NREMT Practice Test Bank -
b b b b
Multiple Choice with correct answers 20
b b b b b b
24
Hypoglycemiabandbacutebischemicbstrokebcanbpresentbsimilarlybbecause:
•bA:bothboxygenbandbglucosebarebneededbforbbrainbfunction.
•bB:thebmajoritybofbstrokebpatientsbhavebabhistorybofbdiabetes.
•bC:thebmostbcommonbcausebofbabstrokebisbhypoglycemia.
•bD:theybarebbothbcausedbbyblowblevelsbofbglucosebinbthebblood.b-banswers-
•bA:bothboxygenbandbglucosebarebneededbforbbrainbfunction.
Reason:bAlthoughbstrokebandbhypoglycemiabarebtwobdistinctlybdifferentbconditions,bthei
rbsignsbandbsymptomsbareboftenbsimilar.bThisbisbbecausebthebbrainbrequiresbbothboxyge
nbandbglucosebtobfunctionbnormally.bAnbacutebischemicbstrokebisbcausedbbybablackbofbox
ygenbtobabpartbofbthebbrainbduebtobabblockedbcerebralbartery,bwhereasbhypoglycemiab(lo
wbbloodbglucoseblevel)bdeprivesbthebentirebbrainbofbglucose.bInbeitherbcase,bthebpatientb
presentsbwithbsignsbofbimpairedbbrainbfunctionb(ie,bslurredbspeech,bweakness,balteredb
mentalbstatus).bBothbconditionsbmaybleadbtobpermanentbbrainbdamageborbdeathbifbnotbtr
eatedbpromptly.
Whenbdealingbwithbanbemotionallybdisturbedbpatient,byoubshouldbbebMOSTbconcernedb
with:
•bA:gatheringballbofbthebpatient'sbmedications.
•bB:safelybtransportingbtobthebhospital.
•bC:whetherbthebpatientbcouldbharmbyou.
•bD:obtainingbabcompletebmedicalbhistory.b-banswers-YoubselectedbC;bThisbisbcorrect!
Reason:bWhenbmanagingbanybpatientbwithbanbemotionalborbpsychiatricbcrisis,byourbprim
arybconcernbisbyourbownbsafety.bSafelybtransportingbthebpatientbtobthebhospitalbisbyourbul
timatebgoal.bIfbpossible,byoubshouldbattemptbtobobtainbabmedicalbhistorybandbshouldbtake
banybofbthebpatient'sbprescribedbmedicationsbtobthebhospital.bHowever,bthisbshouldbnotbs
upercedebyourbownbsafetyborbinterferebwithbsafelybtransportingbthebpatient.
CONT + b
,NREMT Practice Test Bank -
b b b b
Multiple Choice with correct answers 20
b b b b b b
24
Youbarebatbthebscenebwherebabmanbpanickedbwhilebswimmingbinbabsmallblake.bYourbiniti
albattemptbtobrescuebhimbshouldbinclude:
•bA:rowingbabsmallbraftbtobthebvictim.
•bB:reachingbforbthebvictimbwithbablongbstick.
•bC:throwingbabropebtobthebvictim.
•bD:swimmingbtobthebvictimbtobrescuebhim.b-banswers-YoubselectedbB;bThisbisbcorrect!
Reason:bGeneralbrulesbtobfollowbwhenbattemptingbtobrescuebabpatientbfrombthebwaterbin
cludeb"reach,bthrow,brow,bandbthenbgo."bInbthisbcase,byoubshouldbattemptbtobreachbthebvi
ctimbbybhavingbhimbgrabbholdbofbablargebstickborbsimilarbobject.bIfbthisbisbunsuccessful,bth
rowbthebvictimbabropeborbflotationbdeviceb(ifbavailable).bIfbthesebarebnotbavailable,browbtobt
hebpatientbinbabsmallbraftb(ifbavailable).bGoingbintobthebwaterbtobretrievebthebvictimbisbablas
tbresort.bThebrescuerbmustbbebabstrongbswimmerbbecausebpatientsbwhobarebinbdangerbof
bdrowningbarebinbabstatebofbblindbpanicbandbwillbmakebeverybattemptbtobkeepbthemselves
bafloat,bevenbifbitbmeansbforcingbthebrescuerbunderwater.
