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[General] Reliable NREMT EMT Exam Pattern, EMT Latest Demo

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【General】 Reliable NREMT EMT Exam Pattern, EMT Latest Demo

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NREMT Emergency Medical Technicians Exam Sample Questions (Q24-Q29):NEW QUESTION # 24
You have consulted with on-line medical direction to terminate resuscitation of a 74-year-old female.
How should you inform her family of this decision?
  • A. "She has died."
  • B. "She has passed."
  • C. "She didn't make it."
  • D. "She is at peace."
Answer: B
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
EMS professionals are expected to useempathetic yet clear languagewhen communicating a death. The phrase"She has passed"is bothrespectfuland commonly accepted as an appropriate way toconvey death compassionatelywithout being overly clinical or harsh.
"Died" may sound too blunt in an emotional moment, while "didn't make it" and "at peace" can feelvague or dismissive. Clear, empathetic communication is critical for patient dignity and family support during death notifications.
References:
National EMS Education Standards - Ethics, Communication, and Patient Advocacy NAEMT Guidelines for Death Notification in the Field Brady Emergency Care (13th ed.), Chapter: Special Situations and Emotional Support

NEW QUESTION # 25
A 37-year-old female presents with increased work of breathing after blunt chest trauma. During transport, her SpO# is 92% and decreasing. You auscultate clear lung sounds. The most likely cause of her condition is
  • A. pericardial tamponade.
  • B. a tension pneumothorax.
  • C. esophageal rupture.
  • D. a pulmonary contusion.
Answer: A
Explanation:
Pericardial tamponade is a life-threatening condition often associated with blunt or penetrating chest trauma.
NREMT instruction highlights that tamponade occurs when blood accumulates in the pericardial sac, compressing the heart and impairing cardiac output.
Option D is correct because patients with pericardial tamponade often present with increased work of breathing, hypoxia, and clear lung sounds, as the problem is cardiac rather than pulmonary. Decreasing oxygen saturation results from reduced cardiac output and poor tissue perfusion.
Option B is incorrect because tension pneumothorax typically presents with absent or diminished lung sounds on one side.
Option C usually produces crackles or signs of lung injury rather than clear lung sounds.
Option A is rare and usually associated with severe vomiting or penetrating trauma.
Early recognition of tamponade and rapid transport are critical per NREMT trauma care priorities.

NEW QUESTION # 26
An EMT cannot find a pulse on a responsive patient. Which of the following should the EMT do next?
  • A. Use the AED to analyze rhythm.
  • B. Start CPR.
  • C. Place the patient supine with feet elevated.
  • D. Continue with the primary assessment.
Answer: D
Explanation:
If a patient is responsive, they must have adequate cerebral perfusion, meaning a pulse is present-even if it is difficult to palpate. NREMT guidelines emphasize that EMTs should not assume cardiac arrest based solely on an inability to feel a pulse.
Option C is correct because the EMT should continue the primary assessment, reassessing airway, breathing, and circulation using additional indicators such as skin condition, mental status, and breathing quality.
Option A is incorrect because CPR is only initiated in unresponsive, pulseless patients.
Option B is incorrect because AED use is indicated only for unresponsive, pulseless patients.
Option D may be appropriate later for shock but does not address the assessment discrepancy.
NREMT teaches that patient responsiveness is a reliable indicator of circulation and that EMTs must avoid unnecessary resuscitative interventions.

NEW QUESTION # 27
A 20-year-old patient has just given birth. The neonate is crying and has central cyanosis. They have a pulse greater than 100. Which of the following actions should the EMT take? Select the three answer options that are correct.
  • A. Suction the nose and mouth.
  • B. Keep baby warm.
  • C. Give positive pressure ventilations.
  • D. Provide chest compressions.
  • E. Administer blow-by oxygen.
  • F. Dry baby.
Answer: B,E,F
Explanation:
According to NREMT neonatal resuscitation principles, a newborn who is crying with a heart rate greater than 100 does not require aggressive resuscitation but does need supportive care.
Option A (Dry baby) is essential to stimulate breathing and prevent heat loss.
Option B (Keep baby warm) is critical, as neonates lose heat rapidly and hypothermia worsens hypoxia.
Option C (Administer blow-by oxygen) is appropriate for central cyanosis when respirations and heart rate are adequate.
Option D is only indicated if secretions are obstructing the airway.
Options E and F are contraindicated because the infant has an adequate heart rate and is breathing.
NREMT emphasizes warmth, oxygenation, and minimal intervention in stable newborns.

NEW QUESTION # 28
Who is ultimately responsible for maintaining certification requirements and ensuring continuing education requirements are met?
  • A. System training officer
  • B. Healthcare provider
  • C. EMS supervisor
  • D. State medical director
Answer: B
Explanation:
Comprehensive and Detailed Explanation (Based on NREMT standards):
The healthcare provider is ultimately responsible for maintaining certification, licensure, and continuing education requirements. While agencies, supervisors, and training officers may assist or provide opportunities, NREMT clearly states that responsibility rests with the individual EMT.
Option C is correct because failure to meet certification requirements can result in expiration or revocation regardless of employer involvement.
Options A, B, and D are incorrect because these roles may support education but are not legally responsible for an individual provider's compliance.
NREMT emphasizes professional accountability as a core expectation of EMS practice.

NEW QUESTION # 29
......
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