NREMT FINAL EXAM TEST BANK LATEST
2024-2025 EXAM 370+ QUESTIONS AND
CORRECT ANSWERS WITH
RATIONALES|A+ GRADE
Question 1: You are assessing a patient for hypoperfusion. Which of the following
signs and symptoms
would indicate the presence of hypoperfusion?
a. Extreme thirst, restlessness
b. Poor mentation, stridor
c. Cyanosis, slow respirations
d. Pale skin, hypertension - ANSWER- a. Extreme thirst, restlessness
Rationale: Extreme thirst and restlessness are both classic signs and symptoms of
shock. You would also
expect to find pale, cool, clammy skin, altered mental status, rapid and shallow
respirations, and
increased heart rate.
Question 2: You arrive on scene with your partner to a slip and fall. The patient is
a 49 year old male who slipped and fell while jumping out of a boat and onto a
dock. After hitting the dock he fell into the water where his friends pulled him out.
He is conscious and complaining only of pain in his left shoulder. He is laying
supine on the dock. He is shivering and holding his elbow. The proper course of
action would be?
a. Cut off the wet clothing, high flow Ó, and check CMS
b. Load him on a backboard with c spine precautions, Ó, and transport
c. Put a blanket on him, Ó, and traction splinting
d. Ó, traction splinting, and transport - ANSWER- a. Cut off the wet clothing, high
flow Ó, and check CMS
Rationale: Getting the wet clothes off him to help prevent shock, along with High
flow Ó, and checking the ciruclation, motor function, and sensation of the affected
,limb would be the best choice. The other answers never checked CMS which is
very necessary.
Question 3: Where is the ulna located in the body?
a. The thumb side of the arm
b. The big toe side of the leg
c. The little toe side of the leg
d. The little finger side of the arm - ANSWER- d. The little finger side of the arm
Rationale: The ulna is the outside bone of the arm in line with the little finger.
Question 4: What is the best definition of a fistula used in hemodialysis?
a. An external shunt
b. An internal connection between a graft and a shunt
c. A surgically created connection between a venule and an artery.
d. An internal shunt - ANSWER- d. An internal shunt
Rationale: The best definition of a fistula used in hemodialysis is "an internal
shunt" which connects an
artery to a vein.
Question 5: It is your duty as an EMT to diagnose a diabetic condition as:
a. Hypoglycemic
b. Hyperglycemic
c. Serious
d. None of the above - ANSWER- d. None of the above
Rationale: You need to manage airway, breathing, and circulation, and transport in
a safe and expedient
manner. It is not your job to diagnose.
Question 6: Proper use of an AED should include:
a. Measuring from the corner of the mouth to the earlobe
b. Moistening the pads to ensure electrical conductivity
c. Establishing the patient does not have a pulse
d. Three consecutive shocks - ANSWER- c. Establishing the patient does not have
a pulse
Rationale: An AED should only be used on a patient who has no pulse. CPR
should be continued after each shock, per the 2010 AHA Guidelines.
,Question 7: You and your partner Bob are called to the scene of a man down. The
report said the man has no pulse and that family members are doing CPR. Upon
arriving at the scene what 3 things are you going to do first?
a. Open their airway, tell the bystander to stop CPR, and put your gloves on
b. Question the bystanders, direct them to stop CPR ,and check for pulse
c. Hook up the AED, open their airway, and insert an adjunct
d. Attach the AED, tell everyone to stand back, and hit the analyze button -
ANSWER- b. Question the bystanders, direct them to stop CPR ,and check for
pulse
Rationale: Your gloves should be on prior to coming in contact with the patient.
You would attach an AED and shock if indicated, according to AHA Guidelines
Question 8: Which of the following can mimic alcohol intoxication?
a. Head injury
b. Hypoglycemia
c. Diabetic ketoacidosis
d. All of the above - ANSWER- d. All of the above
Rationale: All of these things can mimic alcohol intoxication. Hypoxia, postictal
state from seizure, stroke, tumors, and of course drug use may all appear as
intoxication by alcohol.
