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| Section | Objectives |
|---|---|
| Airway, Respiration and Ventilation | - Airway Management
|
| Medical, Obstetrics and Gynecology | - Obstetrics and Gynecology
|
| Trauma | - Trauma Assessment and Care
|
| EMS Operations | - Operational Procedures
|
| Cardiology and Resuscitation | - Cardiac Emergencies
|
You can also use the Emergency Medical Technicians Exam PDF format using smartphones, tablets, and laptops. Since the PDF format of real dumps questions is portable, you can access it from any place in free time. The Emergency Medical Technicians Exam web-based practice exam can be easily taken from every browser and operating system without installing additional software. The desktop Emergency Medical Technicians Exam practice exam software comes with all specs of the NREMT EMT web-based version but it works offline only on Windows computer or laptop.
NEW QUESTION # 92
A 65-year-old patient with a history of angina reports chest pain and shortness of breath after playing golf.
The patient stated the pain began one hour ago and has not stopped with rest. The vital signs are BP 86/64, P
112, R 22, and SpO# 89% on room air. Which of the following actions should the EMT do next?
Answer: C
Explanation:
This is a high-risk cardiac event due to unstable angina or possible myocardial infarction. The EMT should:
* Administer oxygen if SpO# is < 94%
* Avoid nitroglycerin if systolic BP is < 90 mmHg
* Obtain a 12-lead ECG to identify ST-elevation MI (STEMI) and transmit it if trained and authorized CPAP is indicated for pulmonary edema, and albuterol is for bronchospasm, neither of which applies here.
References:
AHA ACLS and BLS Guidelines - ACS Management
NREMT Cardiology Guidelines - Chest Pain/MI
National EMS Education Standards - Cardiovascular Emergencies and ECG Recognition
NEW QUESTION # 93
A 96-year-old patient is apneic and pulseless. The family is attempting to cope with the perceived hopelessness of the situation. Which stage of grief should the EMT suspect the family has reached?
Answer: A
Explanation:
The correct answer is D. Depression.
This question is based on the classic five stages of grief commonly taught in EMT education: denial, anger, bargaining, depression, and acceptance.
The key phrase in the question is "perceived hopelessness of the situation." This directly corresponds to the depression stage, which is characterized by sadness, despair, withdrawal, and recognition that the loss is real and unavoidable.
According to standard EMT educational material aligned with NREMT guidelines, the depression stage includes emotional responses such as hopelessness, sadness, and resignation as the patient or family begins to understand the inevitability of death or loss.
Why the other options are incorrect:
* A. Anger: Characterized by frustration, blame, or hostility toward providers or the situation.
* B. Denial: Involves refusal to accept reality (e.g., "This can't be happening").
* C. Bargaining: Involves attempts to negotiate or delay the outcome (e.g., "If only we had called sooner...").
Exact Extract (EMT-aligned educational content):
* The stages of grief include denial, anger, bargaining, depression, and acceptance.
* Depression is described as a stage marked by sadness, despair, and a sense of hopelessness as the reality of the situation becomes clear.
* EMTs are trained to recognize these stages to provide appropriate emotional support to patients and families during end-of-life situations.
References:
NREMT EMT Education Standards - Medical/Behavioral Emergencies (Death and Dying Content) EMT Training Texts (aligned with National EMS Education Standards) - Grief Response and Psychological Support National EMS Scope of Practice Model - Patient and Family Interaction in End-of-Life Care
NEW QUESTION # 94
An EMT is using a BVM to ventilate a 28-year-old patient with asthma. The patient is unresponsive, and their vital signs are BP 70/40, P 142, R 8, and SpO2 89% on room air. The patient is becoming increasingly difficult to ventilate. What should the EMT do next?
Answer: B
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
In patients with asthma experiencing respiratory failure, improper ventilation (especially excessive rates) can lead to air trapping and increased intrathoracic pressure, reducing venous return and worsening hypotension.
Thecorrect techniqueis to ventilate slowly to allow full exhalation - around1 breath every 5-6 secondsfor adults.
CPAPis contraindicated in unresponsive patients who cannot maintain their own airway. Anon-rebreather maskwould be insufficient for an unresponsive patient, andforceful ventilationrisks barotrauma.
References:
NREMT EMT Psychomotor Exam Guide: Airway, Respiration & Ventilation
American Heart Association (AHA) BLS Provider Manual (2020)
National EMS Education Standards (2011) - Airway Management Section
NEW QUESTION # 95
A 44-year-old patient with diabetes feels weak and dizzy. The EMT provides oral glucose and transports the patient to the hospital, where the patient recovers. The EMT tells their partner they did not provide the patient with a blanket because they felt the patient was wasting their time. What best describes the action the EMT took?
Answer: C
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Negligenceoccurs when an EMT:
* Has aduty to act
* Breaches that duty(e.g., by withholding basic care like warmth)
* Causesharm or risk of harm
* Establishescausation
The EMT's failure to treat the patient with respect and dignity - even if the patient improved - still constitutesnegligence, especially if tied to a discriminatory or dismissive attitude.
References:
NREMT Ethics & Legal Guidelines - Duty and Negligence
National EMS Education Standards - Professional Conduct
Brady Emergency Care (13th ed.), Chapter: Legal and Ethical Responsibilities
NEW QUESTION # 96
A 65-year-old patient is unresponsive after falling from standing. Which of the following signs would be most indicative of increasing intracranial pressure? Select the three answer options that are correct.
Answer: C,D,E
Explanation:
The correct answers are B. Bradycardia, C. Hypertension, and F. Cheyne-Stokes respirations.
This question is testing recognition of increased intracranial pressure (ICP), specifically the classic findings known as Cushing's triad and abnormal breathing patterns.
Why B and C are correct (Cushing's Triad):
Cushing's triad is a hallmark of increased ICP and includes:
* Hypertension (widening pulse pressure)
* Bradycardia
* Irregular respirations
NREMT-aligned trauma guidelines state:
* "Increasing intracranial pressure may present with hypertension and bradycardia."
* These are late and critical signs of brain herniation risk.
Why F is correct (Cheyne-Stokes respirations):
Cheyne-Stokes respirations are:
* An abnormal breathing pattern (alternating periods of apnea and rapid breathing)
* Associated with brain injury and increased ICP
Guidelines emphasize:
* "Irregular breathing patterns such as Cheyne-Stokes may indicate brain injury." Why the other options are incorrect:
* A. Tachycardia: Typically seen in shock, not increased ICP.
* D. Hypotension: Suggests shock; ICP usually causes hypertension.
* E. Kussmaul respirations: Associated with metabolic acidosis (e.g., diabetic ketoacidosis), not ICP.
Exact Extracts:
* "Cushing's triad includes hypertension, bradycardia, and irregular respirations."
* "Irregular respirations such as Cheyne-Stokes are associated with brain injury."
* "These findings indicate increasing intracranial pressure and possible herniation." References:
NREMT EMT Education Standards - Trauma (Head Injury and Traumatic Brain Injury) NREMT National Continued Competency Program (NCCP) - Trauma Emergencies Prehospital Emergency Care (EMT) - Neurologic Trauma Management
NEW QUESTION # 97
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