NREMT Practice Test Bank - Multiple Choice

verse the effects of narcotic drugs. The

AED is not indicated for this patient; it is
only applied to patients in cardiac arrest.

39. In the patient with diabetes, in- The correct answer is A;

sulin shock typically presents
with:
• A:clammy skin and a rapid on-
set.
• B:dry skin and a slow onset.
• C:dry skin and a rapid onset.
• D:clammy skin and a slow on-
set.
Reason:In the patient with diabetes, in-
sulin shock (hypoglycemic crisis) pre-
sents with cool, clammy skin and a
rapid onset. The brain is critically depen-
dent on glucose and responds quickly
when the body is in short supply. Diabet-
ic coma (hyperglycemic crisis) typically
presents with warm, dry skin and a slow
onset, sometimes occurring over a peri-
od of days.

40. Your FIRST action in managing You selected A; This is correct!

a patient with an altered mental
status should be to: Reason:When treating a patient with an
altered mental status, you must first en-
• A:determine if the patient is sure a patent airway and determine if the
breathing adequately. patient is breathing adequately. If the pa-
• B:administer one tube of oral tient is breathing adequately, administer
glucose. supplemental oxygen and continue your
• C:administer high-flow supple- assessment. If the patient is not breath-
mental oxygen. ing adequately (ie, fast or slow rate, shal-
• D:ask a family member how the low breathing [reduced tidal volume]),
patient normally acts. assist his or her ventilations. It is impor-
tant to ask a family member, if available,
how the patient normally acts; this will
help establish a baseline. Before admin-
istering oral glucose, you should assess
the patient's blood glucose level to de-
termine if hypoglycemia is the cause of
his or her problem and then decide if the
patient is able to swallow the glucose, if
indicated. If the patient is unable to swal-
low, do not administer oral glucose, even

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