NREMT Paramedic Prep - 200 Questions with Verified
Solutions.
You are called to assist an adult with chest pain. The patient has a cardiac history of
two-posterior myocardial infarctions. He is conscious and alert, stating he is having a
hard time breathing, and the chest pain worsens when he attempts to lay flat on his
back. His skin is pale and hot, while auscultation of his lung sounds reveals mild
crackles. He reports the pain worsens on deep inspiration and movement.
Based on the patient's history, and signs and symptoms, which of the following should
you suspect?
A.
Unstable angina pectoris
B.
Pericarditis
C.
Myocardial infarction
D.
Cardiomyopathy - Correct answer B.
You are the first ambulance to arrive on the scene of a single-car accident. As you
approach the scene, you see four patients, two have been ejected from their vehicle,
and two are still in the vehicle. What should be your next course of action?
A.
Call medical control, and advise them of the situation
B.
Request additional resources, such as fire rescue, and additional ambulances to
respond to the scene
C.
Begin immediate triage and treatment of the two patients ejected first while awaiting fire
department response
D.
Notify the local trauma center so they can prepare for the patients - Correct answer B.
A patient is experiencing a possible neurological emergency from a blunt force closed
head injury. He is found to have abnormal pupillary reactions to light and has lost the
ability to move his eyes from side to side to follow your finger movements. He is also
unable to identify the number of fingers you are holding up. He reports he is able to see
the fingers but is not able to focus enough to identify how many fingers are present.
Which of the following cranial nerves should you suspect may be involved in his injury?
A.
Cranial nerves I, V, and VI
B.
,Simply put, shock is a state of hypo perfusion due to several different causes. Which
one of the following types of shock would be considered distributive shock?
A.
Hypovolemic shock
B.
Cardiogenic shock
C.
Anaphylactic shock
D.
Toxic shock syndrome - Correct answer C.
Which of the following is responsible for initiating the sympathetic response to shock
during a traumatic event?
A.
Increased oxygen level and increased PCO2
B.
Increased peripheral vascular resistance and alkalosis
C.
Decreased perfusion and increased acidosis
D.
Peripheral vasodilation and increased capillary permeability - Correct answer C.
During which wave, complex, interval, or segment of an electrocardiogram tracing does
the absolute refractory period take place in a normally functioning heart?
A.
S-T segment
B.
P-R interval
C.
P wave
D.
Q-T interval - Correct answer D.
You are preparing to perform synchronized electrical cardio version with a biphasic
defibrillator on your unstable adult patient who is experiencing supraventricular
tachycardia at 160 beats per minute on the monitor. Which of the following initial energy
settings would be recommended if he was exhibiting a narrow complex, regular
supraventricular tachycardia, in which his palpable carotid pulse matches the rhythm on
the monitor?
A.
Synchronized cardio version at 50-100 joules
,D.
Defibrillation at 360 joules - Correct answer A.
Other than a stroke, what is a common cause of one-sided facial droop and paralysis in
an adult patient who exhibits no other neurological findings?
A.
Amyotrophic lateral sclerosis (ALS)
B.
Multiple sclerosis
C.
Huntington's disease
D.
Bell's palsy - Correct answer D.
You are on-scene with a patient who was struck by a car on her bicycle. She is
conscious and alert but has a possible closed right mid-shaft femur fracture. The patient
advises you that she is sixteen but does not need parental consent to be treated. Which
of the following situations would make this statement true?
A.
She can be treated under implied consent because her injury may become life-
threatening
B.
She is not an American citizen, visiting on a student visa
C.
She is an emancipated minor granted by the court
D.
She is an orphaned minor who lives alone - Correct answer C.
Your adult patient is showing signs and symptoms of being severely hyperkalemia.
Medical control recommends the administration of a high-dose nebulized albuterol
treatment as well as calcium chloride. Why is high-dose albuterol being recommended
for this patient?
A.
To improve the patient's ventilator status
B.
To assist with metabolic acidosis
C.
To increase the amount of available calcium at the cellular level
D.
To help lower dangerous potassium levels - Correct answer D.
When monitoring the electrical activity of a patient's heart, which standard limb lead
records the difference in electrical potential between the left leg and the right arm when
, C.
Bipolar limb lead III (LIII)
D.
Bipolar limb lead I (LI) - Correct answer B.
You are evaluating a trauma patient who may have sustained a spinal cord injury.
Which of the following would you expect to see in a trauma patient with a spinal cord
injury with autonomic nervous system involvement?
A.
Bradycardia, hypotension, and a loss of sweating or shivering ability
B.
Bradycardia, hypertension, warm, dry skin, and numbness of fingertips
C.
Tachycardia, hypertension, one-sided paralysis, and amnesia
D.
Tachycardia, hypotension, diaphoresis, cool, and clammy skin - Correct answer A.
You are on-scene with an adult patient exhibiting unusual activity and appears to be
intoxicated. He is anxious and hyperactive. His heart rate and respirations are fast, but
his blood pressure remains within normal range for his age. The patient denies alcohol
or drug consumption but reports he has diabetes. His blood glucose level is found to be
54 milligrams per deciliter.
How would hypoglycemia cause the patient to present with the above findings?
A.
The low blood sugar levels stimulate the sympathetic nervous system to trigger the
release of epinephrine into the bloodstream to promote liver glycogenolysis
B.
Low blood sugar levels mimic alcohol intoxication in the brain because of elevated
insulin levels in the bloodstream
C.
The elevated heart rate and respirations stimulate the adipose tissue to increase
glucose and fatty acid uptake in an attempt to correct the blood glucose level
D.
The heart rate and r - Correct answer A.
You are on scene at a motor vehicle accident, and your 20-year-old patient is
entrapped. He is unconscious, unresponsive, and has a palpable carotid pulse that is
weak and thread. His breathing is slow and shallow at four times a minute with equal
chest wall expansion. There are no obvious deformity injuries or hemorrhage noted. Fire
department on-scene has stabilized the vehicle and provided you and your partner a
relatively safe environment to manage the entrapped patient. However, access is limited
to the seated patient, and extrication is expected to take another twenty minutes.
After having your partner maintain cervical spine stabilization, which of the following
Solutions.
You are called to assist an adult with chest pain. The patient has a cardiac history of
two-posterior myocardial infarctions. He is conscious and alert, stating he is having a
hard time breathing, and the chest pain worsens when he attempts to lay flat on his
back. His skin is pale and hot, while auscultation of his lung sounds reveals mild
crackles. He reports the pain worsens on deep inspiration and movement.
Based on the patient's history, and signs and symptoms, which of the following should
you suspect?
A.
Unstable angina pectoris
B.
Pericarditis
C.
Myocardial infarction
D.
Cardiomyopathy - Correct answer B.
You are the first ambulance to arrive on the scene of a single-car accident. As you
approach the scene, you see four patients, two have been ejected from their vehicle,
and two are still in the vehicle. What should be your next course of action?
A.
Call medical control, and advise them of the situation
B.
Request additional resources, such as fire rescue, and additional ambulances to
respond to the scene
C.
Begin immediate triage and treatment of the two patients ejected first while awaiting fire
department response
D.
Notify the local trauma center so they can prepare for the patients - Correct answer B.
A patient is experiencing a possible neurological emergency from a blunt force closed
head injury. He is found to have abnormal pupillary reactions to light and has lost the
ability to move his eyes from side to side to follow your finger movements. He is also
unable to identify the number of fingers you are holding up. He reports he is able to see
the fingers but is not able to focus enough to identify how many fingers are present.
Which of the following cranial nerves should you suspect may be involved in his injury?
A.
Cranial nerves I, V, and VI
B.
,Simply put, shock is a state of hypo perfusion due to several different causes. Which
one of the following types of shock would be considered distributive shock?
A.
Hypovolemic shock
B.
Cardiogenic shock
C.
Anaphylactic shock
D.
Toxic shock syndrome - Correct answer C.
Which of the following is responsible for initiating the sympathetic response to shock
during a traumatic event?
A.
Increased oxygen level and increased PCO2
B.
Increased peripheral vascular resistance and alkalosis
C.
Decreased perfusion and increased acidosis
D.
Peripheral vasodilation and increased capillary permeability - Correct answer C.
During which wave, complex, interval, or segment of an electrocardiogram tracing does
the absolute refractory period take place in a normally functioning heart?
A.
S-T segment
B.
P-R interval
C.
P wave
D.
Q-T interval - Correct answer D.
You are preparing to perform synchronized electrical cardio version with a biphasic
defibrillator on your unstable adult patient who is experiencing supraventricular
tachycardia at 160 beats per minute on the monitor. Which of the following initial energy
settings would be recommended if he was exhibiting a narrow complex, regular
supraventricular tachycardia, in which his palpable carotid pulse matches the rhythm on
the monitor?
A.
Synchronized cardio version at 50-100 joules
,D.
Defibrillation at 360 joules - Correct answer A.
Other than a stroke, what is a common cause of one-sided facial droop and paralysis in
an adult patient who exhibits no other neurological findings?
A.
Amyotrophic lateral sclerosis (ALS)
B.
Multiple sclerosis
C.
Huntington's disease
D.
Bell's palsy - Correct answer D.
You are on-scene with a patient who was struck by a car on her bicycle. She is
conscious and alert but has a possible closed right mid-shaft femur fracture. The patient
advises you that she is sixteen but does not need parental consent to be treated. Which
of the following situations would make this statement true?
A.
She can be treated under implied consent because her injury may become life-
threatening
B.
She is not an American citizen, visiting on a student visa
C.
She is an emancipated minor granted by the court
D.
She is an orphaned minor who lives alone - Correct answer C.
Your adult patient is showing signs and symptoms of being severely hyperkalemia.
Medical control recommends the administration of a high-dose nebulized albuterol
treatment as well as calcium chloride. Why is high-dose albuterol being recommended
for this patient?
A.
To improve the patient's ventilator status
B.
To assist with metabolic acidosis
C.
To increase the amount of available calcium at the cellular level
D.
To help lower dangerous potassium levels - Correct answer D.
When monitoring the electrical activity of a patient's heart, which standard limb lead
records the difference in electrical potential between the left leg and the right arm when
, C.
Bipolar limb lead III (LIII)
D.
Bipolar limb lead I (LI) - Correct answer B.
You are evaluating a trauma patient who may have sustained a spinal cord injury.
Which of the following would you expect to see in a trauma patient with a spinal cord
injury with autonomic nervous system involvement?
A.
Bradycardia, hypotension, and a loss of sweating or shivering ability
B.
Bradycardia, hypertension, warm, dry skin, and numbness of fingertips
C.
Tachycardia, hypertension, one-sided paralysis, and amnesia
D.
Tachycardia, hypotension, diaphoresis, cool, and clammy skin - Correct answer A.
You are on-scene with an adult patient exhibiting unusual activity and appears to be
intoxicated. He is anxious and hyperactive. His heart rate and respirations are fast, but
his blood pressure remains within normal range for his age. The patient denies alcohol
or drug consumption but reports he has diabetes. His blood glucose level is found to be
54 milligrams per deciliter.
How would hypoglycemia cause the patient to present with the above findings?
A.
The low blood sugar levels stimulate the sympathetic nervous system to trigger the
release of epinephrine into the bloodstream to promote liver glycogenolysis
B.
Low blood sugar levels mimic alcohol intoxication in the brain because of elevated
insulin levels in the bloodstream
C.
The elevated heart rate and respirations stimulate the adipose tissue to increase
glucose and fatty acid uptake in an attempt to correct the blood glucose level
D.
The heart rate and r - Correct answer A.
You are on scene at a motor vehicle accident, and your 20-year-old patient is
entrapped. He is unconscious, unresponsive, and has a palpable carotid pulse that is
weak and thread. His breathing is slow and shallow at four times a minute with equal
chest wall expansion. There are no obvious deformity injuries or hemorrhage noted. Fire
department on-scene has stabilized the vehicle and provided you and your partner a
relatively safe environment to manage the entrapped patient. However, access is limited
to the seated patient, and extrication is expected to take another twenty minutes.
After having your partner maintain cervical spine stabilization, which of the following
