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NREMT Practice Questions With Complete
Solution(Graded A+)
1. You arrive to find a 48 year old male complaining that his chest feels heavy. The patient is awake and
talking to you. During your assessment, you note that his skin is pale, cool, and clammy. Your first step is to:
A. apply your AED
B. administer supplemental oxygen
C. obtain a past medical history
D. assist the patient in taking his neighbor's nitroglycerin: B
(Your first step is to administer supplemental oxygen. When treating chest pain, it is important to get oxygen to the patient as soon as possible to help alleviate damage to the heart muscle.)
2. Which of the following is the correct flow of blood through the heart and lungs?
A. inferior/superior vena cavae, lungs, right atrium, right ventricle, left venntri- cle, aorta
B. inferior/superior vena cavae, left atrium, left ventricle, lungs, right atrium, left ventricle, aorta
C. inferior/superior vena cavae, lings, aorta, left atrium, left ventricle, right atrium, left ventricle
D. inferior/superior vena cavae, right atrium, right ventricle, lungs, left ventri- cle, aorta: D
3. The mitral or bicuspid valve,
A. prevents blood from back flowing into the left atrium
B. prevents blood from back flowing into the right atrium
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C. prevents the blood from back flowing into the lungs
D. is located between the left atrium and the right ventricle: A
(The mitral or bicuspid valve is located between the left atrium and the left atrium and the left ventricle. It prevents the blood from back flowing into the left atrium.)
4. Which of the following is NOT true of the treatment of an impaled object?
A. remove if blocking the airway
B. stabilize in place
C. remove to accommodate transport of the patient
D. control the bleeding: C
(The treatment of a patient with an impaled object includes: securing the object in place, exposing the wound area, controlling bleeding, and using a bulky dressing to help stabilize the object. The only time it is permissible to remove an impaled object is if it is impeding the breathing of a patient.)
5. The electrical impulse generated in the right atrium is called the:
A. atrioventricular node
B. purkinje fibers
C. sinoatriual node
D. bundle of his: C
6. You are treating a patient that has been involved in a motor vehicle accident. You can lift a flap of skin on the
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A. respiratory depression
B. seizures
C. hypertension
D. hyperactivity: A
10. Which of the following is NOT an imminent sign that birthing is going to occur?
A. crowning has occurred
B. contractions are 5 minutes apart
C. the patient feels the infant's head moving down her birth canal
D. the patient's abdomen is very hard: B
11. Which of the following patient characteristics does NOT represent a potential for violence?
A. quick irregular movements
B. threatening posture
C. large, muscular individual
D. loud, thunderous voice: C
12. There are hollow and solid organs in the abdomen. The gallbladder is consid- ered a hollow organ. A
ruptured hollow organ such as the gallbladder is most commonly associated with:
A. severe bleeding
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B. inflammation and infection
C. gall stones
D. appendicitis: B
13. A 29 year old male has taken LSD. The patient appears very anxious and in a panic state. He is
showing signs of paranoia. You should:
A. agree withe everything the patient says
B. restrain the patient
C. be aggressive and talk very straight and stern to the patient
D. talk the patient down by reassuring the patient: D
14. The most serious side effect of alcohol consumption is:
A. liver damage
B. hepatitis
C. death
D. loss of consciousness: C
15. You arrive on the scene of an incident where a 16 year old male fell approx- imately 12 feet. That
would be considered:
A. a trauma alert
7 / 58 to treat him, you begin to do so because of"
A. expressed consent
B. implied consent
C. advanced directives
D. emergency consent: B
19. The AED is used to treat patients in:
A. asystole
B. ventricular tachycardia with a pulse
C. ventricular fibrillation
D. pulseless electrical activity: C
20. You arrive on the scene to discover a 65-year-old female lying on the floor of her living room. Your
first step in the care of this patient is to"
A. begin chest compressions
B. apply the AED
C. maintain an open airway
D. assess level of consciousness: D
21. You arrive on the scene to find an unconscious patient about 14 years of age. Where would you assess
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A. carotid artery
B. brachial artery
C. femoral artery
D. radial artery: A
22. The appropriate care for a patient with epistaxis is to:
A. have the patient lay down and remain calm
B. pinch the nostrils and have the patient lean forward
C. pinch the nostrils and have the patient lean back
D.have the patient lay in a supine position with his head lower than the body: B (Epistaxis is a nose bleed. In these cases you
should have the patient pinch their nose and lean forward.)
23. During your assessment of a patient's chest you note that the left side of the chest moves opposite to
the right. This is called:
A. crepitus
B. paradigmal motion
C. subcutaneous emphysema
D. paradoxical movement: D
24. A minute after a baby is born, the heart rate is less than 60 beat per minute. You should:
A. blow by oxygen
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B. volume of air that remains in the upper airway
C. total volume of air that the lungs are capable of holding
D. volume of air moved in and out of the lungs each minute: A (average is 500 ml)
28. During transport of a patient with a head injury, what assessment factor will provide you with the
most information regarding the patient's condition?
A. pupil size
B. heart rate
C. mental status
D. blood pressure: C
29. Which of the following would findings would be most significant during an assessment of a patient
with a severe headache?
