4/14/25, 9:42
PM
NREMT PRACTICE TEST BANK - MULTIPLE CHOICE EXAM
QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS
VERIFIED GRADED A++
58 studiers today 4.7 (294 reviews)
Save
Terms in this set (474)
Hypoglycemia and acute ischemic stroke • A:both oxygen and glucose are needed for brain function.
can present similarly because:
Reason: Although stroke and hypoglycemia are two distinctly different conditions,
• A:both oxygen and glucose are their signs and symptoms are often similar. This is because the brain requires
needed for brain function. both oxygen and glucose to function normally. An acute ischemic stroke is
• B:the majority of stroke caused by a lack of oxygen to a part of the brain due to a blocked cerebral
patients have a history of diabetes. artery, whereas hypoglycemia (low blood glucose level) deprives the entire
• C:the most common cause of a brain of glucose. In either case, the patient presents with signs of impaired brain
stroke is hypoglycemia. function (ie, slurred speech, weakness, altered mental status). Both conditions
• D:they are both caused by low may lead to permanent brain damage or death if not treated promptly.
levels of glucose in the blood.
When dealing with an emotionally You selected C; This is correct!
disturbed patient, you should be MOST
concerned with: Reason: When managing any patient with an emotional or psychiatric crisis, your
• A:gathering all of the primary concern is your own safety. Safely transporting the patient to the
patient's medications. hospital is your ultimate goal. If possible, you should attempt to obtain a medical
• B:safely transporting to the history and should take any of the patient's prescribed medications to the
hospital. hospital.
• C:whether the patient could harm However, this should not supercede your own safety or interfere with safely
you.
transporting the patient.
• D:obtaining a complete medical
history.
You selected B; This is correct!
You are at the scene where a man
panicked while swimming in a small lake. Reason: General rules to follow when attempting to rescue a patient from the
Your initial attempt to rescue him should water include "reach, throw, row, and then go." In this case, you should attempt to
include: reach the victim by having him grab hold of a large stick or similar object. If this
• A:rowing a small raft to the victim. is unsuccessful, throw the victim a rope or flotation device (if available). If these
• B:reaching for the victim are not available, row to the patient in a small raft (if available). Going into the
with a long stick. water to retrieve the victim is a last resort. The rescuer must be a strong
• C:throwing a rope to the victim. swimmer because patients who are in danger of drowning are in a state of blind
• D:swimming to the victim to rescue panic and will make every attempt to keep themselves afloat, even if it means
him. forcing the rescuer underwater.
1/28
,4/14/25, 9:42
PM
How should you classify a patient's nature The correct answer is B;
of illness if he or she has a low blood
glucose level, bizarre behavior, and Reason: The nature of illness (NOI) is the medical equivalent to mechanism of
shallow breathing? injury (MOI). Altered mental status should be the suspected NOI in any patient
• A:Behavioral emergency with any fluctuation in level of consciousness, which can range from bizarre
• B:Altered mental status behavior to complete unresponsiveness. Causes of an altered mental status
• C:Respiratory emergency include hypo- or hyperglycemia, head trauma, stroke, behavioral crises, drug
• D:Cardiac compromise overdose, and shock, among others.
The correct answer is C;
A young female is unresponsive after
overdosing on an unknown type of
Reason: Of the drugs listed, cocaine would be the least likely cause of the
drug. Her respirations are slow and
patient's condition. Cocaine is a central nervous system (CNS) stimulant; you
shallow and her pulse is slow and weak.
would expect her to be hypertensive, tachycardic, tachypneic, and perhaps even
Which of the following drugs is the
LEAST likely cause of her condition? violent. Heroin, Valium, and Seconal are all CNS depressants and could
• A:Seconal explain her condition. Heroin is an illegal narcotic (opiate), Valium is a
• B:Heroin benzodiazepine sedative-hypnotic drug, and Seconal is a barbiturate. Narcotics,
• C:Cocaine benzodiazepines, and barbiturates are all CNS depressants. When taken in
• D:Valium excess, they cause a decreased level of consciousness, respiratory depression,
bradycardia, and hypotension.
Activated charcoal is contraindicated for You selected D; This is correct!
a patient who is:
• A:conscious and alert and has Reason:Activated charcoal adsorbs (sticks to) many ingested substances,
ingested a large amount of Motrin. preventing them from being absorbed into the body by the stomach or intestines.
