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View Full Version : 07/24/2008 1630...this is it


Hockey9019
07-23-08, 03:28 PM
The following time, I will be sitting down at a computer terminal (tomorrow) taking my NR test. Hate to say it, but my future is depending on this quite a bit now...


So, feel free to ask me questions, help me out. Post em here, multiple choice it. Stress from hellmart and this is piling up heavy...


Give me some difficult questions...please


noelchabanel
07-23-08, 03:52 PM
You and your EMT-B partner arrive at the scene of an older man suffering from cardiac arrest. The arrest was not witnessed, but family says the patient was not feeling well when he was last seen 20 minutes ago. You should:
A. begin CPR and call for a paramedic intercept.
B. begin CPR and intubate the patient to help maintain his airway.
C. call the code on scene since the patient is clearly dead.
D. administer nitro and begin CPR
:confused:

Darin
07-23-08, 03:59 PM
c..


normal1
07-23-08, 04:04 PM
ummm F?









:D no seriously good luck tomorrow Hockey

noelchabanel
07-23-08, 04:09 PM
c..


ummm F?
Shhhh!!!! No hints!!! ;);)

Hockey9019
07-23-08, 05:27 PM
Depending on the state, but I would chose B.



A, sure but if you can tube em do it..

Hockey9019
07-23-08, 05:28 PM
intubate=combi tube. I know different states have different stuff...

Ohio i know EMTs can't use a combitube

noelchabanel
07-23-08, 06:02 PM
Believe it or not, you would actually get that one wrong :eek:. We can use them here too, but the Combitube isn't part of the NR protocols. A is the right answer, even though a combitube is the right answer when you are in the field. You should also definitely call for ALS in a cardiac arrest, if they are or become asystolic they are probably going to need drugs that only a medic can give. It will throw stuff like that in there, be careful!!!

Hockey9019
07-23-08, 06:17 PM
Believe it or not, you would actually get that one wrong :eek:. We can use them here too, but the Combitube isn't part of the NR protocols. A is the right answer, even though a combitube is the right answer when you are in the field. You should also definitely call for ALS in a cardiac arrest, if they are or become asystolic they are probably going to need drugs that only a medic can give. It will throw stuff like that in there, be careful!!!

Yeah like I said, A was probably the right answer. But B is what I would do. But yeah I forgot that the NR protocol doesn't allow combitube


Next question ;)

noelchabanel
07-23-08, 09:42 PM
You arrive at the scene of a motor vehicle rollover to find a disoriented patient complaining of back pain. There is a star shaped deformity in the middle of the windshield in front of the driver's seat. When you ask the patient about the accident she can't remember what happened, isn't sure where she was going, and can't remember where she came from. She tells you she is fine, doesn't want you touching her, and insists she does not need medical care. You should:
A. Ask her to sign a release and help her call a friend to drive her to the hospital.
B. Inform her that the police will put her in protective custody if she continues to refuse necessary care.
C. Call her husband, explain what is going on, and ask him to covince her to come with you.
D. Attempt to persuade her that her injuries may be serious and she should allow you to examine her.

noelchabanel
07-23-08, 09:52 PM
You are called to the home of a patient complaining of difficulty breathing. The patient is sitting on the edge bed in a tripod position, and has audible snoring respirations at a rate of 12 per minute. He tells you he feels faint and has some swelling in his throat. During transport you should:
A. Insert an oral airway and administer 15 LPM of oxygen by non-rebreather mask.
B. Administer 4 LPM of oxygen by nasal cannula and keep talking with the patient to see if his airway remains patent.
C. Ventilate the patient with high flow oxygen and a bag-valve-mask.
D. Administer 15 LPM of oxygen by non-rebreather mask and have the patient lift the mask occasionally to answer questions.

noelchabanel
07-23-08, 10:17 PM
You are called to Wal Mart to the scene of an attempted suicide. An employee is in the bathroom with his head in his hands and mumbling that he just wants his life to be over. There is an empty $4 bottle of discount prescription pills with a "made in china" label on it on the floor. You should:
A. Have him sign a release to refuse care and call a priest, because his life probably really is that bad.
B. Have the patient drink one tube of activated charcoal.
C. Call poison control and ask for assistance before beginning any treatment.
D. Put the patient on high flow oxygen and ventilate him.
E. Bring him to the ambulance and immediately administer a 2000 cc diesel bolus.

