NREMT PRACTICE TEST BANK 450+
QUESTIONS AND CORRECT ELABORATED
ANSWERS TOP RATED VERSION FOR 2024-
2025 ALREADY A GRADED WITH EXPERT
FEEDBACK HIGHLY RECOMMENDED |NEW
AND REVISED
Hypoglycemia and acute ischemic stroke can present similarly because: - ANSWER>>>>both
oxygen and glucose are needed for brain function.
Reason: Although stroke and hypoglycemia are two distinctly different conditions, their signs
and symptoms are often similar. This is because the brain requires both oxygen and glucose to
function normally. An acute ischemic stroke is caused by a lack of oxygen to a part of the brain
due to a blocked cerebral artery, whereas hypoglycemia (low blood glucose level) deprives the
entire brain of glucose. In either case, the patient presents with signs of impaired brain function
(ie, slurred speech, weakness, altered mental status). Both conditions may lead to permanent
brain damage or death if not treated promptly.
When dealing with an emotionally disturbed patient, you should be MOST concerned with: -
ANSWER>>>>whether the patient could harm you
Reason: When managing any patient with an emotional or psychiatric crisis, your primary
concern is your own safety. Safely transporting the patient to the hospital is your ultimate goal.
If possible, you should attempt to obtain a medical history and should take any of the patient's
prescribed medications to the hospital. However, this should not supersede your own safety or
interfere with safely transporting the patient.
You are at the scene where a man panicked while swimming in a small lake. Your initial attempt
to rescue him should include: - ANSWER>>>>reaching for the victim with a long stick
Reason: General rules to follow when attempting to rescue a patient from the water include
"reach, throw, row, and then go." In this case, you should attempt to reach the victim by having
him grab hold of a large stick or similar object. If this is unsuccessful, throw the victim a rope or
flotation device (if available). If these are not available, row to the patient in a small raft (if
available). Going into the water to retrieve the victim is a last resort. The rescuer must be a
strong swimmer because patients who are in danger of drowning are in a state of blind panic
and will make every attempt to keep themselves afloat, even if it means forcing the rescuer
underwater.
, How should you classify a patient's nature of illness if he or she has a low blood glucose level,
bizarre behavior, and shallow breathing? - ANSWER>>>>Altered mental status
Reason: The nature of illness (NOI) is the medical equivalent to mechanism of injury (MOI).
Altered mental status should be the suspected NOI in any patient with any fluctuation in level
of consciousness, which can range from bizarre behavior to complete unresponsiveness. Causes
of an altered mental status include hypo- or hyperglycemia, head trauma, stroke, behavioral
crises, drug overdose, and shock, among others.
A young female is unresponsive after overdosing on an unknown type of drug. Her respirations
are slow and shallow and her pulse is slow and weak. Which of the following drugs is the LEAST
likely cause of her condition? - ANSWER>>>>Cocaine
Reason: Of the drugs listed, cocaine would be the least likely cause of the patient's condition.
Cocaine is a central nervous system (CNS) stimulant; you would expect her to be hypertensive,
tachycardic, tachypneic, and perhaps even violent. Heroin, Valium, and Seconal are all CNS
depressants and could explain her condition. Heroin is an illegal narcotic (opiate), Valium is a
benzodiazepine sedative-hypnotic drug, and Seconal is a barbiturate. Narcotics,
benzodiazepines, and barbiturates are all CNS depressants. When taken in excess, they cause a
decreased level of consciousness, respiratory depression, bradycardia, and hypotension.
Activated charcoal is contraindicated for a patient who is: - ANSWER>>>>awake and alert and
has swallowed a commercial drain cleaner
Reason:Activated charcoal adsorbs (sticks to) many ingested substances, preventing them from
being absorbed into the body by the stomach or intestines. In some cases, you may give
activated charcoal to patients who have ingested certain substances, if approved by medical
control or local protocol. Activated charcoal is contraindicated for patients who have ingested
an acid or alkali (ie, drain cleaner) or a petroleum product (ie, gasoline), who have a decreased
level of consciousness and cannot protect their own airway, or who are unable to swallow.
The MOST obvious way to reduce heat loss from radiation and convection is to: -
ANSWER>>>>move to a warmer environment.
Reason:In a cold environment, the body has two ways of staying warm: generating heat
(thermogenesis) and reducing heat loss. Radiation is the transfer of heat by radiant energy. The
body can lose heat by radiation, such as when a person stands in a cold room. Convection
occurs when heat is transferred to circulating air, as when cool air moves across the body's
surface. A person standing in windy cold weather, wearing lightweight clothing, is losing heat to
the environment mostly by convection. The quickest and most obvious way to decrease heat
loss from radiation and convection is to move out of the cold environment and seek shelter
from wind. Shivering increases the body's metabolism and is a mechanism for generating heat,
not reducing heat loss. Layers of clothing trap air and provide excellent insulation; thus, layered
clothing decreases heat loss better than a single, thick jacket. Conduction is the direct transfer
QUESTIONS AND CORRECT ELABORATED
ANSWERS TOP RATED VERSION FOR 2024-
2025 ALREADY A GRADED WITH EXPERT
FEEDBACK HIGHLY RECOMMENDED |NEW
AND REVISED
Hypoglycemia and acute ischemic stroke can present similarly because: - ANSWER>>>>both
oxygen and glucose are needed for brain function.
