NREMT Cognitive Exam Assessment Test questions
with correct answers
In which of the following situations would you most likely encounter
agonal gasps?
A) ANY PT. WHO IS UNRESPONSIVE DUE TO HYPOXIA
b) occlusion of the posterior pharynx by the tongue
c) shortly after the pt. becomes unresponsive & pulseless
d) significant hypoxemia, regardless of the cause Correct Answer-c)
After an adult cardiac arrest patient has been intubated by a paramedic,
you are providing ventilations as your partner performs chest
compressions. When ventilating the patient, you should
A. deliver 2 breaths during a brief pause in chest compressions.
B. deliver each breath over 1 second at a rate of 10 breaths/min
C. hyperventilate the patient to maximize carbon dioxide elimination.
D. deliver each breath over 2 seconds at a rate of 15 breaths/min. Correct
Answer-B) deliver each breath over 1 second at a rate of 10 breaths/min.
During your assessment of a trauma patient, you note massive facial
injuries, weak radial pulses, and clammy skin. What should be your
MOST immediate concern?
a) potential obstruction of the airway
,b) internal bleeding and severe shock
c) applying 100 % supplemental O2
d) providing rapid transport to a trauma center Correct Answer-a
Clinically, reduced tidal volume would MOST likely present with
respirations that are: Correct Answer-shallow
A patient presents with ineffective breathing that has no identifiable
pattern. What term is used to describe this type of breathing? Correct
Answer-Ataxic
After an initial attempt to ventilate a patient fails, you reposition the
patient's head and reattempt ventilation without success. You should
next
A. perform chest compressions, open the airway, and look into the
mouth
B. use a flow-restricted oxygen-powered ventilation device
C. initiate airway obstruction removal techniques and provide transport
D. continue to reposition the patient's head at the scene until you are able
to secure a patent airway Correct Answer-a
An unresponsive 60-year-old male is apneic and has a weak, rapid pulse.
His O2 saturation reads 79%. You should:
,a) deliver one breath over 1 second every 5 to 6 seconds
b) use a pocket face mask to deliver 12 to 20 breaths / min
c) hyperventilate him until his O2 saturation improves
d) deliver a min. of 10 breaths/min, each over 1 sec. Correct Answer-a
You are ventilating an apneic adult with a BVM device and high-flow
O2. Her pulse rate is 130 beats/min and she has cyanosis to her face &
chest. Which of the following is the MOST reliable indicator of
adequately performed ventilations in this patient?
a) Slight dissipation of her cyanosis
b) noted abdominal rise with each ventilation
c) decreased compliance with each ventilation
d) a decrease in her heart rate to 90 beats/min Correct Answer-d
If an adult patient presents with a respiratory rate of 26 breaths/min,
your initial action should be to:
• A:evaluate his mental status and the depth of his respirations.
• B:begin assisting his ventilations with a bag-mask device.
• C:apply oxygen via a nonrebreathing mask and take his vital signs.
• D:apply the pulse oximeter and assess his oxygen saturation. Correct
Answer-a
Aspirin may be contraindicated in patients with:
, a) glaucoma
b) diabetes
c) stomach ulcers
d) ibuprofen allergy Correct Answer-c) stomach ulcers
A 49-year-old woman presents with a headache, nausea, and ringing in
her ears. She is conscious and alert and states that she has hypertension
and type 2 diabetes. Her BP is 202/114 mmHg, her pulse is 60
beats/min. What should you do?
a) place her in supine
b) give her one tube of oral glucose
c) prepare for immediate transport
d) summon an ALS unit to the scene Correct Answer-c
a...likely only make her headache worse
b...without knowing the blood glucose lvl, this is inappropriate
d...if it does not delay transport (but c is far more important)
Which part of the assessment process would MOST likely provide clues
as to the possible underlying cause of medical pt.'s c.c.?
a) vital signs
b) mental status
with correct answers
In which of the following situations would you most likely encounter
agonal gasps?
A) ANY PT. WHO IS UNRESPONSIVE DUE TO HYPOXIA
b) occlusion of the posterior pharynx by the tongue
c) shortly after the pt. becomes unresponsive & pulseless
d) significant hypoxemia, regardless of the cause Correct Answer-c)
After an adult cardiac arrest patient has been intubated by a paramedic,
you are providing ventilations as your partner performs chest
compressions. When ventilating the patient, you should
A. deliver 2 breaths during a brief pause in chest compressions.
B. deliver each breath over 1 second at a rate of 10 breaths/min
C. hyperventilate the patient to maximize carbon dioxide elimination.
D. deliver each breath over 2 seconds at a rate of 15 breaths/min. Correct
Answer-B) deliver each breath over 1 second at a rate of 10 breaths/min.
During your assessment of a trauma patient, you note massive facial
injuries, weak radial pulses, and clammy skin. What should be your
MOST immediate concern?
a) potential obstruction of the airway
,b) internal bleeding and severe shock
c) applying 100 % supplemental O2
d) providing rapid transport to a trauma center Correct Answer-a
Clinically, reduced tidal volume would MOST likely present with
respirations that are: Correct Answer-shallow
A patient presents with ineffective breathing that has no identifiable
pattern. What term is used to describe this type of breathing? Correct
Answer-Ataxic
After an initial attempt to ventilate a patient fails, you reposition the
patient's head and reattempt ventilation without success. You should
next
A. perform chest compressions, open the airway, and look into the
mouth
B. use a flow-restricted oxygen-powered ventilation device
C. initiate airway obstruction removal techniques and provide transport
D. continue to reposition the patient's head at the scene until you are able
to secure a patent airway Correct Answer-a
An unresponsive 60-year-old male is apneic and has a weak, rapid pulse.
His O2 saturation reads 79%. You should:
,a) deliver one breath over 1 second every 5 to 6 seconds
b) use a pocket face mask to deliver 12 to 20 breaths / min
c) hyperventilate him until his O2 saturation improves
d) deliver a min. of 10 breaths/min, each over 1 sec. Correct Answer-a
You are ventilating an apneic adult with a BVM device and high-flow
O2. Her pulse rate is 130 beats/min and she has cyanosis to her face &
chest. Which of the following is the MOST reliable indicator of
adequately performed ventilations in this patient?
a) Slight dissipation of her cyanosis
b) noted abdominal rise with each ventilation
c) decreased compliance with each ventilation
d) a decrease in her heart rate to 90 beats/min Correct Answer-d
If an adult patient presents with a respiratory rate of 26 breaths/min,
your initial action should be to:
• A:evaluate his mental status and the depth of his respirations.
• B:begin assisting his ventilations with a bag-mask device.
• C:apply oxygen via a nonrebreathing mask and take his vital signs.
• D:apply the pulse oximeter and assess his oxygen saturation. Correct
Answer-a
Aspirin may be contraindicated in patients with:
, a) glaucoma
b) diabetes
c) stomach ulcers
d) ibuprofen allergy Correct Answer-c) stomach ulcers
A 49-year-old woman presents with a headache, nausea, and ringing in
her ears. She is conscious and alert and states that she has hypertension
and type 2 diabetes. Her BP is 202/114 mmHg, her pulse is 60
beats/min. What should you do?
a) place her in supine
b) give her one tube of oral glucose
c) prepare for immediate transport
d) summon an ALS unit to the scene Correct Answer-c
a...likely only make her headache worse
b...without knowing the blood glucose lvl, this is inappropriate
d...if it does not delay transport (but c is far more important)
Which part of the assessment process would MOST likely provide clues
as to the possible underlying cause of medical pt.'s c.c.?
a) vital signs
b) mental status
