NREMT EMR Prep Online

The guideline excerpt states that for an infant who is not breathing but still has a pulse, rescuers should provide 1 breath every 2–3 seconds (about 20–30 breaths per minute). The choices stating slower rates (such as breathing every 4–5 seconds or every 5–6 seconds) would provide fewer than 20 breaths per minute and do not match the excerpt. The choice stating breathing every 1–2 seconds would exceed the recommended rate.

Water rescues should prioritize rescuer safety. If the person is close to the edge, the safest and most appropriate first action is a reach assist—extending an object such as a stick or towel from a stable position on the deck so the swimmer can grab it. If reaching is not possible or does not work, the next safer escalation is typically to throw a flotation aid. Entering the water or swimming to the person greatly increases the risk that the rescuer will also become a victim and should be reserved for trained rescuers with appropriate equipment and support.

A cracking sound or sensation during chest compressions can occur, especially in older or frail patients, and may indicate a rib or sternal fracture. CPR should not be interrupted for suspected fractures because ongoing compressions are necessary to maintain circulation. The best response is to briefly confirm correct hand position (to avoid compressing too high or over the xiphoid) and then immediately continue high-quality compressions with minimal interruption. The choice describing reducing depth/force risks ineffective compressions. The choice describing stopping to check for fractures creates an unnecessary pause in circulation. The choice describing moving hands to a different location is not indicated unless you determine your hand placement is incorrect.