2019-2020 NREMT Exam, Answered

2019-2020 NREMT Exam, Answered Once you have the endotracheal tube in place, and as you perform auscultation, you realize the patients right side has sounds from the lungs but the left does not, or they are minimal. What should be your next move?

• Extract the tube and try intubation again

• Abandon it and initiate respirations

• Ensure the cuff is deflated, then pull the tube three to four centimeters

• Gently pull the tube three to four inches out, ensuring cuff is inflated - C) Ensure

the cuff is deflated, then pull the tube three to four centimeters

You reach the site where a woman of advanced age has fallen and injured her ribs, and when you assess, you find she is breathing rapidly and shallowly, the rate being 40, how can you confirm this emergency is life-threatening?

• There is the risk of her volume per minute being excessive

• There is the risk of her volume per minute diminishing

• Her limit for the air referred to as "dead space" has been reached

• You can see her inhaling excessive oxygen - B) There is the risk of her volume

per minute diminishing

(In the prevailing state, it is possible the patient is not mobilizing sufficient air to penetrate the tissues)

Sellicks maneuver is meant for:

• Reducing vomiting risk

• Making the carina visible

• Making the vallecular visible

• Collapsing the patients trachea - A) Reducing vomiting risk

(Sellicks maneuver decreases the chances of vomiting as intubation continues, and this is accomplished when the esophagus is. directly collapsed. The maneuver also helps in making the patients vocal cords clearly visible.)

You have been instructed by medical control to help a patient who has a metered dose inhaler. What must you ensure before you can begin to help the patient?

• The patient is not choking

• The medication is right for the patient

• The inhaler does not have a leak

• There is more of the medication in stock at the hospital - B) The medication is

right for the patient

What is a spontaneous pneumothorax?

• Its cause is an impact to the chest, penetrating the patients lung

B)It only applies to patients with COPD

• It's a sudden build up of air within the patients pleural space

• It is more prevalent in men than women - C) It's a sudden buildup of air within the

patient's pleural space

What would you consider a suitable intervention to treat an apnea person?

• Oropharyngeal airway

• Intubation

• BVM mask

• All of the above - D) All of the above

What kind of injury leads to paradoxical motion affecting a person's chest?

• Clavicle break

• Hemopneumothorax

• Tension pneumothorax

• Flail Chest - D) Flail Chest

Often, cardiac arrest in children is the result of:

• Hypovolemia
• Compromised respiratory function
• Rhythm that is irregular
• Chest trauma - B) Compromised respiratory function

When carrying out artificial ventilation using a bag valve mask to help patients whom

you consider to have no trauma, you should first:

• Use both your hands to fix the mask correctly to the patients face

• Put the head of the patient in a 'sniffing' posture that is hyperextended

• Insert an airway adjunct as you choose the appropriate size mask

• Have an assistant squeeze the mask bag until the patients chest rises - B) Put the

head of the patient in a 'sniffing' posture that is hyperextended

(The head of the patient should be hyperextended to further open the airway while assisting ventillations. You can do this to patients assisting ventilations that have no suspected trauma. This should be don't first, before any of the other answers provided. )

If a 70 year old patient whose complaint is being short of breath has had emphysema in the past, what should you do?

• Avoid giving oxygen so you do not terminate the present hypoxic drive

• Avoid giving oxygen because such patients hardly respond to it

• Provide oxygen since often, hypoxic drive does not have an impact

• Avoid giving oxygen since such patients end up apneic after receiving oxygen at

high flow - C) Provide oxygen since often, hypoxic drive does not have an impact

Utilizing a rigid suction catheter when treating infants and young children risks

stimulation of the back of the throat, which may:

• Lead to differences in the rhythm of the heart

• Become ineffective during suctioning

• Cause instant vomiting

• Lead to the patients tongue entering the air passage - A) Lead to differences in the

rhythm of the heart

(If a rigid catheter is used when suctioning infants or children, you must be cautious and avoid touching the back of the throat because you may stimulate the vagus nerve, thus causing bradycardia.)

If your 35 year old trauma patient cannot breathe and you cannot get the airway open using either the jaw thrust or suctioning, what should you do?

• Begin mouth to mask ventilation

• Use the head tilt chin lift maneuver

• Begin ventilating using a bag valve mask

• Create an airway via tracheostomy - B) Use the head tilt chin lift maneuver

(The head tilt chin lift maneuver is normally not given priority when treating trauma patients, because it is known to interfere with alignment of the spine. However, airway opening takes precedence over every other consideration.)

Of the options given below about insufficient breathing, which is correct:

• Breathing that is extra fast, or extra slow might be an indication of insufficient

breathing

• Insufficient breathing is not as common in young children as it is in more in

elderly adults