NREMT Practice Exam Questions and answers 2024, Exams of Nursing

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answers 2024

The umbilical cord is wrapped tightly around the baby's neck and you have tried unsuccessfully to slip the cord over the head. What should your next course of action be? A. Push the baby's head into the vagina until the cord comes loose B. Clamp the cord in two places and cut it in the middle C. Support the head and suction the baby's nose and mouth D. Massage the uterus to stimulate harder contractions to free the baby - correct answer ✅Clamp the cord in two places and cut it in the middle You arrive on scene with your partner to a restaurant where a man was reported to be choking. You enter and find an unconscious cyanotic male on the floor. He is supine with BBQ sauce on his mouth and napkins in his hand. What would you do for this patient? A. Verify apnea, give two slow breaths with high flow O2, and administer back thrusts until the object has been removed

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B. Ask the bystanders what happened. Verify no pulse, and attach the AED. Tell everyone to stand back, and hit analyze following the prompts C. Administer abdominal thrusts, followed by a finger sweep and then administer high flow O2. Monitor patient while transporting D. Head tilt, chin lift, verify apnea and begin compressions. Upon completion of compressions, give two slow breaths looking for chest rise and fall - correct answer ✅Head tilt, chin lift, verify apnea, and begin compressions. Upon completion of compressions give two slow breaths looking for the chest to rise and fall A 73 year old female was in her backyard gardening when she collapsed to the ground. Her husband told 911 that "she is breathing very fast and will not talk to me." You arrive to find the woman lying on her side in the grass. She is breathing at 7 breaths per minute and her pulse is irregular and very thready. Her lungs also present with crackles upon auscultation. As you are taking blood pressure (88/66) the husband tell you that the woman has been having jaw pain and some weakness for 3 days. What is the most likely cause of the woman's condition and how would you treat her?

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A. Hypoperfusion, High flow O2, and transportation into Fowler's position B. Cardiac arrest, treat for shock, and rapid transport C. Cardiogenic shock, assist ventilations, and transport D. Septic shock, transport into a position of comfort with high flow O2 via NRB - correct answer ✅Cardiogenic shock, assist ventilations, and transport One pupil is dilated and the other is constricted would suggest what type of injury? A. Cervical B. Cerebral C. Crovasic

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D. Cellular - correct answer ✅Cerebral A Transient Ischemic Attack (TIA) will usually stop after: A. 30-60 minutes B. 1-2 days C. Proper intervention D. 10-15 minutes - correct answer ✅10-15 minutes Signs and symptoms of Cushing' phenomenon include all of the following except: A. Hypertension B. Tachycardia

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C. Biot respirations D. Central neurogenic hyperventilation - correct answer ✅Tachycardia Which of the following choices is a normal systolic blood pressure in a child? A. Less than 80 mm Hg B. 70 mm Hg C. Greater than 70 mm Hg D. Greater than 120 mm Hg - correct answer ✅Greater than 70 mm Hg You are assessing an 84 year old man. Upon auscultation of the lungs you discover crackles or race sounds. He is complaining of chest pain and congestion. These signs and symptoms can indicate what? A. An embolism

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B. Collapse of the vena cava C. Right ventricular failure D. Left ventricular failure - correct answer ✅Left ventricular failure An EMT may be charged with abandonment if they? A. Don't rescue a patient in a burning building B. Do something to a patient that results in injury to the patient C. Leave a patient without the patient's consent and without equal or higher level care D. Leave a patient who is triaged green to assist a patient who is triaged red - correct answer ✅Leave a patient without the patient's consent and without equal or higher level care

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You have just arrived on scene of a single vehicle accident involving a truck that has slid off the road and rolled. Your patient was driving about 40 mph when he hit an icy spot and went off the road rolling the vehicle one time. After completing your scene size up, which of the following treatment choices would be the most appropriate? A. Check baseline vitals, do a focused exam on the patient's chief complaint B. Perform a detailed physical examination to uncover any life threatening injuries C. Get a SAMPLE history and do a focused physical examination D. Perform a rapid trauma assessment - correct answer ✅Perform a rapid trauma assessment A man had both legs burned on the front and back, along with the fronts of both arms. Approximately what percentage of his body was burned? A. 36%

