REMT Practice Test Bank - Multiple Choice
Question And Answers
A 16-year-old, 125-pound male ingested a bottle of aspirin approximately
20 minutes ago. Medical control orders you to administer activated
charcoal in a dose of 1 g/kg. How much activated charcoal should you
administer?
• A:54 g
• B:60 g
• C:51 g
• D:57 g - -You selected D; This is correct!
Reason: First, you must determine the patient's weight in kilograms (kg).
Either of the following formulae can be used to convert pounds to
kilograms: Formula 1: weight (in pounds) ÷ 2.2 = weight in kg. Formula 2:
weight (in pounds) ÷ 2 - 10% = weight in kg. On the basis of the above
formulae, a 125-pound patient weighs 57 kg. Using formula 1, the
equation is as follows: 125 (weight in pounds) ÷ 2.2 = 56.81 (57 [rounded
to the nearest tenth]). Using formula 2, the equation is as follows: 125
(weight in pounds) ÷ 2 = 62.5 (63 [rounded to the nearest tenth] - 6.3
(10% of 63) = 56.7 (57 [rounded to the nearest tenth]). Since the drug
order is for 1 g/kg, you should administer 57 g of activated charcoal to
your 125-pound patient.
- A 19-year-old female has a closed, swollen deformity to her left
forearm. You are unable to palpate a radial pulse and the skin distal to the
injury is cold and pale. Several attempts to contact medical control have
failed and you are approximately 45 miles away from the closest hospital.
You should:
• A:apply an air splint to her forearm, keep her arm below the level of her
heart, place an icepack over the injury, and transport.
• B:begin transport at once, gently manipulate her arm en route until
distal circulation is restored, and apply an air splint.
• C:splint her entire arm with rigid board splints, elevate the limb above
the level of her heart, and transport immediately.
• D:make one attempt to restore distal circulation by applying gentle
manual traction in line with the long axis of the limb. - -The correct
answer is D;
Reason:
Cold, pale skin and an absent distal pulse indicates that blood flow distal
to the injury is compromised. You should notify medical control, who will
likely direct you to attempt to restore distal circulation. However, if you
are unable to contact medical control and your transport time will be
lengthy, you should make ONE attempt to restore distal circulation by
applying gentle manual traction in line with the long axis of the limb. Be
careful, as excessive manipulation can worsen the vascular problem. If
,you are unsuccessful after one attempt, splint the limb in the most
comfortable position for the patient and transport at once. If distal
circulation is restored, splint the limb in whatever position allows the
strongest distal pulse. You should elevate the limb above the level of the
heart to help minimize swelling. An icepack may also help reduce pain and
swelling.
- A 19-year-old male was assaulted and has trauma to multiple body
systems. After performing your primary assessment and treating any
immediate life-threatening injuries, you should:
• A:obtain a full set of baseline vital signs.
• B:transport at once and intercept with ALS.
• C:perform a rapid head-to-toe assessment.
• D:fully immobilize his spine and transport. - -You selected D; The correct
answer is C;
Reason:
After treating all life-threatening conditions found in the primary
assessment, you should perform a rapid head-to-toe assessment (rapid
body scan) to look for and treat other life threats. In many cases, patients
with trauma to multiple body systems have other life-threatening injuries
that are not readily apparent during the primary assessment. You should
obtain baseline vital signs as soon as possible; however, this should not
delay or interrupt your primary or rapid head-to-toe assessments. After
performing the primary and rapid head-to-toe assessments, fully
immobilize the patient's spine and transport to an appropriate hospital.
Consider an advanced life support (ALS) intercept, as long as it does not
cause a significant delay in transport.
- A 21-year-old male was bitten on the left forearm by a dog. He is
conscious and alert and denies any other injuries. An animal control officer
is at the scene and has contained the dog. Your assessment of the
patient's arm reveals a large avulsion with a peeled back flap of skin.
Distal circulation is adequate and the patient is able to feel and move his
fingers. In addition to bleeding control, you should:
• A:perform a rapid head-to-toe assessment.
• B:irrigate the wound for at least 15 minutes.
• C:replace the avulsed flap to its original position.
• D:apply oxygen via a nonrebreathing mask. - -The correct answer is C;
Reason:
An avulsion is an injury that separates various layers of soft tissue, usually
between the subcutaneous layer and fascia, so that they become
completely detached or hang as a flap. The patient's injury is isolated and
not life-threatening; therefore, a rapid head-to-toe assessment is not
indicated. Unless your protocols specify otherwise, oxygen is usually not
necessary for patients with isolated, non-life-threatening soft tissue
injuries. If the avulsed tissue is hanging from a small piece of skin,
circulation through the flap may be at risk. If you can, replace the avulsed
,flap to its original position, as long as it is not visibly contaminated with
dirt and/or other foreign materials, and then cover the wound with a dry
sterile dressing. Unless the wound is grossly contaminated with dirt or
debris, irrigation is usually deferred until the patient is evaluated by a
physician. Furthermore, flushing an open wound may force dirt or other
debris into the wound, increasing the risk of infection.
