NREMT Simulation Exam, EMT Questions and Answers 2023

NREMT Simulation Exam, EMT Questions and Answers 2023 The parasympathetic nervous system would be responsible for? - ANSWER-Intestinal activity and slowing down the heart What is the body's basic source of energy? - ANSWER-Glucose is the basic source of energy that sugars are converted to for energy in the body. You and your partner Stewart arrive on scene to find a woman who has suffered a blunt trauma to her spine that has resulted in her apparent paralysis as well as a state of shock. What type of shock is she likely suffering from? - ANSWER-Neurogenic shock can be seen in spinal cord injuries A 2 year old has one full leg burned and one full arm burned. What percentage of their body is considered burned? - ANSWER-22.5 percent You are dispatched to a possible cardiac arrest. You arrive 10 minutes from the time of the call. You and your partner enter the residence to find a man in his 50's lying supine on the living room floor. His wife says that he "just collapsed" while eating dinner. Which of the following treatment choices is most appropriate at this time according to AHA Guidelines? - ANSWER-Perform 30 compressions and then look inside the mouth before attempting to ventilate History and assessment findings for hyperglycemia/diabetic ketoacidosis may include all of the following except: - ANSWER-Hunger Your unit is called to a youth summer camp for an unknown illness of a 14 year old girl. The counselor who called 911 stated that the girl started vomiting while playing basketball and is now complaining of stomach pain. You arrive to find the girl sitting in the camp office clutching her stomach. She is very overweight and slightly diaphoretic with pink skin that feels like a normal temperature. When you take her pulse she starts complaining of "feeling weak". She is AOX3. What is most likely wrong with this girl and which answer contains the most appropriate treatment? - ANSWER-She is suffering from heat cramps and should be given small sips of cool water if her LOC is not impaired. Move her to a cool area and actively cool her by misting her with tepid water and then fanning her to allow for evaporation. Apply high flow O2, administer IV fluids if scope of practice allows, and transport. Your patient is a 46 year male with Type 1 diabetes. His girlfriend called 911 after she came home late from work and found him curled up on the floor of the bathroom with a towel under his head. There is no visible sign of trauma. He will not respond to you and his respirations are adequate depth and rate at 16 per minute. The girlfriend tells you that she just spoke to him on the phone a few hours ago and he seemed fine. What is the most likely cause of the this man's altered LOC - ANSWER-He took his insulin, but has not eaten. He is hypoglycemic. The integumentary system: - ANSWER-Helps regulate body temperature as well as providing the body protection from the environment What is the first part of the patient assessment process? - ANSWER-Scene size up At the ER a physician approaches you with an MRI of your patient's spine. The spinal cord appears to be about 25 mm in diameter. You know this is strange because the diameter of an average normal spinal cord is approximately? - ANSWER-The average normal spinal cord is approximately 10 mm in diameter. In the management of a seizure patient, attention should be focused on all of the following except: - ANSWER-CPR The autonomic nervous system is _____________. - ANSWER-A subdivision of the peripheral nervous system Injuries to hollow organs that go undiagnosed for an extended period of time may lead to wound infection or ____________________. The contents of the organ spilling into the peritoneal space may cause__________________. - ANSWER-Sepsis / peritonitis You and your partner Max are called to a house where a 72 year old man is having chest pain and complaining of trouble breathing. The man is diaphoretic and has a pulse of 107, respirations of 24, and a BP of 160/84. He says he has never had any heart problems or breathing difficulty before this. What should you do next? - ANSWER-Put him on O2 at 15 lpm and transport While walking into a grocery store you notice a young mother violently shaking her 14-month-old child and telling it, "Shut up!" If you were to respond to her residence later in the day and find the child unresponsive, what possible injuries could you expect to find? - ANSWER-Acceleration-deceleration injuries to the cervical spine A fracture to the forearm Hemorrhaging of the retina During anaphylactic shock, the patient's BP is likely to ________. - ANSWER-Decrease You arrive on scene with your partner Ruben to a multiple car accident where you are the 3rd ambulance to arrive on the scene. You are told that there are 6 patients in 4 cars all requiring extrication. In the first car is a 21 year old woman who is 37 weeks pregnant, conscious, and crying - a 16 year old boy who is crying and complaining of back pain - and a 6 year old girl who has abrasions on her face and an open fracture of the ulna. She is conscious but her breathing is shallow and appears labored. In the second car is a 67 year old woman who is pinned against the steering wheel with visible brain matter. She has no pulse. In the third car are 2 teenagers who are complaining of neck pain and appear to have an altered LOC. Neither was wearing a seatbelt and both have lacerations about their faces and on their heads. Who should be receiving treatment first? - ANSWER-The 6 year old girl You are assessing a 6 month old infant girl and become concerned when you discover her respiratory rate. Which of the following rates would give you this concern? - ANSWER-: 60 breaths/min You and your partner Grimes are called to the scene of a stabbing. There are two patients reported. A woman with a stab wound to the URQ and a man with a stab wound to the LRQ. The woman with the wound in the URQ is having problems breathing, has a pulse of 103, respirations of 35, and they are shallow. The patient with the stab wound to the LRQ is complaining of severe abdominal pain and has a pulse of 48 and a respiration rate of 24. Which patient is most likely to have a low blood pressure? Why? - ANSWER-The man, because of the nature and location of the injury, he may be losing blood internally. His pulse is too slow as well Which method of penetrating injury would be considered low energy? - ANSWER-An ice pick stab You arrive on scene with your partner Abe to find a 64 year old woman who is very obese. Her son tells you she has a heart condition. She is unconscious with a baggie of what appears to be street drugs next to her. She is breathing at 18 breaths a minute and they are regular. Her pulse is 99 and her BP is 90/50. What is likely the cause for the low blood pressure? - ANSWER-The drugs You and your partner Chin have been called to an apartment complex on the wrong side of the tracks. The reporting party said her husband was not acting normally and has been complaining of chest pain for a week. She said he would not go to the hospital even after repeated requests from her to do so. You enter the dark apartment to find a man in his 70's lying back in a recliner. He has a GCS of 7 and is breathing shallow at 26 breaths per minute. You cannot find a pulse. What would be the best course of action? - ANSWER-: Secure his airway and begin assisting ventilations What would you do if a newborn infant has a heart rate lower than 100 beats a minute? - ANSWER-Ventilate at 40-60 breaths a minute