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B. 45%

C. 50%

D. 54% - correct answer ✅45 percent It's 7:30 AM and you arrive on scene of a two car collision involving atleast 6 patients on a foggy corner of a fairly busy country road. The fire department is not there yet and there is smoke and flames showing from both cars. You can hear people crying and cars are already driving around the wreckage to get past the scene. What steps should you take? A. Begin extrication of the patients while your partner calls for more ambulances B. Get the fire department en route, establish a safety sone and assist in keeping traffic a safe distance away C. Traige the most critically injured first and the extricate them in order of severity

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D. Inform the patients that you are not allowed by law to enter the zone until it is made safe by law enforcement - correct answer ✅Get the fire department en route, establish a safety zone and assist in keeping traffic a safe distance away Why does Nitroglycerin lower the blood pressure? A. Because it reduces the workload on the veins B. Because it dilates the vessels reducing the preload on the heart C. Because the veins are constricted reducing workload on the heart D. It doesn't, it raises it - correct answer ✅Because it dilates the vessels reducing the preload on the heart You arrive on scene with your partner Levi to transport a patient that has been throwing up blood that looked like coffee grounds. This sign would lead you to believe that patient has what?

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A. Esophageal Veracies B. GI bleed C. Pancytopenia D. Hemophagocytic syndrome - correct answer ✅GI bleed You are called to the home of a 91 year old man who has had a syncopal episode and is vomiting. The caregiver who called 911 stated that the patient's bowel movements have been bright red since yesterday. The patient has not complained of any pain, but is nauseated. What is most likely wrong with this man and which choice includes appropriate treatment steps? A. He has an upper GI bleed and should be transported sitting up with high flow O2 administered via a non rebreather mask at 15 LPM

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B. He has pancreatitis and should be given high flow O2 via NRB at 15 LPM. Rapid transport in a left lateral recumbent position while keeping him warm will help avoid shock C. He has had a TIA and should be given high flow oxygen via NRB and transported on his effected side to the nearest hospital D. He has a lower GI bleed and should be given O2 via nasal cannula at 4LPM and transported in a position of comfort while treating - correct answer ✅He has a lower GI bleed and should be given O2 nasal cannula at 4LPM and transported in a position of comfort while treating for shock Which list includes only the "Five Rights" of medication administration? A. Patient, medication, indication, dose, and time B. Medication, dose, time, route, and documentation C. Patient, medication, dose, route, and time

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D. Medication, dose, generic name, route and documentation - correct answer ✅Patient, medication, dose, route and time You have requested helicopter transportation of a critical burn patient. The remote nature of the accident will force the helicopter to land on an incline. From which direction should you approach the helicopter? A. The back B. The front C. The uphill side D. The downhill side - correct answer ✅The downhill slide You and your partner Duval arrive on scene to find a woman who has suffered a blunt trauma to the chest from a swing on a carnival ride. She is having difficulty breathing and upon auscultation you hear nothing on the right side. This woman likely has a___________________________ and would be suffering

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from_____________________________as the collpased lung is incapable of oxygenating any blood. A. Flail chest/ hyperventilation B. Pneumothorax/hypoxia C. Hemoptysis/hypoventilation D. Broken jaw/sever pain - correct answer ✅Pneumothorax/hypoxia You have just arrived on scene to a call of a man down. A man is lying prone on the sidewalk outside of a bar and there are several bystanders who say they witnessed him just fall over forward. As you check his pulse and respirations you find that he is breathing shallow at about 8 per minute and his pulse is 112. What would be the proper choice of action? A. Shake him to see if he wakes up, take his blood pressure, and put a c-collar on him

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B. While maintaining c-spine precautions log roll to a supine position and open his airway C. Do a rapid trauma assessment and then take his blood pressure D. Ask the bystanders if he had been drinking and then log roll him onto a backboard - correct answer ✅While maintaining c-spine precautions log roll hime into a supine position and open his airway Which space in the body will you find the pancreas? A. Subatrial space B. Retroperitoneal space C.Pericardial space D. Peritoneal space - correct answer ✅Retroperitoneal space

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Of the following where shouldn't attention be focused during the secondary assessment of the arms? A. Distal circulation B. Accessory muscle use C. Motor function D. Medical jewelry - correct answer ✅Accessory muscle use What is the area of hazardous contamination known as? A. Green zone B. Yellow zone C. Hot zone