• B:emotionally upset and has In some cases, you may give activated charcoal to patients who have
ingested two bottles of aspirin. ingested certain substances, if approved by medical control or local
• C:agitated and claims to have protocol. Activated charcoal is contraindicated for patients who have
ingested a bottle of Tylenol. ingested an acid or alkali (ie, drain cleaner) or a petroleum product (ie,
• D:awake and alert and has gasoline), who have a decreased level of consciousness and cannot protect
swallowed a commercial drain their own airway, or who are unable to swallow.
cleaner.
you selected D; This is correct!
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
The MOST obvious way to reduce
circulating air, as when cool air moves across the body's surface. A person
heat loss from radiation and convection
standing in windy cold weather, wearing lightweight clothing, is losing heat to
is to:
the environment mostly by convection. The quickest and most obvious way to
• A:move away from a cold object.
decrease heat loss from radiation and convection is to move out of the cold
• B:increase metabolism by
shivering. environment and seek shelter from wind. Shivering increases the body's
metabolism and is a mechanism for generating heat, not reducing heat loss.
• C:wear a thick wind-proof jacket.
Layers of clothing trap air and provide excellent insulation; thus, layered
• D:move to a warmer environment.
clothing decreases heat loss better than a single, thick jacket. Conduction is the
direct transfer of heat from a part of the body to a colder object by direct
contact, as when a warm hand touches cold metal or ice. The most obvious
way to decrease heat loss by conduction is to remove your hand from the
cold object.
2/28
, 4/14/25, 9:42
PM
A near-drowning is MOST accurately You selected C; This is correct!
defined as:
• A:complications within Reason:Collectively, drowning and near-drowning are referred to as submersion
24 hours following submersion injuries. Drowning is defined as death after submersion in a liquid medium,
in water. usually water. In a drowning, death is either immediate or occurs within 24 hours
• B:immediate death due to following submersion. Near-drowning is defined as survival, at least temporarily
prolonged submersion in water. (24 hours), after submersion. It should be noted, however, that complications
• C:survival for at least 24 hours such as pneumonia and pulmonary edema can cause death greater than 24
following submersion in water. hours following submersion. For this reason, all patients with a submersion injury
• D:death greater than 24 hours should be transported to the hospital, even if they appear fine at the scene.
following submersion in water.
A young woman reports significant You selected B; This is correct!
weight loss over the last month, persistent
fever, and night sweats. When you assess Reason:Weight loss, fever, and night sweats could indicate tuberculosis or
her, you note the presence of dark purple HIV/AIDS; however, the dark purple lesions on the skin, which are called Kaposi's
lesions covering her trunk and upper sarcoma, are malignant skin tumors and are a classic finding in patients in the later
extremities. You should suspect: stages of AIDS.
• A:end-stage cancer.
• B:HIV/AIDS.
• C:tuberculosis.
• D:rheumatic fever.
You selected C; This is correct!
A 48-year-old male became acutely
hypoxic, experienced a seizure, and is
Reason:You should administer high-flow oxygen to all patients who are actively
now postictal. The MOST effective way to
seizing and to patients who experienced a seizure and are postictal. This is
prevent another seizure is to:
especially true if the seizure was caused by hypoxia. Increasing the oxygen
• A:dim the lights in the
content of the blood, which minimizes hypoxia, may prevent another seizure. The
back of the ambulance.
recovery position is appropriate for uninjured patients with a decreased level
• B:place him in the recovery
position. of consciousness and adequate breathing; it will help maintain the airway and
• C:administer high-flow facilitate drainage of secretions from the mouth, but will not prevent another
supplemental oxygen. seizure. Oral glucose may prevent another seizure if hypoglycemia was the cause
• D:give him oral glucose of the seizure. You should dim the lights in the back of the ambulance to
if he can swallow. help prevent any seizure, not just those that are caused by hypoxia.
You selected C; This is correct!
Reason: Many factors can contribute to or result from a submersion injury (eg,
Which of the following conditions would drowning, near-drowning). It is not uncommon for a person to experience a spinal
be the LEAST likely to be present in a injury after diving head first into shallow water, especially if he or she is under
patient who was submerged in water? the influence of alcohol. When a swimmer panics, he or she initially swallows
• A:Spinal injury large amounts of water, resulting in gastric distention. Gastric distention can
• B:Gastric distention cause aspiration if the patient regurgitates water during rescue breathing; protect
• C:Hyperglycemia the airway! During the panic phase, the victim expends a tremendous amount of
• D:Laryngospasm
energy (and glucose) from flailing around in the water, possibly resulting in
hypoglycemia. Inhaling even a small amount of fresh or salt water can severely
irritate the larynx, which sends the muscles of the larynx and vocal cords into
spasm (laryngospasm), resulting in airway blockage and hypoxia.