- A 21-year-old man partially amputated his right arm when the
chainsaw he was using to trim trees slipped. You can feel a weak radial
pulse and his arm is cool to the touch. Dark red blood is flowing heavily
from the wound. You should:
• A:control the bleeding, manipulate the arm to improve circulation, and
apply a splint.
• B:apply bulky compression dressings to the wound and splint the
extremity.
• C:carefully pack sterile dressings into the wound and fully splint the
extremity.
• D:apply a tourniquet proximal to the injury and tighten it until the
bleeding stops. - -The correct answer is B;
Reason:
When caring for a partially amputated extremity, control bleeding with
bulky compression (pressure) dressings and splint the extremity to
prevent further injury. If direct pressure does not immediately control the
bleeding, however, a proximal tourniquet should be applied without delay.
Never pack dressings into a wound; this may cause further damage and
increases the risk of infection. Although your patient's radial pulse is
weak, it is present and indicates blood flow distal to the injury. Do not
manipulate his arm; doing so may lacerate or compress an artery and
compromise distal circulation.
- A 22-year-old female fell on her knee and is in severe pain. Her knee is
flexed and severely deformed. Her leg is cold to the touch and you are
unable to palpate a distal pulse. You should:
• A:carefully straighten her leg until you restore a distal pulse and then
apply padded board splints.
• B:apply gentle longitudinal traction as you straighten her leg and then
apply a traction splint.
• C:manually stabilize her injury and contact medical control for further
stabilization instructions.
• D:place a pillow behind her knee and stabilize the injury by applying
padded board splints. - -The correct answer is C;
Reason:
A dislocated knee occurs when the proximal end of the tibia completely
displaces from its juncture with the distal femur. In some cases, the
popliteal artery behind the knee may be compressed, resulting in
compromised distal blood flow. Signs of this include absent distal pulses
and a pale extremity that is cool or cold. Manually stabilize the knee and
, assess for distal pulses. If distal pulses are absent, contact medical control
immediately for further stabilization instructions. Medical control may
instruct you to make ONE attempt to realign the knee to reduce
compression of the popliteal artery and restore distal circulation. If you are
unable to restore distal circulation or medical control advises you not to
manipulate the injury, splint the knee in the position it was found and
transport promptly. Traction splints are contraindicated in any injury to or
near the knee
- A 22-year-old female woman was shot by her husband. Law
enforcement is at the scene and has the husband in custody. The patient
is conscious, but extremely restless, and is pale and diaphoretic. As your
partner administers high-flow oxygen, you should:
• A:keep her warm by applying blankets.
• B:take her BP to detect hypotension.
• C:compare her carotid and radial pulses.
• D:look for and control any bleeding. - -You selected D; This is correct!
Reason:
The primary assessment of any patient includes ensuring a patent airway,
assessing breathing adequacy, administering high-flow oxygen or
assisting ventilations, assessing circulation, and controlling all active
bleeding. You and your partner must work as a team; as your partner
administers high-flow oxygen, you should be looking for her gunshot
wound(s) and ensuring that all bleeding is controlled. After the primary
assessment and management, begin treating her for shock (eg, applying a
blanket, elevating her lower extremities [if local protocol permits]) and
perform a rapid head-to-toe assessment to search for other injuries that
may not have been obvious during the primary assessment. Assess the
patient's vital signs after all life-threatening injuries or conditions have
been identified and corrected.
- A 22-year-old man was stabbed in the chest with a large knife. The
patient is pulseless and apneic, and the knife is impaled in the center of
his chest. Treatment should include:
• A:stabilizing the knife, starting CPR, and providing rapid transport.
• B:removing the knife, applying an occlusive dressing, and providing
rapid transport.
• C:removing the knife, starting CPR, and providing rapid transport.
• D:stabilizing the knife, applying an occlusive dressing, and providing
rapid transport. - -The correct answer is C;
Reason:
There are two indications for removing an impaled object: when the object
is causing airway compromise and when the object interferes with your
ability to perform CPR. A knife impaled in the center of the chest, which is
where chest compressions are performed, in a patient who is in cardiac
arrest must be carefully removed. Quickly cover the wound to control any
Question And Answers
A 16-year-old, 125-pound male ingested a bottle of aspirin approximately
20 minutes ago. Medical control orders you to administer activated
charcoal in a dose of 1 g/kg. How much activated charcoal should you
administer?
