EMT Exam Vce Format - 100% Valid Questions Pool

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Format: Multiple choices, multiple answers

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NREMT Emergency Medical Technicians Exam Sample Questions (Q200-Q205):

NEW QUESTION # 200
A 9-year-old patient who was injured in an MCI is brought to the treatment area with a delayed triage tag. Which of the following signs or symptoms would the EMT expect to find? Select the three correct options.

Answer: A,C,E

Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
In pediatric START orJumpSTARTtriage, a "delayed" status is appropriate if the child is breathing adequately, has palpable pulses, and follows commands. The respiratory rate of 16 is normal for a 9-year-old, and being able to walk also supports the "delayed" tag.
"Mottled skin" and "breathing only after airway opening" would more likely lead to "immediate" or even
"expectant" categories depending on associated symptoms.
References:
JumpSTART Pediatric MCI Triage Algorithm
National EMS Education Standards - Triage
PALS Provider Manual (American Heart Association)


NEW QUESTION # 201
What sign is the best indication that an 8-year-old is in hypovolemic shock?

Answer: B

Explanation:
In pediatric patients, NREMT emphasizes that hypotension is a late and ominous sign of shock. Children compensate well and may maintain blood pressure until shock is severe.
Option C (Tachypnea) is the earliest and most reliable indicator of hypovolemic shock in children. Increased respiratory rate reflects metabolic acidosis and compensatory mechanisms for poor perfusion.
Option A may be present but is less specific.
Option B is a very late finding.
Option D indicates decompensated shock and impending cardiovascular collapse.
NREMT stresses early recognition of shock through subtle signs such as tachypnea and tachycardia.


NEW QUESTION # 202
What are possible complications of using continuous positive airway pressure (CPAP)? Select the two correct options.

Answer: A,C

Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
CPAPworks by delivering continuous positive pressure to keep alveoli open and improve oxygenation.
However, complications include:
* Hypotension: Due to reduced venous return and cardiac preload
* Feeling of suffocation: Common psychological reaction to a tight-fitting mask and forced airflow It isused to treat, not cause, pulmonary edema. It doesnot induce bronchospasmor myocardial infarction.
References:
NREMT Airway & Ventilation Guidelines
National EMS Education Standards - Noninvasive Positive Pressure Ventilation AAOS EMT Textbook (11th ed.), CPAP and Respiratory Distress Management


NEW QUESTION # 203
An unresponsive 79-year-old female has agonal respirations. You should

Answer: A

Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Agonal respirations arenot effective breathingand can mimic gasping or snorting. They often occur in cardiac arrest. However, before initiating chest compressions, the EMT mustconfirm pulselessnessby checking acarotid pulse for no more than 10 seconds(AHA 2020 BLS Guidelines).
Only after pulse confirmation (or absence) should compressions begin. Suctioning or ventilating is premature unless a pulse is found.
References:
AHA BLS Provider Manual (2020) - Adult Basic Life Support Algorithm
NREMT Cardiac Arrest Management - Adult Assessment Flow
AAOS EMT Textbook - Chapter: Cardiac Arrest and Resuscitation


NEW QUESTION # 204
If a deep vein thrombosis breaks free and enters the lungs, will it likely lodge in the pulmonary artery or the pulmonary vein, and what pathology would occur?

Answer: D

Explanation:
The correct answer is B. The pulmonary artery, and would prevent blood from entering the lungs for gas exchange.
When a deep vein thrombosis (DVT) dislodges, it becomes an embolus and travels through the venous system to the right side of the heart and then into the pulmonary arteries. This results in a pulmonary embolism (PE).
The embolus will lodge in the pulmonary artery or its branches, not the pulmonary veins. The pulmonary veins carry oxygenated blood away from the lungs to the heart, so a clot from the venous system cannot reach them directly.
The primary problem caused by a pulmonary embolism is:
* Obstruction of blood flow to portions of the lung
* Impaired perfusion for gas exchange
This leads to a mismatch where air may still reach the alveoli, but blood cannot, preventing effective oxygenation.
According to NREMT-aligned EMT educational material:
* "A pulmonary embolism blocks blood flow in the pulmonary circulation."
* "This prevents adequate gas exchange in the affected portions of the lung." Why the other options are incorrect:
* A: While respiratory distress can occur, the key pathology is blocked perfusion, not simply a decrease in respirations.
* C & D: Incorrect because emboli from DVT travel to the pulmonary arteries, not the pulmonary veins.
Exact Extracts:
* "Pulmonary embolism occurs when a blood clot blocks a pulmonary artery."
* "This blockage prevents blood from reaching the alveoli for gas exchange."
* "Clots typically originate in the deep veins of the legs."
References:
NREMT EMT Education Standards - Cardiovascular Emergencies
NREMT National Continued Competency Program (NCCP) - Medical/Cardiology Standard EMT Text (aligned with NREMT): Cardiovascular and Respiratory Emergencies


NEW QUESTION # 205
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