NREMT PRACTICE EXAM TEST BANK NEWEST ACTUAL EXAM
NREMT PRACTICE EXAM TEST BANK NEWEST ACTUAL EXAM
COMPLETE 450 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) WITH RATIONALES |ALREADY GRADED
A+||BRAND NEW VERSION!!
A 30-year-old woman crashed her car into a tree at a high rate of speed. She is
conscious and alert and has stable vital signs. She has some small lacerations and
abrasions to her arms and face, but no obviously life-threatening injuries. As you
are loading her into the ambulance, she tells you that she does not want to go to
the hospital. You should:
• A:advise her that she is probably too emotionally upset to be able to refuse EMS
treatment and transport.
• B:obtain a signed refusal from the patient and ask a law enforcement officer to
transport her to the hospital.
• C:advise the patient that she should be transported to the hospital because of
the seriousness of the crash.
• D:ask a law enforcement officer to administer a breathalyzer test to determine if
she has been drinking alcohol. - Correct Answer-You selected C; This is correct!
Reason:The consequences of refusal should be explained to any patient who
refuses EMS treatment and/or transport. After establishing that the patient can
legally refuse treatment and transport (eg, he or she is of legal age AND has
decision-making capacity), you must advise her that because of the significant
mechanism of injury, the potential for critical injury or death exists, even though
she may feel fine now. Once this is explained, and the patient understands and
is willing to accept the possible consequences, obtain a signed refusal and ask
an impartial person (eg, police officer) to witness the signed refusal.
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, NREMT PRACTICE EXAM TEST BANK NEWEST ACTUAL EXAM
A 70-year-old man with a history of emphysema and congestive heart failure is in
cardiac arrest. His wife tells you that he collapsed about 5 minutes before your
arrival. Your partner begins one-rescuer CPR as you prepare the AED. As you are
applying the AED pads, the man's wife tells you that she wants you to let him die
in peace. You should:
• A:comply with her request and cease all resuscitative efforts.
• B:cease resuscitation only if the AED does not indicate a shock.
• C:perform rescue breathing only and contact medical control.
• D:continue performing CPR and ask her if he has a living will. - Correct Answer-
You selected D; This is correct!
Reason:When faced with a situation in which a family member does not wish for
you to attempt resuscitation of a loved one, you should inquire about the
presence of a living will or out-of-hospital do not attempt resuscitation (OOH-
DNAR) order. If a valid living will or OOH-DNAR order is produced, it is generally
acceptable to cease resuscitative efforts; consult medical control as needed. If a
valid living will or OOH-DNAR order is not available, the most prudent action
would be to continue CPR and contact medical control. Even in the absence of
such documentation, medical control may advise you to cease resuscitation
based on the wishes of the family and the patient's medical history. When in
doubt, err on the side of the patient and attempt resuscitation. Few would argue
that it is preferable to defend why resuscitation was attempted as opposed to
why it was not.
How does a unified incident command system differ from a single incident
command system?
• A:In a unified incident command system, a single incident commander is
identified and will function as such, regardless of the type of incident
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, NREMT PRACTICE EXAM TEST BANK NEWEST ACTUAL EXAM
• B:In a unified incident command system, plans are made in advance by all
agencies that assume a shared responsibility for decision making
• C:In a unified incident command system, one agency with several incident
commanders has the majority of responsibility for incident management
• D:In a unified incident command system, a single person is in charge of the
entire incident, even if multiple agencies respond to the scene - Correct Answer-
The correct answer is B;
Reason:Regardless of the type of incident command system (ICS) used, a single
incident commander (IC) must be in charge. In a unified incident command
system, plans are drawn up in advance by all cooperating agencies that assume a
shared responsibility for decision making. The response plan should designate
the lead and support agencies for several types of mass-casualty incidents
(MCIs). For example, the Haz-Mat team will take the lead in a chemical leak and
the medical team will take the lead in a multi-vehicle car crash. Large MCIs often
require a unified incident command system. A single incident command system
is one in which one person is in charge, even if multiple agencies respond to the
scene. It is generally used with incidents in which one agency has the majority of
responsibility for incident management. Ideally, it is used for short-duration,
limited incidents that require the services of a single agency.