• A:54 g
• B:60 g
• C:51 g
• D:57 g - -You selected D; This is correct!
Reason: First, you must determine the patient's weight in kilograms (kg).
Either of the following formulae can be used to convert pounds to
kilograms: Formula 1: weight (in pounds) ÷ 2.2 = weight in kg. Formula 2:
weight (in pounds) ÷ 2 - 10% = weight in kg. On the basis of the above
formulae, a 125-pound patient weighs 57 kg. Using formula 1, the
equation is as follows: 125 (weight in pounds) ÷ 2.2 = 56.81 (57 [rounded
to the nearest tenth]). Using formula 2, the equation is as follows: 125
(weight in pounds) ÷ 2 = 62.5 (63 [rounded to the nearest tenth] - 6.3
(10% of 63) = 56.7 (57 [rounded to the nearest tenth]). Since the drug
order is for 1 g/kg, you should administer 57 g of activated charcoal to
your 125-pound patient.
- A 19-year-old female has a closed, swollen deformity to her left
forearm. You are unable to palpate a radial pulse and the skin distal to the
injury is cold and pale. Several attempts to contact medical control have
failed and you are approximately 45 miles away from the closest hospital.
You should:
• A:apply an air splint to her forearm, keep her arm below the level of her
heart, place an icepack over the injury, and transport.
• B:begin transport at once, gently manipulate her arm en route until
distal circulation is restored, and apply an air splint.
• C:splint her entire arm with rigid board splints, elevate the limb above
the level of her heart, and transport immediately.
• D:make one attempt to restore distal circulation by applying gentle
manual traction in line with the long axis of the limb. - -The correct
answer is D;
Reason:
Cold, pale skin and an absent distal pulse indicates that blood flow distal
to the injury is compromised. You should notify medical control, who will
likely direct you to attempt to restore distal circulation. However, if you
are unable to contact medical control and your transport time will be
lengthy, you should make ONE attempt to restore distal circulation by
applying gentle manual traction in line with the long axis of the limb. Be
careful, as excessive manipulation can worsen the vascular problem. If
,you are unsuccessful after one attempt, splint the limb in the most
comfortable position for the patient and transport at once. If distal
circulation is restored, splint the limb in whatever position allows the
strongest distal pulse. You should elevate the limb above the level of the
heart to help minimize swelling. An icepack may also help reduce pain and
swelling.
- A 19-year-old male was assaulted and has trauma to multiple body
systems. After performing your primary assessment and treating any
immediate life-threatening injuries, you should:
• A:obtain a full set of baseline vital signs.
• B:transport at once and intercept with ALS.
• C:perform a rapid head-to-toe assessment.
• D:fully immobilize his spine and transport. - -You selected D; The correct
answer is C;
Reason:
After treating all life-threatening conditions found in the primary
assessment, you should perform a rapid head-to-toe assessment (rapid
body scan) to look for and treat other life threats. In many cases, patients
with trauma to multiple body systems have other life-threatening injuries
that are not readily apparent during the primary assessment. You should
obtain baseline vital signs as soon as possible; however, this should not
delay or interrupt your primary or rapid head-to-toe assessments. After
performing the primary and rapid head-to-toe assessments, fully
immobilize the patient's spine and transport to an appropriate hospital.
Consider an advanced life support (ALS) intercept, as long as it does not
cause a significant delay in transport.
- A 21-year-old male was bitten on the left forearm by a dog. He is
conscious and alert and denies any other injuries. An animal control officer
is at the scene and has contained the dog. Your assessment of the
patient's arm reveals a large avulsion with a peeled back flap of skin.
Distal circulation is adequate and the patient is able to feel and move his
fingers. In addition to bleeding control, you should:
• A:perform a rapid head-to-toe assessment.
• B:irrigate the wound for at least 15 minutes.
• C:replace the avulsed flap to its original position.
• D:apply oxygen via a nonrebreathing mask. - -The correct answer is C;
Reason:
An avulsion is an injury that separates various layers of soft tissue, usually
between the subcutaneous layer and fascia, so that they become
completely detached or hang as a flap. The patient's injury is isolated and
not life-threatening; therefore, a rapid head-to-toe assessment is not
indicated. Unless your protocols specify otherwise, oxygen is usually not
necessary for patients with isolated, non-life-threatening soft tissue
injuries. If the avulsed tissue is hanging from a small piece of skin,
circulation through the flap may be at risk. If you can, replace the avulsed
,flap to its original position, as long as it is not visibly contaminated with
dirt and/or other foreign materials, and then cover the wound with a dry
sterile dressing. Unless the wound is grossly contaminated with dirt or
debris, irrigation is usually deferred until the patient is evaluated by a
physician. Furthermore, flushing an open wound may force dirt or other
debris into the wound, increasing the risk of infection.
