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| Section | Objectives |
|---|---|
| Airway, Respiration & Ventilation | - Airway management
|
| Medical, Obstetrics & Pediatrics | - Medical emergencies
|
| EMS Operations | - Operational procedures
|
| Trauma | - Traumatic injuries
|
| Cardiology & Resuscitation | - Cardiac emergencies
|
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NEW QUESTION # 67
Which of the following actions are steps for inserting a nasopharyngeal airway? Select the two answer options that are correct.
Answer: A,B
Explanation:
The correct answers are D. Place the device in the larger nostril and E. Lubricate the distal tip.
Proper insertion of a nasopharyngeal airway (NPA) follows specific steps outlined in NREMT-aligned airway management guidelines.
Correct Steps:
1. Choose the larger nostril (D):
* The NPA should be inserted into the nostril with better airflow (larger nostril) to reduce resistance and trauma.
* This improves ease of insertion and patient comfort.
2. Lubricate the distal tip (E):
* The airway must be lubricated with a water-soluble lubricant before insertion.
* This minimizes friction and reduces the risk of nasal mucosal injury or bleeding.
NREMT-aligned references state:
* "Insert the NPA into the larger nostril when possible."
* "Lubricate the airway prior to insertion."
Why the other options are incorrect:
* A. Measure from the corner of the mouth to the tip of the ear # Incorrect
* This measurement is used for an oropharyngeal airway (OPA), not an NPA.
* NPA is measured from nose to earlobe.
* B. Follow the base of the tongue during insertion # Incorrect
* This applies to OPA insertion, not NPA.
* NPA is inserted along the floor of the nasal passage.
* C. Insert the bevel away from the septum # Incorrect
* The bevel should face toward the septum (medially), not away.
Exact Extracts (NREMT-aligned EMT educational references):
* "Measure NPA from the nostril to the earlobe."
* "Lubricate the airway before insertion."
* "Insert into the larger nostril if possible."
* "Advance gently along the nasal floor."
Clinical Priority Summary:
Correct NPA insertion requires proper nostril selection and lubrication, making D and E the correct answers.
References:
NREMT EMT Education Standards - Airway, Respiration & Ventilation
NREMT National Continued Competency Program (NCCP)
AAOS Emergency Care and Transportation of the Sick and Injured (NREMT-aligned)
NEW QUESTION # 68
You have achieved ROSC (Return of Spontaneous Circulation) in a 77-year-old female. She remains unresponsive and her vital signs are BP 94/58, P 82, and R 18. In what position should she be placed?
Answer: C
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
AfterROSCin an unresponsive patient, theleft lateral recumbent position(also called the recovery position) is preferred to:
* Maintain an open airway
* Prevent aspiration if vomiting occurs
* Promote drainage of secretions
Supine or Trendelenburg positions increase the risk of aspiration. Elevating the head to 45° may reduce intracranial pressure, but it's not standard post-ROSC care in an unresponsive patient unless airway protection is ensured.
References:
NREMT Cardiology Guidelines - Post-Resuscitation Care
American Heart Association BLS/ACLS Algorithms - ROSC Protocol
EMS Education Standards - Transport Positioning
NEW QUESTION # 69
While assisting an ALS unit, you observe a contaminated needle has been stuck into the mattress. You should
Answer: C
Explanation:
NREMT standards emphasize scene safety, infection control, and proper sharps handling to reduce the risk of occupational exposure. A contaminated needle left in a mattress presents a serious needlestick hazard to EMS providers, hospital staff, and patients.
Option B is correct because the appropriate action is to carefully remove the needle and immediately dispose of it in an approved sharps container. This follows OSHA and NREMT infection-control principles, which state that sharps must be disposed of promptly in puncture-resistant containers without unnecessary handling.
Option A is incorrect because recapping needles is strictly prohibited under standard precautions. Recapping significantly increases the risk of accidental needlestick injuries and violates established safety guidelines.
Option C is incorrect because confronting a paramedic in front of a patient is unprofessional and undermines team dynamics. Any concerns regarding unsafe practices should be addressed privately and through appropriate supervisory channels.
Option D is incorrect because ignoring an exposed sharp creates an ongoing safety hazard and fails the EMT's responsibility to maintain a safe environment.
In summary, NREMT expects EMTs to act proactively to reduce hazards, follow standard precautions, and safely dispose of sharps without recapping or delay. Removing the needle carefully and placing it in a sharps container is the safest and most appropriate response.
NEW QUESTION # 70
A 30-year-old patient is injured in a motor vehicle collision. The patient cannot move their diaphragm, and they are apneic. In which of the following locations should the EMT suspect the spinal injury occurred?
Answer: C
Explanation:
The diaphragm is innervated by the phrenic nerve, which originates from spinal nerve roots C3-C5. NREMT teaching highlights the phrase: "C3, 4, and 5 keep the diaphragm alive." Option A (C4) is correct because an injury at or above this level can paralyze the diaphragm, resulting in apnea and immediate respiratory failure.
Option B (T1) and C (T3) affect intercostal muscles but not the diaphragm.
Option D (L4) affects lower extremity function only.
NREMT emphasizes that high cervical spine injuries are immediately life-threatening due to loss of ventilatory control.
NEW QUESTION # 71
An 8-year-old female is drooling, incontinent, and her eyes are watery. Her father tells you that she was playing in the garden. You should suspect
Answer: D
Explanation:
This question is pointing you toward recognizing a toxidrome , specifically the cholinergic toxidrome . The key symptoms here- drooling, watery eyes (lacrimation), and incontinence -are classic findings associated with organophosphate exposure , which is commonly found in pesticides used in gardens.
A helpful EMT memory aid is "SLUDGE" (Salivation, Lacrimation, Urination, Defecation, Gastrointestinal upset, Emesis). This patient already shows multiple SLUDGE signs, which strongly indicates organophosphate poisoning .
So when you see a patient with excessive secretions + exposure to a garden/chemicals , the correct suspicion is organophosphate poisoning .
NEW QUESTION # 72
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2026 Latest Prep4sureExam EMT PDF Dumps and EMT Exam Engine Free Share: https://drive.google.com/open?id=1eWynY_MjQiFu4iV7dcx9IW43j4NRgY4E