Medical Tests NREMT Online Practice Questions and Exam Preparation

Medical Tests NREMT Online Questions & Answers

• Question 251:

  During completion of your patient care report, you write the following statement:

  The patient was obviously intoxicated and intentionally uncooperative».

  Subjective statements such as this can open the paramedic up to which of the following legal charges?

  A. Res ipsa loquitur
  B. Libel
  C. Malfeasance
  D. Slander
  B. Libel

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  Explanation/Reference:

  Libel is the act of injuring a patient s character through written statements. Documenting personal opinion and derogatory statements expose the paramedic to Libel. Slander is similar to Libel, but refers to false or malicious statements made verbally. Malfeasance is defined as breach of duty by performing a wrongful or unlawful act. Res ipsa loquitur is a legal doctrine sometimes used in support of negligence claims.

• Question 252:

  In which of the following conditions will you suspect that a baby is dehydrated?

  A. The fontanelle appears sunken and there is a recent history of diarrhea.
  B. Mother reports that a baby has been wanting more milk than usual.
  C. The baby's vital signs are - T:99.1 - P:120 - RR: 32 - O2 Sat: 97.
  D. The baby feels warm to touch and has edematous limbs.
  A. The fontanelle appears sunken and there is a recent history of diarrhea.

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  Explanation/Reference:

• Question 253:

  Which of the following represents proper communication with the patient?

  A. When talking to a 12-year-old: "Do you want to hold your Mommy's hand while I bandage you?"
  B. When talking to an intoxicated 27-year-old man: "Get up. You are intoxicated and are not injured."
  C. When talking to a 75-year-old woman: "Ma’am, we think you should go to the hospital to make sure you’re OK. Will you come with us?"
  D. When talking to a 4-year-old child: "I think you’ve fractured your femur. We’ll stabilize you here and transport you to the hospital for surgery."
  C. When talking to a 75-year-old woman: "Ma’am, we think you should go to the hospital to make sure you’re OK. Will you come with us?"

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  Explanation/Reference:

  Speak respectfully to all patients regardless of intoxication or mental impairment; when talking to a child, consider his or her developmental level.

• Question 254:

  Your trauma patient has her left hand caught between rollers on a conveyor belt, extrication takes 30 minutes. Evaluation of the injury during extrication showed delayed capillary refill distal to the injury. Post extrication shows rapid capillary refill distal to the injury deformity mid palm no obvious fractures, no lacerations and minor swelling noted.

  Knowing that crush injuries can cause all kinds of problems which is not considered a crush injury complication?

  A. Compression of tissues
  B. Fractures
  C. No injury at all
  D. Compartment syndrome
  C. No injury at all

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  Explanation/Reference:

  Crush injuries occur when tissue is caught between two objects causing increased pressure. When this pressure is exerted over a long period of time tissues are damaged including lacerations, fractures and anarobic injuries. When blood flow is cut off and there is no oxygen does not make it to the tissues those tissues will revert to anarobic metabolism generating lactic and piruvic acids. In time this damages more tissues releasing more acids and by products of incomplete metabolism, eventually causing more swelling and coagulation problems, loss of tissue and loss of life.

• Question 255:

  You are dispatched to a 70-year old male who is complaining of chest pain, and has a history of cardiac problems. If you assist in the administration of nitroglycerin, what is the maximum dosage to be given, without additional medical direction?

  A. 2 tablets
  B. 3 tablets
  C. 4 tablets
  D. 5 tablets
  B. 3 tablets

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  Explanation/Reference:

  The maximum dosage amount is three tablets, or sprays, without additional medical direction.

• Question 256:

  You are assessing a patient who is breathing, but he or she is doing so very slowly. What is the proper term for this form of breathing?

  A. Apnea
  B. Bradynea
  C. Tachypnea
  D. Dyspnea
  B. Bradynea

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  Explanation/Reference:

• Question 257:

  A patient's vital signs include his/her capillary refill time as well as the breath sounds.

  A. True
  B. False
  B. False

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  Explanation/Reference:

• Question 258:

  You are treating a 12-year-old male patient, who was hit in the nose with a baseball. His nose is deviated to left with moderate epistaxis. He is complaining of severe pain to his nose. He is alert and oriented with no loss of consciousness. Which of the following treatment sequences would best manage this patient?

  A. Align nose in the neutral position while holding pressure to nares.
  B. Have patient lie supine while holding pressure to nares.
  C. Pack nares with gauze to control bleeding.
  D. Have patient sit upright and lean forward while holding pressure to nares.
  D. Have patient sit upright and lean forward while holding pressure to nares.

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  Explanation/Reference:

  Holding pressure on the nares is the proper technique to control epistaxis while leaning the patient forward to prevent blood from draining down the throat. Leaning the patient forward should not be performed if spinal precautions are necessary.

• Question 259:

  You arrive on scene to find a young woman who is having trouble talking. She has hives and is starting to gasp for air. Her friend says she was just stung by a bee. Your immediate actions should include all of the following except ____.

  A. provide airway support.
  B. assess the bee sting for signs of an infection.
  C. administer epinephrine (If your state and local EMS protocols allow).
  D. administer supplemental oxygen.
  B. assess the bee sting for signs of an infection.

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  Explanation/Reference:

• Question 260:

  The endotracheal tube is primarily intended to:

  A. Be placed into the esophagus
  B. Provide a medication route
  C. Be inserted into the trachea
  D. Be used as a means of suctioning the hypopharynx
  C. Be inserted into the trachea

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  Explanation/Reference:

  By inserting the endotracheal tube in to the trachea you isolate the trachea from the esophagus therefore creating a patent airway.