NREMT Practice Exam | 150 Questions | 41
Pages | 100% Correct Answers & Explanations
Which of the following is an example of an unsafe scene for an EMT-Basic to enter?
A. Fifty-four-year old male with difficulty breathing
B. Twenty-three-year old female with abdominal pain
C. Eighteen-year old adolescent with a gunshot wound to the chest
D. Four-year old child with leg pain Correct Answer: C. Eighteen-year old adolescent with a
gunshot wound to the chest
Reason: Any dispatch to a call with violence involved, such as a gunshot wound, must be
secured by police prior to EMS involvement. The other calls do not give any inidication of being
unsafe.
The arterioles connect the _________ and the capillaries.
A. Veins
B. Venules
C. Arteries
D. Vena cavae Correct Answer: C. Arteries
Reason: The path of blood flow goes from the heart to the aorta to the arteries to the arterioles to
the capillaries to the venules to the veins to the vena cavae to the heart.
Which of the following patients is at greatest risk for hypothermia?
A. Thirty-year old firefighter
B. Twelve-year old skier
C. Forty-five year old EMT
D. Seventy-year old librarian Correct Answer: D. Seventy-year old librarian
Reason: The very young and very old are greater rsk for hypothermia
The zygomatic bones are located in the
A. Chest
B. Lower leg
C. Back
D. Face Correct Answer: D. Face
Reason: The zygomatic bones are the cheekbones
Which of the following federal laws was created to prevent "patients dumping" and the practice
of denying treatment to patients with no insurance?
,A. Emergency Medical Treatment and Active Labor Act (EMTALA)
B. The White Paper Act
C. Health Insurance Portability and Accountability Act (HIPAA)
D. The Medical Practice Act of 1988 Correct Answer: A. Emergency Medical Treatment and
Active Labor Act (EMTALA)
Reason: The EMTALA was enacted by Congress in 1986 to ensure public access to emergency
services regardless of their ability to pay. This act was also created to prevent hospitals from
dumping their patients on other hospitals because of the patient's financial status. The White
Paper (A) was not an act, but was a paper published in 1966 addressing the inadequacy of pre-
hospital emergency medical care. The Health Insurance Portability and Accountability Act
(HIPAA) (C) was created to protect the provacy of healthcare information. There is no such act
as the Medical Practice Act of 1988 (D).
When using air transport, the EMT-Basic should approach a helicopter
A. From the uphill side
B. From the rear
C. Only when instructed by a helicopter crew member
D. Under no circumstances, but instead allow the crew to come to them Correct Answer: C.
Only when instructed by a helicopter crew member
Reason: Helicopters are dangerous vechicles, and safety rules include never approaching from
the uphill side because of the danger of the rotors, or from the rear because of the tail rotor. In
addition, EMT-Basics should never approach until instructed by a helicopter crew member so
that the patient loading can be coordinated safely. Not approaching the helicopter at all may be
impractical due to patient care concerns.
Which of the following should be noted as insignificant in conducting the patient assessment?
A. Medication bottles
B. Comments of bystanders and family members
C. Physical condition of the patient
D. Patient's medical insurance Correct Answer: D. Patient's medical insurance
Reason: (A), (B), and (C) are all significant in conducting patient assessment. A patient's medical
insurance is not a consideration in treating emergency patients.
Which of the following is NOT a component of the Glasgow Coma Scale?
A. Eye opening
B. Verbal response
C. Motor response
D. Tactile sensatory response Correct Answer: D. Tactile sensatory response
,Reason: (A), (B), and (C) are all components of the Glasgow Coma Scale
You have an EMT student riding with you one day. The student is studying for an upcoming test
and cannot remember a legal term. The student knows that you must have four elements in order
to prove this type of claim. The student knows that the four elements are duty, breach of duty,
proximate cause, and harm caused. What term is the EMT student studying?
A. Abandonment
B. Simple negligence
C. Gross negligence
D. Malpractice Correct Answer: B. Simple negligence
Reason: In order to prove simple (also called ordinary) negligence, there must be four elements;
duty, breach of duty, proximate cause, and harm caused
The head is _________ to the chest.
A. Inferior
B. Anterior
C. Superior
D. Posterior Correct Answer: C. Superior
Reason: Superior refers to an upper region, so the head is considered superior to the chest, while
the chest would be considered inferior to the head. Anterior is the front, and posterior is the back
What does the "A" stand for in DCAP-BTLS
A. Anascoria
B. Arterial bleeding
C. Alert response
D. Abrasions Correct Answer: D. Abrasions
Reason: The "A" in DCAP-BTLS stands for abrasions
There are ________ vertebrae in the lumbar section
A. 5
B. 12
C. 14
D. 19 Correct Answer: A. 5
Reason: The cervical section of the spine has 7 vertebrae, the thoracic 12, the lumber 5, the
sacral 5, and the coccyx 4
Signs and symptoms of post-traumatic stress disorder (PTSD) include the following EXCEPT
, A. Loss of sexual desire
B. Loss of appetite
C. Loss of interest in work
D. Loss of spontaneity Correct Answer: D. Loss of spontaneity
Reason: Loss of spontaneity is not a characterisitc symptom of the post-traumatic stress disorder.
The other answers are all symptoms of PTSD, and if they last longer than a few days, the EMT-
Basic should be referred for professional help
The letter "G" in the APGAR score stands for
A. Grating
B. Grimace
C. Guarding
D. Gurgling Correct Answer: B. Grimace
Reason: The baby's ability to make facial expressions is indicative of its ability to function in the
outside world. Grating refers to rubbing of two organs together, guarding is when one protects a
portion of the body with one's hands, and gurgling is the sound one makes when there is fluid in
the oropharynx. None of these are indicators in the APGAR score
You are dispatched to an auto accident on a local city street. You respond priority and arrive on
scene with suitable precautions. The police are on scene. There is one victim, a woman seated in
the car. Her car backed into another car as she was pulling out of her driveway at low speed. As
you approach the car, she advises you that she is 36 weeks pregnant with her first child. She
advises you that she has no injuries and no hemorrhaging and is not in any pain; however, she
wishes to be checked out at the hospital. In what position should she be transported?
A. Trendelenburg
B. Fowler
C. Left lateral recumbent
D. Right lateral recumbent Correct Answer: C. Left lateral recumbent
Reason: Unless contraindicated by some other condition, women in their third trimester of
pregnancy should be transported on their left side to prevent the weight of the child from
compressing their vena cavae and causing circulatory problems, which could lead to impairment
of consciousness and other complications. Trendelenburg is when the legs are elevated to help
combat hypotension, and Fowler position is seated upright
You respond to a 18-year old male patient who is threatening suicide. The fire department states
that before you arrived, the patient told them that he wanted to kill himself. Now, the patient is
telling you that he does not want to hurt himself and he just wants to be left alone. Which of the
following is the most appropriate treatment?
A. Explain the risks of staying at home with suicidal thoughts, and then have the patient sign a
refusal form if he appears mentally competent.
Pages | 100% Correct Answers & Explanations
Which of the following is an example of an unsafe scene for an EMT-Basic to enter?
A. Fifty-four-year old male with difficulty breathing
B. Twenty-three-year old female with abdominal pain
C. Eighteen-year old adolescent with a gunshot wound to the chest
D. Four-year old child with leg pain Correct Answer: C. Eighteen-year old adolescent with a
gunshot wound to the chest
Reason: Any dispatch to a call with violence involved, such as a gunshot wound, must be
secured by police prior to EMS involvement. The other calls do not give any inidication of being
unsafe.
The arterioles connect the _________ and the capillaries.
A. Veins
B. Venules
C. Arteries
D. Vena cavae Correct Answer: C. Arteries
Reason: The path of blood flow goes from the heart to the aorta to the arteries to the arterioles to
the capillaries to the venules to the veins to the vena cavae to the heart.
Which of the following patients is at greatest risk for hypothermia?
A. Thirty-year old firefighter
B. Twelve-year old skier
C. Forty-five year old EMT
D. Seventy-year old librarian Correct Answer: D. Seventy-year old librarian
Reason: The very young and very old are greater rsk for hypothermia
The zygomatic bones are located in the
A. Chest
B. Lower leg
C. Back
D. Face Correct Answer: D. Face
Reason: The zygomatic bones are the cheekbones
Which of the following federal laws was created to prevent "patients dumping" and the practice
of denying treatment to patients with no insurance?
,A. Emergency Medical Treatment and Active Labor Act (EMTALA)
B. The White Paper Act
C. Health Insurance Portability and Accountability Act (HIPAA)
D. The Medical Practice Act of 1988 Correct Answer: A. Emergency Medical Treatment and
Active Labor Act (EMTALA)
Reason: The EMTALA was enacted by Congress in 1986 to ensure public access to emergency
services regardless of their ability to pay. This act was also created to prevent hospitals from
dumping their patients on other hospitals because of the patient's financial status. The White
Paper (A) was not an act, but was a paper published in 1966 addressing the inadequacy of pre-
hospital emergency medical care. The Health Insurance Portability and Accountability Act
(HIPAA) (C) was created to protect the provacy of healthcare information. There is no such act
as the Medical Practice Act of 1988 (D).