Howbshouldbyoubclassifybabpatient'sbnaturebofbillnessbifbheborbshebhasbablowbbloodbglucos
eblevel,bbizarrebbehavior,bandbshallowbbreathing?
•bA:Behavioralbemergency
•bB:Alteredbmentalbstatus
•bC:Respiratorybemergency
•bD:Cardiacbcompromiseb-banswers-ThebcorrectbanswerbisbB;
Reason:bThebnaturebofbillnessb(NOI)bisbthebmedicalbequivalentbtobmechanismbofbinjuryb(
MOI).bAlteredbmentalbstatusbshouldbbebthebsuspectedbNOIbinbanybpatientbwithbanybfluctu
ationbinblevelbofbconsciousness,bwhichbcanbrangebfrombbizarrebbehaviorbtobcompletebun
responsiveness.bCausesbofbanbalteredbmentalbstatusbincludebhypo-
borbhyperglycemia,bheadbtrauma,bstroke,bbehavioralbcrises,bdrugboverdose,bandbshock,b
amongbothers.
CONT + b
,NREMT Practice Test Bank -
b b b b
Multiple Choice with correct answers 20
b b b b b b
24
Abyoungbfemalebisbunresponsivebafterboverdosingbonbanbunknownbtypebofbdrug.bHerbres
pirationsbarebslowbandbshallowbandbherbpulsebisbslowbandbweak.bWhichbofbthebfollowingb
drugsbisbthebLEASTblikelybcausebofbherbcondition?
•bA:Seconal
•bB:Heroin
•bC:Cocaine
•bD:Valiumb-banswers-ThebcorrectbanswerbisbC;
Reason:bOfbthebdrugsblisted,bcocainebwouldbbebthebleastblikelybcausebofbthebpatient'sbco
ndition.bCocainebisbabcentralbnervousbsystemb(CNS)bstimulant;byoubwouldbexpectbherbto
bbebhypertensive,btachycardic,btachypneic,bandbperhapsbevenbviolent.bHeroin,bValium,b
andbSeconalbareballbCNSbdepressantsbandbcouldbexplainbherbcondition.bHeroinbisbanbille
galbnarcoticb(opiate),bValiumbisbabbenzodiazepinebsedative-
hypnoticbdrug,bandbSeconalbisbabbarbiturate.bNarcotics,bbenzodiazepines,bandbbarbitur
atesbareballbCNSbdepressants.bWhenbtakenbinbexcess,btheybcausebabdecreasedblevelbofb
consciousness,brespiratorybdepression,bbradycardia,bandbhypotension.
Activatedbcharcoalbisbcontraindicatedbforbabpatientbwhobis:
•bA:consciousbandbalertbandbhasbingestedbablargebamountbofbMotrin.
•bB:emotionallybupsetbandbhasbingestedbtwobbottlesbofbaspirin.
•bC:agitatedbandbclaimsbtobhavebingestedbabbottlebofbTylenol.
•bD:awakebandbalertbandbhasbswallowedbabcommercialbdrainbcleaner.b-banswers-
YoubselectedbD;bThisbisbcorrect!
Reason:Activatedbcharcoalbadsorbsb(sticksbto)bmanybingestedbsubstances,bpreventingb
thembfrombbeingbabsorbedbintobthebbodybbybthebstomachborbintestines.bInbsomebcases,b
youbmaybgivebactivatedbcharcoalbtobpatientsbwhobhavebingestedbcertainbsubstances,bifb
approvedbbybmedicalbcontrolborblocalbprotocol.bActivatedbcharcoalbisbcontraindicatedbfor
bpatientsbwhobhavebingestedbanbacidborbalkalib(ie,bdrainbcleaner)borbabpetroleumbproductb
CONT + b
, NREMT Practice Test Bank -
b b b b
Multiple Choice with correct answers 20
b b b b b b
24
(ie,bgasoline),bwhobhavebabdecreasedblevelbofbconsciousnessbandbcannotbprotectbtheirb
ownbairway,borbwhobarebunablebtobswallow.
ThebMOSTbobviousbwaybtobreducebheatblossbfrombradiationbandbconvectionbisbto:
•bA:movebawaybfrombabcoldbobject.
•bB:increasebmetabolismbbybshivering.
•bC:wearbabthickbwind-proofbjacket.
•bD:movebtobabwarmerbenvironment.b-banswers-youbselectedbD;bThisbisbcorrect!
