Free PDF Quiz NREMT - Efficient EMT - Emergency Medical Technicians Exam Training Kit

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NREMT Emergency Medical Technicians Exam Sample Questions (Q62-Q67):

NEW QUESTION # 62
When using the SALT method for triage, which of the following interventions should the EMT perform during the individual assessment step?

A. Insertion of airway adjuncts, bleeding control, and moving patients to the triage area
B. Completing first responder scorecards to track patients
C. Assessing respirations, administering two rescue breaths, and assessing patient mentation
D. Bleeding control, opening the airway, and administering two rescue breaths for pediatric patients

Answer: C

Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
SALT(Sort, Assess, Lifesaving interventions, Treatment/Transport) is a mass casualty triage method recommended by theCDC and the National Association of EMS Physicians (NAEMSP). During the
"Assess" step, responders:
* Checkrespirations
* Providelifesaving interventionssuch asrescue breathsif the patient is not breathing but has a pulse
* Evaluatementation(e.g., ability to follow commands)
Airway adjuncts and full transport do not happen at this stage. Scorecards and pediatric-specific modifications are addressed later in the protocol.
References:
NREMT EMS Operations - Mass Casualty and Triage Guidelines
CDC SALT Mass Casualty Triage Guidelines
National EMS Education Standards - Disaster Response

NEW QUESTION # 63
What characteristics of the pediatric airway are different from the adult airway?

A. Proportionately larger tongue and proportionately smaller occiput
B. Proportionately larger tongue and proportionately larger occiput
C. Proportionately smaller tongue and proportionately larger occiput
D. Proportionately smaller tongue and proportionately smaller occiput

Answer: B

Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Compared to adults, pediatric patients have:
* Aproportionately larger tongue, which increases the risk of airway obstruction
* Alarger occiput, which causes natural neck flexion when lying supine, potentially occluding the airway This anatomical difference is why EMS providers often use ashoulder rollinstead of a head tilt to maintain a neutral airwayin infants and toddlers.
References:
NREMT Pediatric Airway Management Standards
AHA PALS Manual - Pediatric Anatomy and Airway Considerations
National EMS Education Standards - Pediatric Assessment and Airway Anatomy

NEW QUESTION # 64
A 10-year-old patient is in hypovolemic shock. Which of the following signs would be early indicators of shock for this patient? Select the three correct options.

A. Heart rate
B. Respiratory rate
C. Blood glucose level
D. SpO#
E. Capillary refill
F. Blood pressure

Answer: A,B,E

Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Children compensate for shock through increasedheart rate,respiratory rate, andvasoconstriction, which delays blood pressure drop. Therefore:
* Tachycardiais often thefirst sign
* Prolonged capillary refill(>2 seconds) is an early indicator
* Tachypneasupports perfusion
Blood pressureis alate signin pediatric shock. SpO# is helpful but does not specifically indicate shock. Blood glucose may be abnormal in other metabolic conditions but is not an early marker of volume loss.
References:
NREMT Pediatric Assessment Flowchart
PALS Guidelines - Recognition of Shock in Children
AAOS Emergency Care and Transportation (11th ed.), Chapter: Pediatric Shock

NEW QUESTION # 65
Which of the following techniques are appropriate for examining a patient with an acute abdomen?
Select the two correct options.

A. Lie the patient supine with legs flexed
B. Press softly if the abdomen has a pulsating mass
C. Visualize the abdomen before palpation
D. Begin palpation with the most painful quadrant
E. Palpate the abdomen prior to auscultation

Answer: A,C

Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
In patients with acute abdominal pain, you mustfirst inspect (visualize)for distension, discoloration, or masses beforetouching. Palpation always beginsaway fromthe most painful area. The patient should be in asupine position with knees flexedto relax the abdominal muscles and ease the exam.
Palpating a pulsating masscould rupture an abdominal aortic aneurysm and is contraindicated.
References:
NREMT Cognitive Exam Blueprint - Medical Emergencies
Emergency Care and Transportation of the Sick and Injured (AAOS, 11th ed.) - Chapter: Abdominal and GI Emergencies EMT-B National Standard Curriculum, Module: Medical Emergencies

NEW QUESTION # 66
A 78-year-old female tripped and fell while walking. Her left leg is rotated externally and shorter than her right leg. You should suspect

A. Pelvic fracture
B. Colles' fracture
C. Posterior hip dislocation
D. Proximal femur fracture

Answer: D

Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Anexternally rotated, shortened legis a classic sign of aproximal femur fracture, specifically afemoral neck or intertrochanteric fracture, commonly seen in elderly fall patients. This presentation reflectsmuscle pulland fracture displacement.
* Posterior hip dislocationscauseinternal rotation.
* Pelvic fracturesmay cause instability but not specific leg rotation/shortening.
* Colles' fractureis a distal radius (wrist) injury, unrelated to leg trauma.
References:
NREMT Trauma Module - Musculoskeletal Injuries
National EMS Education Standards - Geriatric Trauma
AAOS Emergency Care (11th ed.), Chapter: Orthopedic Injuries

NEW QUESTION # 67
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