Hockey9019
07-24-08, 01:14 AM
You arrive at the scene of a motor vehicle rollover to find a disoriented patient complaining of back pain. There is a star shaped deformity in the middle of the windshield in front of the driver's seat. When you ask the patient about the accident she can't remember what happened, isn't sure where she was going, and can't remember where she came from. She tells you she is fine, doesn't want you touching her, and insists she does not need medical care. You should:
A. Ask her to sign a release and help her call a friend to drive her to the hospital.
B. Inform her that the police will put her in protective custody if she continues to refuse necessary care.
C. Call her husband, explain what is going on, and ask him to covince her to come with you.
D. Attempt to persuade her that her injuries may be serious and she should allow you to examine her.

She has an altered mental status.

She goes.

Just convince her to go and explain why.



You are called to the home of a patient complaining of difficulty breathing. The patient is sitting on the edge bed in a tripod position, and has audible snoring respirations at a rate of 12 per minute. He tells you he feels faint and has some swelling in his throat. During transport you should:
A. Insert an oral airway and administer 15 LPM of oxygen by non-rebreather mask.
B. Administer 4 LPM of oxygen by nasal cannula and keep talking with the patient to see if his airway remains patent.
C. Ventilate the patient with high flow oxygen and a bag-valve-mask.
D. Administer 15 LPM of oxygen by non-rebreather mask and have the patient lift the mask occasionally to answer questions.

Normal rates for an adult are 12-20. If the nasal cannula doesn't work, switch to NRB.

But a small part of me wants to put D down...



You are called to Wal Mart to the scene of an attempted suicide. An employee is in the bathroom with his head in his hands and mumbling that he just wants his life to be over. There is an empty $4 bottle of discount prescription pills with a "made in china" label on it on the floor. You should:
A. Have him sign a release to refuse care and call a priest, because his life probably really is that bad.
B. Have the patient drink one tube of activated charcoal.
C. Call poison control and ask for assistance before beginning any treatment.
D. Put the patient on high flow oxygen and ventilate him.
E. Bring him to the ambulance and immediately administer a 2000 cc diesel bolus.

You had to put this question in there didn't you... :p

noelchabanel
07-24-08, 10:05 AM
In real life you probably would go with the nasal cannula first on the difficulty breathing patient, BUT NR protocol tells EMT-B's to go with the NRB mask unless the patient will not tolerate it. Seems silly to me, but the correct answer is D.

Thought you might like the Wally World one :D

Hockey9019
07-24-08, 02:27 PM
In real life you probably would go with the nasal cannula first on the difficulty breathing patient, BUT NR protocol tells EMT-B's to go with the NRB mask unless the patient will not tolerate it. Seems silly to me, but the correct answer is D.

Thought you might like the Wally World one :D

At first I thought you were talking bout me... :p


:D


2 more hours...uh...

noelchabanel
07-24-08, 06:07 PM
At first I thought you were talking bout me... :p


:D


2 more hours...uh...

I might have been if you had decided to stay and make a career out of it :eek:

How'd it go?

Hockey9019
07-24-08, 07:40 PM
It went alright I actually think I passed.


Odd thing, last thing I remember was at question 65. About 5-10 questions later, it cut me off. If I recall, the minimum was right about that right? Last time I got 110 and I failed. So either I did REALLY good, or REALLY bad. Have no idea and now its the waiting time.

Hockey9019
07-25-08, 11:46 AM
Go figure...

I'm going up north to get away...

Seriously...what the...

Oh well...

Darin
07-25-08, 01:27 PM
Go figure...

I'm going up north to get away...

Seriously...what the...

Oh well...

Does that mean you failed?

marinepilot
07-26-08, 05:56 PM
Damn Hockey,

I just found this thread 'cause I'm studying for my test, which is Monday morning at 0800 CST.

I'll be hopin' & prayin' for ya to pass!!

