NREMT PRACTICE QUESTIONSAND
ANSWERS (RATED A+)
Your patient a 52 year old male complaining of dull, achy chest pains. He is alert and
oriented but upon assessment, you notice his skin is pale, cool and clammy. What is
your next step? - ANSWERAdminister Supplemental oxygen
Cardiac Compromise - ANSWERAny type of heart problem. Cardiac compromise is a
blanket term used to describe any type of heart problem. As an EMT-B it allows you to
identify cardiac problems without going above your scope of practice
while responding to a hazardous material incident, the EMT should approach the scene
from - ANSWERUp wind, up hill, and up river
EMS should set up in which zone during a HazMat incident - ANSWERCold zone
when is it acceptable to take a patient directly from the hot zone without going through
decontamination - ANSWERNever, no matter how sick the patient is they must be
decontaminated
Headlights are often overlooked as part of the emergency warning lighting system.
Headlights should be used while - ANSWEROn the road
When You arrive at the receiving facility you must transfer care to the ED staff. by giving
a report to the attending nursing staff about the past medical history, the patients
complaint assessment, and interventions you have just allowed for what? -
ANSWERcontinuity of care
an AED is used to treat patients is - ANSWERVentricular fibrillation or ventricular
tachycardia
the normal heart rate for a new born (0-3 months) is - ANSWER140-160
the two flap valve located on the left side of the heart is the - ANSWERMitral Valve also
known as the Bicuspid Valve. The three flap valve is called the Tricuspid valve
what does the mitral valve do? - ANSWERPrevents blood from back flowing into the left
atrium
(The mitral valve is located between the left atrium and ventricle and prevents blood
from flowing back into the left atrium)
, A 45 year old male patient is experiencing chest discomfort. after placing him in his
position of comfort your next action should be? - ANSWERAdminister oxygen by
nonrebreather mask at 15L/min
(there is no info to indicate that the patient requires ventilator support any patient
experiencing chest discomfort should receive the highest possible concentration of
oxygen)
Name the layers of the heart form the outside in - ANSWEREpicardium, Myocardium,
and Endocardium
what complain is often used to describe chest pain resulting from a cardiac event -
ANSWERA ton of bricks. or an elephant sitting on my chest.
A sharp stabbing pain is often a Pulmonary Embolism
What artery carries deoxygenated blood and which vein carried oxygenated bleed? -
ANSWERPulmonary artery, and Pulmonary vein
which are not blood components that are responsible for clot formation -
ANSWERPlaque
you are dispatched to a residence of a 46year old female patient who is in severe
abdominal pain and vomited twice before your arrival. she ate cheesecake right before.
what is the cause of her pain - ANSWERacute gastroenteritis- may be caused by a
bacterial or viral ingestion, toxic ingestion, or ingestion of lactose in a lactose intolerant
patient. signs and symptoms include nausea, vomiting diarrhea, and abdominal
cramping.
your patient is a 32 year old male who was complaining of severe, crushing, feeling in
the center of his chest and shortness of breath that began while he was mowing his
lawn 45 mins prior to you arrival. he is now only responding to painful stimuli. presently
his minute ventilation is still adequate, his pulse oximeter reads 95% on room air and
you find his skin to be pale, cool, and diaphoretic. what would your initial action be. -
ANSWER12-15 L Oxygen by nonrebreather
you are called to a nursing home for a patient with swelling in her legs. Upon arrival you
find a 76 year old patient sitting in a wheelchair. assessment confirms pitting edema to
both lower legs you are able to palpate a dorsalis pedal pulse bilaterally. her skin is pink
and dry. her lungs are clear bilaterally. which conditions do you suspect -
ANSWERchronic CHF. Edema to the legs or sacrum is often a result of right sided
congestive heart failure. there may also be a jugular vein distention and ascites present
as well. the most common cause of right sided heart failure is left sided heart failure.
therefore, you may not s&s of left sided heart failure as a dry hacking couch or coughing
up pink frothy sputum, shortness of breath orthopnea, paroxysmal nocturnal dyspnea
and fatigue.