- A 21-year-old man partially amputated his right arm when the
chainsaw he was using to trim trees slipped. You can feel a weak radial
pulse and his arm is cool to the touch. Dark red blood is flowing heavily
from the wound. You should:
• A:control the bleeding, manipulate the arm to improve circulation, and
apply a splint.
• B:apply bulky compression dressings to the wound and splint the
extremity.
• C:carefully pack sterile dressings into the wound and fully splint the
extremity.
• D:apply a tourniquet proximal to the injury and tighten it until the
bleeding stops. - -The correct answer is B;
Reason:
When caring for a partially amputated extremity, control bleeding with
bulky compression (pressure) dressings and splint the extremity to
prevent further injury. If direct pressure does not immediately control the
bleeding, however, a proximal tourniquet should be applied without delay.
Never pack dressings into a wound; this may cause further damage and
increases the risk of infection. Although your patient's radial pulse is
weak, it is present and indicates blood flow distal to the injury. Do not
manipulate his arm; doing so may lacerate or compress an artery and
compromise distal circulation.
- A 22-year-old female fell on her knee and is in severe pain. Her knee is
flexed and severely deformed. Her leg is cold to the touch and you are
unable to palpate a distal pulse. You should:
• A:carefully straighten her leg until you restore a distal pulse and then
apply padded board splints.
• B:apply gentle longitudinal traction as you straighten her leg and then
apply a traction splint.
• C:manually stabilize her injury and contact medical control for further
stabilization instructions.
• D:place a pillow behind her knee and stabilize the injury by applying
padded board splints. - -The correct answer is C;
Reason:
A dislocated knee occurs when the proximal end of the tibia completely
displaces from its juncture with the distal femur. In some cases, the
popliteal artery behind the knee may be compressed, resulting in
compromised distal blood flow. Signs of this include absent distal pulses
and a pale extremity that is cool or cold. Manually stabilize the knee and
, assess for distal pulses. If distal pulses are absent, contact medical control
immediately for further stabilization instructions. Medical control may
instruct you to make ONE attempt to realign the knee to reduce
compression of the popliteal artery and restore distal circulation. If you are
unable to restore distal circulation or medical control advises you not to
manipulate the injury, splint the knee in the position it was found and
transport promptly. Traction splints are contraindicated in any injury to or
near the knee
- A 22-year-old female woman was shot by her husband. Law
enforcement is at the scene and has the husband in custody. The patient
is conscious, but extremely restless, and is pale and diaphoretic. As your
partner administers high-flow oxygen, you should:
• A:keep her warm by applying blankets.
• B:take her BP to detect hypotension.
• C:compare her carotid and radial pulses.
• D:look for and control any bleeding. - -You selected D; This is correct!
Reason:
The primary assessment of any patient includes ensuring a patent airway,
assessing breathing adequacy, administering high-flow oxygen or
assisting ventilations, assessing circulation, and controlling all active
bleeding. You and your partner must work as a team; as your partner
administers high-flow oxygen, you should be looking for her gunshot
wound(s) and ensuring that all bleeding is controlled. After the primary
assessment and management, begin treating her for shock (eg, applying a
blanket, elevating her lower extremities [if local protocol permits]) and
perform a rapid head-to-toe assessment to search for other injuries that
may not have been obvious during the primary assessment. Assess the
patient's vital signs after all life-threatening injuries or conditions have
been identified and corrected.
- A 22-year-old man was stabbed in the chest with a large knife. The
patient is pulseless and apneic, and the knife is impaled in the center of
his chest. Treatment should include:
• A:stabilizing the knife, starting CPR, and providing rapid transport.
• B:removing the knife, applying an occlusive dressing, and providing
rapid transport.
• C:removing the knife, starting CPR, and providing rapid transport.
• D:stabilizing the knife, applying an occlusive dressing, and providing
rapid transport. - -The correct answer is C;
Reason:
There are two indications for removing an impaled object: when the object
is causing airway compromise and when the object interferes with your
ability to perform CPR. A knife impaled in the center of the chest, which is
where chest compressions are performed, in a patient who is in cardiac
arrest must be carefully removed. Quickly cover the wound to control any
