NREMT Practice Test Bank - Multiple Choice
restrain the patient is all that is required
33. Immediately following a gen-
eralized seizure involving ton-
ic-clonic activity, most patients:
• A:have a slow heart rate be-
cause of cardiac depression dur-
ing the seizure.
• B:are unresponsive but gradu-
ally regain consciousness.
• C:experience prolonged ap-
nea and require positive-pres-
sure ventilations.
• D:return to a normal level of
consciousness but cannot recall
the event.
34. Which of the following organs
are contained within the right up-
per quadrant of the abdomen?
• A:Liver and gallbladder
• B:Stomach and gallbladder
• C:Liver and spleen
• D:Liver and stomach
35. You respond to a baseball field
for a person who was struck
by lightning. When you arrive,
17 / 259
to prevent causing unnecessary injury.
You selected B; This is correct!
Reason:Most generalized (grand mal)
seizures last 3 to 5 minutes and are fol-
lowed by a lengthy (5 to 30 minutes) pe-
riod called the postictal phase, in which
the patient is unresponsive at first but
gradually regains consciousness. Dur-
ing the seizure itself, the nervous system
releases excess adrenaline (epineph-
rine); therefore, tachycardia, even after
the seizure has stopped, is common. Ap-
nea is common during a seizure; howev-
er, breathing usually resumes after the
seizure has stopped. Many patients are
tachypneic following a seizure; this is
the body's attempt to eliminate excess
carbon dioxide that accumulated in the
blood during the seizure. Unlike grand
mal seizures, petit mal seizures (also
called absence seizures) can last for just
a fraction of a minute, after which the pa-
tient fully recovers immediately with only
a brief lapse of memory of the event.
You selected A; This is correct!
Reason:The liver and gallbladder lie
within the right upper quadrant of the
abdomen. Most of the stomach is within
the left upper quadrant, as is the entire
spleen.
You selected D; The correct answer is A;
Reason:The process of triaging multiple