Reason:Inbabcoldbenvironment,bthebbodybhasbtwobwaysbofbstayingbwarm:bgeneratingbhe
atb(thermogenesis)bandbreducingbheatbloss.bRadiationbisbthebtransferbofbheatbbybradiantb
energy.bThebbodybcanblosebheatbbybradiation,bsuchbasbwhenbabpersonbstandsbinbabcoldbr
oom.bConvectionboccursbwhenbheatbisbtransferredbtobcirculatingbair,basbwhenbcoolbairbm
ovesbacrossbthebbody'sbsurface.bAbpersonbstandingbinbwindybcoldbweather,bwearingbligh
tweightbclothing,bisblosingbheatbtobthebenvironmentbmostlybbybconvection.bThebquickestb
andbmostbobviousbwaybtobdecreasebheatblossbfrombradiationbandbconvectionbisbtobmoveb
outbofbthebcoldbenvironmentbandbseekbshelterbfrombwind.bShiveringbincreasesbthebbody'
sbmetabolismbandbisbabmechanismbforbgeneratingbheat,bnotbreducingbheatbloss.bLayersb
ofbclothingbtrapbairbandbprovidebexcellentbinsulation;bthus,blayeredbclothingbdecreasesbh
eatblossbbetterbthanbabsingle,bthickbjacket.bConductionbisbthebdirectbtransferbofbheatbfromb
abpartbofbthebbodybtobabcolderbobjectbbybdirectbcontact,basbwhenbabwarmbhandbtouchesbc
oldbmetalborbice.bThebmostbobviousbwaybtobdecreasebheatblossbbybconductionbisbtobremo
vebyourbhandbfrombthebcoldbobject.
Abnear-drowningbisbMOSTbaccuratelybdefinedbas:
•bA:complicationsbwithinb24bhoursbfollowingbsubmersionbinbwater.
•bB:immediatebdeathbduebtobprolongedbsubmersionbinbwater.
•bC:survivalbforbatbleastb24bhoursbfollowingbsubmersionbinbwater.
•bD:deathbgreaterbthanb24bhoursbfollowingbsubmersionbinbwater.b-banswers-
YoubselectedbC;bThisbisbcorrect!
CONT + b
b b b b
Multiple Choice with correct answers 20
b b b b b b
24
Hypoglycemiabandbacutebischemicbstrokebcanbpresentbsimilarlybbecause:
•bA:bothboxygenbandbglucosebarebneededbforbbrainbfunction.
•bB:thebmajoritybofbstrokebpatientsbhavebabhistorybofbdiabetes.
•bC:thebmostbcommonbcausebofbabstrokebisbhypoglycemia.
•bD:theybarebbothbcausedbbyblowblevelsbofbglucosebinbthebblood.b-banswers-
•bA:bothboxygenbandbglucosebarebneededbforbbrainbfunction.
Reason:bAlthoughbstrokebandbhypoglycemiabarebtwobdistinctlybdifferentbconditions,bthei
rbsignsbandbsymptomsbareboftenbsimilar.bThisbisbbecausebthebbrainbrequiresbbothboxyge
nbandbglucosebtobfunctionbnormally.bAnbacutebischemicbstrokebisbcausedbbybablackbofbox
ygenbtobabpartbofbthebbrainbduebtobabblockedbcerebralbartery,bwhereasbhypoglycemiab(lo
wbbloodbglucoseblevel)bdeprivesbthebentirebbrainbofbglucose.bInbeitherbcase,bthebpatientb
presentsbwithbsignsbofbimpairedbbrainbfunctionb(ie,bslurredbspeech,bweakness,balteredb
mentalbstatus).bBothbconditionsbmaybleadbtobpermanentbbrainbdamageborbdeathbifbnotbtr
eatedbpromptly.
Whenbdealingbwithbanbemotionallybdisturbedbpatient,byoubshouldbbebMOSTbconcernedb
with:
•bA:gatheringballbofbthebpatient'sbmedications.
•bB:safelybtransportingbtobthebhospital.
•bC:whetherbthebpatientbcouldbharmbyou.
•bD:obtainingbabcompletebmedicalbhistory.b-banswers-YoubselectedbC;bThisbisbcorrect!
