in a position of comfort.
C. administer oxygen by non-rebreather mask.
D. transport him fully immobilized to a long backboard. - correct answer: B. transport him in a
position of comfort.
A 6-month-old female is non-responsive to stimuli and has central cyanosis. Her father tells you
she has had a cold. Her
vital signs are P 80, R 24 and shallow, and her capillary refill is three seconds. What should you
suspect is causing her
bradycardia?
A. Hypoxia
B. Atherosclerosis
C. Myocardial ischemia
D. Sick sinus syndrome - correct answer: A. Hypoxia
A 7-year-old male passed out while playing soccer. He has a history of asthma. He is alert now
and tells you he feels like
his heart is beating out of his chest. He is dyspneic, and you auscultate clear lung sounds. His
pulse is too fast to count, and
the rest of his vital signs are R 32, BP 88/58, and SpO2 is 92% on room air. You should:
A. administer aspirin.
B. assist with the administration of albuterol.
C. administer oxygen.
,D. assist with the administration of nitroglycerin. - correct answer: C. administer oxygen.
An unresponsive 10-month-old female is lying in her crib. You observe cyanosis in her lips and
tongue. Her vital signs are P
76, R 18 and shallow, and her capillary refill is four seconds. You should first:
A. assist her ventilation.
B. assess her blood pressure.
C. assess her pulse oximetry.
D. begin chest compressions. - correct answer: A. assist her ventilation.
An unresponsive 2-year-old male is lying in his bed. His mother tells you that he has been sick
for four days. You should
next:
A. assess his breathing and pulse.
B. attach the AED and analyze his rhythm.
C. ventilate him.
D. begin chest compressions. - correct answer: A. assess his breathing and pulse.
An unresponsive 3-month-old female is in cardiac arrest. While you and your partner are
resuscitating her, you should
compress her chest:
A. approximately one half of the anterior-posterior diameter of the chest.
B. using a two thumb — encircling hands technique.
C. over the upper third of her sternum.
D. using a two-finger technique. - correct answer: B. using a two thumb — encircling hands
technique.
, You are resuscitating a 6-year-old male who is in cardiac arrest. After you analyze his rhythm,
the AED announces, "No
shock advised." You should immediately:
A. ventilate him twice.
B. assess his breathing.
C. resume chest compressions.
D. assess his pulse. - correct answer: C. resume chest compressions.
An unresponsive 14-year-old female was rescued from the bottom of a pool. Bystanders are
performing high-quality CPR
and tell you they do not know how long she was submerged. You should first:
A. apply a cervical collar.
B. attach the AED.
C. determine if the pool is saltwater or chlorinated.
D. perform abdominal thrusts. - correct answer: B. attach the AED.
An unresponsive 1-year-old male is lying on the floor with full-thickness burns to his left hand
and right knee. He is apneic
and pulseless. You should have your partner first:
A. ventilate him.
B. apply sterile dressings to his wounds.
C. begin chest compressions.
D. apply the AED and analyze his rhythm. - correct answer: C. begin chest compressions.
An unresponsive 8-year-old female was found outside on a cold night. She is apneic, pulseless,
and her skin is cold. You
begin chest compressions, attach the AED, and analyze her rhythm. The AED announces, "Shock
advised." You should: