LIMMER SOLUTIONS NREMT FINAL
EXAM 1 VERIFIED QUESTIONS AND
SOLUTIONS
After a serious call in which children lost their lives, the supervisor should offer to b
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ring together all crews on the scene in order to conduct
vc vc vc vc vc vc vc vc vc vc
protocol compliance. vc
quality assurance. vc
emotional defusing. vc
outcome debriefings. - ANSWERS-emotional defusing
vc vc vc vc
A diabetic patient who has hyperglycemia will most likely present with
vc vc vc vc vc vc vc vc vc vc
puerile breathing. vc
Cheyne-Stokes respirations. vc
Kussmaul's respirations. vc
Biot's breathing. - ANSWERS-Kussmaul's respirations
vc vc vc vc
As EMS approaches a 54-year-
vc vc vc vc
old patient, the patient makes a fist and points at them. To attempt to de-
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
escalate the situation, the EMT should next
vc vc vc vc vc vc
call law enforcement.
vc vc
back away and develop rapport.
vc vc vc vc
ask the patient why they are angry with EMS.
vc vc vc vc vc vc vc vc
prepare to restrain the patient. - ANSWERS-back away and develop rapport
vc vc vc vc vc vc vc vc vc vc
The most common problem associated with a failure to obtain a proper mask seal
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
when ventilating a patient is due to
vc vc vc vc vc vc
the hands of the provider being too small to secure the mask
vc vc vc vc vc vc vc vc vc vc vc
not enough pressure on the mask over the bridge of the nose.
vc vc vc vc vc vc vc vc vc vc vc
not maintaining an open airway.
vc vc vc vc
improper mask size selected. - ANSWERS-not maintaining an open airway
vc vc vc vc vc vc vc vc vc
An 85-year-vc
old patient had a syncopal episode and is unable to stand up. During the secondar
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
y assessment, a pulsating mass is observed in the abdomen, which matches the p
vc vc vc vc vc vc vc vc vc vc vc vc vc
atient's pulse rate. The EMT should treat them for
vc vc vc vc vc vc vc vc
orthostatic hypotension. vc
an aortic dissection.
vc vc
dehydration.
peritoneal bleeding. - ANSWERS-an aortic dissection
vc vc vc vc vc
An unresponsive 74-year-
vc vc
old patient collapsed suddenly and has gurgling respirations and left-
vc vc vc vc vc vc vc vc vc
sided weakness. After managing the airway, equal chest rise is observed at a rate
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
of 12. While preparing for transport, the EMT should
vc vc vc vc vc vc vc vc
assist the patient's ventilation with a BVM at 20/minute.
vc vc vc vc vc vc vc vc
,administer aspirin, 160 mg. vc vc vc
place oral glucose in the patient's mouth.
vc vc vc vc vc vc
place the patient in the recovery position on the stretcher. - ANSWERS-
vc vc vc vc vc vc vc vc vc vc vc
place the patient in the recovery position on the stretcher
vc vc vc vc vc vc vc vc vc
An EMT is responding to a large multi-
vc vc vc vc vc vc vc
casualty incident about 30 minutes after it started. When they arrive, they should re
vc vc vc vc vc vc vc vc vc vc vc vc vc
port to the vc vc
Transportation Unit. vc
location designated by dispatch. vc vc vc
Operations Section Chief. vc vc
Incident Commander. - ANSWERS-location designated by dispatch
vc vc vc vc vc vc
When a patient tells an EMT their chief complaint and continues to provide many s
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
pecifics regarding their disease, the EMT can best develop empathy, respect, and
vc vc vc vc vc vc vc vc vc vc vc vc
open communication with them by using
vc vc vc vc vc
medical terminology. vc
reflection.
explanations.
sympathy. - ANSWERS-reflection vc vc
Which of the following helps to determine a patient's capacity to refuse care?
vc vc vc vc vc vc vc vc vc vc vc vc
They are oriented to time, person, and place
vc vc vc vc vc vc vc
They explain they have no complaints of pain or illness
vc vc vc vc vc vc vc vc vc
They permit a complete physical exam
vc vc vc vc vc
They tell you they have not consumed alcohol or drugs - ANSWERS-
vc vc vc vc vc vc vc vc vc vc vc
They are oriented to time, person, and place (Orientation to person, place and time
vc vc vc vc vc vc vc vc vc vc vc vc vc v
forms the basis for capacity (ability to understand and make informed decisions). P
c vc vc vc vc vc vc vc vc vc vc vc vc
ersonal testimony isn't reliable. Permitting you to preform a physical exam is wise,
vc vc vc vc vc vc vc vc vc vc vc vc vc
but occult injuries are not always found. However, try to obtain permission and doc
vc vc vc vc vc vc vc vc vc vc vc vc vc
ument what you have found and pertinent negatives.)