Reason:bWhenbmanagingbanybpatientbwithbanbemotionalborbpsychiatricbcrisis,byourbprim
arybconcernbisbyourbownbsafety.bSafelybtransportingbthebpatientbtobthebhospitalbisbyourbul
timatebgoal.bIfbpossible,byoubshouldbattemptbtobobtainbabmedicalbhistorybandbshouldbtake
banybofbthebpatient'sbprescribedbmedicationsbtobthebhospital.bHowever,bthisbshouldbnotbs
upercedebyourbownbsafetyborbinterferebwithbsafelybtransportingbthebpatient.
CONT + b
,NREMT Practice Test Bank -
b b b b
Multiple Choice with correct answers 20
b b b b b b
24
Youbarebatbthebscenebwherebabmanbpanickedbwhilebswimmingbinbabsmallblake.bYourbiniti
albattemptbtobrescuebhimbshouldbinclude:
•bA:rowingbabsmallbraftbtobthebvictim.
•bB:reachingbforbthebvictimbwithbablongbstick.
•bC:throwingbabropebtobthebvictim.
•bD:swimmingbtobthebvictimbtobrescuebhim.b-banswers-YoubselectedbB;bThisbisbcorrect!
Reason:bGeneralbrulesbtobfollowbwhenbattemptingbtobrescuebabpatientbfrombthebwaterbin
cludeb"reach,bthrow,brow,bandbthenbgo."bInbthisbcase,byoubshouldbattemptbtobreachbthebvi
ctimbbybhavingbhimbgrabbholdbofbablargebstickborbsimilarbobject.bIfbthisbisbunsuccessful,bth
rowbthebvictimbabropeborbflotationbdeviceb(ifbavailable).bIfbthesebarebnotbavailable,browbtobt
hebpatientbinbabsmallbraftb(ifbavailable).bGoingbintobthebwaterbtobretrievebthebvictimbisbablas
tbresort.bThebrescuerbmustbbebabstrongbswimmerbbecausebpatientsbwhobarebinbdangerbof
bdrowningbarebinbabstatebofbblindbpanicbandbwillbmakebeverybattemptbtobkeepbthemselves
bafloat,bevenbifbitbmeansbforcingbthebrescuerbunderwater.
Howbshouldbyoubclassifybabpatient'sbnaturebofbillnessbifbheborbshebhasbablowbbloodbglucos
eblevel,bbizarrebbehavior,bandbshallowbbreathing?
•bA:Behavioralbemergency
•bB:Alteredbmentalbstatus
•bC:Respiratorybemergency
•bD:Cardiacbcompromiseb-banswers-ThebcorrectbanswerbisbB;
Reason:bThebnaturebofbillnessb(NOI)bisbthebmedicalbequivalentbtobmechanismbofbinjuryb(
MOI).bAlteredbmentalbstatusbshouldbbebthebsuspectedbNOIbinbanybpatientbwithbanybfluctu
ationbinblevelbofbconsciousness,bwhichbcanbrangebfrombbizarrebbehaviorbtobcompletebun
responsiveness.bCausesbofbanbalteredbmentalbstatusbincludebhypo-
borbhyperglycemia,bheadbtrauma,bstroke,bbehavioralbcrises,bdrugboverdose,bandbshock,b
amongbothers.
CONT + b
,NREMT Practice Test Bank -
b b b b
Multiple Choice with correct answers 20
b b b b b b
24
Abyoungbfemalebisbunresponsivebafterboverdosingbonbanbunknownbtypebofbdrug.bHerbres
pirationsbarebslowbandbshallowbandbherbpulsebisbslowbandbweak.bWhichbofbthebfollowingb
drugsbisbthebLEASTblikelybcausebofbherbcondition?
•bA:Seconal
•bB:Heroin
•bC:Cocaine
•bD:Valiumb-banswers-ThebcorrectbanswerbisbC;
Reason:bOfbthebdrugsblisted,bcocainebwouldbbebthebleastblikelybcausebofbthebpatient'sbco
ndition.bCocainebisbabcentralbnervousbsystemb(CNS)bstimulant;byoubwouldbexpectbherbto
bbebhypertensive,btachycardic,btachypneic,bandbperhapsbevenbviolent.bHeroin,bValium,b
andbSeconalbareballbCNSbdepressantsbandbcouldbexplainbherbcondition.bHeroinbisbanbille
galbnarcoticb(opiate),bValiumbisbabbenzodiazepinebsedative-
hypnoticbdrug,bandbSeconalbisbabbarbiturate.bNarcotics,bbenzodiazepines,bandbbarbitur
atesbareballbCNSbdepressants.bWhenbtakenbinbexcess,btheybcausebabdecreasedblevelbofb
consciousness,brespiratorybdepression,bbradycardia,bandbhypotension.