ANSWERS (RATED A+)
Your patient a 52 year old male complaining of dull, achy chest pains. He is alert and
oriented but upon assessment, you notice his skin is pale, cool and clammy. What is
your next step? - ANSWERAdminister Supplemental oxygen
Cardiac Compromise - ANSWERAny type of heart problem. Cardiac compromise is a
blanket term used to describe any type of heart problem. As an EMT-B it allows you to
identify cardiac problems without going above your scope of practice
while responding to a hazardous material incident, the EMT should approach the scene
from - ANSWERUp wind, up hill, and up river
EMS should set up in which zone during a HazMat incident - ANSWERCold zone
when is it acceptable to take a patient directly from the hot zone without going through
decontamination - ANSWERNever, no matter how sick the patient is they must be
decontaminated
Headlights are often overlooked as part of the emergency warning lighting system.
Headlights should be used while - ANSWEROn the road
When You arrive at the receiving facility you must transfer care to the ED staff. by giving
a report to the attending nursing staff about the past medical history, the patients
complaint assessment, and interventions you have just allowed for what? -
ANSWERcontinuity of care
an AED is used to treat patients is - ANSWERVentricular fibrillation or ventricular
tachycardia
the normal heart rate for a new born (0-3 months) is - ANSWER140-160
the two flap valve located on the left side of the heart is the - ANSWERMitral Valve also
known as the Bicuspid Valve. The three flap valve is called the Tricuspid valve
what does the mitral valve do? - ANSWERPrevents blood from back flowing into the left
atrium
(The mitral valve is located between the left atrium and ventricle and prevents blood
from flowing back into the left atrium)
, A 45 year old male patient is experiencing chest discomfort. after placing him in his
position of comfort your next action should be? - ANSWERAdminister oxygen by
nonrebreather mask at 15L/min
(there is no info to indicate that the patient requires ventilator support any patient
experiencing chest discomfort should receive the highest possible concentration of
oxygen)
Name the layers of the heart form the outside in - ANSWEREpicardium, Myocardium,
and Endocardium
what complain is often used to describe chest pain resulting from a cardiac event -
ANSWERA ton of bricks. or an elephant sitting on my chest.
A sharp stabbing pain is often a Pulmonary Embolism
What artery carries deoxygenated blood and which vein carried oxygenated bleed? -
ANSWERPulmonary artery, and Pulmonary vein
which are not blood components that are responsible for clot formation -
ANSWERPlaque
you are dispatched to a residence of a 46year old female patient who is in severe
abdominal pain and vomited twice before your arrival. she ate cheesecake right before.
what is the cause of her pain - ANSWERacute gastroenteritis- may be caused by a
bacterial or viral ingestion, toxic ingestion, or ingestion of lactose in a lactose intolerant
patient. signs and symptoms include nausea, vomiting diarrhea, and abdominal
cramping.
your patient is a 32 year old male who was complaining of severe, crushing, feeling in
the center of his chest and shortness of breath that began while he was mowing his
lawn 45 mins prior to you arrival. he is now only responding to painful stimuli. presently
his minute ventilation is still adequate, his pulse oximeter reads 95% on room air and
you find his skin to be pale, cool, and diaphoretic. what would your initial action be. -
ANSWER12-15 L Oxygen by nonrebreather
you are called to a nursing home for a patient with swelling in her legs. Upon arrival you
find a 76 year old patient sitting in a wheelchair. assessment confirms pitting edema to
both lower legs you are able to palpate a dorsalis pedal pulse bilaterally. her skin is pink
and dry. her lungs are clear bilaterally. which conditions do you suspect -
ANSWERchronic CHF. Edema to the legs or sacrum is often a result of right sided
congestive heart failure. there may also be a jugular vein distention and ascites present
as well. the most common cause of right sided heart failure is left sided heart failure.
therefore, you may not s&s of left sided heart failure as a dry hacking couch or coughing
up pink frothy sputum, shortness of breath orthopnea, paroxysmal nocturnal dyspnea
and fatigue.