3/28
PM
NREMT PRACTICE TEST BANK - MULTIPLE CHOICE EXAM
QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS
VERIFIED GRADED A++
58 studiers today 4.7 (294 reviews)
Save
Terms in this set (474)
Hypoglycemia and acute ischemic stroke • A:both oxygen and glucose are needed for brain function.
can present similarly because:
Reason: Although stroke and hypoglycemia are two distinctly different conditions,
• A:both oxygen and glucose are their signs and symptoms are often similar. This is because the brain requires
needed for brain function. both oxygen and glucose to function normally. An acute ischemic stroke is
• B:the majority of stroke caused by a lack of oxygen to a part of the brain due to a blocked cerebral
patients have a history of diabetes. artery, whereas hypoglycemia (low blood glucose level) deprives the entire
• C:the most common cause of a brain of glucose. In either case, the patient presents with signs of impaired brain
stroke is hypoglycemia. function (ie, slurred speech, weakness, altered mental status). Both conditions
• D:they are both caused by low may lead to permanent brain damage or death if not treated promptly.
levels of glucose in the blood.
When dealing with an emotionally You selected C; This is correct!
disturbed patient, you should be MOST
concerned with: Reason: When managing any patient with an emotional or psychiatric crisis, your
• A:gathering all of the primary concern is your own safety. Safely transporting the patient to the
patient's medications. hospital is your ultimate goal. If possible, you should attempt to obtain a medical
• B:safely transporting to the history and should take any of the patient's prescribed medications to the
hospital. hospital.
• C:whether the patient could harm However, this should not supercede your own safety or interfere with safely
you.
transporting the patient.
• D:obtaining a complete medical
history.
You selected B; This is correct!
You are at the scene where a man
panicked while swimming in a small lake. Reason: General rules to follow when attempting to rescue a patient from the
Your initial attempt to rescue him should water include "reach, throw, row, and then go." In this case, you should attempt to
include: reach the victim by having him grab hold of a large stick or similar object. If this
• A:rowing a small raft to the victim. is unsuccessful, throw the victim a rope or flotation device (if available). If these
• B:reaching for the victim are not available, row to the patient in a small raft (if available). Going into the
with a long stick. water to retrieve the victim is a last resort. The rescuer must be a strong
• C:throwing a rope to the victim. swimmer because patients who are in danger of drowning are in a state of blind
• D:swimming to the victim to rescue panic and will make every attempt to keep themselves afloat, even if it means
him. forcing the rescuer underwater.
1/28
,4/14/25, 9:42
PM
How should you classify a patient's nature The correct answer is B;
of illness if he or she has a low blood
glucose level, bizarre behavior, and Reason: The nature of illness (NOI) is the medical equivalent to mechanism of
shallow breathing? injury (MOI). Altered mental status should be the suspected NOI in any patient
• A:Behavioral emergency with any fluctuation in level of consciousness, which can range from bizarre
• B:Altered mental status behavior to complete unresponsiveness. Causes of an altered mental status
• C:Respiratory emergency include hypo- or hyperglycemia, head trauma, stroke, behavioral crises, drug
• D:Cardiac compromise overdose, and shock, among others.
The correct answer is C;
A young female is unresponsive after
overdosing on an unknown type of
Reason: Of the drugs listed, cocaine would be the least likely cause of the
drug. Her respirations are slow and
patient's condition. Cocaine is a central nervous system (CNS) stimulant; you
shallow and her pulse is slow and weak.
would expect her to be hypertensive, tachycardic, tachypneic, and perhaps even
Which of the following drugs is the
LEAST likely cause of her condition? violent. Heroin, Valium, and Seconal are all CNS depressants and could
• A:Seconal explain her condition. Heroin is an illegal narcotic (opiate), Valium is a
• B:Heroin benzodiazepine sedative-hypnotic drug, and Seconal is a barbiturate. Narcotics,
• C:Cocaine benzodiazepines, and barbiturates are all CNS depressants. When taken in
• D:Valium excess, they cause a decreased level of consciousness, respiratory depression,
bradycardia, and hypotension.
Activated charcoal is contraindicated for You selected D; This is correct!
a patient who is:
• A:conscious and alert and has Reason:Activated charcoal adsorbs (sticks to) many ingested substances,
ingested a large amount of Motrin. preventing them from being absorbed into the body by the stomach or intestines.
