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NREMT Cognitive Assessment Exam Questions with verified solutions | Already Passed
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NREMT Cognitive AssessmentExam Questions with verified
solutions | Already Passed
A 40-year-old male with a history of depression and schizophrenia appears frightened and tells you
that he sees snakes everywhere. You should:
A) tell him that you do not see any snakes, but they are obviously scaring him.
B) let him know that going to the hospital will keep him safe from the snakes.
C) advise him that you suspect he has not been compliant with his medications.
D) let him know that it is important for him to be transported as soon as possible. ✔✔A
B ... The patient in this scenario, although scared, is not violent. In cases such as this, you should be
prepared to spend extra time with the patient; it may take longer to assess, listen to, and prepare
the patient for transport.
C...Just because he is experiencing an acute crisis does not mean that he has not been taking his
medications; to make that assumption is merely speculation.
A behavioral crisis is MOST accurately defined as: ✔✔any reaction to an event that interferes with
the activities of daily living or has become unacceptable to the patient, family, or community.
Your assessment of the newborn reveals that she has a patent airway, is breathing adequately, and
has a heart rate of 130 beats/min. Her face and trunk are pink, but her hands and feet are cyanotic.
You have clamped and cut the umbilical cord, but the placenta has not yet delivered. You should:
A) massage the lower part of the mother's uterus until the placenta delivers.
B) give the newborn high-flow oxygen via a nonrebreathing mask and transport.
,C) reassess the newborn every 5 minutes and transport after the placenta delivers.
D) keep the newborn warm, give oxygen to the mother if needed, and transport. ✔✔D
A newborn has a heart rate of 130 beats/min, cyanosis of the hands and feet, and rapid respirations. The
infant cries when you flick the soles of its feet and resists attempts to straighten its legs. You should
assign an Apgar score of:
A) 7
B) 8
C) 9
D) 10 ✔✔c) 9
A 5-year-old boy was struck by a car and is found lying 15 feet away. Based on the child's age and
mechanism of injury, you should suspect that the PRIMARY injury occurred to the:
A) head.
B) pelvis.
C) lower legs.
D) upper thorax. ✔✔b
Your assessment of a mother in labor reveals that a fetal limb is protruding from the vagina.
What should you do?
A) Position the mother in a semi-Fowler's position and administer oxygen
B) Position the mother with her hips elevated and administering high-flow oxygen
C) Apply gentle traction to the protruding limb to remove pressure of the fetus from the umbilical cord.
D) Give the mother 100% oxygen and attempt to manipulate the protruding limb so that delivery can
occur. ✔✔B
,A 5-year-old child has had severe diarrhea and vomiting for 3 days and is now showing signs of shock.
Supplemental oxygen has been given and you have elevated his lower extremities. En route to the
hospital, you note that his work of breathing has increased. You should:
A) lower the extremities and reassess the child.
B) begin positive-pressure ventilations and reassess the child.
C) insert a nasopharyngeal airway and increase the oxygen flow.
D) listen to the lungs with a stethoscope for abnormal breath sounds. ✔✔a
Because infants and small children rely heavily on their diaphragm for breathing (as evidenced by belly
breathing), elevating their lower extremities can cause the diaphragm to shift into the thoracic cavity
and decrease the effectiveness of breathing. Therefore, in the case of this child, you should lower the
lower extremities and reassess. A supine position is recommended for any patient in shock, regardless of
age.
As soon as you begin transport of a patient to the hospital, you should:
A) contact medical control.
B) notify the receiving facility.
C) advise dispatch of your status.
D) conduct a detailed examination. ✔✔c
Immediately upon departing the scene with a patient, you should first inform the dispatcher that you
are en route to the hospital. Never leave the dispatcher in the dark, because it is the dispatcher's job
to know which units are available to answer emergency calls. Notifying the receiving facility, contacting
medical control, and performing a detailed assessment of your patient all can occur while you are en
route to the hospital.
A 10-year-old child was struck by a car while crossing the street. He has bilateral femur fractures and
a head injury. His father has been notified and is 20 minutes away from the scene. The EMT should:
A) contact medical control to see if he/she will take custody of the child.
, B) attempt to contact the child's mother to see if she can be there sooner.
C) begin immediate transport and have law enforcement update the father.
D) stabilize the child at the scene until the father arrives and gives
consent. Feedback : ✔✔c
The child in this scenario is critically-injured and needs immediate treatment and transport. In the
interest of the child, it should be presumed that the parents would give consent to treat and transport
if they were at the scene (implied consent). Begin emergency care, transport without delay, and ask a
law enforcement officer to apprise the child's parents of your transport destination.
At the scene of a mass-casualty incident, you notice a bystander who is emotionally upset. An
appropriate action to take would be to:
A) tell the bystander to leave the scene at once.
B) have the bystander assist you with patient care.
C) notify the police and have the bystander removed.
D) assign the bystander a simple, non-patient-care task. ✔✔d
One of the most effective ways to reduce stress in a bystander at the scene of a mass-casualty incident is to
assign the bystander a task that is not related to patient care. This may involve assisting other bystanders
who are having difficulties as well or providing water to the rescuers. An obviously distressed bystander
should not simply be sent away from the scene, but should be looked at as a patient as well. Clearly, if the
bystander becomes aggressive or violent, law enforcement personnel should get involved.
A 52-year-old woman crashed her minivan into a tree. She is pinned at the legs by the steering wheel
and is semiconscious. After gaining access to the patient, you should:
A) perform a primary assessment and provide any lifesaving care before extrication.
B) immediately apply high-flow oxygen to the patient and allow extrication to begin.
C) rapidly assess her from head to toe, obtain vital signs, and apply a cervical collar.
D) have the fire department disentangle the patient and quickly remove her from the car. ✔✔a
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