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NREMT Emergency Medical Technicians Exam Sample Questions (Q57-Q62):

NEW QUESTION # 57
Defusing sessions should do which of the following in order to be successful? Select the two correct options.

A. Allow the open sharing of information
B. Force all providers to provide feedback
C. Be held immediately following an incident
D. Have mental health experts present during the session
E. Take place 72 hours or more following an incident

Answer: A,C

Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Defusingis an informal, short-term intervention after acritical incident. It should:
* Occur within hoursof the event (ideally the same shift)
* Encourage voluntary open discussionin a confidential setting
It isnot a full debriefor counseling session and doesn't requiremental health professionalspresent. Forcing participation or waiting too long (e.g., 72+ hours) can reduce its effectiveness.
References:
NREMT EMS Operations - Critical Incident Stress Management (CISM)
International Critical Incident Stress Foundation (ICISF) Guidelines
National EMS Education Standards - Mental Health and Stress Response

NEW QUESTION # 58
You have consulted with on-line medical direction to terminate resuscitation of a 74-year-old female.
How should you inform her family of this decision?

A. "She is at peace."
B. "She has died."
C. "She didn't make it."
D. "She has passed."

Answer: D

Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
EMS professionals are expected to useempathetic yet clear languagewhen communicating a death. The phrase"She has passed"is bothrespectfuland commonly accepted as an appropriate way toconvey death compassionatelywithout being overly clinical or harsh.
"Died" may sound too blunt in an emotional moment, while "didn't make it" and "at peace" can feelvague or dismissive. Clear, empathetic communication is critical for patient dignity and family support during death notifications.
References:
National EMS Education Standards - Ethics, Communication, and Patient Advocacy NAEMT Guidelines for Death Notification in the Field Brady Emergency Care (13th ed.), Chapter: Special Situations and Emotional Support

NEW QUESTION # 59
Heat exhaustion is most frequently associated with

A. Bradycardia
B. Hypertension
C. Hypovolemia
D. Altered mental status

Answer: C

Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Heat exhaustionresults from prolonged exposure to elevated temperatures, leading tofluid and electrolyte loss(especially sodium and water), causinghypovolemia. This can result in:
* Tachycardia
* Weakness
* Dizziness
* Profuse sweating
Unlikeheat stroke, mental status is typically preserved in heat exhaustion. Hypertension and bradycardia are not characteristic.
References:
NREMT Environmental Emergencies Module
National EMS Education Standards - Heat-Related Illnesses
AAOS Emergency Care (11th ed.), Chapter: Environmental Emergencies

NEW QUESTION # 60
Which of the following techniques are appropriate for examining a patient with an acute abdomen?
Select the two correct options.

A. Begin palpation with the most painful quadrant
B. Lie the patient supine with legs flexed
C. Palpate the abdomen prior to auscultation
D. Visualize the abdomen before palpation
E. Press softly if the abdomen has a pulsating mass

Answer: B,D

Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
In patients with acute abdominal pain, you mustfirst inspect (visualize)for distension, discoloration, or masses beforetouching. Palpation always beginsaway fromthe most painful area. The patient should be in asupine position with knees flexedto relax the abdominal muscles and ease the exam.
Palpating a pulsating masscould rupture an abdominal aortic aneurysm and is contraindicated.
References:
NREMT Cognitive Exam Blueprint - Medical Emergencies
Emergency Care and Transportation of the Sick and Injured (AAOS, 11th ed.) - Chapter: Abdominal and GI Emergencies EMT-B National Standard Curriculum, Module: Medical Emergencies

NEW QUESTION # 61
A 32-year-old female has a history of dysmenorrhea, abdominopelvic pain, and pain when having a bowel movement. She has not been sexually active in 8 months. Her symptoms are most likely caused by

A. Endometrial tissue growing outside the uterus
B. Premature menopause
C. An infection that is either bacteria or a virus
D. Spontaneous abortion

Answer: A

Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
These symptoms are classic forendometriosis, whereendometrial tissue grows outside the uterus.
Symptoms often include:
* Pelvic pain
* Painful menstruation (dysmenorrhea)
* Painful bowel movements or intercourse
Spontaneous abortion does not apply here due to lack of pregnancy. Premature menopause is rare at this age and presents differently. Infection is less likely in the absence of recent sexual activity or fever.
References:
NREMT Medical - Gynecologic Emergencies
ACOG Guidelines on Endometriosis
National EMS Education Standards - OB/GYN Emergencies

NEW QUESTION # 62
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