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The National Register Emergency Medical Technician (EMT) cognitive test is a computer adaptive test (CAT).This means that each candidate is evaluated based on the position of the responses on a spectrum. Once a candidate gets the correct answers, the computer will automatically enter more difficult questions to continue testing the candidate's skill level. The number of items a candidate can expect from the EMT exam will be between 70 and 120. Each exam will have between 60 and 110 “live” elements that will be counted towards the final score. The exam will also include 10 pilot questions that do not affect the final score. The maximum time allowed to complete the exam is 2 hours. To pass the exam, candidates must meet a standard skill level. The standard of success is defined by the ability to provide safe and effective entry-level emergency medical care.
NEW QUESTION # 262
You are assessing a 26-year-old male pedestrian who was hit by a car. His vital signs are BP 86/64, P 128, and R 24. You should most likely suspect
Answer: D
Explanation:
Look at the vital signs pattern first: low blood pressure (86 systolic) + high pulse (128) . This tells you the body is no longer maintaining adequate perfusion , meaning compensation has failed.
In EMT training, compensated shock still has a normal blood pressure , even though heart rate and breathing increase. Once hypotension develops , the patient has progressed to decompensated shock .
So the key deciding factor here is the low BP , which makes this decompensated shock , not compensated.
NEW QUESTION # 263
A 56-year-old patient has substernal chest discomfort radiating to the left arm and shoulder. The patient is nauseous, weak, and diaphoretic. The vital signs are BP 118/68, P 88, R 16, and SpO# 95% on room air.
Which of the following interventions would be appropriate for this patient? Select the two answer options that are correct.
Answer: A,D
Explanation:
The correct answers are C and D because this patient is presenting with classic signs of acute coronary syndrome (ACS) , including chest pain radiating to the arm, nausea, and diaphoresis.
NREMT-aligned EMT care emphasizes early administration of aspirin (baby aspirin) in suspected cardiac chest pain, as it helps inhibit platelet aggregation and improve outcomes. Additionally, the patient should be positioned comfortably (usually sitting upright) to reduce cardiac workload and ease breathing.
The patient's SpO# is 95% on room air , so routine oxygen or ventilatory support is not indicated, and there are no signs requiring CPAP.
NEW QUESTION # 264
A 23-year-old male fell down a flight of stairs, struck his head, and briefly lost consciousness. He opens his eyes when you ask him questions, knows his name, but doesn't know where he is or what happened.
He is able to squeeze your hands on command. What is his Glasgow Coma Score?
Answer: B
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Use theGlasgow Coma Scale (GCS)to calculate:
* Eye Opening (E):Opens to speech = 3
* Verbal Response (V):Confused but appropriate words = 4
* Motor Response (M):Obeys commands = 6Total = 3 + 4 + 6 = 13
However, thequestion states he opens eyes to voice, knows name (orientation to person), and follows commands- this would mean:
* Eye = 3
* Verbal = 5(Oriented to person, but disoriented to place/time)
* Motor = 6
Correct Total: 14
References:
NREMT Trauma Guidelines - Neurological Assessment
Glasgow Coma Scale - CDC and AHA Standards
AAOS Emergency Care Textbook - Head Injury Chapter
NEW QUESTION # 265
When communicating with a patient, what are the best methods for showing respect and concern for the patient? Select the three answer options that are correct.
Answer: A,E,F
Explanation:
The correct answers are A, C, and D because NREMT-aligned EMT communication guidance emphasizes being honest with the patient , using the patient's proper name , and making and keeping eye contact as key interpersonal communication behaviors that show respect and concern. Official EMT refresher curriculum specifically lists: "Be honest with the patient," "Use the patient's proper name," and "Make and keep eye contact with the patient." It also says to use language the patient can understand , which supports avoiding unnecessary medical jargon. ( EMS.gov )
NEW QUESTION # 266
Which of the following techniques are appropriate for examining a patient with an acute abdomen?
Select the two correct options.
Answer: B,D
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
In patients with acute abdominal pain, you mustfirst inspect (visualize)for distension, discoloration, or masses beforetouching. Palpation always beginsaway fromthe most painful area. The patient should be in asupine position with knees flexedto relax the abdominal muscles and ease the exam.
Palpating a pulsating masscould rupture an abdominal aortic aneurysm and is contraindicated.
References:
NREMT Cognitive Exam Blueprint - Medical Emergencies
Emergency Care and Transportation of the Sick and Injured (AAOS, 11th ed.) - Chapter: Abdominal and GI Emergencies EMT-B National Standard Curriculum, Module: Medical Emergencies
NEW QUESTION # 267
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