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NREMT EXAM SAMPLE QUESTIONS
You arrive to find a 48 year old male complaining that his chest feels heavy. The patient is awake and talking to you. During your assessment, you note that his skin is pale, cool, and clammy. Your first step is to: A. apply your AED B. administer supplemental oxygen C. obtain a past medical history D. assist the patient in taking his neighbor's nitroglycerin - Correct answer B (Your first step is to administer supplemental oxygen. When treating chest pain, it is important to get oxygen to the patient as soon as possible to help alleviate damage to the heart muscle.) Which of the following is the correct flow of blood through the heart and lungs? A. inferior/superior vena cavae, lungs, right atrium, right ventricle, left venntricle, aorta B. inferior/superior vena cavae, left atrium, left ventricle, lungs, right atrium, left ventricle, aorta C. inferior/superior vena cavae, lings, aorta, left atrium, left ventricle, right atrium, left ventricle D. inferior/superior vena cavae, right atrium, right ventricle, lungs, left ventricle, aorta - Correct answer D The mitral or bicuspid valve, A. prevents blood from back flowing into the left atrium B. prevents blood from back flowing into the right atrium C. prevents the blood from back flowing into the lungs D. is located between the left atrium and the right ventricle - Correct answer A (The mitral or bicuspid valve is located between the left atrium and the left atrium and the left ventricle. It prevents the blood from back flowing into the left atrium.) Which of the following is NOT true of the treatment of an impaled object? A. remove if blocking the airway B. stabilize in place C. remove to accommodate transport of the patient
D. control the bleeding - Correct answer C (The treatment of a patient with an impaled object includes: securing the object in place, exposing the wound area, controlling bleeding, and using a bulky dressing to help stabilize the object. The only time it is permissible to remove an impaled object is if it is impeding the breathing of a patient.) The electrical impulse generated in the right atrium is called the: A. atrioventricular node B. purkinje fibers C. sinoatriual node D. bundle of his - Correct answer C You are treating a patient that has been involved in a motor vehicle accident. You can lift a flap of skin on the patient's head. This type of injury would e referred to as a(n): A. avulsion B. laceration C. evisceration D. puncture - Correct answer A (A puncture is created by an object that is typically sharp and pointed. A laceration is defined as a jagged cut. An evisceration is typically referred to as organs protruding.) Ligaments connect: A. muscle to bone B. bones to tendon C. bone to bone D. muscle to tendons - Correct answer C Which of the following heat emergencies is considered a true emergency? A. heat cramps B. heat exhaustion C. heat infarction D. heat stroke - Correct answer D (Heat strokes are considered a true life threatening emergency. A heat stroke typically occurs after a patient as experienced heat cramps and heat exhaustion.) You are treating a patient who has overdosed on a narcotic. The greatest risk for this patient is:
You arrive on the scene of an incident where a 16 year old male fell approximately 12 feet. That would be considered: A. a trauma alert B. a significant mechanism of injury C. not a significant mechanism of injury D. a case with a load 'n' go patient - Correct answer C (A patient over the age of 8 is considered an adult for most medical care purposes. A fall of greater than 20 feet is considered a significant injury in adults. If this had been an infant or child, it would have been a significant mechanism of injury since any fall greater than 10 feet would be considered a significant mechanism of injury.) When assessing a 35 year old patient complaining she is short of breath, you note that her breathing is in excess of 28 times per minute. This is considered: A. neuropnea B. apnea C. bradypnea D. tachypnea - Correct answer D (Respiratory rates greater than 20 breaths per minute are considered tachypnea. Less than 12 breaths per minute is bradypnea and absent breathing is apnea.) You arrive on the scene of a patient who fell from a ladder. You should open the patient's airway by using: A. head-tilt/chin-lift B. jaw thrust maneuver C. neck-lift/head-tilt D. head-tilt/jaw-thrust - Correct answer B You arrive on the scene, finding an unconscious patient. There are no other individuals in the vicinity to give any other information or permission to treat the patient. Even though the patient cannot give you consent to treat him, you begin to do so because of" A. expressed consent B. implied consent C. advanced directives D. emergency consent - Correct answer B The AED is used to treat patients in:
A. asystole B. ventricular tachycardia with a pulse C. ventricular fibrillation D. pulseless electrical activity - Correct answer C You arrive on the scene to discover a 65-year-old female lying on the floor of her living room. Your first step in the care of this patient is to" A. begin chest compressions B. apply the AED C. maintain an open airway D. assess level of consciousness - Correct answer D You arrive on the scene to find an unconscious patient about 14 years of age. Where would you assess for a pulse on this patient? A. carotid artery B. brachial artery C. femoral artery D. radial artery - Correct answer A The appropriate care for a patient with epistaxis is to: A. have the patient lay down and remain calm B. pinch the nostrils and have the patient lean forward C. pinch the nostrils and have the patient lean back D. have the patient lay in a supine position with his head lower than the body - Correct answer B (Epistaxis is a nose bleed. In these cases you should have the patient pinch their nose and lean forward.) During your assessment of a patient's chest you note that the left side of the chest moves opposite to the right. This is called: A. crepitus B. paradigmal motion C. subcutaneous emphysema D. paradoxical movement - Correct answer D A minute after a baby is born, the heart rate is less than 60 beat per minute. You should: A. blow by oxygen B. attempt to stimulate the newborn C. aggressively warm the newborn
A. a life threatening infection B. a temperature greater than 102 F C. an abrupt rise in body temperature D. an inflammatory process in the brain - Correct answer C A 34-year-old woman, who is 36 weeks pregnant, is having a seizure. After you protect her airway and ensure adequate ventilation, you should transport her: A. on her left side B. in the prone position C. in the supine position D. in a semisitting position - Correct answer A Snoring respirations are most rapidly managed by A. suctioning the oropharynx B. initiating assisted ventilations C. correctly positioning the head D. inserting an oropharyngeal airway - Correct answer C The scene size-up includes all of the following components, except: A. determining scene safety B. applying personal protective gear C. assessing the need for assistance D. evaluating the mechanism of injury - Correct answer B Which of the following actions should be carried out during the initial assessment? A. assessing the skin B. palpating the cranium C. auscultating the lungs D. obtaining a blood pressure - Correct answer A Firefighters have rescued a man from his burning house. He is conscious and in considerably respiratory distress. He has a brassy cough and singed nasal hairs. The most immediate threat to this patient's life is: A. hypothermia B. severe burns C. severe infection D. closure of the airway - Correct answer D
(Because of the signs and symptoms that this patient is exhibiting, you must be immediately concerned with the potential for closure of the airway and be prepared to assist ventilations. Signs of airway burns include respiratory distress, singed nasal hairs, a brassy cough, difficulty breathing and coughing up soot sputum. Infection, the burns themselves and hypothermia should concern you; however, airway problems are the greatest threat to human life.) Immediately upon delivery of a newborn's head, you should first: A. dry the face B. cover the eyes C. suction the nose D. suction the mouth - Correct answer D Which of the following conditions would most likely cause flushed skin? A. shock B. hypoxia C. exposure to heat D. low blood pressure - Correct answer C (Flushed or red skin commonly is seen in patients who are exposed to heat. Fever can also cause flushed skin. Shock and low blood pressure generally cause the skin to become pale, and hypoxia causes cyanosis, a bluish-gray tint to the skin.) After a patient has a seizure, they will have a gradual state of awakening. This phase of a seizure is called: A. the tonic phase B. the postictal phase C. the clonic phase D. an aura - Correct answer B The process of losing heat through direct contact is called: A. radiation B. convection C. conduction D. evaporation - Correct answer C You are called to assist s SCUBA diver who is having trouble breathing. The patient states that it started approximately 15 minutes after she
You have successfully converted your cardiac arrest patient out of v-fib with your AED. The patient has a pulse and respirations are 6 per minute. You should: A. continue CPR B. monitor patient C. administer 15 LPM via NRB D. continue to assist the patient with ventilations via a BVM and oxygen - Correct answer D Which of the following arryhythmias should be shocked using an AED? A. asystole B. ventricular tachycardia C. pulseless electrial activity D. atrial fibrillation - Correct answer B A soft-tissue injury that results in a flap of torn skin is referred to as: A. an incision B. an avulsion C. an abrasion D. a laceration - Correct answer B When is it most appropriate to clamp and cut the umbilical cord? A. as soon as the cord stops pulsating B. after the placenta has completely delivered C. before the newborn has taken its first breath D. immediately following delivery of the newborn - Correct answer A You are treating a patient with a fractured femur. The most appropriate splint to use for this patient would be: A. a ladder splint B. the other leg C. two board splint D. a traction splint - Correct answer D (A traction splint is used for femur fractures. Ladder splints are used for angulated fractures. Board splints are good to use for extremity fractures.) Albuterol is a medication administered by: A. injection B. inhalation C. absorption
