NREMT certification EMT exam training methods

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NREMT Emergency Medical Technicians Exam Sample Questions (Q24-Q29):

NEW QUESTION # 24
Reassessment of a patient begins with repeating the

A. Secondary assessment
B. Primary survey
C. Scene size-up
D. Vital signs

Answer: B

Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Thereassessment phasein the EMT patient assessment model starts with repeating theprimary survey(also called the primary assessment), which includes:
* Airway
* Breathing
* Circulation
* Disability (mental status)
* Exposure/environment
The purpose is to identify any changes or deterioration in the patient'slife-threatening conditions, especially in dynamic or unstable patients. Only after this do EMTs check vitals and reevaluate secondary complaints.
References:
NREMT Assessment Guidelines - Patient Reassessment
Brady Emergency Care (13th ed.), Chapter: Assessment in EMS
National EMS Education Standards - Patient Assessment

NEW QUESTION # 25
The most common finding in a patient who is experiencing a sickle cell crisis is

A. Hypertension
B. Pain
C. Hypoxia
D. Cardiac arrhythmia

Answer: B

Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Sickle cell crisis(vaso-occlusive crisis) occurs when abnormally shaped red blood cells obstruct blood flow, leading to:
* Severe localized or generalized pain(most common symptom)
* Often in the back, chest, abdomen, or long bones
Hypoxia may be a contributing factor, but pain is themost reported reasonfor EMS activation. Cardiac arrhythmias and hypertension arenot primary symptomsof sickle cell crisis.
References:
NREMT Medical Guidelines - Hematologic Disorders
AAOS Emergency Care and Transportation (11th ed.) - Chapter on Hematologic Emergencies National Heart, Lung, and Blood Institute - Sickle Cell Disease Management

NEW QUESTION # 26
A 10-year-old patient is in hypovolemic shock. Which of the following signs would be early indicators of shock for this patient? Select the three correct options.

A. Heart rate
B. Respiratory rate
C. Capillary refill
D. Blood pressure
E. SpO#
F. Blood glucose level

Answer: A,B,C

Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Children compensate for shock through increasedheart rate,respiratory rate, andvasoconstriction, which delays blood pressure drop. Therefore:
* Tachycardiais often thefirst sign
* Prolonged capillary refill(>2 seconds) is an early indicator
* Tachypneasupports perfusion
Blood pressureis alate signin pediatric shock. SpO# is helpful but does not specifically indicate shock. Blood glucose may be abnormal in other metabolic conditions but is not an early marker of volume loss.
References:
NREMT Pediatric Assessment Flowchart
PALS Guidelines - Recognition of Shock in Children
AAOS Emergency Care and Transportation (11th ed.), Chapter: Pediatric Shock

NEW QUESTION # 27
When treating a patient suspected of having tuberculosis, you should

A. Place a HEPA respirator on the patient
B. Wear a surgical mask before treating the patient
C. Notify the Centers for Disease Control
D. Place a surgical mask on the patient

Answer: D

Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Forsuspected or confirmed tuberculosis (TB), the EMT should place asurgical mask on the patient, not a HEPA respirator. Surgical masks are used tocontain droplets from the patientand reduce airborne transmission.
The EMTshould wear aN95 or HEPA respiratorto protect against inhaling airborne particles. Notification to the CDC is not the EMT's responsibility - that falls to public health officials.
References:
CDC Guidelines for TB Exposure in Prehospital Settings
NREMT Infectious Disease Control Protocols
National EMS Education Standards - Airborne Pathogens and PPE Use

NEW QUESTION # 28
A choking patient becomes unresponsive. What should the EMT perform next? Select the two correct options.

A. Open the airway and look in the mouth
B. Do not ventilate until the foreign body is removed
C. Check for a pulse
D. Begin chest compressions
E. Position the patient in recovery and administer back blows

Answer: C,D

Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
If achoking patient becomes unresponsive, EMTs should:
* Check for a pulse
* Begin chest compressionsif no pulse is foundChest compressions can helpdislodge the object. After compressions, the airway should be opened and inspected. Back blows are not appropriate for unconscious patients.
Ventilation is attempted after clearing the airway or if no object is seen.Do not withhold compressions waiting for object removal.
References:
AHA BLS Provider Manual (2020) - Foreign Body Airway Obstruction Algorithm NREMT Airway Skills Sheet - Obstructed Airway National EMS Education Standards - Respiratory and Airway Management

NEW QUESTION # 29
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