NREMT FINAL EXAM ACTUAL EXAM 200 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A||EXCELLENT TOOL FOR STUDYING FOR NREMT AND
FINAL
Treatment for a responsive 4-year-old child with a mild airway obstruction, who has
respiratory distress, a strong cough, and normal skin color, includes: - ANSWER:
supplemental oxygen and transport
Finger sweeps are ONLY indicated if - ANSWER: the patient is unresponsive and you
can see the object in his or her mouth
Cellular respiration and cellular metabolism are best described as - ANSWER: the use
of oxygen and carbohydrates to produce energy and the creation of carbon dioxide
and water byproducts.
An absence seizure, also called a petit mal seizure, is characterized by - ANSWER: a
blank stare and an absence of tonic-clonic motor activity.
A focal motor seizure - ANSWER: is isolated to one part of the body, such as an
extremity, but can progress to a generalized (full body) seizure.
You should assist with the delivery of the baby's head by: - ANSWER: placing your
fingers on the bony part of the skull and applying gentle pressure
A child between 3 to 5 would have normal vitals if they are? - ANSWER: Respirations
b/w 20-30
Pulse 80-120
Systolic bp 80-110
You receive a call for a 3-year-old girl with respiratory distress. When you enter her
residence, you see the mother holding the child, who does not acknowledge your
presence. This finding indicates that the child: - ANSWER: has severe hypoxia
When is it MOST appropriate to clamp and cut the umbilical cord? - ANSWER: as
soon as the cord has stopped pulsating
Which of the following is the MOST common cause of shock in infants and children? -
ANSWER: dehydration
A 5-year-old boy was struck by a car when he ran out into the street. When you
arrive at the scene and approach the child, you see him lying supine approximately
15 feet from the car. Based on the child's age and mechanism of injury, which of the
following should you suspect to be his PRIMARY injury? - ANSWER: pelvic injury
,You are called to the scene of a man down. Dispatch reports the man is pulseless and
bystanders are doing CPR. According to the NREMT Cardiac Arrest management/AED
skill sheet, which of the following sequences is appropriate? - ANSWER: Complete 1
cycle of CPR, attach AED, have everyone stand clear during rhythm check.
Your patient is a 41 year old female who was found lying prone in the kitchen. She
does not appear to be conscious andthere is a pool of saliva next to her head. You
and your partner log roll her into a supine position while maintaining c-spine
stabilization. Just as you get the woman rolled over her husband tells you that she
has a previous history of heart attacks. What would be the most appropriate course
of action to take next? - ANSWER: Do a jaw thrust to open her airway.
Which position is MOST appropriate for a mother in labor with a prolapsed umbilical
cord? - ANSWER: supine with hips elevated
You are treating a 5-year-old child who has had severe diarrhea and vomiting for 3
days and is now showing signs of shock. Supplemental oxygen has been given and
you have elevated his lower extremities. En route to the hospital, you note that his
work of breathing has increased. You should: - ANSWER: lower the extremities and
reassess the child
After an advanced airway device (eg, ET tube, multilumen airway, supraglottic
airway) has been inserted during cardiac arrest, ventilate the patient at a rate
of_____________ breaths per minute (one breath every __________ seconds). This
ventilation rate applies to all age groups, except the newborn. - ANSWER: 8 to 10, 6
to 8
Excessive ventilation (eg, hyperventilation) is detrimental because it causes an
increase in intrathoracic pressure, which - ANSWER: impedes blood flow back to the
heart and decreases coronary perfusion
A 6-year-old boy presents with a high fever, a headache, and a stiff neck. He is
conscious, but is not acting as a normal 6-year-old boy should. His mother told you
that he vomited once before your arrival. You should be MOST concerned with: -
ANSWER: the risk of permanent neurological damage
Signs and symptoms of Cushing's triad include all the following except - ANSWER:
tachycardia
Your assessmment of a newborn reveals cyanosis to the chest and face and a heart
rate of 90 beats/min. What should you do first? - ANSWER: begin artificial
ventilations
Oxygen and other nutrients are transferred to the developing fetus via the: -
