NREMT PRACTICE QUESTIONS AND
ANSWERS (GRADED A+)
Law enforcement personnel request your assistance to assess a 31-year-old female
who was sexually assaulted. When you arrive at the scene, you find the patient sitting
on a curb outside her apartment. She is conscious, alert, and crying. When you ask her
what happened, she tells you that she does not want to be treated or transported to the
hospital. She further tells you that all she wants to do is clean up. You should:
A) ask her if there is anyone you can contact, such as a friend or relative
B) perform a limited hands-on assessment to detect life-threatening injuries
C)advise her that she cannot clean herself up because this will destroy evidence
D) provide emotional support and visually assess her for obvious traumaANSWERSD
common signs and symptoms of an airway burn include all of the following EXCEPT:
A) chest pressure
B) singed nasal hair
C) soot around the mouth
D) hoarsenessANSWERSA
Which of the following is NOT a role of the EMT at the scene of a HazMat incident?
A) triage and treatment
B) transportation
C) rehabilitation
D) decontaminationANSWERSD
Your EMS team is performing CPR on a 60-year-old male in cardiac arrest. You
connect the AED, push the analyze button, and receive a "no shock advised" message.
You should:
A) immediately assess the patient's airway
B) reanalyze the patient's cardiac rhythm
C) perform CPR for 2 minutes and reassess
D) determine if a palpable pulse is presentANSWERSC
You are summoned to a convalescent center for an 88-year-old female with an altered
mental status. A staff nurse advises you that the patient has terminal cancer and her
,physician stated that she would probably die within the next few hours; a valid do not
resuscitate (DNR) order is presented to you. When caring for this patient, you should:
A) start cardiopulmonary resuscitation (CPR) if she experiences cardiopulmonary arrest
B) make her comfortable and provide emotional support
C) depart the scene and allow her to die with dignity
D) provide no interventions and transport to the hospitalANSWERSB
Which of the following statements regarding cervical collars is correct?
A) the patient's head should be forced into a neutral position to apply a cervical collar
B) once a cervical collar is applied, you can cease manual head stabilization
C) a cervical collar is used in addition to, not instead of, manual immobilization
D) cervical collars are contraindicated in patients with numbness to the
extremitiesANSWERSC
Which of the following findings would be LEAST suggestive of the presence of high-
energy trauma?
A) steering wheel deformity
B) deployment of the air bag
C) dismounted seats
D) intrusion into the vehicleANSWERSB
the primary route of exposure of vesicant agents is the:
A) vascular skin
B) skin
C) respiratory tract
D) nervous systemANSWERSB
The MOST efficient way to identify the appropriately sized equipment for a pediatric
patient is to:
A) use a length-based resuscitation tape measure
B) estimate the child's weight based on appearance
C) ask a relative if he or she knows the child's weight
D) estimate the child's weight based on ageANSWERSA
When removing a critically injured patient from his or her vehicle, you should:
A) protect the cervical spine during the entire process
B) remove hi or her using a short backboard
C) release c-spine control to facilitate rapid removal
D) move him or her in one fast, continuous stepANSWERSA
Which of the following statements regarding patients with developmental disabilities is
correct?
,A) a developmental disability differs from mental retardation in that it is the result of a
congenital abnormality
B) speaking with the patient's family is the least effective way to determine how much
the patient understands
C) most patients with developmental disabilities have normal cognitive function, but
abnormal physical features
D) patients with developmental disabilities are susceptible to the same disease
processes as other patientsANSWERSD
A patient's refusal for EMS treatment and/or transport must be:
A) authorized by a judge
B) reported to the police
C) witnessed by a notary
D) an informed refusalANSWERSD
A 26-year-old female presents with heavy vaginal bleeding. She is conscious, but
restless. Her blood pressure is 84/54 mm Hg, her pulse is 120 beats/min and weak, and
her respirations are 22 breaths/min with adequate depth. She tells you that she inserted
a tampon about 2 hours ago. You should:
A) assist her ventilations with a bag-valve mask device, place one sterile dressing into
her vagina, perform a rapid secondary assessment, and transport
B) administer high-flow oxygen, ask her to remove the tampon, perform a detailed
secondary assessment, and transport promptly
C) administer high-flow oxygen, perform a detailed assessment of her vaginal area for
signs of trauma, place her on her side, and transport
D) administer high-flow oxygen, place a sterile pad over her vagina, keep her warm,
elevate her lower extremities, and transport without delayANSWERSD
Other than personal safety equipment, which of the following should be the MOST
readily accessible item in the back of an ambulance?
