Exam (elaborations)
NREMT PRACTICE QUESTIONS AND ANSWERS
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NREMT PRACTICE QUESTIONS AND ANSWERS
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NREMT PRACTICE QUESTIONS AND ANSWERSLaw 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 trauma - Answers -D
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) hoarseness - Answers -A
the primary route of exposure of vesicant agents is the:
A) vascular skin
B) skin
C) respiratory tract
D) nervous system - Answers -B
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 age - Answers -A
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 step - Answers -A
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 patients - Answers -D
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 refusal - Answers -D
Which of the following is a unique function of the emergency medical dispatcher (EMD)?
A) obtaining patient information from the caller
B) relaying relevant information to the EMTs
C) providing callers with life-saving instructions
D) directing the ambulance to the correct address - Answers -C
In an apparent suicide attempt, a 19-year-old female ingested a full bottle of
amitriptyline (Elavil). At present, she is conscious and alert and states that she
swallowed the pills approximately 30 minutes earlier. Her blood pressure is 90/50 mm
Hg, her pulse is 140 beats/min and irregular, and her respirations are 22 breaths/min
with adequate depth. When transporting this patient, you should be MOST alert for:
A) a sudden outburst of violence
B) an increase in her blood pressure
C) seizures and cardiac arrhythmias
D) acute respiratory depression - Answers -C
The extremity lift would NOT be appropriate to use on a patient:
A) with forearm lacerations
B) who complains of nausea
C) without a spinal injury
D) with a deformed humerus - Answers -D
An unrestrained patient is sitting in his car after an automobile crash. He is conscious
and alert, has no visible trauma, and is complaining of neck and back pain. Before
removing him from his car, you should:
A) perform a detailed head-to-toe assessment and apply a cervical collar
B) slide a scoop stretcher under his buttocks and rotate him laterally
C) maintain manual stabilization of his head and grasp him by the clothes
D) apply a cervical collar and immobilize him with a vest-style device - Answers -D
You have applied a dressing and roller-gauze bandage to a laceration on the arm of a
young female. During transport, she begins to complain of numbness and tingling in her
hand. You should:
A) carefully manipulate her arm until the symptoms subside
,B) assess distal circulation and readjust the bandage as needed
C) remove the gauze bandage and replace it with an elastic one
D) remove the bandage and dressing and apply another one - Answers -B
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 hospital - Answers -B
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 extremities -
Answers -C
Which of the following statements regarding abdominal eviscerations is correct?
A) the organs should be replaced carefully to avoid heat loss
B)most eviscerations occur to the left upper quadrant
C) adherent material is preferred when covering an evisceration
D) the protruding organs should be kept warm and moist - Answers -D
Which of the following medications increases a person's risk of a heat-related
emergency?
A) aspirin
B) motrin
C) diuretics
D) tylenol - Answers -C
You are assessing a woman who was thrown from her horse. She is located in a large
field and you can see that a thunderstorm is rapidly approaching. Suddenly, you feel
you skin begin to tingle and the hair on your arms stands on end. The ambulance is
located about 30 yards away. You should:
A) sit down, bend your knees, and hold you crossed arms close to your body
B) quickly cover the patient with a blanket and then lie down flat on the ground
C) immediately lie down on your side and draw your knees into your abdomen
, D) crouch down in a position so that only your feet are touching the ground - Answers -
D
A man finds his 59-year-old wife unconscious on the couch. He states that she takes
medications for type 2 diabetes. He further tells you that his wife has been ill recently
and has not eaten for the past 24 hours. Your assessment reveals that the patient is
unresponsive. You should:
A) open and maintain her airway and assess breathing
B) administer oral glucose between her cheek and gum
C) administer 100% oxygen via a nonrebreathing mask
D) quickly assess for the presence of a medical identification tag - Answers -A
You are ventilating an apneic woman with a bag-valve mask device. She has dentures,
which are tight-fitting. Adequate chest rise is resent with each ventilation, and the
patient's oxygen saturation reads 96%. When you reassess the patency of her airway,
you note that her dentures are now loose, although your ventilations are still producing
adequate chest rise. You should:
A) remove her dentures at once and increase the rate and volume of your ventilations
B) remove her dentures, resume ventilations, and assess for adequate chest rise
C) attempt to replace her dentures so that they fit tightly and resume ventilations
D) leave her dentures in place, but carefully monitor her for an airway obstruction -
Answers -B
In which of the following situations would external bleeding be the MOST difficult to
control?
A) carotid artery laceration and a systolic blood pressure of 60 mmHg
B) antecubital vein laceration and a blood pressure of 138/92 mm Hg
C) jugular vein laceration and a systolic blood pressure of 90 mm Hg
D) femoral artery laceration and a blood pressure of 140/90 mm HG - Answers -D
Which of the following agents blocks the body's ability to use oxygen and possesses an
odor similar to almonds?
A) carbon monoxide
B) organophosphates
C) hydrogen cyanide
D) phosgene oxide - Answers -C
A poison that enters the body by ____ is the most difficult to treat
A) inhalation
B) injection
C) absorption
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