NREMT Practice Test Bank - Multiple Choice
and spinal fractures. Although this can
81. You are transporting a
30-year-old man who is experi-
encing an emotional crisis. The
patient does not speak when you
ask him questions. How should
you respond to his unwillingness
to speak?
• A:Remain silent until the patient
speaks to you.
• B:Do not speak to the patient,
even if he begins to speak to you.
• C:Tell the patient that you can-
not help if he won't talk.
• D:Continually encourage the
patient to talk to you.
82. An elderly man is found unre-
sponsive in his kitchen. The pa-
tient's wife tells you that her hus-
band has diabetes and that he
took his insulin, but did not eat
anything. You should suspect:
• A:diabetic coma.
• B:hypoglycemia.
• C:ketoacidosis.
• D:hyperglycemia.
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clearly increase morbidity, it is not the
most common cause of lightning-related
deaths.
You selected A; This is correct!
Reason:When dealing with a psychiatric
patient who is silent and unwilling to
speak to you, do not fear the silence.The
patient simply does not wish to speak.
You should not press the issue, for doing
so may upset the patient. You should
remain calm until the patient speaks to
you, and then respond accordingly.
The correct answer is B;
Reason:Several factors point to a field
impression of hypoglycemia. First, the
patient is known to have diabetes and
second, he took his insulin but did not
eat. Because insulin promotes the up-
take of glucose into the cells, if the pa-
tient does not replace this glucose by
eating, the glucose level in the blood
will fall to dangerously low levels. Hy-
poglycemia can also occur when a pa-
tient takes too much of his or her in-
sulin. Hyperglycemia occurs when a pa-
tient does not take his or her insulin. In
such cases, glucose accumulates in the
bloodstream and is not able to enter the
cell. In the absence of glucose, the cells