NREMT Practice Test Bank - Multiple Choice
but not eating or taking insulin and ex-
74. A 44-year-old woman was bitten
on the ankle by an unidentified
snake while working in her gar-
den. She is conscious and alert,
has stable vital signs, and denies
shortness of breath. Her only
complaint is a burning sensation
at the wound site. Your assess-
ment reveals two small puncture
wounds, redness, and swelling.
You should:
• A:conclude that envenomation
likely did not occur, provide re-
assurance, and allow a friend to
take her to the hospital.
• B:give supplemental oxygen,
splint her leg to decrease move-
ment, and keep her leg below the
level of her heart.
• C:elevate her leg, cover the
wound with a dry sterile dress-
ing, and apply an ice pack to re-
duce pain and swelling.
• D:administer high-flow oxygen,
apply a constricting band prox-
imal to the bite, and use ice to
prevent venom spread.
75. A 34-year-old female complains You selected A; This is correct!
of persistent fever, fatigue, and
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ercising heavily. Eating a meal after tak-
ing insulin typically does not cause a
significant change in the patient's blood
glucose level. If a person fails to take his
or her insulin, glucose will not be able to
enter the cell and will accumulate in the
bloodstream (hyperglycemia).
You selected B; This is correct!
Reason:Given the fact that the snake
was not identified, you should assume
that it was poisonous. Furthermore, the
presence of puncture wounds, burning,
redness, and swelling are suggestive
of envenomation. Therefore, you should
provide emergency care and transport
the patient to the hospital. Treatment for
a snake bite involves keeping the pa-
tient calm, administering oxygen, splint-
ing the affected extremity to decrease
movement (helps slow the spread of
venom), keeping the extremity below the
level of the heart, and transporting the
patient to the hospital. Do NOT apply
ice to a snake bite; it may constrict the
blood vessels and force venom further
into the bloodstream. The use of a prox-
imal constricting band is controversial; if
one is used, it should be loose, not tight.
En route to the hospital, monitor the pa-
tient's vital signs and mental status, and
be alert for vomiting.