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Test EMT Guide & EMT Exam Quick Prep
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NREMT Emergency Medical Technicians Exam Sample Questions (Q29-Q34):
NEW QUESTION # 29
Which of the following signs and symptoms indicate dehydration in an infant? Select the three correct options.
- A. Hypertension
- B. Hypoglycemia
- C. Sunken fontanelles
- D. Poor skin turgor
- E. Flushed, dry skin
- F. Delayed capillary refill
Answer: C,D,F
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Dehydration signs in infantsinclude:
* Poor skin turgor(elasticity)
* Sunken fontanelles(indicative of fluid loss)
* Delayed capillary refill(>2 seconds)
Flushed skin is more common infever or heat illness, not dehydration.Hypotension, not hypertension, is associated with dehydration in late stages.
References:
NREMT Pediatric Assessment and Fluid Emergencies
PALS Provider Manual - Dehydration in Infants
AAOS Emergency Care (11th ed.) - Pediatric Emergency Chapter
NEW QUESTION # 30
The most common finding in a patient who is experiencing a sickle cell crisis is
- A. Hypertension
- B. Pain
- C. Hypoxia
- D. Cardiac arrhythmia
Answer: B
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Sickle cell crisis(vaso-occlusive crisis) occurs when abnormally shaped red blood cells obstruct blood flow, leading to:
* Severe localized or generalized pain(most common symptom)
* Often in the back, chest, abdomen, or long bones
Hypoxia may be a contributing factor, but pain is themost reported reasonfor EMS activation. Cardiac arrhythmias and hypertension arenot primary symptomsof sickle cell crisis.
References:
NREMT Medical Guidelines - Hematologic Disorders
AAOS Emergency Care and Transportation (11th ed.) - Chapter on Hematologic Emergencies National Heart, Lung, and Blood Institute - Sickle Cell Disease Management
NEW QUESTION # 31
Defusing sessions should do which of the following in order to be successful? Select the two correct options.
- A. Be held immediately following an incident
- B. Have mental health experts present during the session
- C. Allow the open sharing of information
- D. Take place 72 hours or more following an incident
- E. Force all providers to provide feedback
Answer: A,C
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Defusingis an informal, short-term intervention after acritical incident. It should:
* Occur within hoursof the event (ideally the same shift)
* Encourage voluntary open discussionin a confidential setting
It isnot a full debriefor counseling session and doesn't requiremental health professionalspresent. Forcing participation or waiting too long (e.g., 72+ hours) can reduce its effectiveness.
References:
NREMT EMS Operations - Critical Incident Stress Management (CISM)
International Critical Incident Stress Foundation (ICISF) Guidelines
National EMS Education Standards - Mental Health and Stress Response
NEW QUESTION # 32
Which of the following elements proves tort negligence in a court of law?
- A. Assault and battery
- B. Causation
- C. Abandonment
- D. False imprisonment
Answer: B
NEW QUESTION # 33
A patient has facial drooping, left side paralysis, and slurred speech. The vital signs are BP 160/100, P
100, R 20, and SpO2 96% on room air. Which of the following interventions is appropriate for this patient?
- A. Administer oxygen at 12 LPM
- B. Avoid asking the patient questions due to dysphasia
- C. Place the patient in a supine position
- D. Protect the left arm during transport
Answer: D
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
The patient's symptoms are consistent with astroke (CVA). Proper prehospital care focuses on maintaining airway, breathing, circulation, and protecting the affected limbs.Positioning the patient with head elevated (not supine) reduces intracranial pressure and aspiration risk.
Protecting theparalyzed side (e.g., left arm)from injury during transport is critical. EMS should still communicate with the patient - even if speech is impaired - and perform a stroke assessment using tools likeCincinnati Prehospital Stroke Scale (CPSS)orFAST.
References:
NREMT Medical Emergencies: Neurological Conditions
AHA Stroke Guidelines - Prehospital Management
National EMS Education Standards - Stroke Assessment Protocols
NEW QUESTION # 34
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