LATEST NREMT PRACTICE Exam updated Questions and Answers 2023/2024 With Rationales correctly specified answers (rated 100%)

LATEST NREMT
PRACTICE Exam
updated Questions
and Answers
2023/2024 With
Rationales
correctly specified
answers (rated
100%)


A 32-year-old man who was stung by a bee has diffuse hives, facial
swelling, and difficulty breathing. When he breathes, you hear audible
stridor. What does this indicate?
• A:Narrowing of the two mainstem bronchi
• B:Swelling of the upper airway structures
• C:Narrowing of the bronchioles in the lungs
• D:Swelling of the lower airway structures - ANS-You selected B; This is
correct!
Reason:This patient is experiencing a severe allergic reaction
(anaphylaxis). Stridor, which is a high-pitched sound heard on inhalation,
indicates swelling of the structures and tissues of the upper airway. If
not promptly treated, the patient's airway may close completely,
resulting in respiratory arrest. Narrowing of the bronchioles in the lungs
causes wheezing, a whistling sound that may be heard during inhalation,
exhalation, or both.
A young woman reports significant weight loss over the last month,
persistent fever, and night sweats. When you assess her, you note the
presence of dark purple lesions covering her trunk and upper
extremities. You should suspect:
• A:end-stage cancer.
• B:HIV/AIDS.
• C:tuberculosis.
• D:rheumatic fever. - ANS-You selected B; This is correct!
Reason:Weight loss, fever, and night sweats could indicate tuberculosis
or HIV/AIDS; however, the dark purple lesions on the skin, which are
called Kaposi's sarcoma, are malignant skin tumors and are a classic
finding in patients in the later stages of AIDS.
You are caring for a conscious patient who you believe is having an acute
ischemic stroke. After administering oxygen, your next priority should
include:
• A:providing prompt transport for possible fibrinolytic therapy.
• B:administering 1 tube of oral glucose to rule out hypoglycemia.
• C:closely monitoring the blood pressure every 15 to 20 minutes.
• D:determining whether the patient has prescribed nitroglycerin. - ANSYou selected A; This is correct!
Reason:Fibrinolytic (clot-buster) therapy is critical to a patient who is
having a stroke if it is initiated within 3 hours after the onset of
symptoms. It is critical to ask a family member or bystander when the
patient was last seen normal. In addition to providing supplemental
oxygen, transport the patient without delay so that she may receive
fibrinolytic therapy (if she is a candidate) at the hospital. Because
fibrinolytic therapy decreases the blood's ability to clot, its use is limited
to patients with ischemic strokes. It would increase intracerebral
bleeding in patients with hemorrhagic stroke; therefore, fibrinolytic
therapy is contraindicated for these patients. Hypoglycemia can easily
be ruled out by assessing the patient's blood glucose level with a
glucometer. Nitroglycerin is of no relevance in this scenario because the
patient is not suspected of having a cardiac event. Monitor the patient's
vital signs every 5 to 15 minutes, or as dictated by her clinical condition,
while en route to the hospital.
You are called to the residence of a 39-year-old male with flu-like
symptoms. The patient tells you that he has been feeling ill for the last 2
days. He has a fever, headache, and diarrhea, and asks that you take him
to the hospital. His blood pressure is 120/60 mm Hg, his pulse is 110
beats/min, and his respirations are 16 breaths/min. You should:
• A:request an ALS ambulance to the scene to start an IV line.
• B:ask him if he has a history of HIV infection or hepatitis.
• C:advise him that he can drive himself to his family physician.
• D:offer oxygen and transport him in a position of comfort. - ANS-You
selected D; This is correct!
Reason:Although the patient is likely experiencing the flu, there are
other diseases, some of which are communicable, that can cause similar
symptoms. The patient is requesting EMS transport; failure to comply
constitutes abandonment. Although he is tachycardic, the remainder of
his vital signs are stable; therefore, requesting an ALS ambulance to the
scene to start an IV is not necessary. Simply transport him in a position
of comfort and offer him supplemental oxygen. If the patient is infected
with HIV or hepatitis, he may choose to voluntarily disclose that
information. However, to inquire about infection with such diseases is
unethical.
In general, you should avoid rewarming a frostbitten body part in the
field if:
• A:arrival at the emergency department will be delayed.
• B:the affected part could refreeze after rewarming.
• C:you are unable to obtain water that is at least 120°F.
• D:a paramedic is not present to administer analgesia. - ANS-The
correct answer is B;
Reason:Frostbitten body parts should not be rewarmed if there is a
chance that they could refreeze after you have rewarmed them. If an
extremity thaws and then refreezes, the amount of tissue and cellular
damage may be worse than the damage caused by the initial freezing. A
delay in getting the patient to the emergency department warrants
rewarming. If rewarmed, the extremity should be immersed in water
that is 105° to 112°F. Analgesia would certainly be a comfort to the
patient, although its absence does not negate rewarming a frostbitten
body part in the field.