NREMT Paramedic Exam Questions and Answers

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NREMT Paramedic Exam Questions and Answers (Verified)

• What are the late signs of hemorrhagic shock? ANS Rapid breathing, cool

clammy skin, dull slightly dilated pupils

• Is carbon monoxide an internal factor or external factor for respiration?

ANS - External

• Name 3 WMD chemical agent exposures that a paramedic can see symp-

toms of on scene? ANS Pulmonary agents, nerve agents, and vesicant agents.(Vesi- cant agents include mustard gas and primarily affect DNA to cause cellular damage)

• Why is an uncuffed ET tube appropriate for a 6 year old child? ANS

Pediatrics of this age range have a narrowing of the trachea at the level of the cricoid cartilage.

• Name the major signs of hypothermia. ANS Lack of coordination, confusion 1 / 3

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and memory loss, lack of shivering, weak pulses, slowed speech, drowsiness and very low energy, and slow shallow breathing.

• In dislocations and fractures, splinting is normally done in the position it is

found. If circulation is comprimised, a paramedic may attempt to manipulate the injury one time to regain circulation. What is the one anatomical location that is the exception to this rule and therefore contraindicated in the prehos- pital setting? ANS Elbow dislocations and fractures, due to the anatomical position of these injuries.

• Name 3 common SSRI medications. ANS Zoloft (Sertaline), Prozac

(Fluoxetine), and Paxil (Paroxetine)

• Define how to calculate the rate of an irregular rhythm and how and why

it should be used. ANS The range of an irregular heart rate can be determined by calculating the heart rate of the QRS complexes closest together and the QRS complexes furthest apart. The two rates can be calculated using the block or memory method.

• Regarding irregular heart rates, how do you perform the 6 second method?

How do you perform the 10 second method? *NOTE, NREMT DOES NOT

BELIEVE THIS METHOD EXISTS, BUT IT IS GOOD TO KNOW ANYWAY ANS

Viewing the rhythm strip, on a 6-second strip count the number of QRS complexes and multiply by 10. For a 10 second strip, count the number of QRS complexes 2 / 3

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and multiply by 6.

• Why is cystic fibrosis not considered a lower airway infection? ANS

Cystic fibrosis is caused by genetic factors, not an infection.

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