NREMT® EMR EXAM 2023-2024 ACTUAL EXAM 200
EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
The primary assessment of an adult with chest pain includes: - ANSWER-Determine the transport
priority.
Determining the patient transport priority is a component of the primary assessment. Scene safety is
determined during the scene size up. Determining specifics about the patients pain and reassessing
vitals are done later in the assessment process.
You are caring for a six-year-old patient with respiratory distress. The pulse oximeter (Sa02) reads 93%.
Your management of the patient should include: - ANSWER-Administer sufficient oxygen to maintain a
pulse oximeter reading of at least 94%
Oxygen is indicated for patients with signs or symptoms of hypoxia, including a pulse oximeter below
94%. EMTs should not withhold oxygen from a patient with a pulse oximeter below 94%. EMTs do not
contact the patient€™s physician for medical direction, nor do they administer MDIs which are not
prescribed to the patient.
Which of the following interventions should be performed first for an unresponsive patient with a
suspected spinal cord injury? - ANSWER-Jaw thrust maneuver.
The head-tilt, chin-lift is contraindicated for patients with suspected spinal injury. Manual airway
techniques, in this case the jaw thrust maneuver, should be performed before inserting a mechanical
airway adjunct.
You are caring for a 22-year-old female who complains of respiratory distress after exercising. She is
alert, speaking full sentences, and has a persistent cough. She is most likely experiencing: - ANSWER-
Respiratory distress with adequate breathing.
The patient is alert and speaking full sentences. These signs indicate the patient is breathing adequately.
Respiratory paralysis and respiratory arrest are not possible because the patient is alert and speaking.
Your 5-year-old patient is unresponsive. A carotid pulse is present at 40 beats per minute. Breaths are
shallow at six per minute. You should immediately: - ANSWER-Begin chest compressions
CPR, beginning with chest compressions, is indicated for unresponsive children with a pulse rate below
60.
,Which of the following medications is intended to decrease myocardial workload and increase
myocardial blood flow? - ANSWER-Nitroglycerin
Nitroglycerin is a vasodilator, so it can increase blood flow to the heart and reduce systemic vascular
resistance. Activated charcoal is an adsorbent, aspirin is an anti-platelet aggregate, and epinephrine is a
sympathomimetic.
You are caring for a multi-system trauma patient with possible internal bleeding. Select the correct
statement about the rapid scan for a multi-system trauma patient: - ANSWER-The rapid scan is used to
identify life-threatening conditions.
The rapid scan is part of the primary assessment and is meant to identify any lift-threatening conditions
not already discovered. It is not used to identify low priority injuries, this should be done during the
secondary assessment. Any patient with the potential for life threatening conditions, conscious or
unconscious, should receive a rapid scan.
Life-threatening bleeding should be found and treated during the: - ANSWER-Primary assessment.
Your patient is unresponsive following blunt trauma to the head. Which of the following is the EMT's
first priority for an unresponsive patient? - ANSWER-Determine if CPR is indicated
Unresponsive patients should be assessed using the CAB sequence. Circulation is assessed first in order
to begin CPR as quickly as possible if needed.
You are called for a drowning victim at a family barbecue. Upon arrival, two family members approach
you yelling, swearing, and demanding to know what took so long. One of the family members pushes
you. You should: - ANSWER-retreat and request immediate assistance from law enforcement.
Scene safety is the EMT first priority. This scene is not safe and rescuers should withdraw from the scene
until it is.
Your 6-year-old patient jumped from a swing and injured his right leg. You note deformity to the right
leg above the ankle. The patient most likely has a fracture to the: - ANSWER-distal tibia.
The radius and ulna are located in the arm, not the leg. A proximal fibula injury would be closer to the
knee, not the ankle.
The foramen magnum: - ANSWER-is an opening at the base of the skull.
, The foramen magnum is a large opening at the base of the skull that allows the brain and spinal cord to
connect. The atlas (C1) and axis (C2) allow for lateral movement of the head.
Which of the following is the most frequent cause of airway obstruction? - ANSWER-the tongue.
Continuous positive airway pressure (CPAP) can reduce respiratory distress by: - ANSWER-helping to
keep the alveoli open.
CPAP helps to keep the alveoli open. CPAP is a treatment for sleep apnea and can help avoid intubation.
CPAP does not relieve FBAO.
Which of the following is true during inhalation of a spontaneously breathing patient? - ANSWER-There
is a drop in pressure within the thorax.
You are first on the scene of a motor vehicle collision involving multiple vehicles. Which of the following
should you do first: - ANSWER-Request additional resources.
Requesting additional resources is part of the scene size up. Rescuers should request additional
resources as quickly as possible, before triage, extrication, or the primary assessment.
Which of the following is the first priority at a hazardous material incident? - ANSWER-ensure your own
safety.
Carbon monoxide exposure is dangerous because it: - ANSWER-reduces delivery of oxygen.
You are caring for an apneic patient with a suspected overdose. You have loaded the patient into the
ambulance and entered the patient compartment. You should first: - ANSWER-put on your seat belt.
You are called for a 6-month-old infant with respiratory distress. Which of the following is true about
patients in this age group? - ANSWER-infants are obligate nose breathers.
Which of the following signs of hypoxia is more commonly found in pediatric patients? - ANSWER-
seesaw respirations
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