vc vc vc vc vc vc vc
A 65-year-old patient awoke at 3:00 a.m. coughing up blood-
vc vc vc vc vc vc vc vc vc
tinged sputum. When EMS arrives, the patient is sitting up in bed, and their skin is
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
diaphoretic with diffuse cyanosis. The vital signs are P 102, R 16, BP 96/82, and S
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
pO2 is 88% on room air. The EMT should first
vc vc vc vc vc vc vc vc vc
lay the patient flat.
vc vc vc
assist the patient's ventilations.
vc vc vc
administer oxygen by non-rebreather mask. vc vc vc vc
administer nitroglycerin. - ANSWERS-administer oxygen by non-rebreather mask
vc vc vc vc vc vc vc
An unresponsive patient is locked in a car after a crash. The quickest way to enter
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
the car is to
vc vc vc
use a prybar to open the door.
vc vc vc vc vc vc
open the door with a hydraulic spreader.
vc vc vc vc vc vc
remove the windshield. vc vc
break a window opposite the patient. - ANSWERS-
vc vc vc vc vc vc vc
break a window opposite the patient
vc vc vc vc vc
, A 69-year-
vc
old patient is in cardiac arrest. After a shock has been delivered, the EMT should n
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ext
push the analyze button.
vc vc vc
begin chest compressions. vc vc
ventilate the patient. vc vc
check for a pulse. - ANSWERS-begin chest compressions
vc vc vc vc vc vc vc
While delivering a baby, as the head emerges, the EMT should next
vc vc vc vc vc vc vc vc vc vc vc
press gently above the mother's pubis.
vc vc vc vc vc
suction the mouth and nose. vc vc vc vc
assist in the delivery of the posterior shoulder.
vc vc vc vc vc vc vc
check for a nuchal cord. - ANSWERS-check for a nuchal cord
vc vc vc vc vc vc vc vc vc vc
An unresponsive 18-year-old patient was ejected from a roll-
vc vc vc vc vc vc vc vc
over car crash. There is a scalp laceration that has coagulated, an angled left uppe
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
r leg, and a hematoma over the right parietal area of the skull. The EMT's priority o
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
f care should be
vc vc vc
chest trauma. vc
fracture management. vc
rapid transport. vc
hemorrhage control. - ANSWERS-rapid transport vc vc vc vc
An EMT is the first to arrive on the scene at a roll-
vc vc vc vc vc vc vc vc vc vc vc vc
over crash of a tour bus. The EMT should first
vc vc vc vc vc vc vc vc vc
assess the stability of the bus. vc vc vc vc vc
look for hazards to the EMT and passengers.
vc vc vc vc vc vc vc
implement the Incident Command System. vc vc vc vc
determine how many passengers can walk. - ANSWERS- vc vc vc vc vc vc vc
implement the Incident Command System vc vc vc vc
Which of the following immobilization techniques will provide the best pain relief for
vc vc vc vc vc vc vc vc vc vc vc vc vc
a fractured clavicle?
vc vc
Ladder type splint vc vc
Securing both humeri to the chest vc vc vc vc vc
An air splint
vc vc
Sling and swathe - ANSWERS-Sling and swathe
vc vc vc vc vc vc
Upon arrival, two Emergency Medical Responders are performing CPR on an apnei
vc vc vc vc vc vc vc vc vc vc vc
c and pulseless 63-year-old patient. The EMT should first
vc vc vc vc vc vc vc vc
check for a pulse. vc vc vc
ventilate the patient with a BVM. vc vc vc vc vc
attach the AED and analyze the rhythm.
