EMT Exam Dumps - NREMT Medical Technicians Questions and Answers

Comprehensive and Detailed Explanation From Exact Extract:

Dehydration signs in infantsinclude:

Poor skin turgor(elasticity)

Sunken fontanelles(indicative of fluid loss)

Delayed capillary refill(>2 seconds)

Flushed skin is more common infever or heat illness, not dehydration.Hypotension, not hypertension, is associated with dehydration in late stages.

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. SpO₂ 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.

Comprehensive and Detailed Explanation From Exact Extract:

Thetripod position— sitting upright, leaning forward, supporting the upper body with arms on knees — is a classic sign ofrespiratory distress. This position:

Maximizes diaphragmatic movement

Engages accessory muscles of respiration

Improves air exchange in patients with obstructive airway diseases (e.g., COPD, asthma)

It is rarely used by patients with abdominal pain or seizures and is not associated with cardiac arrest (where unconsciousness is expected).

Comprehensive and Detailed Explanation From Exact Extract:

According toPediatric Basic Life Support (PBLS) guidelinesby theAmerican Heart Association (AHA), when a child becomes unresponsive due to foreign body airway obstruction (FBAO), the immediate next step is to beginchest compressions. This is donebefore checking the airway or giving breathsbecause the airway is presumed obstructed. The compressions may dislodge the object.

After 30 compressions, open the airway and check for visible objects. If none are seen, attempt rescue breaths. This protocol reflects the high risk of complete airway blockage in children with sudden collapse following a choking episode.

Comprehensive and Detailed Explanation From Exact Extract:

These symptoms are classic forendometriosis, whereendometrial tissue grows outside the uterus. Symptoms often include:

Pelvic pain

Painful menstruation (dysmenorrhea)

Painful bowel movements or intercourse

Spontaneous abortion does not apply here due to lack of pregnancy. Premature menopause is rare at this age and presents differently. Infection is less likely in the absence of recent sexual activity or fever.

Comprehensive and Detailed Explanation From Exact Extract:

Contraindications to CPAP(Continuous Positive Airway Pressure) include:

Hypotension: CPAP can reduce preload and worsen shock (BP < 90 systolic is a contraindication)

Respiratory rate too low: A rate of 10 is at the low threshold; CPAP requires spontaneous adequate effort

Active vomiting or nausea: CPAP increases aspiration risk

Crackles and hypoxia areindications, not contraindications, for CPAP. Pulse rate does not influence CPAP use directly.

Comprehensive and Detailed Explanation From Exact Extract:

AfterROSCin an unresponsive patient, theleft lateral recumbent position(also called the recovery position) is preferred to:

Maintain an open airway

Prevent aspiration if vomiting occurs

Promote drainage of secretions

Supine or Trendelenburg positions increase the risk of aspiration. Elevating the head to 45° may reduce intracranial pressure, but it’s not standard post-ROSC care in an unresponsive patient unless airway protection is ensured.

Comprehensive and Detailed Explanation From Exact Extract:

InIncident Command System (ICS)for Mass Casualty Incidents (MCI), the four major sections are:

Planning: Collects data and develops response strategies

Logistics: Supplies and personnel

Finance/Administration: Cost tracking, contracts, compensation

Stagingis atactical location, not a management section.Catering and aviationare not command-level ICS designations unless part of specific tasks under logistics or operations.

Comprehensive and Detailed Explanation From Exact Extract:

Defusingis an informal, short-term intervention after acritical incident. It should:

Occur within hoursof the event (ideally the same shift)

Encourage voluntary open discussionin a confidential setting

It isnot a full debriefor counseling session and doesn’t requiremental health professionalspresent. Forcing participation or waiting too long (e.g., 72+ hours) can reduce its effectiveness.

Comprehensive and Detailed Explanation From Exact Extract:

In pediatric START orJumpSTARTtriage, a "delayed" status is appropriate if the child is breathing adequately, has palpable pulses, and follows commands. The respiratory rate of 16 is normal for a 9-year-old, and being able to walk also supports the “delayed” tag.

"Mottled skin" and "breathing only after airway opening" would more likely lead to "immediate" or even "expectant" categories depending on associated symptoms.