• B:emotionally upset and has In some cases, you may give activated charcoal to patients who have
ingested two bottles of aspirin. ingested certain substances, if approved by medical control or local
• C:agitated and claims to have protocol. Activated charcoal is contraindicated for patients who have
ingested a bottle of Tylenol. ingested an acid or alkali (ie, drain cleaner) or a petroleum product (ie,
• D:awake and alert and has gasoline), who have a decreased level of consciousness and cannot protect
swallowed a commercial drain their own airway, or who are unable to swallow.
cleaner.
you selected D; This is correct!
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
The MOST obvious way to reduce
circulating air, as when cool air moves across the body's surface. A person
heat loss from radiation and convection
standing in windy cold weather, wearing lightweight clothing, is losing heat to
is to:
the environment mostly by convection. The quickest and most obvious way to
• A:move away from a cold object.
decrease heat loss from radiation and convection is to move out of the cold
• B:increase metabolism by
shivering. environment and seek shelter from wind. Shivering increases the body's
metabolism and is a mechanism for generating heat, not reducing heat loss.
• C:wear a thick wind-proof jacket.
Layers of clothing trap air and provide excellent insulation; thus, layered
• D:move to a warmer environment.
clothing decreases heat loss better than a single, thick jacket. Conduction is the
direct transfer of heat from a part of the body to a colder object by direct
contact, as when a warm hand touches cold metal or ice. The most obvious
way to decrease heat loss by conduction is to remove your hand from the
cold object.
2/28
, 4/14/25, 9:42
PM
A near-drowning is MOST accurately You selected C; This is correct!
defined as:
• A:complications within Reason:Collectively, drowning and near-drowning are referred to as submersion
24 hours following submersion injuries. Drowning is defined as death after submersion in a liquid medium,
in water. usually water. In a drowning, death is either immediate or occurs within 24 hours
• B:immediate death due to following submersion. Near-drowning is defined as survival, at least temporarily
prolonged submersion in water. (24 hours), after submersion. It should be noted, however, that complications
• C:survival for at least 24 hours such as pneumonia and pulmonary edema can cause death greater than 24
following submersion in water. hours following submersion. For this reason, all patients with a submersion injury
• D:death greater than 24 hours should be transported to the hospital, even if they appear fine at the scene.
following submersion in water.
A young woman reports significant You selected B; This is correct!
weight loss over the last month, persistent
fever, and night sweats. When you assess Reason:Weight loss, fever, and night sweats could indicate tuberculosis or
her, you note the presence of dark purple HIV/AIDS; however, the dark purple lesions on the skin, which are called Kaposi's
lesions covering her trunk and upper sarcoma, are malignant skin tumors and are a classic finding in patients in the later
extremities. You should suspect: stages of AIDS.
• A:end-stage cancer.
• B:HIV/AIDS.
• C:tuberculosis.
• D:rheumatic fever.
You selected C; This is correct!
A 48-year-old male became acutely
hypoxic, experienced a seizure, and is
Reason:You should administer high-flow oxygen to all patients who are actively
now postictal. The MOST effective way to
seizing and to patients who experienced a seizure and are postictal. This is
prevent another seizure is to:
especially true if the seizure was caused by hypoxia. Increasing the oxygen
• A:dim the lights in the
content of the blood, which minimizes hypoxia, may prevent another seizure. The
back of the ambulance.
recovery position is appropriate for uninjured patients with a decreased level
• B:place him in the recovery
position. of consciousness and adequate breathing; it will help maintain the airway and
• C:administer high-flow facilitate drainage of secretions from the mouth, but will not prevent another
supplemental oxygen. seizure. Oral glucose may prevent another seizure if hypoglycemia was the cause
• D:give him oral glucose of the seizure. You should dim the lights in the back of the ambulance to
if he can swallow. help prevent any seizure, not just those that are caused by hypoxia.
You selected C; This is correct!
Reason: Many factors can contribute to or result from a submersion injury (eg,
Which of the following conditions would drowning, near-drowning). It is not uncommon for a person to experience a spinal
be the LEAST likely to be present in a injury after diving head first into shallow water, especially if he or she is under
patient who was submerged in water? the influence of alcohol. When a swimmer panics, he or she initially swallows
• A:Spinal injury large amounts of water, resulting in gastric distention. Gastric distention can
• B:Gastric distention cause aspiration if the patient regurgitates water during rescue breathing; protect
• C:Hyperglycemia the airway! During the panic phase, the victim expends a tremendous amount of
• D:Laryngospasm
energy (and glucose) from flailing around in the water, possibly resulting in
hypoglycemia. Inhaling even a small amount of fresh or salt water can severely
irritate the larynx, which sends the muscles of the larynx and vocal cords into
spasm (laryngospasm), resulting in airway blockage and hypoxia.
3/28