ANSWER: umbilical vein
, Hypoxia-induced unresponsiveness during a submersion injury is usually the result
of: - ANSWER: laryngospasm
General rules to follow when attempting to rescue a patient from the water include -
ANSWER: reach, row, throw, then go
You and your partner arrive at the home of a 60-year-old man with shortness of
breath. As you enter the residence, you find the patient sitting in his recliner; he is in
obvious respiratory distress. As you approach him, he becomes verbally abusive,
stating that it took you too long to get to his home. A small handgun is sitting on a
table next to his recliner. You should: - ANSWER: slowly back out of the residence
and call law enforcement
Which of the following statements regarding the function of insulin is correct? -
ANSWER: facilitates the uptake of glucose from the bloodstream into the cell
Which of the following is found just above the kidneys in the abdomen? - ANSWER:
pancreas
By the age of two months, an infant should be able to - ANSWER: recognize faces
and focus on things near to him
Because fibrinolytic therapy decreases the blood's ability to clot, its use is limited to
patients with ______ strokes. - ANSWER: ischemic
Which of the following are characteristics of late adulthood? - ANSWER: lung
elasticity is diminished, pain perception is diminished, and metabolism is increased
It would increase __________ in patients with hemorrhagic stroke; therefore,
fibrinolytic therapy is contraindicated for these patients. - ANSWER: intracerebral
bleeding
You will also find that most postictal patients are __________; this is the result of an
adrenalin surge that occurs during the tonic-clonic phase of the seizure. - ANSWER:
tachycardic
Ticks can carry two infectious diseases: - ANSWER: Lyme disease and Rocky
Mountain spotted fever
The age that a person begins to develop a self-concept or self awareness is -
ANSWER: school-age
Lyme disease signs/symptoms - ANSWER: rash beginning about 3 days after bite that
may resemble bullseye pattern in 1/3 of patients
swelling of joints (especially knees)
The Adam's Apple is also known as the - ANSWER: larynx
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A||EXCELLENT TOOL FOR STUDYING FOR NREMT AND
FINAL
Treatment for a responsive 4-year-old child with a mild airway obstruction, who has
respiratory distress, a strong cough, and normal skin color, includes: - ANSWER:
supplemental oxygen and transport
Finger sweeps are ONLY indicated if - ANSWER: the patient is unresponsive and you
can see the object in his or her mouth
Cellular respiration and cellular metabolism are best described as - ANSWER: the use
of oxygen and carbohydrates to produce energy and the creation of carbon dioxide
and water byproducts.
An absence seizure, also called a petit mal seizure, is characterized by - ANSWER: a
blank stare and an absence of tonic-clonic motor activity.
A focal motor seizure - ANSWER: is isolated to one part of the body, such as an
extremity, but can progress to a generalized (full body) seizure.
You should assist with the delivery of the baby's head by: - ANSWER: placing your
fingers on the bony part of the skull and applying gentle pressure
A child between 3 to 5 would have normal vitals if they are? - ANSWER: Respirations
b/w 20-30
Pulse 80-120
Systolic bp 80-110
You receive a call for a 3-year-old girl with respiratory distress. When you enter her
residence, you see the mother holding the child, who does not acknowledge your
presence. This finding indicates that the child: - ANSWER: has severe hypoxia
When is it MOST appropriate to clamp and cut the umbilical cord? - ANSWER: as
soon as the cord has stopped pulsating
Which of the following is the MOST common cause of shock in infants and children? -
ANSWER: dehydration
A 5-year-old boy was struck by a car when he ran out into the street. When you
arrive at the scene and approach the child, you see him lying supine approximately
15 feet from the car. Based on the child's age and mechanism of injury, which of the
following should you suspect to be his PRIMARY injury? - ANSWER: pelvic injury
,You are called to the scene of a man down. Dispatch reports the man is pulseless and
bystanders are doing CPR. According to the NREMT Cardiac Arrest management/AED
skill sheet, which of the following sequences is appropriate? - ANSWER: Complete 1
cycle of CPR, attach AED, have everyone stand clear during rhythm check.