D. orally - Correct answer B (Albuterol is a bronchodilator) You arrive on the scene of a tanker truck carrying a hazardous material. You should position your vehicle: A. 2,000 feet from the tanker truck B. uphill C. upwind D. all of the above - Correct answer D You are treating a 35 year old conscious choking victim. The patient suddenly goes unresponsive. Your next step is to: A. attempt to ventilate the patient B. perform CPR C. deliver 5 abdominal thrusts D. deliver 5 chest thrusts - Correct answer B You are the triage officer at the scene of a mass casualty incident. Which of the following patients should be treated first? A. A 37-year-old female patient who is unresponsive B. An 18-year-old male patient who is not breathing and has no pulse C. A 29-year-old male patient with a femur fracture D. An 8-year-old patient who is conscious but is having trouble breathing - Correct answer A When treating children, all of the following are important considerations except: A. the fact that they are more susceptible to hypothermia B. the padding is needed when immobilizing C. that they should be treated just like adults D. that they have smaller airways - Correct answer C When established a landing zone for a medical helicopter, the minimum area secured should be A. 100' x 100' B. 200' x 200' C. 50' x 50' D. 60' x 60' - Correct answer A
D. radial artery - Correct answer A You are treating a patient suffering from anaphylactic shock. Which of the signs and symptoms would you likely see in this patient? A. urticaria, bradycardia, tachypnea, and stridor B. subcutaneous emphysema, bradycardia, dyspnea, and wheezing C. urticaria, hypertension, tachypnea, and tachycardia D. urticaria, tachycardia, tachypnea, and hypotension - Correct answer D When you grab a backboard, you realize that blood remains from an earlier call. With your hand covered in blood, your first step towards decontamination should be: A. contacting your Infection Control Officer B. washing your hands with soap and water C. completing exposure control forms D. going to the emergency department for admission - Correct answer B Which of the following is the most common cause of suicide? A. alcohol B. drugs C. depression D. the holidays - Correct answer C You are called to the scene of a possible drowning at a local pool. When you arrive on the scene, a bystander is holding the patient at the surface of the water. The patient is unconscious. Your next step is to: A. being rescue breathing B. remove the patient from the pool C. start CPR D. apply cervical and spinal immobilization - Correct answer D You arrive on the scene of a patient who says that she was bitten by fire ants. She has bites all over her legs. Your first step in treating this patient would be to: A. apply high flow oxygen and remove any jewelry B. cleanse the bites with alcohol to remove the sting C. transport the patient to the hospital D. use her epi-injector - Correct answer
You are treating a patient with frostbite. Which of the following actions should be taken? A. break any blisters on the wound B. apply direct heat to the affected area C. rub or massage the affected area D. remove any jewelry from the afflicted limb - Correct answer D You are suctioning your patient's airway. One of the biggest side effects of suctioning is: A. hypoxia B. aspiration C. suction power D. suction catheter clogging - Correct answer A Which of the following are the signs and symptoms of shock in the early stages? A. tachycardia, anxious, restless, skin pale, cool, clammy B. bradycardia, anxious, restless, skin pale, cool, and clammy C. tachycardia, hypotension, increased breathing D, bradycardia, hypotension, skin pale, cool, clammy - Correct answer A Which of the following pressures is considered narrowed? A. 30 B. 20 C. 20 D. 35 - Correct answer A You are treating a patient with shortness of breath. You want to deliver 6 liters per minute of oxygen. You would deliver this flow rate with a: A. nasal cannula B. simple face mask C. partial re-breather D. non-rebreather - Correct answer A Which of the following is the first line of defense in fighting against infectious diseases? A. vaccinations B. hand washing C. using BSI D. using 100% bleach - Correct answer B
You arrive on the scene to discover a patient who refuses to allow you to touch her. You feel the patient is in need in treatment and attempt to take her blood pressure. You have just committed: A. an assault B. battery C. negligence D. an act befitting your profession - Correct answer B You are assessing a 24-year-old male who was involved in a bar room brawl. Witnesses say the patient was struck with a barstool. The patient is unresponsive. You note battle signs on your assessment. This is a sign of: A. intracranial bleeding B. basilar skull fracture C. epidural hematoma D. subdural hematoma - Correct answer B Your patient is vomiting large amounts of bright red blood. The patient does not complain of any pain or tenderness in the abdomen during your assessment. The patient's pulse is 128 and he is having difficulty breathing. His skin is pale, cool and clammy. You noticed he has a jaundiced appearance. You would suspect this patient has: A. pancreatitis B. esophageal varices C. abdominal aortic aneurysm D. appendicitis - Correct answer B There are three stages of labor. In the second stage of labor. A. labor pains develop C. the cervix becomes dilated C. the baby is born D. the placenta is expelled - Correct answer C kjpo - Correct answer joj - Correct answer You are at the scene of a mass casualty incident. Who is in charge of the overall scene? A. the EMT-B B. the incident commander
