NREMT Practice Exam Questions: Emergency Medical Technician Skills and Knowledge, Exams of Health sciences

Download NREMT Practice Exam Questions: Emergency Medical Technician Skills and Knowledge and more Exams Health sciences in PDF only on Docsity! NREMT Practice Exam Questions 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 - 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 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 - 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? 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 - 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 D. Cellular - 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 - 10-15 minutes Signs and symptoms of Cushing' phenomenon include all of the following except: A. Hypertension B. Tachycardia C. Biot respirations D. Central neurogenic hyperventilation - 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 - Greater than 70 mm Hg 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 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 for shock - 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 D. Medication, dose, generic name, route and documentation - 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 - 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 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 - 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 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 - 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 - Retroperitoneal space 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 - Accessory muscle use What is the area of hazardous contamination known as? A. Green zone B. Yellow zone C. Hot zone D. Black zone - Hot zone A 57 year old woman is complaining of chest pain. Her blood pressure is 109/88 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 - 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 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 - 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. 22-32-42 B. 16-25-40 C. 20-40-60 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 - 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 C. Call for police backup and then treat the wound D. Leave the scene until police arrive to make the scene safe - 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 - P 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 - 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 D. The patient states she has a headache - There is blood in the vomit of the patient Meningitis is: A. An infection of the zygote B. Always contagious and proper PPE should be utilized C. A degenerative disease of the feet D. An inflammation of a membrane most often caused by viruses or bacteria - An inflammation of a membrane most often caused by viruses or bacteria If a patient was feeling nauseated this would likely be a _________________________ response. If a person was tachycardia it would likely be a _______________________ response. A. Sympathetic/parasympathetic B. Parasympathetic/ sympathetic C. Fight or flight/ peripheral nervous D. Parasympathetic/ simplistic - Parasympathetic/ sympathetic Your patient is a 41 year old female who was found lying prone in the kitchen. She does not appear to be conscious and there is a pool of saliva next to her head. You and your partner log roll her into a supine position while maintaining c-spine stabilization. Just as you get the woman rolled over her husband tells you that she has a previous history of heart attacks. What would be the most appropriate course of action to take next? A. Have your partner get the AED, attach it to the patient, and analyze B. Verify a palpable pulse, attach the AED, and prepare to analyze C. Do a jaw thrust to open her airway D. Give her a sterna rub to verify consciousness - Do a jaw thrust to open her airway A motor vehicle accident has occurred right in front of your ambulance and requires the patient to be extricated. Your first choice of location to accomplish the rapid extraction would be the what? A. Cut off roof B. Broken window C. Open broken window D. The door - The door What does the mnemonic OPCRST stand for? A. Origin, pertinent medical history, quantity of the discomfort, radiation, severity, and time B. Origin; provocation, palliative, and positioning; quality of discomfort; radiation; signs; and time C. Onset, pertinent past medical history, quality of the discomfort, radiation, symptoms and time D. Onset; provocation, palliative, and positioning; quality of the discomfort; radiation; severity; and time - Onset; provocation, palliative, and position; quality of discomfort; radiation; severity; and time A child between 3-5 would have normal vitals if they were? A. 35 breaths a minute, pulse of 88, and Systolic BP of 100 B. 24 breaths a minute, pulse of 76, and Systolic BP of 98 C. 20 breaths a minute, pulse of 120, and Systolic BP of 120 D. 20 breaths a minute, pulse of 100, and Systolic BP of 110 - 20 breaths per minute, pulse of 100, and Systolic BP of 110 What authority has jurisdiction over radio transmissions made during a call? A. PTA B. FCC C. Infarcted cels D. Eschrum cells - Infarcted cells You arrive on scene with your partner Elija to a multiple vehicle accident where you are the 2nd ambulance to arrive. Scene size up indicates there are 7 patients in 3 cars all requiring extrication. In the first care is a 27 year old woman who is 32 weeks pregnant, conscious, and crying, a 12 year old girl who is screaming and complaining of back pain, and an 8 year old boy who has a facial laceration and open fracture of the tibia who is also conscious but breathing very shallow. In the second car is an 86 year old man who is slumped against the steering wheel with no pulse and has a piece of metal impaled through his head. In the third car are 3 teenagers 17 years of age. The two in the front seat are complaining of neck pain and appear to have and altered level of consciousness. Neither of them were wearing a seatbelt and both have contusions on their foreheads. In the back seat is the last occupant, a girl who said she was having a seizure and vomiting earlier so her friends were taking her to the hospital. She was wearing her seat belt and has no sign of injury. Who should be receiving treatment first? A. The pregnant woman B. The 8 year old boy C. The 86 year old man D. The vomiting teenager - The 8 year old boy Signs and symptoms of concussion include all of the following except: A. Discoloration around eyes and ears B. Delayed motor and verbal responses C. Inappropriate emotional responses D. Inability to recall simple concepts and words - Discoloration around eyes and ears You and your partner Pepe arrive on scene to find a man in his early twenties with a large gash on his forearm that is spurting blood. You immediately apply pressure with your gloved hand as Pepe hands you a trauma dressing. The patient is pale with a weak rapid pulse and respirations of 30 breaths per minute. As you are finishing your initial assessment and bandaging the wound the PT tells you to "get away" from him. Your best course of action would be to do what? A. Have Pepe wrestle him onto the stretcher B. Explain the patient that you are almost finished bandaging the wound and you will leave him alone then C. Stop bandaging the wound and call for police assistance in restraining the patient in transport D. Tell the patient you cannot leave him until the wound is bandaged and the restrain him to the stretcher - Explain to the patient that you are almost finished bandaging his wound and you will leave him alone then