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NREMT EMT Test Cram Pdf & Downloadable EMT PDF
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Free PDF 2025 Latest NREMT EMT: Emergency Medical Technicians Exam Test Cram Pdf
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NREMT Emergency Medical Technicians Exam Sample Questions (Q39-Q44):
NEW QUESTION # 39
Which of the following actions are appropriate management for two-rescuer pediatric basic life support? Select the three correct options.
- A. Start CPR if the pulse rate is 72
- B. Compress the chest one-half the diameter of the chest
- C. Use the two-thumb-encircling-hands technique for infants
- D. Compress at a rate of 180 per minute
- E. Perform rescue breathing at a rate of 20 per minute
- F. Perform compressions at a ratio of 15:2
Answer: B,C,F
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Forpediatric BLS with two rescuers, currentAHA Guidelines (2020)recommend:
* Two-thumb encircling hands technique: Most effective for infants; provides consistent depth and control.
* Compression ratio of 15:2: Enhances ventilation without compromising perfusion.
* Compression depth: 1/3 of chest or approximatelyone-half the chest's depth.
CPR begins ifpulse <60 bpm with signs of poor perfusion, not at 72 bpm. Rate of180/minis excessive; ideal rate is100-120/min.
References:
AHA BLS Provider Manual (2020) - Pediatric BLS Section
NREMT Cardiology & Resuscitation Module
Pediatric Advanced Life Support (PALS) Guidelines
NEW QUESTION # 40
Which of the following elements proves tort negligence in a court of law?
- A. Causation
- B. Abandonment
- C. Assault and battery
- D. False imprisonment
Answer: A
NEW QUESTION # 41
Following insertion of an oropharyngeal airway in an unresponsive 1-year-old male, he develops cyanosis and bradycardia. You should
- A. Increase the ventilation rate to 40-60
- B. Remove the airway and ventilate him
- C. Continue ventilation with the airway in place
- D. Start CPR if his heart rate falls below 100
Answer: B
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
In infants, improper insertion of an OPA (oropharyngeal airway) can stimulate the vagus nerve, leading to bradycardia or even complete airway obstruction. If cyanosis and bradycardia develop after OPA insertion, immediate removal and resumption of ventilations with a bag-valve mask is critical.
The OPA must be properly sized and inserted only in patients without a gag reflex. Ventilations alone often reverse vagally induced bradycardia.
References:
NREMT Psychomotor Skills - Pediatric Airway
American Heart Association PALS Provider Manual (2020)
Brady Emergency Care (13th ed.) - Pediatric Airway Management
NEW QUESTION # 42
A 19-year-old patient has received multiple stab wounds. The patient is unresponsive. The vital signs are BP
82/60, P 116, R 28, and SpO2 86%. Which substance would the EMT expect to increase in the patient's body?
- A. Carbon dioxide
- B. Water
- C. Lactic acid
- D. Sodium bicarbonate
Answer: C
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
The patient is in hypoperfusion (shock) from blood loss. In shock states, tissues are deprived of oxygen, leading to anaerobic metabolism, which produces lactic acid as a byproduct. This causes metabolic acidosis, which is a critical sign of systemic oxygen debt.
Carbon dioxide rises with respiratory failure, but lactic acid is a more specific indicator of cellular hypoxia.
References:
NREMT Medical Emergencies: Shock
Brady Emergency Care, Chapter: Shock and Resuscitation
Advanced EMT Curriculum - Pathophysiology of Shock
NEW QUESTION # 43
Which of the following is the most reliable indicator of effective respiration in a patient?
- A. Mental status
- B. Pulse oximetry reading
- C. Skin color
- D. Respiratory rate
Answer: A
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Mental statusreflects perfusion and oxygen delivery to thebrain, which is highly sensitive to hypoxia and hypercapnia. Even if respiratory rate and SpO# are normal, altered mental status suggests ineffective gas exchange or hypoperfusion.
Pulse oximetry may be falsely normal in CO poisoning or poor perfusion. Skin color is subjective and not as sensitive or specific as neurological status.
References:
NREMT Assessment Standards - Airway & Neurological Assessment
AHA BLS Manual - Recognition of Effective Ventilation
Brady Emergency Care (13th ed.) - Patient Assessment and Respiratory Emergencies
NEW QUESTION # 44
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