Reason: Although stroke and hypoglycemia are two distinctly different conditions, their signs
and symptoms are often similar. This is because the brain requires both oxygen and glucose to
function normally. An acute ischemic stroke is caused by a lack of oxygen to a part of the brain
due to a blocked cerebral artery, whereas hypoglycemia (low blood glucose level) deprives the
entire brain of glucose. In either case, the patient presents with signs of impaired brain function
(ie, slurred speech, weakness, altered mental status). Both conditions may lead to permanent
brain damage or death if not treated promptly.
When dealing with an emotionally disturbed patient, you should be MOST concerned with: -
ANSWER>>>>whether the patient could harm you
Reason: When managing any patient with an emotional or psychiatric crisis, your primary
concern is your own safety. Safely transporting the patient to the hospital is your ultimate goal.
If possible, you should attempt to obtain a medical history and should take any of the patient's
prescribed medications to the hospital. However, this should not supersede your own safety or
interfere with safely transporting the patient.
You are at the scene where a man panicked while swimming in a small lake. Your initial attempt
to rescue him should include: - ANSWER>>>>reaching for the victim with a long stick
Reason: General rules to follow when attempting to rescue a patient from the water include
"reach, throw, row, and then go." In this case, you should attempt to reach the victim by having
him grab hold of a large stick or similar object. If this is unsuccessful, throw the victim a rope or
flotation device (if available). If these are not available, row to the patient in a small raft (if
available). Going into the water to retrieve the victim is a last resort. The rescuer must be a
strong swimmer because patients who are in danger of drowning are in a state of blind panic
and will make every attempt to keep themselves afloat, even if it means forcing the rescuer
underwater.
, How should you classify a patient's nature of illness if he or she has a low blood glucose level,
bizarre behavior, and shallow breathing? - ANSWER>>>>Altered mental status
Reason: The nature of illness (NOI) is the medical equivalent to mechanism of injury (MOI).
Altered mental status should be the suspected NOI in any patient with any fluctuation in level
of consciousness, which can range from bizarre behavior to complete unresponsiveness. Causes
of an altered mental status include hypo- or hyperglycemia, head trauma, stroke, behavioral
crises, drug overdose, and shock, among others.
A young female is unresponsive after overdosing on an unknown type of drug. Her respirations
are slow and shallow and her pulse is slow and weak. Which of the following drugs is the LEAST
likely cause of her condition? - ANSWER>>>>Cocaine
Reason: Of the drugs listed, cocaine would be the least likely cause of the patient's condition.
Cocaine is a central nervous system (CNS) stimulant; you would expect her to be hypertensive,
tachycardic, tachypneic, and perhaps even violent. Heroin, Valium, and Seconal are all CNS
depressants and could explain her condition. Heroin is an illegal narcotic (opiate), Valium is a
benzodiazepine sedative-hypnotic drug, and Seconal is a barbiturate. Narcotics,
benzodiazepines, and barbiturates are all CNS depressants. When taken in excess, they cause a
decreased level of consciousness, respiratory depression, bradycardia, and hypotension.
Activated charcoal is contraindicated for a patient who is: - ANSWER>>>>awake and alert and
has swallowed a commercial drain cleaner
Reason:Activated charcoal adsorbs (sticks to) many ingested substances, preventing them from
being absorbed into the body by the stomach or intestines. In some cases, you may give
activated charcoal to patients who have ingested certain substances, if approved by medical
control or local protocol. Activated charcoal is contraindicated for patients who have ingested
an acid or alkali (ie, drain cleaner) or a petroleum product (ie, gasoline), who have a decreased
level of consciousness and cannot protect their own airway, or who are unable to swallow.
The MOST obvious way to reduce heat loss from radiation and convection is to: -
ANSWER>>>>move to a warmer environment.
Reason:In a cold environment, the body has two ways of staying warm: generating heat
(thermogenesis) and reducing heat loss. Radiation is the transfer of heat by radiant energy. The
body can lose heat by radiation, such as when a person stands in a cold room. Convection
occurs when heat is transferred to circulating air, as when cool air moves across the body's
surface. A person standing in windy cold weather, wearing lightweight clothing, is losing heat to
the environment mostly by convection. The quickest and most obvious way to decrease heat
loss from radiation and convection is to move out of the cold environment and seek shelter
from wind. Shivering increases the body's metabolism and is a mechanism for generating heat,
not reducing heat loss. Layers of clothing trap air and provide excellent insulation; thus, layered
clothing decreases heat loss better than a single, thick jacket. Conduction is the direct transfer