Activatedbcharcoalbisbcontraindicatedbforbabpatientbwhobis:
•bA:consciousbandbalertbandbhasbingestedbablargebamountbofbMotrin.
•bB:emotionallybupsetbandbhasbingestedbtwobbottlesbofbaspirin.
•bC:agitatedbandbclaimsbtobhavebingestedbabbottlebofbTylenol.
•bD:awakebandbalertbandbhasbswallowedbabcommercialbdrainbcleaner.b-banswers-
YoubselectedbD;bThisbisbcorrect!
Reason:Activatedbcharcoalbadsorbsb(sticksbto)bmanybingestedbsubstances,bpreventingb
thembfrombbeingbabsorbedbintobthebbodybbybthebstomachborbintestines.bInbsomebcases,b
youbmaybgivebactivatedbcharcoalbtobpatientsbwhobhavebingestedbcertainbsubstances,bifb
approvedbbybmedicalbcontrolborblocalbprotocol.bActivatedbcharcoalbisbcontraindicatedbfor
bpatientsbwhobhavebingestedbanbacidborbalkalib(ie,bdrainbcleaner)borbabpetroleumbproductb
CONT + b
, NREMT Practice Test Bank -
b b b b
Multiple Choice with correct answers 20
b b b b b b
24
(ie,bgasoline),bwhobhavebabdecreasedblevelbofbconsciousnessbandbcannotbprotectbtheirb
ownbairway,borbwhobarebunablebtobswallow.
ThebMOSTbobviousbwaybtobreducebheatblossbfrombradiationbandbconvectionbisbto:
•bA:movebawaybfrombabcoldbobject.
•bB:increasebmetabolismbbybshivering.
•bC:wearbabthickbwind-proofbjacket.
•bD:movebtobabwarmerbenvironment.b-banswers-youbselectedbD;bThisbisbcorrect!
Reason:Inbabcoldbenvironment,bthebbodybhasbtwobwaysbofbstayingbwarm:bgeneratingbhe
atb(thermogenesis)bandbreducingbheatbloss.bRadiationbisbthebtransferbofbheatbbybradiantb
energy.bThebbodybcanblosebheatbbybradiation,bsuchbasbwhenbabpersonbstandsbinbabcoldbr
oom.bConvectionboccursbwhenbheatbisbtransferredbtobcirculatingbair,basbwhenbcoolbairbm
ovesbacrossbthebbody'sbsurface.bAbpersonbstandingbinbwindybcoldbweather,bwearingbligh
tweightbclothing,bisblosingbheatbtobthebenvironmentbmostlybbybconvection.bThebquickestb
andbmostbobviousbwaybtobdecreasebheatblossbfrombradiationbandbconvectionbisbtobmoveb
outbofbthebcoldbenvironmentbandbseekbshelterbfrombwind.bShiveringbincreasesbthebbody'
sbmetabolismbandbisbabmechanismbforbgeneratingbheat,bnotbreducingbheatbloss.bLayersb
ofbclothingbtrapbairbandbprovidebexcellentbinsulation;bthus,blayeredbclothingbdecreasesbh
eatblossbbetterbthanbabsingle,bthickbjacket.bConductionbisbthebdirectbtransferbofbheatbfromb
abpartbofbthebbodybtobabcolderbobjectbbybdirectbcontact,basbwhenbabwarmbhandbtouchesbc
oldbmetalborbice.bThebmostbobviousbwaybtobdecreasebheatblossbbybconductionbisbtobremo
vebyourbhandbfrombthebcoldbobject.
Abnear-drowningbisbMOSTbaccuratelybdefinedbas:
•bA:complicationsbwithinb24bhoursbfollowingbsubmersionbinbwater.
•bB:immediatebdeathbduebtobprolongedbsubmersionbinbwater.
•bC:survivalbforbatbleastb24bhoursbfollowingbsubmersionbinbwater.
•bD:deathbgreaterbthanb24bhoursbfollowingbsubmersionbinbwater.b-banswers-
YoubselectedbC;bThisbisbcorrect!
CONT + b