Me? I'm cramming 'cause I haven't studied in like 2 months (since the course got done). But it's all coming back to me pretty quick, so I'm hoping I've got good recall!

Noel, thanks for the questions! They were great and really got me thinking. I did pretty good with those. And yeah, the NR wants you to use the NRB FIRST, and a nasal cannula only if you can't convince the patient to tolerate the NRB.

Okay everyone, wish me luck!!

noelchabanel
07-26-08, 08:48 PM
Okay everyone, wish me luck!!Good luck! If you have the Mosby's workbook, I found it pretty helpful. Athough it does not follow the test format exactly, the questions get you thinking in that frame of mind. One problem a lot of people have: you have to pass the sections of the test, AND get an overall passing score. If you really bomb the pedi or MCI questions (a LOT of people do, I studied extra on those and still didn't get them all right) you won't pass the test even if you get 100% of the rest of the test. But as long as you are well rounded you should probably be fine. The questions are all scenario based, similar to how I posed them above


It sounds like Hockey isn't exactly fine....I am hoping you are just frustrated that the results won't be done until Monday

Hockey9019
07-26-08, 09:07 PM
I failed yeah...I bombed it..I cramed for it...oh well...


Seriously, I know my stuff...I just don't get it...


I'm up north (Mainistee) and been out Salmon fishing so its somewhat good thearapy.

MP, you'll done fine. Just remember, it may be the hardest written test you will ever take. But go in there relaxed and with the I'll pass attitude and you'll do fine. I still dunno how I failed...the questions were harder and harder. Not easier. Oh well...

You can always retake it so no worries ;)

noelchabanel
07-26-08, 10:52 PM
You may not have bombed it, you may have just answered wrong on too many of one particular section. It's similar to the practical exam where you can flunk for missing too many points overall, or for missing a critical skill. I have seen people fail the patient assesment station just for being extremely disorganized, even though they didn't miss any other critical skill, and got enough points. Like I wrote above, if you miss all the pedi questions, but get a perfect score on the rest, you still flunk. It's probably the hardest test of that type you'll ever have to take. Just keep at it, I'm sure you'll be fine!!

marinepilot
07-28-08, 10:36 AM
MP, you'll done fine. Just remember, it may be the hardest written test you will ever take. But go in there relaxed and with the I'll pass attitude and you'll do fine. I still dunno how I failed...the questions were harder and harder. Not easier. Oh well...

You can always retake it so no worries ;)

Well, I took it this morning at 0800 CST, and was cut off around 74 questions at 0900! I don't know whether that's good or bad.

I didn't find it TOO hard, although it definitely wasn't easy! There was about 10% questions that I just flat out knew the answer to, and probably about 80% of the rest were somewhat possible to figure out by taking my time and fully reading the questions and answers. Now, whether I figured out the RIGHT answer to those questions remains to be seen! LOL

The last 10% was completed by total SWAG method!!

So, we'll see what happens... I'll be sure to post once my results are posted on NREMT.org.

Everyone keep your fingers crossed for me! I'll be sitting on pins & needles until the scores are up! (And yes, I've already checked to see if just maybe... LOL)

Hockey9019
07-28-08, 10:56 AM
Its a scam ;)

It cut me off at 75 so...

Either really good...or really bad..


But I'd say 80% fail it their first time...

Hockey9019
07-28-08, 10:57 AM
You know...just trying to make you feel good ;)

marinepilot
07-28-08, 01:18 PM
You know...just trying to make you feel good ;)

Gee, thanks... So, lemme see if I've got this straight.

Either I'm part of the 80% and shouldn't feel bad that I'm a failure, if I don't pass.

Or I'm part of a nit-noid 20% who are geeks and pass it with flying colors the first time??

Great....

:confused::p:confused::p

nypd7748
08-01-08, 12:35 AM
Hockey,

My son, in addition for working for the NYPD, is an EMS supervisor for the local EMS agency where we live. Specifically he supervises training and certifications of the members/employees. I can ask him if he has any extra training books/manuals if you would be interested in them.

Hockey9019
08-01-08, 01:07 AM
Yeah if he he has some let me know...any help is good help I guess... :)