Question 9: Blood that is unoxygenated moves into the lungs through the?
a. Pulmonary artery
b. Pulmonary valve
c. Pulmonary vein
d. Aortic arch - ANSWER- a. Pulmonary artery
Rationale: Blood travels into the lungs from the pulmonary artery. This is the only
artery in the body that
carries unoxygenated blood.
Question 10: You and your partner Mark arrive on scene to find a 35 year old man
who is slurring hisspeech. He shows positive for left arm drift and the left side of
his face is drooping slightly when he tries to speak. How should this patient be
transported?
a. On their left side
b. In Fowler's
c. Trendelenburg
d. On their right side - ANSWER- a. On their left side
, Rationale: A patient who is showing signs of a stroke should be transported with
the affected side down,
with the head elevated about 6 inches.
Question 11: Epinephrine .
a. Constricts vessels and relaxes airway passages
b. Dilates vessels and increases pulse rate
c. Is administered by autoinjector only
d. Is not produced naturally by the body - ANSWER- a. Constricts vessels and
relaxes airway passages
Rationale: It constricts vessels and relaxes airway passages along with speeding up
the pulse. It is
administered in several different ways including IV and ET tube and it is produced
naturally by the body.
Question 12: You are assessing a child who is 9 years old. Your patient presents
with a heart rate of 69. You would describe this childs heart rate as?
a. Bradycardia
b. Regular
c. Normal
d. Tachycardia - ANSWER- a. Bradycardia
Rationale: A normal heart rate range for children ages 6 to 12 is 70 to 110 beats per
minute. Bradycardia for a child of this age is a pulse less than 70 BPM.
Bradycardia in an adult is less than 60 BPM. You would
want to do a detailed assessment and form you general impression of the patients
condition prior to being overly concerned about a heart rate of 69.
Question 13: Upon inhalation, air enters the mouth and then proceeds:
a. Through the pharynx and then the larynx into the trachea branching at the carina
into the bronchi
b. Through the larynx and then through the trachea passing the bronchi and into the
carina
c. Through the oropharynx and into the vocal cords passing the bronchi then the
trachea into the alveoli
d. None of the above choices contains an answer that could be correct - ANSWER-
a. Through the pharynx and then the larynx into the trachea branching at the carina
into the bronchi
2024-2025 EXAM 370+ QUESTIONS AND
CORRECT ANSWERS WITH
RATIONALES|A+ GRADE
Question 1: You are assessing a patient for hypoperfusion. Which of the following
signs and symptoms
would indicate the presence of hypoperfusion?
a. Extreme thirst, restlessness
b. Poor mentation, stridor
c. Cyanosis, slow respirations
d. Pale skin, hypertension - ANSWER- a. Extreme thirst, restlessness
Rationale: Extreme thirst and restlessness are both classic signs and symptoms of
shock. You would also
expect to find pale, cool, clammy skin, altered mental status, rapid and shallow
respirations, and
increased heart rate.
Question 2: You arrive on scene with your partner to a slip and fall. The patient is
a 49 year old male who slipped and fell while jumping out of a boat and onto a
dock. After hitting the dock he fell into the water where his friends pulled him out.
He is conscious and complaining only of pain in his left shoulder. He is laying
supine on the dock. He is shivering and holding his elbow. The proper course of
action would be?
a. Cut off the wet clothing, high flow Ó, and check CMS
b. Load him on a backboard with c spine precautions, Ó, and transport
c. Put a blanket on him, Ó, and traction splinting
d. Ó, traction splinting, and transport - ANSWER- a. Cut off the wet clothing, high
flow Ó, and check CMS
Rationale: Getting the wet clothes off him to help prevent shock, along with High
flow Ó, and checking the ciruclation, motor function, and sensation of the affected
,limb would be the best choice. The other answers never checked CMS which is
very necessary.
Question 3: Where is the ulna located in the body?
a. The thumb side of the arm
b. The big toe side of the leg
c. The little toe side of the leg
d. The little finger side of the arm - ANSWER- d. The little finger side of the arm
Rationale: The ulna is the outside bone of the arm in line with the little finger.
Question 4: What is the best definition of a fistula used in hemodialysis?
a. An external shunt
b. An internal connection between a graft and a shunt
c. A surgically created connection between a venule and an artery.
d. An internal shunt - ANSWER- d. An internal shunt
Rationale: The best definition of a fistula used in hemodialysis is "an internal
shunt" which connects an
artery to a vein.
