NREMT Final || A+ Guaranteed.
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 correct answers 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 correct answers 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 correct answers 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 correct answers 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 correct answers 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 correct answers 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 correct answers 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 correct answers 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 correct answers 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 correct answers 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 correct answers 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 correct answers 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 correct answers a.
Through the pharynx and then the larynx into the trachea branching at the carina into the bronchi
Question 14: What is the major function of the lower airway?
a. To warm, filter, and humidify air
b. To protect from foreign objects
c. To exchange oxygen and carbon dioxide
d. To increase metabolism correct answers c. To exchange oxygen and carbon dioxide
Question 15: The question: Do you take any vitamins or use any recreational drugs? ------ Is
related towhich letter in the SAMPLE history?
a. A
b. M
c. P
d. L correct answers b. M
Question 16: Skin assessment findings for anaphylaxis include all of the following except:
a. Cyanotic
b. Red
c. Pale
d. Jaundice correct answers d. Jaundice
Rationale: Skin assessment findings for anaphylaxis include: Appearing pale from the
hypotension, red or flushed from leaky vasculature, or cyanotic from lack of oxygen to the
tissues. A jaundiced appearance is usually caused from poor liver function or diseases that attack
the liver.
Question 17: Which of the following choices is not part of the respiratory system?
a. Capillaries
b. Trachea
c. Thyroid
d. Alveoli correct answers c. Thyroid
Rationale: The thyroid is not part of the respiratory system. The trachea is the passageway for
oxygen to
enter the pulmonary system and for CÓ to be exhaled. Once entering the pulmonary system,
oxygen
enters the alveoli which are surrounded by capillary beds. This is where diffusion takes place and
oxygen
enters the blood stream and CÓ exits.
