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NREMT Emergency Medical Technicians Exam Sample Questions (Q117-Q122):

NEW QUESTION # 117
A 34-year-old patient has a possible midshaft fracture to their right femur. The EMT is considering what the best time to assess distal neurological function would be:
* Time 1: Before the splint has been applied
* Time 2: After the splint has been applied
At which of these times, if either, should the EMT assess distal neurological function?

Answer: A

Explanation:
Comprehensive and Detailed Explanation (Based on NREMT standards):
NREMT trauma care guidelines clearly state that distal circulation, sensation, and motor function (CSM) must be assessed both before and after splinting any musculoskeletal injury.
Option C is correct because the pre-splint assessment establishes a baseline, while the post-splint assessment confirms that the splint has not compromised blood flow or nerve function.
Option A is incomplete and unsafe.
Option B misses baseline data.
Option D violates standard trauma care practices.
Proper documentation of distal neurological status is critical for patient safety and medico-legal protection.


NEW QUESTION # 118
A 65-year-old patient with a history of angina reports chest pain and shortness of breath after playing golf.
The patient stated the pain began one hour ago and has not stopped with rest. The vital signs are BP 86/64, P
112, R 22, and SpO# 89% on room air. Which of the following actions should the EMT do next?

Answer: B

Explanation:
This is a high-risk cardiac event due to unstable angina or possible myocardial infarction. The EMT should:
* Administer oxygen if SpO# is < 94%
* Avoid nitroglycerin if systolic BP is < 90 mmHg
* Obtain a 12-lead ECG to identify ST-elevation MI (STEMI) and transmit it if trained and authorized CPAP is indicated for pulmonary edema, and albuterol is for bronchospasm, neither of which applies here.
References:
AHA ACLS and BLS Guidelines - ACS Management
NREMT Cardiology Guidelines - Chest Pain/MI
National EMS Education Standards - Cardiovascular Emergencies and ECG Recognition


NEW QUESTION # 119
A 22-year-old patient fell and had pain in their right arm. The EMT began transporting the patient without splinting the arm. During transport, the patient's pain increased, and a deformity formed. The patient required surgical intervention for a displaced fracture. Based on this example, which of the following elements of negligence could be applied?

Answer: D

Explanation:
The correct answer is B. Causation.
Negligence in EMS requires four elements:
* Duty to act
* Breach of duty
* Causation
* Damages
Why B is correct (Causation):
* Causation means that the EMT's actions (or lack of action) directly caused harm to the patient.
* In this scenario:
* The EMT failed to splint the arm
* During transport, the injury worsened (deformity and displacement)
* This led to surgical intervention
* This clearly shows a direct link between the EMT's action and the patient's worsening condition.
Why the other options are incorrect:
* A. Damages # Refers to the actual harm or injury, which is present, but the question focuses on the relationship (cause)
* C. Duty to act # The EMT had a duty, but this is not what the scenario is emphasizing
* D. Breach of duty # Not splinting is a breach, but the key point is that this breach caused additional harm Exact Extracts:
* "Causation means that the EMT's actions directly resulted in injury to the patient."
* "Negligence requires duty to act, breach of duty, causation, and damages."
* "The provider's actions must be shown to have caused the harm."
References:
NREMT EMT Education Standards - EMS Operations (Medical/Legal)
National EMS Education Standards - Legal Responsibilities
NREMT Candidate Handbook - Negligence and Liability


NEW QUESTION # 120
Which of the following is categorized as a personal injury prevention supply?

Answer: B

Explanation:
Personal injury prevention supplies are designed to protect EMS providers from physical injuries, rather than infection.
Option C (Pair of leather gloves) is correct because leather gloves protect against cuts, abrasions, and puncture injuries during rescue operations such as vehicle extrication.
Option D (N95 respirator) is personal protective equipment (PPE) for infection control, not injury prevention.
Option A and B are related to biohazard handling and decontamination.
NREMT differentiates PPE from injury-prevention equipment to ensure proper risk management.


NEW QUESTION # 121
Which of the following is the most reliable indicator of effective respiration in a patient?

Answer: D

Explanation:
Mental status reflects perfusion and oxygen delivery to the brain, 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 # 122
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