NREMT Practice Test Exam Updated 2024-
2025/ NREMT Practice Test free Exam
Latest Version, Exams of Nursing
A 50-year-old man presents with crushing chest pain that
suddenly began about 30 minutes ago. He is diaphoretic and
anxious. The EMT should:
A. obtain baseline vital signs
B. apply supplemental oxygen
C. administer chewable aspirin
D. perform a complete physical exam Correct Answer C.
administer chewable aspirin
Freshly oxygenated blood returns to the heart via the:
A. aorta
B. venae cavae
C. pulmonary veins
D. pulmonary arteries Correct Answer C. pulmonary veins
The chest pain associated with an acute coronary syndrome is
often described as:
A. sharp
B. stabbing
C. pressure
D. cramping Correct Answer C. pressure
Which of the following is a common side effect of nitroglycerin?
A. nausea
B. anxiety
C. headache
D. hypertension Correct Answer C. headache
,A 69-year-old man is unresponsive. He has a weak carotid pulse
at 40 beats/min and his skin is cool and pale. From this
information, the EMT should conclude that:
A. he is in ventricular fibrillation
B. his cardiac output is reduced
C. he has a blocked coronary artery
D. his systolic BP is at least 90 mm/hg Correct Answer B. his
cardiac output is reduced
A 50-year-old man's implanted defibrillator has fired twice within
the last hour. He is conscious and alert and reports a "sore
chest." Further assessment reveals that his chest pain is
reproducible to palpation and is localized to the area of his
implanted defibrillator. Treatment for him should include:
A. application of the AED and transport to the hospital
B. prompt transport with continuous monitoring en route
C. deactivating his defibrillator by running a magnet over it
D. up to three doses of nitroglycerin and prompt transport Correct
Answer B. prompt transport with continuous monitoring en route
The wall that separates the left and right sides of the heart is
called the:
A. carina
B. septum
C. pericardium
D. mediastinum Correct Answer B. septum
Aspirin is beneficial to patients experiencing an acute coronary
syndrome because it:
A. prevents a clot from getting larger
B. effectively reliefs their chest pain
C. decreases cardiac workload by lowering the BP
D. destroys the clot that is blocking a coronary artery Correct
Answer A. prevents a clot from getting larger
,You are assessing a 70-year-old man who reports pain in both of
his legs. He is conscious and alert, has a blood pressure of
160/90 mm Hg, a pulse rate of 110 beats/min, and respirations of
14 breaths/min and unlabored. Further assessment reveals
edema to both of his feet and legs and jugular venous distention.
What should you suspect?
A. left heart failure
B. right heart failure
C. pulmonary edema
D. chronic hypertension Correct Answer B. right heart failure
Your assessment of a middle-aged woman with chest pressure
reveals that she is confused, is diaphoretic, and has a blood
pressure of 70/50 mm Hg. In caring for this patient, it is MOST
important for you to:
A. request an ALS unit to respond to the scene
B. assist her with her nitroglycerin if she has any
C. reassess her vital signs at least every 5 minutes
D. prepare for immediate transport to the hospital Correct Answer
D. prepare for immediate transport to the hospital
Following administration of nitroglycerin to a man with crushing
chest pressure, he experiences a significant increase in his heart
rate. This is MOST likely the result of:
A. a cardiac dysrhythmia
B. preexisting hypertension
C. a drop in blood pressure
D. coronary vasoconstriction Correct Answer C. a drop in blood
pressure
A patient whose artificial pacemaker has failed would MOST likely
experience:
A. weakness and bradycardia
B. hypertension and a headache
C. irreversible ventricular fibrillation
, D. dizziness and excessive tachycardia Correct Answer A.
weakness and bradycardia
preload, afterload, stroke volume, cardiac output
Which of the following complications would MOST likely occur if a
patient with end-stage renal disease missed several dialysis
treatments? pulmonary edema Correct Answer hyperglycemia:
warm dry skin
hypoglycemia: cool, clammy
don't rewarm a frostbitten part if it could refreeze after warming
Anemia is a deficiency of red blood cells (erythrocytes). Recall
that red blood cells carry hemoglobin, which binds to oxygen, in
order to deliver oxygen to the body's cells and tissues. You would
expect the severely anemic patient to be pale (because of fewer
red blood cells). In addition, because the patient's oxygen-
carrying capacity is reduced, shortness of breath is also a
common finding. In response to hypoxia, the patient would
become tachycardic. Flushed (red) skin is not expected in anemic
patients; you would expect flushing to occur if the patient had
excessive red blood cell production (polycythemia). Jaundice
(yellow skin) is observed in patients with liver disease or
dysfunction, not anemia. Hematemesis and nosebleed may be
observed in patients with low platelet levels (thrombocytopenia),
not anemia. Correct Answer fever, cough, night sweats are a sign
of TB
Nuchal rigidity, especially with fever, is a sign of meningitis;
(The patient's symptoms and her history of a recent hiking trip are
consistent with Lyme disease, which is the result of a tick bite.
Ticks can carry two infectious diseases: Lyme disease and Rocky
Mountain spotted fever. Both are spread through the tick's saliva,
which is injected into the skin when the tick attaches itself. The
first symptom of Lyme disease, a rash that may spread to several
parts of the body, begins about 3 days after the bite of an infected
tick. The rash may eventually resemble a target or bull's-eye
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