C. the paramedic D. the medical director - Correct answer B You arrive at the scene of a possible unconscious patient located in a lab setting. On the exterior of the room there is a NFPA diamond with a 4 in the blue portion of the diamond. This is an: A. extreme health hazard B. extreme fire hazard C. extreme reactivity hazard D. extreme water reactivity - Correct answer A You have just intubated a patient in cardiac arrest. Your partner tells you he hears breath sounds on the right side but not on the left. You would suspect: A. intubated the right stem bronchus B. intubated the left stem bronchus C. are in the proper position D. are in the esophagus - Correct answer A You are attempting to intubate a patient. The vocal cords appear anterior and you are having a difficult time visualizing them. You could A. have your partner try B. ask your partner to perform the Sellick maneuver C. insert the laryngoscope further D. wait until you get to the hospital - Correct answer Which of the following medications is an EMT-B not allowed to assist the patient in taking? A. the neighbor's nitroglycerin for chest pain B. an albuterol inhaler for shortness of breath C. the patient's nitroglycerin of chest pain D. the patient's epipen for an allergic reaction - Correct answer Which of the following is not part of the history or secondary exam? A. form a general impression of the patient B. take the patient's history C. conduct a physical exam D. take baseline vitals - Correct answer A In which age is capillary refill most useful?
A. front B. rear C. left D. right - Correct answer B EMTs should wear high-efficiency particulate air (HEPA) respirators when they are in contact with patients who would have which of the following? A. HIV B. TB C. open wounds D. hepatitis B - Correct answer B You are called to assist a 60-year-old female who consists of a severe headache. Upon entering the home, you smell a strong odor of natural gas. What is your first action? A. check the patient's airway, breathing and circulation B. insert a nasopharyngeal airway and assess vital signs C. remove the patient from the house to your ambulance D. open all the windows and determine the source of the gas leak - Correct answer C The most common electrical rhythm disturbance that results in sudden cardiac arrest is called: A. pulseless electrical activity B. ventricular fibrillation C. ventricular tachycardia D. asystole - Correct answer B Which of the following is the highest priority patient? A. 57 year old male with chest pain and systolic blood pressure of 80 B. 40 year old female with moderate pain from a leg injury C. 75 year old male who appears confused but responds to commands D. 25 year old female in labor with contractions six minutes apart - Correct answer A Of the following, which body fluid has the most potential to transmit blood- borne diseases? A. nasal discharge B. vomitus C. amniotic fluid
D. feces - Correct answer C Your patient is an 11-month-old female. How can you determine if she was decreased mental status and is responsive to verbal stimuli? A. she will be upset when you take her from her mother's arms B. she will be unable to tell you how old she is if you ask her C. she will attempt to locate her parents' voices when they speak D. she will try to pull away from a painful stimulus on her toe - Correct answer C What is the best method to assess circulation in an infant? A. palpate the carotid pulse B. palpate the brachial pulse C. palpate the radial pulse D. observe capillary refill time - Correct answer B A 45 year old male is experiencing chest discomfort. After placing him in his position of comfort, your next action should be to A. ventilate the patient with a nonrebreather mask at 15L/min B. ventilate the patient with the bag-valve-mask at 15L/min C. administer oxygen by nonrebreather mask at 15L/min D. administer oxygen by the nasal cannula at 6L/min - Correct answer C Which patient should receive a rapid trauma survey to determine hidden injuries? A. alert 2-year-old child in car seat who was in a medium-speed crash B. alert 20-year-old male who fell ten feet and is complaining of leg pain C. alert 65-year-old female who fell in the bathtub and is complaining of wrist pain D. alert 11-year-old who tripped while roller-skating and fell down three steps - Correct answer A After arriving at the hospital you notice blood on your stretcher. The most appropriate way to disinfect the stretcher is a(n) A. 1:10 ratio of bleach to water solution B. 1:100 ratio of bleach to water solution C. 1:1000 ratio of bleach to water solution D. straight bleach solution - Correct answer A