vc vc vc vc vc vc
complete one cycle of CPR. - ANSWERS-attach the AED and analyze the rhythm
vc vc vc vc vc vc vc vc vc vc vc vc
Each of the following are signs occurring in a patient who has dyspnea. Drag them
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
into the categories depending on whether the sign indicates respiratory failure or re
vc vc vc vc vc vc vc vc vc vc vc vc
spiratory distress. vc
Low Tidal Volumevc vc
Spo2 of 91% vc vc
EXAM 1 VERIFIED QUESTIONS AND
SOLUTIONS
After a serious call in which children lost their lives, the supervisor should offer to b
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ring together all crews on the scene in order to conduct
vc vc vc vc vc vc vc vc vc vc
protocol compliance. vc
quality assurance. vc
emotional defusing. vc
outcome debriefings. - ANSWERS-emotional defusing
vc vc vc vc
A diabetic patient who has hyperglycemia will most likely present with
vc vc vc vc vc vc vc vc vc vc
puerile breathing. vc
Cheyne-Stokes respirations. vc
Kussmaul's respirations. vc
Biot's breathing. - ANSWERS-Kussmaul's respirations
vc vc vc vc
As EMS approaches a 54-year-
vc vc vc vc
old patient, the patient makes a fist and points at them. To attempt to de-
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
escalate the situation, the EMT should next
vc vc vc vc vc vc
call law enforcement.
vc vc
back away and develop rapport.
vc vc vc vc
ask the patient why they are angry with EMS.
vc vc vc vc vc vc vc vc
prepare to restrain the patient. - ANSWERS-back away and develop rapport
vc vc vc vc vc vc vc vc vc vc
The most common problem associated with a failure to obtain a proper mask seal
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
when ventilating a patient is due to
vc vc vc vc vc vc
the hands of the provider being too small to secure the mask
vc vc vc vc vc vc vc vc vc vc vc
not enough pressure on the mask over the bridge of the nose.
vc vc vc vc vc vc vc vc vc vc vc
not maintaining an open airway.
vc vc vc vc
improper mask size selected. - ANSWERS-not maintaining an open airway
vc vc vc vc vc vc vc vc vc
An 85-year-vc
old patient had a syncopal episode and is unable to stand up. During the secondar
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
y assessment, a pulsating mass is observed in the abdomen, which matches the p
vc vc vc vc vc vc vc vc vc vc vc vc vc
atient's pulse rate. The EMT should treat them for
vc vc vc vc vc vc vc vc
orthostatic hypotension. vc
an aortic dissection.
vc vc
dehydration.
peritoneal bleeding. - ANSWERS-an aortic dissection
vc vc vc vc vc
An unresponsive 74-year-
vc vc
old patient collapsed suddenly and has gurgling respirations and left-
vc vc vc vc vc vc vc vc vc
sided weakness. After managing the airway, equal chest rise is observed at a rate
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
of 12. While preparing for transport, the EMT should
vc vc vc vc vc vc vc vc
assist the patient's ventilation with a BVM at 20/minute.
vc vc vc vc vc vc vc vc
,administer aspirin, 160 mg. vc vc vc
place oral glucose in the patient's mouth.
vc vc vc vc vc vc
place the patient in the recovery position on the stretcher. - ANSWERS-
vc vc vc vc vc vc vc vc vc vc vc
place the patient in the recovery position on the stretcher
vc vc vc vc vc vc vc vc vc
An EMT is responding to a large multi-
vc vc vc vc vc vc vc
casualty incident about 30 minutes after it started. When they arrive, they should re
vc vc vc vc vc vc vc vc vc vc vc vc vc
port to the vc vc
Transportation Unit. vc
location designated by dispatch. vc vc vc
Operations Section Chief. vc vc
Incident Commander. - ANSWERS-location designated by dispatch
vc vc vc vc vc vc
When a patient tells an EMT their chief complaint and continues to provide many s
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
pecifics regarding their disease, the EMT can best develop empathy, respect, and
vc vc vc vc vc vc vc vc vc vc vc vc
open communication with them by using
vc vc vc vc vc
medical terminology. vc
reflection.
explanations.
sympathy. - ANSWERS-reflection vc vc
Which of the following helps to determine a patient's capacity to refuse care?
vc vc vc vc vc vc vc vc vc vc vc vc
They are oriented to time, person, and place
vc vc vc vc vc vc vc
They explain they have no complaints of pain or illness
vc vc vc vc vc vc vc vc vc
They permit a complete physical exam
vc vc vc vc vc
They tell you they have not consumed alcohol or drugs - ANSWERS-
vc vc vc vc vc vc vc vc vc vc vc
They are oriented to time, person, and place (Orientation to person, place and time
vc vc vc vc vc vc vc vc vc vc vc vc vc v
forms the basis for capacity (ability to understand and make informed decisions). P
c vc vc vc vc vc vc vc vc vc vc vc vc
ersonal testimony isn't reliable. Permitting you to preform a physical exam is wise,
vc vc vc vc vc vc vc vc vc vc vc vc vc
but occult injuries are not always found. However, try to obtain permission and doc
vc vc vc vc vc vc vc vc vc vc vc vc vc
ument what you have found and pertinent negatives.)