A) pneumatic antishock garment (PASG) and traction splint
B) bleeding control supplies
C) stethoscope and penlight
D) emergency childbirth kitANSWERSB
Which of the following skin layers contains sweat and oil glands, hair follicles, blood
vessels, and nerve endings?
A) epidermis
B) sebaceous
C) subcutaneous
D) dermisANSWERSD
The compliance monitoring component of an infection control plan should:
A) identify who to notify after an exposure and where treatment should be provided
B) consist of a list of tasks that pose a risk for contact with blood or other body fluids
, C) address issues such as medical waste collection, storage, and ambulance
disinfection
D) ensure that employees understand what they should do and why it is
importantANSWERSD
The normal blood glucose level, as measured by a glucometer, is between:
A) 160 and 200 mg/dL
B) 130 and 150 mg/dL
C) 60 and 80 mg/dL
D) 80 and 120 mg/dLANSWERSD
When documenting a case of suspected elder abuse, it is MOST important for the EMT
to:
A) list the names of all of the suspected abusers
B) theorize as to why the patient was abused
C) avoid documenting any unsupported opinions
D) document his or her perceptions of the eventANSWERSC
Which of the following patients should be assigned an immediate (red tag) category?
A) 31-year-old male with an open fracture of the forearm and minimal external bleeding
B) 22-year-old male with blunt abdominal trauma, tachycardia, pallor, and diaphoresis
C) 36-year-old female with an open brain injury, agonal breathing, and a slow pulse rate
D) 29-year-old female with a back injury and numbness and tingling in her
extremitiesANSWERSB
CA generalized seizure is characterized by:
A) unconsciousness for greater than 30 seconds
B) severe twitching of all the body's muscles
C) a core body temperature of greater than 103°F (40°C)
D) a blank stare and brief lapse of consciousnessANSWERSB
Which of the following statements regarding severe acute respiratory syndrome (SARS)
is correct?
A) SARS is most commonly transmitted by direct contact with blood
B) SARS is a viral infection that often begins with flulike symptoms
C) multiple bacteria have been identified as being the cause of SARS
D) the onset of SARS is typically marked by acute, severe pneumoniaANSWERSB
Which of the following chemicals is a nerve agent?
A) soman
B) lewisite
C) chlorine
D) phosgeneANSWERSA
Which of the following is a unique function of the emergency medical dispatcher (EMD)?
A) obtaining patient information from the caller
ANSWERS (GRADED A+)
Law enforcement personnel request your assistance to assess a 31-year-old female
who was sexually assaulted. When you arrive at the scene, you find the patient sitting
on a curb outside her apartment. She is conscious, alert, and crying. When you ask her
what happened, she tells you that she does not want to be treated or transported to the
hospital. She further tells you that all she wants to do is clean up. You should:
A) ask her if there is anyone you can contact, such as a friend or relative
B) perform a limited hands-on assessment to detect life-threatening injuries
C)advise her that she cannot clean herself up because this will destroy evidence
D) provide emotional support and visually assess her for obvious traumaANSWERSD
common signs and symptoms of an airway burn include all of the following EXCEPT:
A) chest pressure
B) singed nasal hair
C) soot around the mouth
D) hoarsenessANSWERSA
Which of the following is NOT a role of the EMT at the scene of a HazMat incident?
A) triage and treatment
B) transportation
C) rehabilitation
D) decontaminationANSWERSD
Your EMS team is performing CPR on a 60-year-old male in cardiac arrest. You
connect the AED, push the analyze button, and receive a "no shock advised" message.
You should:
A) immediately assess the patient's airway
B) reanalyze the patient's cardiac rhythm
C) perform CPR for 2 minutes and reassess
D) determine if a palpable pulse is presentANSWERSC
You are summoned to a convalescent center for an 88-year-old female with an altered
mental status. A staff nurse advises you that the patient has terminal cancer and her
,physician stated that she would probably die within the next few hours; a valid do not
resuscitate (DNR) order is presented to you. When caring for this patient, you should:
A) start cardiopulmonary resuscitation (CPR) if she experiences cardiopulmonary arrest
B) make her comfortable and provide emotional support
C) depart the scene and allow her to die with dignity
D) provide no interventions and transport to the hospitalANSWERSB
Which of the following statements regarding cervical collars is correct?
A) the patient's head should be forced into a neutral position to apply a cervical collar
B) once a cervical collar is applied, you can cease manual head stabilization
C) a cervical collar is used in addition to, not instead of, manual immobilization
D) cervical collars are contraindicated in patients with numbness to the
extremitiesANSWERSC
Which of the following findings would be LEAST suggestive of the presence of high-
energy trauma?