When using air transport, the EMT-Basic should approach a helicopter
A. From the uphill side
B. From the rear
C. Only when instructed by a helicopter crew member
D. Under no circumstances, but instead allow the crew to come to them Correct Answer: C.
Only when instructed by a helicopter crew member
Reason: Helicopters are dangerous vechicles, and safety rules include never approaching from
the uphill side because of the danger of the rotors, or from the rear because of the tail rotor. In
addition, EMT-Basics should never approach until instructed by a helicopter crew member so
that the patient loading can be coordinated safely. Not approaching the helicopter at all may be
impractical due to patient care concerns.
Which of the following should be noted as insignificant in conducting the patient assessment?
A. Medication bottles
B. Comments of bystanders and family members
C. Physical condition of the patient
D. Patient's medical insurance Correct Answer: D. Patient's medical insurance
Reason: (A), (B), and (C) are all significant in conducting patient assessment. A patient's medical
insurance is not a consideration in treating emergency patients.
Which of the following is NOT a component of the Glasgow Coma Scale?
A. Eye opening
B. Verbal response
C. Motor response
D. Tactile sensatory response Correct Answer: D. Tactile sensatory response
,Reason: (A), (B), and (C) are all components of the Glasgow Coma Scale
You have an EMT student riding with you one day. The student is studying for an upcoming test
and cannot remember a legal term. The student knows that you must have four elements in order
to prove this type of claim. The student knows that the four elements are duty, breach of duty,
proximate cause, and harm caused. What term is the EMT student studying?
A. Abandonment
B. Simple negligence
C. Gross negligence
D. Malpractice Correct Answer: B. Simple negligence
Reason: In order to prove simple (also called ordinary) negligence, there must be four elements;
duty, breach of duty, proximate cause, and harm caused
The head is _________ to the chest.
A. Inferior
B. Anterior
C. Superior
D. Posterior Correct Answer: C. Superior
Reason: Superior refers to an upper region, so the head is considered superior to the chest, while
the chest would be considered inferior to the head. Anterior is the front, and posterior is the back
What does the "A" stand for in DCAP-BTLS
A. Anascoria
B. Arterial bleeding
C. Alert response
D. Abrasions Correct Answer: D. Abrasions
Reason: The "A" in DCAP-BTLS stands for abrasions
There are ________ vertebrae in the lumbar section
A. 5
B. 12
C. 14
D. 19 Correct Answer: A. 5
Reason: The cervical section of the spine has 7 vertebrae, the thoracic 12, the lumber 5, the
sacral 5, and the coccyx 4
Signs and symptoms of post-traumatic stress disorder (PTSD) include the following EXCEPT
, A. Loss of sexual desire
B. Loss of appetite
C. Loss of interest in work
D. Loss of spontaneity Correct Answer: D. Loss of spontaneity
Reason: Loss of spontaneity is not a characterisitc symptom of the post-traumatic stress disorder.
The other answers are all symptoms of PTSD, and if they last longer than a few days, the EMT-
Basic should be referred for professional help
The letter "G" in the APGAR score stands for
A. Grating
B. Grimace
C. Guarding
D. Gurgling Correct Answer: B. Grimace
Reason: The baby's ability to make facial expressions is indicative of its ability to function in the
outside world. Grating refers to rubbing of two organs together, guarding is when one protects a
portion of the body with one's hands, and gurgling is the sound one makes when there is fluid in
the oropharynx. None of these are indicators in the APGAR score
You are dispatched to an auto accident on a local city street. You respond priority and arrive on
scene with suitable precautions. The police are on scene. There is one victim, a woman seated in
the car. Her car backed into another car as she was pulling out of her driveway at low speed. As
you approach the car, she advises you that she is 36 weeks pregnant with her first child. She
advises you that she has no injuries and no hemorrhaging and is not in any pain; however, she
wishes to be checked out at the hospital. In what position should she be transported?
A. Trendelenburg
B. Fowler
C. Left lateral recumbent
D. Right lateral recumbent Correct Answer: C. Left lateral recumbent
Reason: Unless contraindicated by some other condition, women in their third trimester of
pregnancy should be transported on their left side to prevent the weight of the child from
compressing their vena cavae and causing circulatory problems, which could lead to impairment
of consciousness and other complications. Trendelenburg is when the legs are elevated to help
combat hypotension, and Fowler position is seated upright
You respond to a 18-year old male patient who is threatening suicide. The fire department states
that before you arrived, the patient told them that he wanted to kill himself. Now, the patient is
telling you that he does not want to hurt himself and he just wants to be left alone. Which of the
following is the most appropriate treatment?
A. Explain the risks of staying at home with suicidal thoughts, and then have the patient sign a
refusal form if he appears mentally competent.
