NREMT Exam Questions and Answers
Law enforcement has brought you an 18 month old girl who is possibly the victim of
child abuse. The child has a pulse of about 106 and her mouth and lips are dry. Her skin
is pink and her respirations are at about 30 per minute. Blood pressure is 90/60. This
child likely has: - Answers -Mild dehydration
This child likely has mild dehydration. Cool or mottled skin with poor turgor would lead
you to moderate or severe, but this child has pink skin. Also, the pulse is fine, and with
moderate and severe you will likely see tachycardia.
The root word enter- means: - Answers -Intestine
Apnea is defined as? - Answers -The absence of breathing
. During secondary assessment, an overview of the chest should include all of the
following except - Answers -Muscle Hypertrophy
The secondary assessment of the chest should include: Expose appropriately; chest
shape and symmetry; respiratory effort; and surface findings or inspection. Muscle
hypertrophy isn't a noteworthy finding during the secondary exam of the chest.
When a laceration is healing, and the initiation of the clotting process has begun, the
important binding agent that holds everything together is called..? - Answers -Fibrin
The "glue" that holds a clot together is called fibrin
The pediatric assessment triangle is composed of three elements: - Answers -
Circulation, Appearance, Work of Breathing
Airway, ventilation and oxygenation management considerations in submersion
incidents include all of the following except: - Answers -Stop resuscitation efforts if the
patient doesn't respond
Airway, ventilation, and oxygenation management considerations in submersion
incidents include: suction and maintain open airway, ventilate with bag-mask if impaired
ventilation or respiratory arrest, and administer oxygen by non-rebreather mask if
breathing is adequate. Full resuscitation efforts should be continued no matter how long
the patient has been submerged.
You and your partner Grimes are called to the scene of a stabbing. There are two
patients reported. A woman with a stab wound to the URQ and a man with a stab
,wound to the LRQ. The woman with the wound in the URQ is having problems
breathing, has a pulse of 103, respirations of 35, and they are shallow. The patient with
the stab wound to the LRQ is complaining of severe abdominal pain and has a pulse of
48 and a respiration rate of 24. Which patient is most likely to have a low blood
pressure? Why? - Answers -The man, because of the nature and location of the injury,
he may be losing blood internally. His pulse is too slow as well
The man with the pulse of 48 and a knife wound to the lower right quadrant suggests
internal bleeding which would lower the blood pressure.
All of the following are considered stimulants except: - Answers -Chloroquine
Stimulants produce an excited state and include: Amphetamine, methamphetamine,
phentermine hydrochloride, ecstasy, eve, cocaine, PCP, and methaqualone.
All of the following can have a profound effect on normal ventilation except: - Answers -
Vasoconstriction
All of the following can have a profound effect on normal ventilation: Interruption of
nervous control, structural damage to the thorax, bronchoconstriction, and disruption of
airway patency. Vasoconstriction doesn't profoundly influence ventilation and is an
incorrect answer.
18. Hair follicles are found in which layer of the skin tissue? - Answers -Dermis
With regard to blood pressure, which of the following statements is true? - Answers -
Blood pressure has a direct affect on the perfusion of the body's tissues
Blood pressure has a direct affect on the body's tissues, as without proper pressure the
perfusion / oxygenation of the tissues is inadequate. Blood pressure is measured from
the pressure in the arteries not the right ventricle. It is equal to cardiac output, TIMES
peripheral vascular resistance. Blood pressure, although an important sign, is not taken
during the initial assessment.
You arrive on scene to find 4 patients. Which is the one you would treat and transport
as a priority?
a.)A 64 year old woman complaining of chest pain with a BP of 120/70 and a pain
severity rating of 5
b.) 24 year old male with a broken collar bone and a broken wrist
c.) 9 year old who is conscious, with respirations of 26 per minute, and a systolic BP of
68 mmHg
d.) An 18 year old with a systolic BP of 100 mmHg - Answers -9 year old who is
conscious, with respirations of 26 per minute, and a systolic BP of 68 mmHg
, The key to this answer is knowing that a child with a blood pressure lower than 70 mm
Hg systolic is considered critical.
Solid organs of the body include? - Answers -Kidneys and spleen
A woman has fallen 20 ft. from a ski lift. You are the first medical unit on scene. She is
conscious and breathing normally. C-spine is in place, you package her on a backboard
with high flow O2 and begin transport. The patient is looking around the ambulance and
begins using inappropriate words to describe things she is seeing. You have given her
several requests to wiggle her toes but she does not respond. This woman has a GCS
of what? - Answers -8
Using inappropriate words gets her 3 points, spontaneous eye movement gets her 4,
and no motor response on request gets her 1 point, for a total of 8 points.
The pulmonary veins carry blood from the________________ to the
_____________________. - Answers -Lungs / heart
They carry oxygen rich blood from the lungs to the left atrium of the heart for
redistribution to the body.
Pulmonary veins return blood to the ___________ - Answers -Left atrium
The pulmonary vein returns blood to the left atrium from there it goes to the left
ventricle.
Shock that results from fluid loss is called? - Answers -Hypovolemic
You are assessing a 6 month old infant girl and become concerned when you discover
her respiratory rate. Which of the following rates would give you this concern? -
Answers -60 breaths/min
Infants have more lung tissue, but do not have significantly developed musculature in
their lungs. Therefore, continued rapid respirations over 50 breaths/min become difficult
to sustain and place the infant in danger of respiratory failure.
Pertinent negatives are often used when documenting patient conditions on a PCR.
Which of the following is a pertinent negative for a patient experiencing an MI? -
Answers -Patient denies chest pain
A pertinent negative is a symptom or condition you would expect to see under certain
circumstances, but is not present with a particular patient.
