Page 1 of 414
NREMT PRACTICE EXAM TEST BANK |
FREQUENTLY TESTED QUESTIONS WITH
CORRECT ANSWERS | BRAND NEW!
Following the initial steps of resuscitation, a newborn remains
apneic and cyanotic. You should:
• A:start CPR if the heart rate is less than 80 beats/min.
• B:immediately resuction its mouth and nose.
• C:gently flick the soles of its feet for up to 60 seconds.
• D:begin ventilations with a bag-mask device. - ✔✔✔ Correct Answer >
The correct answer is D;
Reason:The initial steps of newborn resuscitation, which are
performed on all newborns following delivery, include drying,
warming, positioning, suctioning, and tactile stimulation. If the
newborn remains apneic after the initial steps of resuscitation,
or has a heart rate less than 100 beats/min, you should begin
positive-pressure ventilations (PPV) with a bag-mask device at a
rate of 40 to 60 breaths/min. Continued tactile stimulation (eg,
flicking the soles of the feet, rubbing the lateral thorax) of an
apneic newborn wastes time; you must ventilate at once. If the
newborn's heart rate is less than 60 beats/min despite effective
PPV, you should begin chest compressions.
,Page 2 of 414
An unresponsive patient's respirations are 26 breaths/min and
shallow. The MOST appropriate treatment includes:
• A:a simple face mask set at 10 to 12 L/min.
• B:a nonrebreathing mask set at 15 L/min.
• C:assisted ventilations with 100% oxygen.
• D:a nasal cannula set at 2 to 6 L/min. - ✔✔✔ Correct Answer > You
selected C; This is correct!
Reason:
Shallow respirations (reduced tidal volume) at a rate of 26
breaths/min will not provide adequate minute volume. Therefore,
you should assist the patient's ventilations with a bag-mask
device and high-flow oxygen. Passive oxygenation devices (eg,
nonrebreathing mask, simple face mask, nasal cannula) will be
of little benefit to a patient with inadequate breathing. The patient
must have adequate tidal volume in order to effectively breath in
oxygen from these devices.
Which of the following is a more reliable indicator of perfusion in
children than it is in adults?
• A:Heart rate
• B:Capillary refill
• C:Blood pressure
,Page 3 of 414
• D:Respiratory rate - ✔✔✔ Correct Answer > You selected B; This is
correct!
Reason:In children younger than 6 years of age, capillary refill
time (CRT) serves as an excellent indicator of perfusion; it
assesses oxygen delivery to the capillaries. As a person gets
older, however, CRT becomes less reliable. It is important to
remember that factors such as cold temperature can affect CRT.
Early in shock, the heart and respiratory rates increase in an
attempt to compensate for decreases in oxygen; this occurs in
both children and adults. When these compensatory mechanisms
fail, the blood pressure falls, and the patient enters a state of
decompensated shock. For this reason, you should not rely upon
a patient's blood pressure to determine overall perfusion; the
blood pressure may be maintained, despite inadequate perfusion.
Which artery should you palpate when assessing for a pulse in
an unresponsive 6-month-old patient?
• A:Radial
• B:Brachial
• C:Femoral
• D:Carotid - ✔✔✔ Correct Answer > You selected B; This is correct!
Reason:You should assess the brachial pulse in infants younger
than 1 year of age. The carotid or femoral pulse can be assessed
, Page 4 of 414
in children older than 1 year of age. A carotid pulse is difficult to
locate in infants because they have minimal space between their
head and shoulders.
You are caring for a 6-year-old child with a possible fractured
arm and have reason to believe that the child was abused. How
should you manage this situation?
• A:Call the police and have the parents arrested.
• B:Transport the child to the hospital regardless of the parents'
wishes.
• C:Advise the parents that the child needs to be transported.
• D:Inform the parents of your suspicions. - ✔✔✔ Correct Answer > You
selected C; This is correct!
Reason:The responding EMT must handle cases of suspected
child abuse with great care. You must never accuse the parents
or caregiver of abuse. If you are wrong, you could be held liable
for slander. Actions that would suggest such accusation includes
summoning the police to have the parents arrested. Instead, you
should advise the parents or caregiver that the child needs to be
transported by ambulance, even if the injury is not life-
threatening. The goal is to get the child to safety; however, this
must be done legally (with parental consent). In most cases, you
only need the consent of one parent to transport the child. Once
at the hospital, you must apprise the physician of your
suspicions.
