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NEW QUESTION # 238
A drowsy 72-year-old female complains of difficulty breathing. Her respiratory rate is 50, and her SpO# is
89% on room air. You should suspect
Answer: B
Explanation:
The patient's excessively high respiratory rate (RR 50), hypoxia (SpO# 89%), and decreased mental status (drowsiness) indicate respiratory failure, which is the inability to maintain oxygenation or ventilation.
* Respiratory distress: Increased effort but adequate compensation
* Respiratory arrest: Complete absence of breathing
* Respiratory alkalosis: Possible early finding, but not a condition diagnosis This patient is tiring and losing the ability to ventilate effectively - a hallmark of failure.
References:
NREMT Airway and Ventilation Guidelines
AHA BLS Manual - Recognition of Respiratory Failure
AAOS EMT Textbook - Chapter: Airway Emergencies
NEW QUESTION # 239
Who is ultimately responsible for maintaining certification requirements and ensuring continuing education requirements are met?
Answer: C
Explanation:
Comprehensive and Detailed Explanation (Based on NREMT standards):
The healthcare provider is ultimately responsible for maintaining certification, licensure, and continuing education requirements. While agencies, supervisors, and training officers may assist or provide opportunities, NREMT clearly states that responsibility rests with the individual EMT.
Option C is correct because failure to meet certification requirements can result in expiration or revocation regardless of employer involvement.
Options A, B, and D are incorrect because these roles may support education but are not legally responsible for an individual provider's compliance.
NREMT emphasizes professional accountability as a core expectation of EMS practice.
NEW QUESTION # 240
Which of the following signs and symptoms indicate dehydration in an infant? Select the three correct options.
Answer: A,B,E
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Dehydration signs in infantsinclude:
* Poor skin turgor(elasticity)
* Sunken fontanelles(indicative of fluid loss)
* Delayed capillary refill(>2 seconds)
Flushed skin is more common infever or heat illness, not dehydration.Hypotension, not hypertension, is associated with dehydration in late stages.
References:
NREMT Pediatric Assessment and Fluid Emergencies
PALS Provider Manual - Dehydration in Infants
AAOS Emergency Care (11th ed.) - Pediatric Emergency Chapter
NEW QUESTION # 241
Following insertion of an oropharyngeal airway in an unresponsive 1-year-old male, he develops cyanosis and bradycardia. You should
Answer: D
Explanation:
In infants, improper insertion of an OPA (oropharyngeal airway) can stimulate the vagus nerve, leading to bradycardia or even complete airway obstruction. If cyanosis and bradycardia develop after OPA insertion, immediate removal and resumption of ventilations with a bag-valve mask is critical.
The OPA must be properly sized and inserted only in patients without a gag reflex. Ventilations alone often reverse vagally induced bradycardia.
References:
NREMT Psychomotor Skills - Pediatric Airway
American Heart Association PALS Provider Manual (2020)
Brady Emergency Care (13th ed.) - Pediatric Airway Management
NEW QUESTION # 242
An incomplete patient care report suggests
Answer: A
Explanation:
The correct answer is B because in EMS, the patient care report is the official record of the assessment, treatment, and transport decision-making provided to the patient. Authoritative EMS documentation guidance explains that the PCR is essential to communicate patient assessment and treatment and to support ongoing care; if it is incomplete, it suggests the care itself may not have been thorough or cannot be shown to have been thorough. In EMS practice, incomplete documentation is commonly treated as incomplete patient care documentation, which reflects poorly on the thoroughness of care. ( NCBI )
NEW QUESTION # 243
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P.S. Free & New EMT dumps are available on Google Drive shared by PrepAwayPDF: https://drive.google.com/open?id=1Ioq3aqKtJj1cpteXRNpgSNeEM9sGWTdI