NREMT Practice Test Bank - Multiple Choice

you see one patient who ap- victims of a lightning strike is different
pears confused and is ambulato- than the conventional triage methods
ry; a second patient who is con- used during a mass-casualty incident.
scious, sitting on the ground, and When a person is struck by lightning,
holding his arm; and a third pa- respiratory or cardiac arrest, if it occurs,
tient who is supine and motion- usually occurs immediately. Those who
less. After requesting additional are conscious following a lightning strike
responders, you should: are much less likely to develop delayed
• A:assess the motionless victim respiratory or cardiac arrest; they usual-
and perform CPR and defibrilla- ly survive. Therefore, you should focus
tion if necessary. your efforts on those who are in res-
• B:assess and begin treating the piratory or cardiac arrest. This process,
sitting patient first because he is called reverse triage, differs from con-
obviously injured. ventional triage, where such patients
• C:treat the conscious patients would ordinarily be classified as de-
because the motionless patient ceased.
is likely deceased.
• D:proceed to the ambulatory pa-
tient, sit him down, and assess
his mental status.

36. A 32-year-old man who was You selected B; This is correct!

stung by a bee has diffuse hives,
facial swelling, and difficulty
breathing. When he breathes,
you hear audible stridor. What
does this indicate?
• A:Narrowing of the two main-
stem bronchi
• B:Swelling of the upper airway
structures
• C:Narrowing of the bronchioles
in the lungs
• D:Swelling of the lower airway
structures
Reason:This patient is experiencing a
severe allergic reaction (anaphylaxis).
Stridor, which is a high-pitched sound
heard on inhalation, indicates swelling
of the structures and tissues of the up-
per airway. If not promptly treated, the
patient's airway may close completely,
resulting in respiratory arrest. Narrowing
of the bronchioles in the lungs causes
wheezing, a whistling sound that may
be heard during inhalation, exhalation,
or both.

37. A behavioral crisis is MOST ac- You selected A; This is correct!

curately defined as:
• A:any reaction to an event that Reason:The definition of a behavioral

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