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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 # 82
A 17-year-old patient was stung by a bee and is now confused and short of breath. The vital signs are BP 78
/60, P 140, R 26 and shallow, and SpO# 86% on room air. After administering epinephrine, what should the EMT do next?
Answer: A
Explanation:
The correct answer is D. Administer oxygen by non-rebreather mask.
Anaphylaxis (bee sting)
Hypotension (78/60) # shock
Tachycardia (140)
Low SpO# (86%)
Shortness of breath
This is a life-threatening allergic reaction requiring aggressive airway and oxygen management.
Provides high-flow, high-concentration oxygen (up to ~90-95%)
Indicated for patients with:
Hypoxia (SpO# < 94%)
Respiratory distress
Shock states
After epinephrine, oxygen therapy is the next immediate step
A). Closely monitor SpO# # Monitoring alone is insufficient; intervention is needed B). Nasal cannula # Delivers low-flow oxygen, inadequate for severe hypoxia C). Assist ventilations with BVM # Indicated only if respiratory failure or inadequate breathing, not yet present
"Administer high-flow oxygen to patients with hypoxia or respiratory distress."
"Anaphylaxis requires epinephrine and supportive airway/oxygen management."
"Use a nonrebreather mask for patients requiring high-concentration oxygen." References:
NREMT EMT Education Standards - Airway, Respiration & Ventilation
National EMS Education Standards - Allergic Reactions and Anaphylaxis
NREMT Candidate Handbook - Patient Management
NEW QUESTION # 83
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,C,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 # 84
A 70-year-old patient has a sudden onset of difficulty breathing with throat and chest tightness after working outside. The EMT auscultates bilateral wheezes. The vital signs are BP 60/44, P 128, R 28, and SpO# 90% on room air. Which of the following treatments should the EMT administer?
Answer: D
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
The symptoms and vital signs (wheezing, hypotension, high pulse rate, respiratory distress) are strongly indicative ofanaphylaxis, which is alife-threatening allergic reaction. Bilateral wheezing and hypotension further confirm systemic involvement. Thefirst-line treatment is intramuscular epinephrine, which:
* Reverses bronchospasm (via beta-2 adrenergic effects)
* Raises blood pressure (via alpha-1 vasoconstriction)
* Improves airway tone and reduces mucosal edema
A metered-dose inhaler may help in mild bronchospasm but is insufficient duringanaphylactic shock.
Positive pressure ventilations are a secondary measure if respiratory failure occurs. Nitroglycerin is contraindicated due to low BP.
References:
NREMT Medical/Obstetrics/Gynecology Guidelines - Allergic Reactions
AHA ACLS Provider Manual (2020), Section on Anaphylaxis
National EMS Education Standards - Immune System Emergencies
NEW QUESTION # 85
Which of the following sections are designated by command at an MCI? Select the three correct options.
Answer: C,D,E
Explanation:
In Incident Command System (ICS) for Mass Casualty Incidents (MCI), the four major sections are:
* Planning: Collects data and develops response strategies
* Logistics: Supplies and personnel
* Finance/Administration: Cost tracking, contracts, compensation
Staging is a tactical location, not a management section. Catering and aviation are not command-level ICS designations unless part of specific tasks under logistics or operations.
References:
NIMS ICS Framework - FEMA (ICS-100/700)
NREMT EMS Operations - MCI Command Structure
National EMS Education Standards - Incident Management
NEW QUESTION # 86
Your unit is responding to an industry specializing in electroplating. There are several workers who are ill.
During triage you smell bitter almonds. You should most likely suspect:
Answer: A
Explanation:
The correct answer is B. cyanide poisoning.
The key clue in this question is the odor of bitter almonds, which is classically associated with cyanide exposure. Cyanide is commonly used in industrial processes such as electroplating, making this scenario highly suggestive of cyanide poisoning.
Why B is correct:
* Cyanide exposure is known for producing a "bitter almond" odor.
* It is commonly found in industrial settings, especially electroplating facilities.
* Cyanide interferes with cellular respiration, leading to rapid onset of severe symptoms in multiple patients.
Why the other options are incorrect:
* A. Ammonia exposure # Produces a sharp, pungent odor, not bitter almonds.
* C. Organophosphate poisoning # Typically associated with a garlic or musty odor and cholinergic symptoms (SLUDGE).
* D. Chlorine gas exposure # Has a strong bleach-like odor, causing respiratory irritation.
Exact Extracts:
* "Cyanide exposure may be associated with a bitter almond odor."
* "Industrial processes such as electroplating may involve cyanide compounds."
* "Recognition of characteristic odors can assist in identifying hazardous materials." References:
NREMT EMT Education Standards - EMS Operations (Hazardous Materials)
National EMS Education Standards - Toxicology and Environmental Emergencies NREMT Candidate Handbook - Scene Safety and Hazard Recognition
NEW QUESTION # 87
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