NREMT Practice Test Bank - Multiple
Choice
enced a seizure, you will MOST
likely find that he:
• A:has a slow heart rate.
• B:is fully conscious and alert.
• C:is not breathing and is cyan-
otic.
• D:is confused and disoriented.
23. You are called to a local park
for an ill person. It is a hot day
and the humidity is high. When
you arrive, a bystander directs
you to the patient, a young male
who is semiconscious. His skin
is flushed, hot, and moist. Your
FIRST action in the management
of this patient should be to:
• A:begin rapid cooling mea-
sures.
• B:ensure an open airway.
• C:administer high-flow oxygen.
• D:move him to a cool area.
24. A known diabetic female is found
unresponsive. Her respirations
are rapid and shallow; her skin is
cool, clammy, and pale; and her
pulse is rapid and weak. Which
of the following would BEST ex-
plain the likely cause of her con-
dition?
• A:Failure to take insulin
• B:Insulin overdose
• C:Excessive eating
• D:High blood sugar
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he or she is combative. The postictal
phase typically lasts from 5 to 30 min-
utes. During the seizure, the patient is
often not breathing or is breathing in-
adequately; however, when the seizure
stops, breathing usually resumes. You
will also find that most postictal patients
are tachycardic; this is the result of an
adrenalin surge that occurs during the
tonic-clonic phase of the seizure.
You selected D; This is correct!
Reason:Your first action in a heat-relat-
ed emergency is to move the patient to
a cooler environment. Once you have
moved the patient to a cooler place, you
should begin your assessment and treat
the patient accordingly. Remember, you
must FIRST prevent further harm to the
patient.
The correct answer is B;
Reason:The patient has classic signs of
insulin shock, a condition caused by a
low blood glucose level (hypoglycemia).
Common causes of insulin shock in-
clude insulin overdose (accidental or in-
tentional), failure to eat (or not eating
enough), and excessive exertion. The
patient's symptoms are not consistent
with diabetic ketoacidosis (DKA), a con-
dition that results from a high blood
glucose level (hyperglycemia). Signs of