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NREMT Emergency Medical Technicians Exam Sample Questions (Q16-Q21):
NEW QUESTION # 16
A 27-year-old patient reports trouble breathing after being struck by a car. Which of the following findings are indicative of a possible chest wall injury? Select the three answer options that are correct.
Answer: D,E,F
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Clavicle deformity suggests potential rib or thoracic trauma. Unequal chest rise may indicate a flail segment, pneumothorax, or hemothorax. Subcutaneous emphysema, the presence of air under the skin, is a classic finding in pneumothorax or tracheobronchial injury.
Occipital depression is not chest related; epigastric distension is a GI symptom; and jugular vein distention would suggest tension pneumothorax or cardiac tamponade, which are more advanced complications.
References:
NREMT Trauma Assessment Guidelines
National EMS Education Standards - Chest Injuries
AAOS Emergency Care and Transportation (11th ed.), Chapter: Chest and Abdominal Trauma
NEW QUESTION # 17
Following an EMS call, any requests concerning protected health information should be directed to the
Answer: C
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Under HIPAA (Health Insurance Portability and Accountability Act), only designated personnel are authorized to handle inquiries regarding a patient's Protected Health Information (PHI). The Privacy Officer is responsible for enforcing compliance with privacy regulations and addressing PHI access requests.
Shift supervisors or hospitals do not have the legal authority to release PHI unless specifically designated.
References:
NREMT Guidelines on EMS Operations
U.S. Department of Health and Human Services: HIPAA Privacy Rule
National EMS Education Standards - Ethics, Documentation, and Privacy
NEW QUESTION # 18
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?
Answer: C
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 # 19
A 30-year-old patient has a stab wound to the left forearm that is bleeding profusely. Which of the following interventions should the EMT perform first?
Answer: D
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Thefirst step in hemorrhage controlfor external bleeding is alwaysdirect pressureusing gloved hands or dressing. Only if this fails or the bleeding issevere and life-threatening(especially from extremities) should a tourniquetbe applied.
Assessing the airway is critical in overall trauma care but not thefirst priorityin isolated extremity hemorrhage. Severity assessment is secondary tobleeding control.
References:
NREMT Trauma Skills: Bleeding Control/Shock
Tactical Combat Casualty Care (TCCC) Guidelines - Hemorrhage Management National EMS Education Standards - Soft Tissue Injuries
NEW QUESTION # 20
A 12-year-old male suffered helmet-to-helmet contact while playing football. A bystander states, "He passed out for several seconds, then walked off the field under his own power." He is now unresponsive, and his vital signs are BP 180/110, P 90, and R 6. You should suspect
Answer: D
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Anepidural hematomaclassically presents with a"lucid interval"- a brief period of regained consciousness following head trauma, followed by rapid deterioration. This is due to arterial bleeding, often from themiddle meningeal artery, leading to increasing intracranial pressure.
Signs include:
* High blood pressure
* Decreasing respiratory rate
* Altered LOC or unresponsiveness
Subdural hemorrhages are slower venous bleeds, common in elderly patients. Subarachnoid hemorrhage often presents with "worst headache of life." Intracerebral bleeds are less commonly linked to lucid intervals.
References:
NREMT Trauma Module - Head Injuries
AAOS Emergency Care Textbook (11th ed.), Chapter: Head and Spine Trauma Emergency Neurological Life Support (ENLS) Guidelines - Traumatic Brain Injury
NEW QUESTION # 21
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