Question 5: It is your duty as an EMT to diagnose a diabetic condition as:
a. Hypoglycemic
b. Hyperglycemic
c. Serious
d. None of the above - ANSWER- d. None of the above
Rationale: You need to manage airway, breathing, and circulation, and transport in
a safe and expedient
manner. It is not your job to diagnose.
Question 6: Proper use of an AED should include:
a. Measuring from the corner of the mouth to the earlobe
b. Moistening the pads to ensure electrical conductivity
c. Establishing the patient does not have a pulse
d. Three consecutive shocks - ANSWER- c. Establishing the patient does not have
a pulse
Rationale: An AED should only be used on a patient who has no pulse. CPR
should be continued after each shock, per the 2010 AHA Guidelines.
,Question 7: You and your partner Bob are called to the scene of a man down. The
report said the man has no pulse and that family members are doing CPR. Upon
arriving at the scene what 3 things are you going to do first?
a. Open their airway, tell the bystander to stop CPR, and put your gloves on
b. Question the bystanders, direct them to stop CPR ,and check for pulse
c. Hook up the AED, open their airway, and insert an adjunct
d. Attach the AED, tell everyone to stand back, and hit the analyze button -
ANSWER- b. Question the bystanders, direct them to stop CPR ,and check for
pulse
Rationale: Your gloves should be on prior to coming in contact with the patient.
You would attach an AED and shock if indicated, according to AHA Guidelines
Question 8: Which of the following can mimic alcohol intoxication?
a. Head injury
b. Hypoglycemia
c. Diabetic ketoacidosis
d. All of the above - ANSWER- d. All of the above
Rationale: All of these things can mimic alcohol intoxication. Hypoxia, postictal
state from seizure, stroke, tumors, and of course drug use may all appear as
intoxication by alcohol.
Question 9: Blood that is unoxygenated moves into the lungs through the?
a. Pulmonary artery
b. Pulmonary valve
c. Pulmonary vein
d. Aortic arch - ANSWER- a. Pulmonary artery
Rationale: Blood travels into the lungs from the pulmonary artery. This is the only
artery in the body that
carries unoxygenated blood.
Question 10: You and your partner Mark arrive on scene to find a 35 year old man
who is slurring hisspeech. He shows positive for left arm drift and the left side of
his face is drooping slightly when he tries to speak. How should this patient be
transported?
a. On their left side
b. In Fowler's
c. Trendelenburg
d. On their right side - ANSWER- a. On their left side
, Rationale: A patient who is showing signs of a stroke should be transported with
the affected side down,
with the head elevated about 6 inches.
Question 11: Epinephrine .
a. Constricts vessels and relaxes airway passages
b. Dilates vessels and increases pulse rate
c. Is administered by autoinjector only
d. Is not produced naturally by the body - ANSWER- a. Constricts vessels and
relaxes airway passages
Rationale: It constricts vessels and relaxes airway passages along with speeding up
the pulse. It is
administered in several different ways including IV and ET tube and it is produced
naturally by the body.
Question 12: You are assessing a child who is 9 years old. Your patient presents
with a heart rate of 69. You would describe this childs heart rate as?
a. Bradycardia
b. Regular
c. Normal
d. Tachycardia - ANSWER- a. Bradycardia
Rationale: A normal heart rate range for children ages 6 to 12 is 70 to 110 beats per
minute. Bradycardia for a child of this age is a pulse less than 70 BPM.
Bradycardia in an adult is less than 60 BPM. You would
want to do a detailed assessment and form you general impression of the patients
condition prior to being overly concerned about a heart rate of 69.
Question 13: Upon inhalation, air enters the mouth and then proceeds:
a. Through the pharynx and then the larynx into the trachea branching at the carina
into the bronchi
b. Through the larynx and then through the trachea passing the bronchi and into the
carina
c. Through the oropharynx and into the vocal cords passing the bronchi then the
trachea into the alveoli
d. None of the above choices contains an answer that could be correct - ANSWER-
a. Through the pharynx and then the larynx into the trachea branching at the carina
into the bronchi
