NR EMT FINAL EXAM 2023-2024 ACTUAL EXAM 200 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES (100%
CORRECT AND VERIFIED ANSWERS) |ALREADY GRADED A+
(BRAND NEW!!)
Cushing’s reflex includes increased blood pressure, bradycardia, and:
(A) irregular respirations.
(B) irregular pulse.
(C) increased respirations.
(D) pupil dilation. – ANSWER- (A) irregular respirations. RATIONALE:Cushing’s
reflex is indicative of a head injury with increased intracranial pressure (ICP).
You delivered a full-term baby in the back of your ambulance and the initial
APGAR score is 5. What treatment should you do?
(A) CPR.
(B) effective ventilation.
(C) vascular access.
(D) administration of epinephrine. – ANSWER- (B) effective ventilation.
RATIONALE:Most newborns respond favorably to warming, drying, suctioning,
and stimulation.
All of the following are phases of the stress response EXCEPT:
(A) alarm reaction.
(B) resistance.
(C) exhaustion.
(D) acceptance. – ANSWER- (D) acceptance.
RATIONALE:The 3 phases of the body’s response to stress:
(1) alarm reaction (fight-or-flight response)
(2) resistance: the level of resistance to stress raises
(3) exhaustion-as stress continues, coping mechanisms begin to fail
Manual maneuvers used to open a patient’s airway
(A) are contraindicated in most patients.
(B) are difficult to perform.
(C) include head-tilt/chin-lift and jaw thrust.
(D) do not usually work without more extensive intervention. – ANSWER- (C)
include head-tilt/chin-lift and jaw thrust.
A patient was struck in the head by a large tree branch while trimming a tree. The
next day, he complains of dizziness and vomiting. You suspect?
(A) an epidural hematoma.
(B) a subdural hematoma.
(C) a concussion.
(D) a contusion. – ANSWER- (b) subdural hematoma.
RATIONALE:A subdural hematoma is usually due to rupture of small venous
vessels. This type of bleeding is slow and the onset of symptoms may take several
hours to develop after the injury.
Supine hypotensive syndrome occurs from?
(A) reduction of cardiac output due to compression of the aorta.
(B) reduction of cardiac output due to compression of the inferior vena cava.
(C) reduction of cardiac output due to compression of the superior vena cava.
(D) the uterus pushing up on the diaphragm. – ANSWER- (B) reduction of cardiac
output due to compression of the inferior vena cava.
When caring for a child in respiratory distress, you hear a harsh high-pitched sound
with each breath. What do you suspect?
(A) stridor.
(B) wheezing.
(C) crackles.
(D) rhonchi. – ANSWER- (A) stridor.
The documentation of a baseline neurological status should NOT include which of
the following:
(A) Pulse oximetry
(B) Response to sensory stimulation
(C) Pupillary reaction
(D) Motor function – ANSWER- (A) Pulse oximetry
The chest wall is lined by a layer of smooth, glistening tissue called:
(A) visceral pleura.
(B) parietal pleura.
(C) visceral peritoneum.
(D) parietal peritoneum. – ANSWER- (B) parietal pleura.
A dissecting aortic aneurysm may cause the following sign or symptom:
(A) a pain sensation on the neck and back of head
(B) pain in the lower back and lower quadrants
(C) the same blood pressure in each arm
(D) respiratory distress – ANSWER- (B) pain in the lower back and lower
quadrants
RATIONALE:The description of pain associated with a dissecting aortic aneurysm
is severe back pain because the peritoneum can be rapidly stripped away from the
wall of the main abdominal cavity.
Your patient is 28 weeks pregnant with complaints of dizziness and blurred vision.
Her hands and feet are edematous. Vitals are BP 178/108, HR 104, RR 24. You
suspect that she:
(A) is emotionally upset.
(B) has preeclampsia.
(C) has borderline hypotension.
(D) has postpartum depression. – ANSWER- (B) has preeclampsia.
RATIONALE:Common signs and symptoms of preeclampsia include headache,
dizziness, blurred vision, nausea, vomiting, hypertension and edema.
Treatment for a patient with preeclampsia would include:
(A) rapid transport with lights and siren.
(B) administering nitroglycerin to lower the blood pressure.
(C) transport for psychiatric evaluation.
(D) keeping the patient calm; transport without lights and siren. – ANSWER- (D)
keeping the patient calm; transport without lights and siren.
If you suspect preeclampsia, you should take precautions to prevent seizures,
which include keeping the patient calm and transporting without lights and sirens.
Which of the following statements is true regarding chemical burns?
(A) Always use antidotes or neutralizing agents.
(B) Acid burns are typically more serious than alkali burns.
(C) Both acids and alkalis cause burns by disrupting cell membranes and damaging
tissues on contact.
(D) Always approach a chemical spill from downwind. – ANSWER- (C) Both
acids and alkalis cause burns by disrupting cell membranes and damaging tissues
on contact.
When assessing an injured eye, you see a collection of blood in front of the pupil
and iris. What is it called?
(A) Raccoon’s eye
(B) Retinal detachment
(C) Hyphema
(D) Corneal laceration – ANSWER- (C) Hyphema
How would you transport a 22 year old man who was hit in the head with a
baseball and had a period of unconsciousness lasting 7 seconds?
(A) Recovery position
(B) Sitting up at a 90 degree angle
(C) Trendelenburg
(D) Immobilized on a backboard – ANSWER- (D) Immobilized on a backboard
All of the following can affect the accuracy of a pulse oximeter EXCEPT:
(A) hypoperfusion.
(B) anemia.
(C) carbon monoxide poisoning.
(D) hyperthermia. – ANSWER- (D) hyperthermia.