vc vc vc vc vc vc vc
A 65-year-old patient awoke at 3:00 a.m. coughing up blood-
vc vc vc vc vc vc vc vc vc
tinged sputum. When EMS arrives, the patient is sitting up in bed, and their skin is
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
diaphoretic with diffuse cyanosis. The vital signs are P 102, R 16, BP 96/82, and S
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
pO2 is 88% on room air. The EMT should first
vc vc vc vc vc vc vc vc vc
lay the patient flat.
vc vc vc
assist the patient's ventilations.
vc vc vc
administer oxygen by non-rebreather mask. vc vc vc vc
administer nitroglycerin. - ANSWERS-administer oxygen by non-rebreather mask
vc vc vc vc vc vc vc
An unresponsive patient is locked in a car after a crash. The quickest way to enter
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
the car is to
vc vc vc
use a prybar to open the door.
vc vc vc vc vc vc
open the door with a hydraulic spreader.
vc vc vc vc vc vc
remove the windshield. vc vc
break a window opposite the patient. - ANSWERS-
vc vc vc vc vc vc vc
break a window opposite the patient
vc vc vc vc vc
, A 69-year-
vc
old patient is in cardiac arrest. After a shock has been delivered, the EMT should n
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ext
push the analyze button.
vc vc vc
begin chest compressions. vc vc
ventilate the patient. vc vc
check for a pulse. - ANSWERS-begin chest compressions
vc vc vc vc vc vc vc
While delivering a baby, as the head emerges, the EMT should next
vc vc vc vc vc vc vc vc vc vc vc
press gently above the mother's pubis.
vc vc vc vc vc
suction the mouth and nose. vc vc vc vc
assist in the delivery of the posterior shoulder.
vc vc vc vc vc vc vc
check for a nuchal cord. - ANSWERS-check for a nuchal cord
vc vc vc vc vc vc vc vc vc vc
An unresponsive 18-year-old patient was ejected from a roll-
vc vc vc vc vc vc vc vc
over car crash. There is a scalp laceration that has coagulated, an angled left uppe
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
r leg, and a hematoma over the right parietal area of the skull. The EMT's priority o
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
f care should be
vc vc vc
chest trauma. vc
fracture management. vc
rapid transport. vc
hemorrhage control. - ANSWERS-rapid transport vc vc vc vc
An EMT is the first to arrive on the scene at a roll-
vc vc vc vc vc vc vc vc vc vc vc vc
over crash of a tour bus. The EMT should first
vc vc vc vc vc vc vc vc vc
assess the stability of the bus. vc vc vc vc vc
look for hazards to the EMT and passengers.
vc vc vc vc vc vc vc
implement the Incident Command System. vc vc vc vc
determine how many passengers can walk. - ANSWERS- vc vc vc vc vc vc vc
implement the Incident Command System vc vc vc vc
Which of the following immobilization techniques will provide the best pain relief for
vc vc vc vc vc vc vc vc vc vc vc vc vc
a fractured clavicle?
vc vc
Ladder type splint vc vc
Securing both humeri to the chest vc vc vc vc vc
An air splint
vc vc
Sling and swathe - ANSWERS-Sling and swathe
vc vc vc vc vc vc
Upon arrival, two Emergency Medical Responders are performing CPR on an apnei
vc vc vc vc vc vc vc vc vc vc vc
c and pulseless 63-year-old patient. The EMT should first
vc vc vc vc vc vc vc vc
check for a pulse. vc vc vc
ventilate the patient with a BVM. vc vc vc vc vc
attach the AED and analyze the rhythm.
vc vc vc vc vc vc
complete one cycle of CPR. - ANSWERS-attach the AED and analyze the rhythm
vc vc vc vc vc vc vc vc vc vc vc vc
Each of the following are signs occurring in a patient who has dyspnea. Drag them
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
into the categories depending on whether the sign indicates respiratory failure or re
vc vc vc vc vc vc vc vc vc vc vc vc
spiratory distress. vc
Low Tidal Volumevc vc
Spo2 of 91% vc vc