After arriving at a mass-casualty incident where other ambulances are already
present, you should notify the dispatcher and then:
• A:initiate care for the most critically injured patients.
• B:obtain information from the fire service commander.
• C:repeat the triage process.
• D:report to the staging area. - Correct Answer-You selected D; This is correct!
3|Page
, NREMT PRACTICE EXAM TEST BANK NEWEST ACTUAL EXAM
Reason:Once you arrive at the scene of a mass-casualty incident where an
incident command system has already been established, you should report to
the staging area, the area designated for all incoming ambulances and
resources. The staging officer will know where help is needed the most and will
be able to direct your actions accordingly.
You are caring for a 6-year-old child with a swollen, painful deformity to the left
forearm. As you communicate with the parents of this child, you should:
• A:make sure that they remain aware of what you are doing.
• B:tell them that the child will be transported to the hospital.
• C:ask them repeatedly how the child was injured.
• D:use appropriate medical terminology at all times. - Correct Answer-You
selected A; This is correct!
Reason:When caring for any patient, it is important to keep both the patient and
family aware of what you are doing. You should avoid medical terminology
whenever possible because most laypeople will not understand what you are
saying. The plain English approach is much more effective. When caring for
children specifically, you should inform the parents of the need for ambulance
transportation and why; doing so will provide them with the information
necessary to make an informed decision. Asking the parents repeatedly how the
child was injured may be construed by some as implying that the child was
abused.
You arrive at the scene where a man fell approximately 40 feet and landed on his
head. He is unresponsive, has agonal gasps, and a weak carotid pulse. Further
assessment reveals an open head injury with exposed brain matter. Upon
identifying this patient as an organ donor, you should:
4|Page
NREMT PRACTICE EXAM TEST BANK NEWEST ACTUAL EXAM
COMPLETE 450 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) WITH RATIONALES |ALREADY GRADED
A+||BRAND NEW VERSION!!
A 30-year-old woman crashed her car into a tree at a high rate of speed. She is
conscious and alert and has stable vital signs. She has some small lacerations and
abrasions to her arms and face, but no obviously life-threatening injuries. As you
are loading her into the ambulance, she tells you that she does not want to go to
the hospital. You should:
• A:advise her that she is probably too emotionally upset to be able to refuse EMS
treatment and transport.
• B:obtain a signed refusal from the patient and ask a law enforcement officer to
transport her to the hospital.
• C:advise the patient that she should be transported to the hospital because of
the seriousness of the crash.
• D:ask a law enforcement officer to administer a breathalyzer test to determine if
she has been drinking alcohol. - Correct Answer-You selected C; This is correct!
Reason:The consequences of refusal should be explained to any patient who
refuses EMS treatment and/or transport. After establishing that the patient can
legally refuse treatment and transport (eg, he or she is of legal age AND has
decision-making capacity), you must advise her that because of the significant
mechanism of injury, the potential for critical injury or death exists, even though
she may feel fine now. Once this is explained, and the patient understands and
is willing to accept the possible consequences, obtain a signed refusal and ask
an impartial person (eg, police officer) to witness the signed refusal.
1|Page
, NREMT PRACTICE EXAM TEST BANK NEWEST ACTUAL EXAM
A 70-year-old man with a history of emphysema and congestive heart failure is in
cardiac arrest. His wife tells you that he collapsed about 5 minutes before your
arrival. Your partner begins one-rescuer CPR as you prepare the AED. As you are
applying the AED pads, the man's wife tells you that she wants you to let him die
in peace. You should:
• A:comply with her request and cease all resuscitative efforts.
• B:cease resuscitation only if the AED does not indicate a shock.
