NREMT Practice Test Exam Updated
ACTUAL EXAM-NREMT Practice Test free
Exam Latest Version, Exams of Nursing
A 42-year-old man was ejected from his car after it struck a bridge
pillar at a high rate of speed. You find him in a prone position
approximately 50 feet from his car. He is not moving and does not
appear to be breathing. You should:
A:manually stabilize his head.
B:administer high-flow oxygen.
C:assess his breathing effort.
D:use the jaw-thrust maneuver. Correct Answer A: | Reason -
When a trauma patient is found in a prone ( face down ) position,
especially if he or she is unresponsive, your first action should be
to manually stabilize his or her head; this action is based on the
assumption that he or she has a spinal injury. Next, log roll the
patient to a supinr position ( while continuing to manually stabilize
the head) , open the air way with the jaw thrust maneuver , clear
the airway with suction if needed, and access for breathing, it
would be extremely difficult to adequately open the patients
airway while he or she is in a prone position. Depending on the
patients breathing effort, administer high flow of oxygenor
ventilate using a bag mask device
The safest emergency vehicle operator is one who:
A:has a positive attitude.
B:drives with lights and siren.
C:drives with due regard.
D:is physically fit. Correct Answer C : - One of the most important
attributes of a safe emergency vehicle operator is the ability to
drive with due regard for others. This means that the operator
must be aware of others around him or her and to keep their
,safety in mind. The EMT should never assume that all drivers will
see or hear the ambulance. A positive attitude about one's ability
to safely operate an emergency vehicle is also an important
attribute. Although sometimes indicated for the patient's condition,
the use of lights and siren increase the risk of an ambulance
crash.
You are dispatched to the scene of a motorcycle crash. Upon
arrival, you find the patient lying facedown approximately 25 feet
from his bike. He is not wearing a helmet and is moaning. You
should:
A:apply a cervical collar.
B:evaluate the status of his airway.
C:stabilize his head manually.
D:log roll him to a supine position. Correct Answer You selected
C; This is correct!
Reason:
The mechanism of injury for this patient was significant. In his
present position (prone), you cannot effectively assess his airway.
Therefore, your first action should be to manually stabilize his
head. Then, you must log roll him into a supine position, keeping
his head in an in-line position. If possible, log roll him directly onto
a long backboard. After the patient is supine, assess the status of
his airway, assess his breathing adequacy, administer high-flow
oxygen or begin assisted ventilations if needed, and continue with
your primary assessment. Apply a cervical collar as soon as
possible, but assess his posterior neck first.
Internal or external bleeding would be especially severe in a
patient:
,A:who is hypotensive.
B:with hemophilia.
C:with heart disease.
D:who takes aspirin. Correct Answer You selected B; This is
correct!
Reason:
Hemophilia is a condition in which the patient lacks one or more
of the blood's clotting factors. There are several forms of
hemophilia, most of which are hereditary and some of which are
severe. Sometimes bleeding occurs spontaneously in patients
with hemophilia. Because the patient's blood does not clot, all
injuries, no matter how minor they appear, are potentially serious.
Aspirin does not destroy the blood's clotting factors; it decreases
the ability of platelets to stick together. Although this may cause
prolonged bleeding time, the patient with hemophilia, who lacks
key clotting factors, will bleed more severely. Many patients with
heart disease take aspirin daily to prevent clot formation in a
coronary artery. When blood pressure is low (hypotension), the
driving force of the blood through the blood vessels is reduced; as
a result, bleeding tends to be less severe relative to patients with
high blood pressure. Unfortunately, however, hypotension
indicates decompensated shock.
When you arrive at a residence for a man who is "not acting
right," you enter the house and find him sitting on his couch.
Which of the following findings would be MOST indicative of an
altered mental status?
A:Odor of alcohol.
B:Slurred speech.
C:Tired appearance.
, D:Eyes are closed. Correct Answer You selected B; This is
correct!
Reason:
Often, an altered mental status can be difficult to assess,
especially if you do not know how the patient normally acts.
However, there are key findings that should increase your index
of suspicion. An abnormal speech pattern, such as slurring or
incoherent words, can be the result of a diabetic problem, alcohol
intoxication, or drug ingestion. All of these can cause an altered
mental status. The odor of alcohol suggests intoxication as a
potential cause of his problem, but cannot be quantified. Just
because the patient's eyes or closed or he has a tired appearance
does not necessarily indicate that he has an altered mental
status.
A 50-year-old woman with a history of epilepsy is actively seizing.
Care for this patient should focus primarily on:
A:protecting her from injury and ensuring adequate ventilation.
B:administering high-flow oxygen and requesting an ALS
ambulance.
C:frequently suctioning her airway and carefully restraining her.
D:placing a bite block in between her molars and giving her
oxygen. Correct Answer The Correct Answer is A;
Reason:
Seizure deaths are most frequently the result of hypoxia. When a
person is actively seizing, he or she is not breathing adequately.
Your primary focus when treating a seizure patient is to protect
him or her from injury and to ensure adequate ventilation and