Which of the following choices would you include in a detailed physical exam? -
Answers -Auscultating the lungs
Law enforcement has brought you an 18 month old girl who is possibly the victim of
child abuse. The child has a pulse of about 106 and her mouth and lips are dry. Her skin
is pink and her respirations are at about 30 per minute. Blood pressure is 90/60. This
child likely has: - Answers -Mild dehydration
This child likely has mild dehydration. Cool or mottled skin with poor turgor would lead
you to moderate or severe, but this child has pink skin. Also, the pulse is fine, and with
moderate and severe you will likely see tachycardia.
The root word enter- means: - Answers -Intestine
Apnea is defined as? - Answers -The absence of breathing
. During secondary assessment, an overview of the chest should include all of the
following except - Answers -Muscle Hypertrophy
The secondary assessment of the chest should include: Expose appropriately; chest
shape and symmetry; respiratory effort; and surface findings or inspection. Muscle
hypertrophy isn't a noteworthy finding during the secondary exam of the chest.
When a laceration is healing, and the initiation of the clotting process has begun, the
important binding agent that holds everything together is called..? - Answers -Fibrin
The "glue" that holds a clot together is called fibrin
The pediatric assessment triangle is composed of three elements: - Answers -
Circulation, Appearance, Work of Breathing
Airway, ventilation and oxygenation management considerations in submersion
incidents include all of the following except: - Answers -Stop resuscitation efforts if the
patient doesn't respond
Airway, ventilation, and oxygenation management considerations in submersion
incidents include: suction and maintain open airway, ventilate with bag-mask if impaired
ventilation or respiratory arrest, and administer oxygen by non-rebreather mask if
breathing is adequate. Full resuscitation efforts should be continued no matter how long
the patient has been submerged.
You and your partner Grimes are called to the scene of a stabbing. There are two
patients reported. A woman with a stab wound to the URQ and a man with a stab
,wound to the LRQ. The woman with the wound in the URQ is having problems
breathing, has a pulse of 103, respirations of 35, and they are shallow. The patient with
the stab wound to the LRQ is complaining of severe abdominal pain and has a pulse of
48 and a respiration rate of 24. Which patient is most likely to have a low blood
pressure? Why? - Answers -The man, because of the nature and location of the injury,
he may be losing blood internally. His pulse is too slow as well
The man with the pulse of 48 and a knife wound to the lower right quadrant suggests
internal bleeding which would lower the blood pressure.
All of the following are considered stimulants except: - Answers -Chloroquine
Stimulants produce an excited state and include: Amphetamine, methamphetamine,
phentermine hydrochloride, ecstasy, eve, cocaine, PCP, and methaqualone.
All of the following can have a profound effect on normal ventilation except: - Answers -
Vasoconstriction
All of the following can have a profound effect on normal ventilation: Interruption of
nervous control, structural damage to the thorax, bronchoconstriction, and disruption of
airway patency. Vasoconstriction doesn't profoundly influence ventilation and is an
incorrect answer.
18. Hair follicles are found in which layer of the skin tissue? - Answers -Dermis
With regard to blood pressure, which of the following statements is true? - Answers -
Blood pressure has a direct affect on the perfusion of the body's tissues
Blood pressure has a direct affect on the body's tissues, as without proper pressure the
perfusion / oxygenation of the tissues is inadequate. Blood pressure is measured from
the pressure in the arteries not the right ventricle. It is equal to cardiac output, TIMES
peripheral vascular resistance. Blood pressure, although an important sign, is not taken
during the initial assessment.
You arrive on scene to find 4 patients. Which is the one you would treat and transport
as a priority?
a.)A 64 year old woman complaining of chest pain with a BP of 120/70 and a pain
severity rating of 5
b.) 24 year old male with a broken collar bone and a broken wrist
c.) 9 year old who is conscious, with respirations of 26 per minute, and a systolic BP of
68 mmHg
d.) An 18 year old with a systolic BP of 100 mmHg - Answers -9 year old who is
conscious, with respirations of 26 per minute, and a systolic BP of 68 mmHg
, The key to this answer is knowing that a child with a blood pressure lower than 70 mm
Hg systolic is considered critical.
Solid organs of the body include? - Answers -Kidneys and spleen
A woman has fallen 20 ft. from a ski lift. You are the first medical unit on scene. She is
conscious and breathing normally. C-spine is in place, you package her on a backboard
with high flow O2 and begin transport. The patient is looking around the ambulance and
begins using inappropriate words to describe things she is seeing. You have given her
several requests to wiggle her toes but she does not respond. This woman has a GCS
of what? - Answers -8
Using inappropriate words gets her 3 points, spontaneous eye movement gets her 4,
and no motor response on request gets her 1 point, for a total of 8 points.
The pulmonary veins carry blood from the________________ to the
_____________________. - Answers -Lungs / heart
They carry oxygen rich blood from the lungs to the left atrium of the heart for
redistribution to the body.
Pulmonary veins return blood to the ___________ - Answers -Left atrium
The pulmonary vein returns blood to the left atrium from there it goes to the left
ventricle.
Shock that results from fluid loss is called? - Answers -Hypovolemic
You are assessing a 6 month old infant girl and become concerned when you discover
her respiratory rate. Which of the following rates would give you this concern? -
Answers -60 breaths/min
Infants have more lung tissue, but do not have significantly developed musculature in
their lungs. Therefore, continued rapid respirations over 50 breaths/min become difficult
to sustain and place the infant in danger of respiratory failure.
Pertinent negatives are often used when documenting patient conditions on a PCR.
Which of the following is a pertinent negative for a patient experiencing an MI? -
Answers -Patient denies chest pain
A pertinent negative is a symptom or condition you would expect to see under certain
circumstances, but is not present with a particular patient.
Which of the following choices would you include in a detailed physical exam? -
Answers -Auscultating the lungs