• C:perform rescue breathing only and contact medical control.
• D:continue performing CPR and ask her if he has a living will. - Correct Answer-
You selected D; This is correct!
Reason:When faced with a situation in which a family member does not wish for
you to attempt resuscitation of a loved one, you should inquire about the
presence of a living will or out-of-hospital do not attempt resuscitation (OOH-
DNAR) order. If a valid living will or OOH-DNAR order is produced, it is generally
acceptable to cease resuscitative efforts; consult medical control as needed. If a
valid living will or OOH-DNAR order is not available, the most prudent action
would be to continue CPR and contact medical control. Even in the absence of
such documentation, medical control may advise you to cease resuscitation
based on the wishes of the family and the patient's medical history. When in
doubt, err on the side of the patient and attempt resuscitation. Few would argue
that it is preferable to defend why resuscitation was attempted as opposed to
why it was not.
How does a unified incident command system differ from a single incident
command system?
• A:In a unified incident command system, a single incident commander is
identified and will function as such, regardless of the type of incident
2|Page
, NREMT PRACTICE EXAM TEST BANK NEWEST ACTUAL EXAM
• B:In a unified incident command system, plans are made in advance by all
agencies that assume a shared responsibility for decision making
• C:In a unified incident command system, one agency with several incident
commanders has the majority of responsibility for incident management
• D:In a unified incident command system, a single person is in charge of the
entire incident, even if multiple agencies respond to the scene - Correct Answer-
The correct answer is B;
Reason:Regardless of the type of incident command system (ICS) used, a single
incident commander (IC) must be in charge. In a unified incident command
system, plans are drawn up in advance by all cooperating agencies that assume a
shared responsibility for decision making. The response plan should designate
the lead and support agencies for several types of mass-casualty incidents
(MCIs). For example, the Haz-Mat team will take the lead in a chemical leak and
the medical team will take the lead in a multi-vehicle car crash. Large MCIs often
require a unified incident command system. A single incident command system
is one in which one person is in charge, even if multiple agencies respond to the
scene. It is generally used with incidents in which one agency has the majority of
responsibility for incident management. Ideally, it is used for short-duration,
limited incidents that require the services of a single agency.
After arriving at a mass-casualty incident where other ambulances are already
present, you should notify the dispatcher and then:
• A:initiate care for the most critically injured patients.
• B:obtain information from the fire service commander.
• C:repeat the triage process.
• D:report to the staging area. - Correct Answer-You selected D; This is correct!
3|Page
, NREMT PRACTICE EXAM TEST BANK NEWEST ACTUAL EXAM
Reason:Once you arrive at the scene of a mass-casualty incident where an
incident command system has already been established, you should report to
the staging area, the area designated for all incoming ambulances and
resources. The staging officer will know where help is needed the most and will
be able to direct your actions accordingly.
You are caring for a 6-year-old child with a swollen, painful deformity to the left
forearm. As you communicate with the parents of this child, you should:
• A:make sure that they remain aware of what you are doing.
• B:tell them that the child will be transported to the hospital.
• C:ask them repeatedly how the child was injured.
• D:use appropriate medical terminology at all times. - Correct Answer-You
selected A; This is correct!
Reason:When caring for any patient, it is important to keep both the patient and
family aware of what you are doing. You should avoid medical terminology
whenever possible because most laypeople will not understand what you are
saying. The plain English approach is much more effective. When caring for
children specifically, you should inform the parents of the need for ambulance
transportation and why; doing so will provide them with the information
necessary to make an informed decision. Asking the parents repeatedly how the
child was injured may be construed by some as implying that the child was
abused.
You arrive at the scene where a man fell approximately 40 feet and landed on his
head. He is unresponsive, has agonal gasps, and a weak carotid pulse. Further
assessment reveals an open head injury with exposed brain matter. Upon
identifying this patient as an organ donor, you should:
4|Page
