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NREMT CERTIFICATION FINAL EXAM 300 COMPLEX,
HIGH-YIELD PRACTICE QUESTIONS WITH DETAILED
ANSWERS AND RATIONALES MIXED FORMAT - ALL
TOPICS RANDOMIZED NREMT CERTIFICATION WITH
300 REAL EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS/ ALREADY GRADED A+ (MOST
RECENT!!)
1. You arrive on the scene of an incident where a 16-year-old male fell
approximately 12 feet. That would be considered:
A. A trauma alert
B. A significant mechanism of injury
C. Not a significant mechanism of injury
D. A case with a load 'n' go patient
Answer: C. Not a significant mechanism of injury
Rationale: A patient over the age of 8 is considered an adult for most medical
care purposes. A fall of greater than 20 feet is considered a significant
mechanism of injury in adults. If this had been an infant or child, it would have
been a significant mechanism of injury since any fall greater than 10 feet
would be considered significant.
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2. When assessing a 35-year-old patient complaining she is short of breath,
you note that her breathing is in excess of 28 times per minute. This is
considered:
A. Neuropnea
B. Apnea
C. Bradypnea
D. Tachypnea
Answer: D. Tachypnea
Rationale: Respiratory rates greater than 20 breaths per minute are
considered tachypnea. Less than 12 breaths per minute is bradypnea, and
absent breathing is apnea.
3. The AED is used to treat patients in:
A. Asystole
B. Ventricular tachycardia with a pulse
C. Ventricular fibrillation
D. Pulseless electrical activity
Answer: C. Ventricular fibrillation
Rationale: The AED is used to treat ventricular fibrillation and pulseless
ventricular tachycardia. It is not used for asystole or pulseless electrical
activity.
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4. You arrive on the scene of a patient who fell from a ladder. You should
open the patient's airway by using:
A. Head-tilt/chin-lift
B. Jaw thrust maneuver
C. Neck-lift/head-tilt
D. Head-tilt/jaw-thrust
Answer: B. Jaw thrust maneuver
Rationale: The jaw thrust maneuver is used to open the airway of a patient
with a suspected spinal injury. A fall from a ladder is a significant mechanism
of injury that raises suspicion for spinal injury.
5. You arrive on the scene, finding an unconscious patient. There are no other
individuals in the vicinity to give any other information or permission to treat
the patient. Even though the patient cannot give you consent to treat him,
you begin to do so because of:
A. Expressed consent
B. Implied consent
C. Advanced directives
D. Emergency consent
Answer: B. Implied consent
Rationale: Implied consent is assumed when a patient is unconscious or
unable to give consent, and a reasonable person would consent to life-saving
treatment. It is based on the legal assumption that the patient would want
treatment.
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6. 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
Answer: B. Pinch the nostrils and have the patient lean forward
Rationale: Epistaxis is a nosebleed. In these cases you should have the patient
pinch their nose and lean forward to prevent blood from draining into the
throat and causing nausea or airway obstruction.
7. 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
Answer: D. Assess level of consciousness
Rationale: The first step in patient care is to assess the level of consciousness
to determine the patient's responsiveness and guide further assessment and
treatment.
NREMT CERTIFICATION FINAL EXAM 300 COMPLEX,
HIGH-YIELD PRACTICE QUESTIONS WITH DETAILED
ANSWERS AND RATIONALES MIXED FORMAT - ALL
TOPICS RANDOMIZED NREMT CERTIFICATION WITH
300 REAL EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS/ ALREADY GRADED A+ (MOST
RECENT!!)
1. You arrive on the scene of an incident where a 16-year-old male fell
approximately 12 feet. That would be considered:
A. A trauma alert
B. A significant mechanism of injury
C. Not a significant mechanism of injury
D. A case with a load 'n' go patient
Answer: C. Not a significant mechanism of injury
Rationale: A patient over the age of 8 is considered an adult for most medical
care purposes. A fall of greater than 20 feet is considered a significant
mechanism of injury in adults. If this had been an infant or child, it would have
been a significant mechanism of injury since any fall greater than 10 feet
would be considered significant.
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2. When assessing a 35-year-old patient complaining she is short of breath,
you note that her breathing is in excess of 28 times per minute. This is
considered:
A. Neuropnea
B. Apnea
C. Bradypnea
D. Tachypnea
Answer: D. Tachypnea
Rationale: Respiratory rates greater than 20 breaths per minute are
considered tachypnea. Less than 12 breaths per minute is bradypnea, and
absent breathing is apnea.
3. The AED is used to treat patients in:
A. Asystole
B. Ventricular tachycardia with a pulse
C. Ventricular fibrillation
D. Pulseless electrical activity
Answer: C. Ventricular fibrillation
Rationale: The AED is used to treat ventricular fibrillation and pulseless
ventricular tachycardia. It is not used for asystole or pulseless electrical
activity.
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4. You arrive on the scene of a patient who fell from a ladder. You should
open the patient's airway by using:
A. Head-tilt/chin-lift
B. Jaw thrust maneuver
C. Neck-lift/head-tilt
D. Head-tilt/jaw-thrust
Answer: B. Jaw thrust maneuver
Rationale: The jaw thrust maneuver is used to open the airway of a patient
with a suspected spinal injury. A fall from a ladder is a significant mechanism
of injury that raises suspicion for spinal injury.
5. You arrive on the scene, finding an unconscious patient. There are no other
individuals in the vicinity to give any other information or permission to treat
the patient. Even though the patient cannot give you consent to treat him,
you begin to do so because of:
A. Expressed consent
B. Implied consent
C. Advanced directives
D. Emergency consent
Answer: B. Implied consent
Rationale: Implied consent is assumed when a patient is unconscious or
unable to give consent, and a reasonable person would consent to life-saving
treatment. It is based on the legal assumption that the patient would want
treatment.
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6. 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
Answer: B. Pinch the nostrils and have the patient lean forward
Rationale: Epistaxis is a nosebleed. In these cases you should have the patient
pinch their nose and lean forward to prevent blood from draining into the
throat and causing nausea or airway obstruction.
7. 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
Answer: D. Assess level of consciousness
Rationale: The first step in patient care is to assess the level of consciousness
to determine the patient's responsiveness and guide further assessment and
treatment.
