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| Section | Objectives |
|---|---|
| Airway, Respiration and Ventilation | - Airway Management
|
| EMS Operations | - Operational Procedures
|
| Trauma | - Trauma Assessment and Care
|
| Medical, Obstetrics and Gynecology | - Obstetrics and Gynecology
|
| Cardiology and Resuscitation | - Cardiac Emergencies
|
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NEW QUESTION # 138
A patient in cardiac arrest is currently being resuscitated. How should the EMT communicate with family members at the scene?
Answer: B
Explanation:
In EMS, family members should be treated with compassion, honesty, and respect during a resuscitation.
Current American Heart Association guidance notes that family presence during CPR can improve psychological outcomes and reduce complicated grief , as long as it does not interfere with resuscitation efforts . It also emphasizes communicating with the family, explaining what is happening, and providing support during the event. ( cpr.heart.org ) So the best answer is A : allow them to watch the resuscitation, provided they are not disrupting care or creating a safety problem. In NREMT-style operations questions, that reflects appropriate professional communication and family-centered care. ( NAEMSP )
NEW QUESTION # 139
A 30-year-old patient becomes unresponsive after choking. Which of the following should the EMT perform next? Select the two answer options that are correct.
Answer: C,D
Explanation:
Comprehensive and Detailed Explanation (Based on NREMT standards):
When a previously choking adult becomes unresponsive, NREMT guidelines require the EMT to immediately begin the cardiac arrest sequence.
Option A (Check for a pulse) is correct because determining pulselessness directs the next intervention.
Option B (Begin chest compressions) is correct because chest compressions are initiated if the patient is pulseless and unresponsive. Compressions may also help dislodge the foreign body.
Option C is incorrect because the airway is checked only after compressions begin and ventilations are attempted.
Option D is incorrect because ventilations are attempted after compressions, with airway checks between cycles.
Option E is inappropriate for an unresponsive adult.
NREMT emphasizes following BLS algorithms precisely for airway obstruction leading to unresponsiveness.
NEW QUESTION # 140
A 3-year-old patient has drooling and stridor. The vital signs are BP 82/40, P 132, R 34, SpO# 94%, and T
102.4°F (39.1°C). Which of the following interventions should the EMT perform?
Answer: C
Explanation:
The correct answer is D. Apply humidified oxygen.
This pediatric patient presents with:
Drooling
Stridor
Fever (102.4°F)
These are classic signs of epiglottitis, a life-threatening upper airway infection.
Critical Concept: DO NOT agitate or manipulate the airway
In suspected epiglottitis:
The airway is severely inflamed and unstable
Any attempt to visualize, suction, or insert an airway adjunct can cause:
Sudden airway closure
Complete obstruction
NREMT-aligned guidance states:
"Avoid examining the airway in patients with suspected epiglottitis."
"Do not insert airway adjuncts or suction unless absolutely necessary." Why D is correct:
Humidified oxygen helps improve oxygenation without irritating the airway It is the safest and most appropriate intervention Keep the child calm and in a position of comfort Why the other options are incorrect:
A). Visualize the airway # Dangerous; may cause airway collapse
B). Suction posterior pharynx # Can trigger complete obstruction
C). Insert an oropharyngeal airway # Contraindicated in this condition
Exact Extracts (NREMT-aligned EMT educational references):
"Drooling, stridor, and fever suggest epiglottitis."
"Do not place anything in the mouth."
"Provide oxygen and avoid agitating the child."
Clinical Priority Summary:
In suspected epiglottitis, the priority is to maintain a calm environment and provide oxygen without airway manipulation, making D the correct answer.
References:
NREMT EMT Education Standards - Airway, Respiration & Ventilation (Pediatrics) NREMT National Continued Competency Program (NCCP) AAOS Emergency Care and Transportation of the Sick and Injured (NREMT-aligned)
NEW QUESTION # 141
You observe your partner as he completes a patient care report. He documents giving a medication that you know he did not administer. You should first
Answer: C
Explanation:
The correct answer is D because the first appropriate action is to address the error directly and immediately by having your partner correct the patient care report . EMS documentation guidance used in national EMT education is clear that the PCR must be accurate and factual , and specifically states that providers must not chart treatments that were not actually given . For example, official EMT instructional guidance says that if a treatment such as oxygen was overlooked, do not document that it was given .
Because the false entry is being made at the time of documentation, the first step is to stop the inaccurate charting and get it corrected. If your partner refuses, then the issue should be escalated through the chain of command. Accurate PCR documentation is part of patient care, legal documentation, and quality assurance in EMS.
NEW QUESTION # 142
A 3-year-old female choked while eating a hot dog and then became unresponsive. You should first
Answer: A
Explanation:
According to Pediatric Basic Life Support (PBLS) guidelines by the American Heart Association (AHA), when a child becomes unresponsive due to foreign body airway obstruction (FBAO), the immediate next step is to begin chest compressions. This is done before checking the airway or giving breaths because the airway is presumed obstructed. The compressions may dislodge the object.
After 30 compressions, open the airway and check for visible objects. If none are seen, attempt rescue breaths.
This protocol reflects the high risk of complete airway blockage in children with sudden collapse following a choking episode.
References:
AHA PALS and BLS Provider Manual (2020), Pediatric FBAO Algorithm
NREMT Cognitive Exam Blueprint - Pediatric Airway Obstruction
National EMS Education Standards (2011) - Pediatric Emergencies
NEW QUESTION # 143
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