NREMT PRACTICE EXAM TEST BANK |
FREQUENTLY TESTED QUESTIONS WITH
CORRECT ANSWERS | BRAND NEW!
Following the initial steps of resuscitation, a newborn remains
apneic and cyanotic. You should:
• A:start CPR if the heart rate is less than 80 beats/min.
• B:immediately resuction its mouth and nose.
• C:gently flick the soles of its feet for up to 60 seconds.
• D:begin ventilations with a bag-mask device. - ✔✔✔ Correct Answer >
The correct answer is D;
Reason:The initial steps of newborn resuscitation, which are
performed on all newborns following delivery, include drying,
warming, positioning, suctioning, and tactile stimulation. If the
newborn remains apneic after the initial steps of resuscitation,
or has a heart rate less than 100 beats/min, you should begin
positive-pressure ventilations (PPV) with a bag-mask device at a
rate of 40 to 60 breaths/min. Continued tactile stimulation (eg,
flicking the soles of the feet, rubbing the lateral thorax) of an
apneic newborn wastes time; you must ventilate at once. If the
newborn's heart rate is less than 60 beats/min despite effective
PPV, you should begin chest compressions.
,Page 2 of 414
An unresponsive patient's respirations are 26 breaths/min and
shallow. The MOST appropriate treatment includes:
• A:a simple face mask set at 10 to 12 L/min.
• B:a nonrebreathing mask set at 15 L/min.
• C:assisted ventilations with 100% oxygen.
• D:a nasal cannula set at 2 to 6 L/min. - ✔✔✔ Correct Answer > You
selected C; This is correct!
Reason:
Shallow respirations (reduced tidal volume) at a rate of 26
breaths/min will not provide adequate minute volume. Therefore,
you should assist the patient's ventilations with a bag-mask
device and high-flow oxygen. Passive oxygenation devices (eg,
nonrebreathing mask, simple face mask, nasal cannula) will be
of little benefit to a patient with inadequate breathing. The patient
must have adequate tidal volume in order to effectively breath in
oxygen from these devices.
Which of the following is a more reliable indicator of perfusion in
children than it is in adults?
• A:Heart rate
• B:Capillary refill
• C:Blood pressure
,Page 3 of 414
• D:Respiratory rate - ✔✔✔ Correct Answer > You selected B; This is
correct!
Reason:In children younger than 6 years of age, capillary refill
time (CRT) serves as an excellent indicator of perfusion; it
assesses oxygen delivery to the capillaries. As a person gets
older, however, CRT becomes less reliable. It is important to
remember that factors such as cold temperature can affect CRT.
Early in shock, the heart and respiratory rates increase in an
attempt to compensate for decreases in oxygen; this occurs in
both children and adults. When these compensatory mechanisms
fail, the blood pressure falls, and the patient enters a state of
decompensated shock. For this reason, you should not rely upon
a patient's blood pressure to determine overall perfusion; the
blood pressure may be maintained, despite inadequate perfusion.
Which artery should you palpate when assessing for a pulse in
an unresponsive 6-month-old patient?
• A:Radial
• B:Brachial
• C:Femoral
• D:Carotid - ✔✔✔ Correct Answer > You selected B; This is correct!
Reason:You should assess the brachial pulse in infants younger
than 1 year of age. The carotid or femoral pulse can be assessed
, Page 4 of 414
in children older than 1 year of age. A carotid pulse is difficult to
locate in infants because they have minimal space between their
head and shoulders.
You are caring for a 6-year-old child with a possible fractured
arm and have reason to believe that the child was abused. How
should you manage this situation?
• A:Call the police and have the parents arrested.
• B:Transport the child to the hospital regardless of the parents'
wishes.
• C:Advise the parents that the child needs to be transported.
• D:Inform the parents of your suspicions. - ✔✔✔ Correct Answer > You
selected C; This is correct!
Reason:The responding EMT must handle cases of suspected
child abuse with great care. You must never accuse the parents
or caregiver of abuse. If you are wrong, you could be held liable
for slander. Actions that would suggest such accusation includes
summoning the police to have the parents arrested. Instead, you
should advise the parents or caregiver that the child needs to be
transported by ambulance, even if the injury is not life-
threatening. The goal is to get the child to safety; however, this
must be done legally (with parental consent). In most cases, you
only need the consent of one parent to transport the child. Once
at the hospital, you must apprise the physician of your
suspicions.