A. pain in both legs
B. chest discomfort
C. unilateral weakness
D. abdominal tenderness: C
30. Seizures in children most often are the result of:
A. a life threatening infection
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B. a temperature greater than 102 F
C. an abrupt rise in body temperature
D. an inflammatory process in the brain: C
31. A 34-year-old woman, who is 36 weeks pregnant, is having a seizure. After you protect her airway
and ensure adequate ventilation, you should transport her:
A. on her left side
B. in the prone position
C. in the supine position
D. in a semisitting position: A
32. Snoring respirations are most rapidly managed by
A. suctioning the oropharynx
B. initiating assisted ventilations
C. correctly positioning the head
D. inserting an oropharyngeal airway: C
33. The scene size-up includes all of the following components, except:
A. determining scene safety
B. applying personal protective gear
C. assessing the need for assistance
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B. cover the eyes
C. suction the nose
D. suction the mouth: D
37. Which of the following conditions would most likely cause flushed skin?
A. shock
B. hypoxia
C. exposure to heat
D. low blood pressure: C
(Flushed or red skin commonly is seen in patients who are exposed to heat. Fever can also cause flushed skin. Shock and low blood pressure generally cause the skin to become pale, and hypoxia causes cyanosis, a bluish-gray tint to the skin.)
38. After a patient has a seizure, they will have a gradual state of awakening. This phase of a seizure is
called:
A. the tonic phase
B. the postictal phase
C. the clonic phase
D. an aura: B
39. The process of losing heat through direct contact is called:
A. radiation
B. convection
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C. conduction
D. evaporation: C
40. You are called to assist s SCUBA diver who is having trouble breathing. The patient states that it
started approximately 15 minutes after she surfaced. She complains of chest pain, dizziness, blurred vision and nausea and vomiting. The patient is most likely suffering from:
A. pneumothorax
B. decompression sickness
C. barotrauma
D. an air embolism: D
(Any of these could be associated with dive incidents but these signs and symptoms are indicative of an air embolism. Divers who sutter from decompression sickness, or the bends, typically do not develop signs and symptoms of the bends for 12 to 24 hours after their dive. Barotrauma usually occurs as the diver is ascending or descending.)
41. You are called to the home of a 20-year-old male who is depressed. The patient states he is going to
kill himself. Your first step in treating this patient after the scene is safe is to:
A. restrain the patient to prevent him from hurting himself
B. ask the patient why he wants to do something so stupid
C. ask the patient how he plans t kill himself
D. turn the scene over to law enforcement: C
(At this point, the scene is safe and the patient does not appear to be a threat to anyone. Restraining him would not be appropriate. No matter how you feel about what the
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D. continue to assist the patient with ventilations via a BVM and oxygen: D
45. Which of the following arryhythmias should be shocked using an AED?
A. asystole
B. ventricular tachycardia
C. pulseless electrial activity
D. atrial fibrillation: B
46. A soft-tissue injury that results in a flap of torn skin is referred to as:
A. an incision
B. an avulsion
C. an abrasion
D. a laceration: B
47. When is it most appropriate to clamp and cut the umbilical cord?
A. as soon as the cord stops pulsating
B. after the placenta has completely delivered
C. before the newborn has taken its first breath
D. immediately following delivery of the newborn: A
48. You are treating a patient with a fractured femur. The most appropriate splint to use for this patient
would be:
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A. a ladder splint
B. the other leg
C. two board splint
D. a traction splint: D
(A traction splint is used for femur fractures. Ladder splints are used for angulated fractures. Board splints are good to use for extremity fractures.)
49. Albuterol is a medication administered by:
A. injection
B. inhalation
C. absorption
D. orally: B
(Albuterol is a bronchodilator)
50. You arrive on the scene of a tanker truck carrying a hazardous material. You should position your
vehicle:
A. 2,000 feet from the tanker truck
B. uphill
C. upwind
D. all of the above: D
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54. When established a landing zone for a medical helicopter, the minimum area secured should be
A. 100' x 100'
B. 200' x 200'
C. 50' x 50'
D. 60' x 60': A
55. A 20-year-old patient was sexually assaulted. The patient states that she is hemorrhaging profusely
from the vagina. You should
A. do nothing and transport immediately
B. apply a sterile sanitary napkin
C. pack the vagina with sterile dressings
D. have the patient squeeze her leg together and transport immediately: B
56. A 45-year-old male was involved in a MVA. The patient is complaining of shortness of breath and
chest pain. You recognize that the patient has JVD and the patient's pulse is weak and thready. You believe the patient has a pericardial tamponade. You distinguish that this is the problem with the patient by nothing or discovering
A. decreased heart sounds
B. patient has JVD
C. narrowing pulse pressure
D. patient is complaining of chest pain: C
57. You arrive on scene to find a patient who had a productive cough for the past two weeks. The patient is
20 / 58 complaining of a fever and night sweats. Your next step would be to
A. obtain a better medical history
B. obtain vital signs
C. immediately transport the patient to the hospital
D. put the HEPA mask on: D
58. You arrive at an emergency room to find that the nurses are busy taking care of other patients. You are
getting off shift and want to get back to the station. You and your partner move the patient into a hospital bed, lay the report on the bed with the patient, and leave. You and your partner have just committed
A. abandonment
B. negligence
C. appropriate patient care
D. vicarious liability: A
59. Which artery do you typically assess on an infant?
A. brachial artery
B. carotid artery
C. femoral artery
D. radial artery: A