A) steering wheel deformity
B) deployment of the air bag
C) dismounted seats
D) intrusion into the vehicleANSWERSB
the primary route of exposure of vesicant agents is the:
A) vascular skin
B) skin
C) respiratory tract
D) nervous systemANSWERSB
The MOST efficient way to identify the appropriately sized equipment for a pediatric
patient is to:
A) use a length-based resuscitation tape measure
B) estimate the child's weight based on appearance
C) ask a relative if he or she knows the child's weight
D) estimate the child's weight based on ageANSWERSA
When removing a critically injured patient from his or her vehicle, you should:
A) protect the cervical spine during the entire process
B) remove hi or her using a short backboard
C) release c-spine control to facilitate rapid removal
D) move him or her in one fast, continuous stepANSWERSA
Which of the following statements regarding patients with developmental disabilities is
correct?
,A) a developmental disability differs from mental retardation in that it is the result of a
congenital abnormality
B) speaking with the patient's family is the least effective way to determine how much
the patient understands
C) most patients with developmental disabilities have normal cognitive function, but
abnormal physical features
D) patients with developmental disabilities are susceptible to the same disease
processes as other patientsANSWERSD
A patient's refusal for EMS treatment and/or transport must be:
A) authorized by a judge
B) reported to the police
C) witnessed by a notary
D) an informed refusalANSWERSD
A 26-year-old female presents with heavy vaginal bleeding. She is conscious, but
restless. Her blood pressure is 84/54 mm Hg, her pulse is 120 beats/min and weak, and
her respirations are 22 breaths/min with adequate depth. She tells you that she inserted
a tampon about 2 hours ago. You should:
A) assist her ventilations with a bag-valve mask device, place one sterile dressing into
her vagina, perform a rapid secondary assessment, and transport
B) administer high-flow oxygen, ask her to remove the tampon, perform a detailed
secondary assessment, and transport promptly
C) administer high-flow oxygen, perform a detailed assessment of her vaginal area for
signs of trauma, place her on her side, and transport
D) administer high-flow oxygen, place a sterile pad over her vagina, keep her warm,
elevate her lower extremities, and transport without delayANSWERSD
Other than personal safety equipment, which of the following should be the MOST
readily accessible item in the back of an ambulance?
A) pneumatic antishock garment (PASG) and traction splint
B) bleeding control supplies
C) stethoscope and penlight
D) emergency childbirth kitANSWERSB
Which of the following skin layers contains sweat and oil glands, hair follicles, blood
vessels, and nerve endings?
A) epidermis
B) sebaceous
C) subcutaneous
D) dermisANSWERSD
The compliance monitoring component of an infection control plan should:
A) identify who to notify after an exposure and where treatment should be provided
B) consist of a list of tasks that pose a risk for contact with blood or other body fluids
, C) address issues such as medical waste collection, storage, and ambulance
disinfection
D) ensure that employees understand what they should do and why it is
importantANSWERSD
The normal blood glucose level, as measured by a glucometer, is between:
A) 160 and 200 mg/dL
B) 130 and 150 mg/dL
C) 60 and 80 mg/dL
D) 80 and 120 mg/dLANSWERSD
When documenting a case of suspected elder abuse, it is MOST important for the EMT
to:
A) list the names of all of the suspected abusers
B) theorize as to why the patient was abused
C) avoid documenting any unsupported opinions
D) document his or her perceptions of the eventANSWERSC
Which of the following patients should be assigned an immediate (red tag) category?
A) 31-year-old male with an open fracture of the forearm and minimal external bleeding
B) 22-year-old male with blunt abdominal trauma, tachycardia, pallor, and diaphoresis
C) 36-year-old female with an open brain injury, agonal breathing, and a slow pulse rate
D) 29-year-old female with a back injury and numbness and tingling in her
extremitiesANSWERSB
CA generalized seizure is characterized by:
A) unconsciousness for greater than 30 seconds
B) severe twitching of all the body's muscles
C) a core body temperature of greater than 103°F (40°C)
D) a blank stare and brief lapse of consciousnessANSWERSB
Which of the following statements regarding severe acute respiratory syndrome (SARS)
is correct?
A) SARS is most commonly transmitted by direct contact with blood
B) SARS is a viral infection that often begins with flulike symptoms
C) multiple bacteria have been identified as being the cause of SARS
D) the onset of SARS is typically marked by acute, severe pneumoniaANSWERSB
Which of the following chemicals is a nerve agent?
A) soman
B) lewisite
C) chlorine
D) phosgeneANSWERSA
Which of the following is a unique function of the emergency medical dispatcher (EMD)?
A) obtaining patient information from the caller
