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NEW QUESTION # 79
An unresponsive 79-year-old female has agonal respirations. You should
Answer: D
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Agonal respirations arenot effective breathingand can mimic gasping or snorting. They often occur in cardiac arrest. However, before initiating chest compressions, the EMT mustconfirm pulselessnessby checking acarotid pulse for no more than 10 seconds(AHA 2020 BLS Guidelines).
Only after pulse confirmation (or absence) should compressions begin. Suctioning or ventilating is premature unless a pulse is found.
References:
AHA BLS Provider Manual (2020) - Adult Basic Life Support Algorithm
NREMT Cardiac Arrest Management - Adult Assessment Flow
AAOS EMT Textbook - Chapter: Cardiac Arrest and Resuscitation
NEW QUESTION # 80
A 56-year-old patient has a severe headache. The patient is refusing any treatment or transport. The vital signs are BP 210/140 mmHg, P 112/min, R 20/min, and SpO# 98% on room air. Which of the following actions should the EMT perform next?
Answer: D
Explanation:
NREMT guidelines emphasize that patient refusal is only valid if the patient has decision-making capacity
. This patient has a severe headache with critically elevated blood pressure, which raises concern for conditions such as hypertensive emergency, intracranial hemorrhage, or stroke-all of which can impair cognition.
Option D is correct because the EMT must first determine whether the patient is alert, oriented, understands the risks, and can communicate a rational decision. Without capacity, a refusal is not legally or ethically valid.
Option A is incorrect because a refusal form should only be signed after capacity is confirmed.
Option B does not address the legal and ethical priority.
Option C is unnecessary unless the patient lacks capacity and poses a danger to themselves or others.
NREMT stresses that EMTs must protect patient autonomy while ensuring informed refusal, especially in high-risk presentations.
NEW QUESTION # 81
Which of the following are nerve agents? Select the two answer options that are correct.
Answer: A,E
Explanation:
Comprehensive and Detailed Explanation (Based on NREMT standards):
Nerve agents are highly toxic organophosphate chemicals that inhibit acetylcholinesterase, leading to excess acetylcholine accumulation and life-threatening cholinergic effects. NREMT hazardous materials education highlights recognition of these agents due to their rapid lethality.
Option C (Tabun) and D (Sarin) are correct. Both are internationally recognized nerve agents historically used in chemical warfare and terrorist attacks.
Option A (Naloxone) is an opioid antagonist, not a nerve agent.
Option B (Metoprolol) is a beta-blocker medication.
Option E (Atropine) is not a nerve agent; it is an antidote used to treat nerve agent poisoning.
NREMT emphasizes scene safety, recognition of toxidromes, and early antidote administration for nerve agent exposure.
NEW QUESTION # 82
Witnesses state a patient is unresponsive and not breathing after a vehicle collision. What action should the EMT perform first?
Answer: A
Explanation:
Even in high-acuity situations, NREMT standards require EMTs to perform a scene size-up before patient contact. Scene size-up includes ensuring scene safety, determining the mechanism of injury, identifying hazards, and assessing the need for additional resources. Entering a scene without confirming safety places the EMT at risk and can result in additional victims.
Although the patient is unresponsive and apneic, EMTs must first confirm the scene is safe to enter. Only after scene safety is established should patient care begin.
Option B is incorrect because CPR cannot be initiated until the EMT has safely accessed the patient.
Option C is incorrect because airway maneuvers are performed after scene safety and patient access are confirmed.
Option D is incorrect because spinal stabilization occurs after initial access and assessment.
NREMT emphasizes: rescuer safety always comes first, even in life-threatening emergencies.
NEW QUESTION # 83
An 83-year-old patient is unresponsive and lying on the floor. The patient has a large bruise and laceration on the forehead. The patient's vital signs are BP 90/60, P 126, and R 0. Which of the following conditions should the EMT most suspect?
Answer: B
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Givenfall with head traumaandabsent respirations, the most concerning cause isspinal injury, particularly acervical spine fracture. Ahigh cervical injury (C1-C4)canparalyze the diaphragm, leading toapnea despite a beating heart.
Brain herniation can also depress respirations but often presents withunequal pupils,posturing, andCushing' s triad(not described here).Commotio cordisis sudden cardiac arrest from blunt chest trauma (not head).
Open pneumothoraxaffects chest mechanics, not directly linked here.
References:
NREMT Trauma Skills - Spinal Assessment
Brady Emergency Care (13th ed.), Chapter: Spine Injuries
National EMS Education Standards - CNS Trauma and Spinal Immobilization
NEW QUESTION # 84
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