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D. Black zone - correct answer ✅Hot zone A 57 year old woman is complaining of chest pain. Her blood pressure is 109/ and her respirations are at 22 per minute. What condition does the patient's blood pressure indicate? A. Paradoxical pressure B. Systolic trans cardiac eschemia C. Martiners Rules D. Low pulse pressure - correct answer ✅Low pulse pressure With regard to blood pressure, which of the following statements is true? A. Blood pressure is the force exerted on the heart as the right ventricle contracts

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B. Blood pressure is equal to cardiac output divided by peripheral vascular resistance C. Blood pressure has a different affect on the perfusion of the body's tissues D. Blood pressure is the single most important sign during the initial assessment - correct answer ✅Blood pressure has a direct affect on the perfusion on the body's tissues A respiration rate would be considered within normal limits for an adult at_______per minute, for a 6-12 year old child at_______per minute, and for what infant at ______ per minute. A. 22-32- B. 16-25- C. 20-40-

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D. 10-20-40 - correct answer ✅16-25- Which of the following is usually the most dangerous? A. Venous bleed B. Capillary bleed C. Arterial bleed D. Dark red bleeding - correct answer ✅Arterial bleed All of the following are contradictions of oral glucose except: A. Hypoglycemia B. Nausea

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C. Vomiting D. Decreased level of consciousness - correct answer ✅Hypoglycemia Dispatch has called you to the scene of the U.S. mail truck that slid out of the control on a dirt road and rolled over. Bystanders reported the truck has caught on fire and the driver is outside the truck trying to gather the dumped mail. As you arrive on scene the fire department is just getting the fire out and the driver of the truck is standing back watching the smoldering mess. You should: A. Get a SAMPLE history on the driver B. Do a standing backboard technique on the driver C. Do a focused assessment on the driver D. Get the driver to sign a transport refusal form - correct answer ✅Do a standing backboard technique on the driver

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Assault is used to describe behavior that? A. Is threatening B. Causes fear of offensive physical contact C. Attempts offensive physical contact D. All of the above - correct answer ✅All of the above After the baby's head has delivered you should do what? A. Suction the mouth and nose then check if the cord is wrapped around the infant's neck B. Suction the mouth and nose and wait for the mother to push the rest of the baby out C. Support the head and gently pull the baby out

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D. Put the mother on high flow O2 and prepare to deliver the rest of the infant - correct answer ✅Suction the mouth and nose then check if the cord is wrapped around the infant's neck During an assessment of a 78 year old woman you find her skin to be cool, moist, and pale. What would you suspect? A. Hypoperfusion B. Hyperthermia C. Vasovagal D. Hyperglycemia - correct answer ✅Hypoperfusion What should be done to a French tip catheter after suctioning a patient's airway? A. Throw it away

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B. Flush with sterile water in preparation for additional suctioning C. Put it in a sharps container D. Take it home for your kids to play with - correct answer ✅Flush with sterile water in preparation for additional suctioning Rapid breathing is first seen in what stage of shock? A. Compensated B. Decompensated C. Irreversible D. Both A and B - correct answer ✅Compensated

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When transmitting a number with two or more digits you should say the whole number first, followed by: A. Saying it again B. Saying each number individually C. Saying, "Do you copy?" D. Saying it in Spanish - correct answer ✅Saying each number individually You arrive on scene to find a 34-year-old male lying on the ground in a pool of blood. Bright, red blood is spurting from a large cut in his shirt sleeve and he is clutching a knife between his teeth. What should you do first? A. Have your partner distract the patient while you take the knife from him B. Inform the patient you will not hurt him and treat the injury

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C. Call for police backup and then treat the wound D. Leave the scene until police arrive to make the scene safe - correct answer ✅Leave the scene until the police arrive to make the scene safe Upon making patient contact, you notice a large quantity of prescription bottles on the nightstand next to their bed. Which of the letters in the SAMPLE mnemonic is related to the observation? A. A B. P C. L D. E - correct answer ✅P

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Upon assessment of a 55 year old male, you find his blood pressure to be 124/75 his pulse is 122 and his respirations are 18. It would be stated that this man is what? A. Tachypnic B. Erythemic C. Tachycardiac D. Hypertensive - correct answer ✅Tachycardiac Which of the following is considered a sign? A. The patient states she is dizzy B. There is blood in the vomit of the patient C. The patient says she took her insulin