Your patient is a 41 year old female who was found lying prone in the kitchen. She
does not appear to be conscious andthere is a pool of saliva next to her head. You
and your partner log roll her into a supine position while maintaining c-spine
stabilization. Just as you get the woman rolled over her husband tells you that she
has a previous history of heart attacks. What would be the most appropriate course
of action to take next? - ANSWER: Do a jaw thrust to open her airway.
Which position is MOST appropriate for a mother in labor with a prolapsed umbilical
cord? - ANSWER: supine with hips elevated
You are treating a 5-year-old child who has had severe diarrhea and vomiting for 3
days and is now showing signs of shock. Supplemental oxygen has been given and
you have elevated his lower extremities. En route to the hospital, you note that his
work of breathing has increased. You should: - ANSWER: lower the extremities and
reassess the child
After an advanced airway device (eg, ET tube, multilumen airway, supraglottic
airway) has been inserted during cardiac arrest, ventilate the patient at a rate
of_____________ breaths per minute (one breath every __________ seconds). This
ventilation rate applies to all age groups, except the newborn. - ANSWER: 8 to 10, 6
to 8
Excessive ventilation (eg, hyperventilation) is detrimental because it causes an
increase in intrathoracic pressure, which - ANSWER: impedes blood flow back to the
heart and decreases coronary perfusion
A 6-year-old boy presents with a high fever, a headache, and a stiff neck. He is
conscious, but is not acting as a normal 6-year-old boy should. His mother told you
that he vomited once before your arrival. You should be MOST concerned with: -
ANSWER: the risk of permanent neurological damage
Signs and symptoms of Cushing's triad include all the following except - ANSWER:
tachycardia
Your assessmment of a newborn reveals cyanosis to the chest and face and a heart
rate of 90 beats/min. What should you do first? - ANSWER: begin artificial
ventilations
Oxygen and other nutrients are transferred to the developing fetus via the: -
ANSWER: umbilical vein
, Hypoxia-induced unresponsiveness during a submersion injury is usually the result
of: - ANSWER: laryngospasm
General rules to follow when attempting to rescue a patient from the water include -
ANSWER: reach, row, throw, then go
You and your partner arrive at the home of a 60-year-old man with shortness of
breath. As you enter the residence, you find the patient sitting in his recliner; he is in
obvious respiratory distress. As you approach him, he becomes verbally abusive,
stating that it took you too long to get to his home. A small handgun is sitting on a
table next to his recliner. You should: - ANSWER: slowly back out of the residence
and call law enforcement
Which of the following statements regarding the function of insulin is correct? -
ANSWER: facilitates the uptake of glucose from the bloodstream into the cell
Which of the following is found just above the kidneys in the abdomen? - ANSWER:
pancreas
By the age of two months, an infant should be able to - ANSWER: recognize faces
and focus on things near to him
Because fibrinolytic therapy decreases the blood's ability to clot, its use is limited to
patients with ______ strokes. - ANSWER: ischemic
Which of the following are characteristics of late adulthood? - ANSWER: lung
elasticity is diminished, pain perception is diminished, and metabolism is increased
It would increase __________ in patients with hemorrhagic stroke; therefore,
fibrinolytic therapy is contraindicated for these patients. - ANSWER: intracerebral
bleeding
You will also find that most postictal patients are __________; this is the result of an
adrenalin surge that occurs during the tonic-clonic phase of the seizure. - ANSWER:
tachycardic
Ticks can carry two infectious diseases: - ANSWER: Lyme disease and Rocky
Mountain spotted fever
The age that a person begins to develop a self-concept or self awareness is -
ANSWER: school-age
Lyme disease signs/symptoms - ANSWER: rash beginning about 3 days after bite that
may resemble bullseye pattern in 1/3 of patients
swelling of joints (especially knees)
The Adam's Apple is also known as the - ANSWER: larynx
