NREMT Paramedic Prep - 200 Questions
with correct Answers
You are called to assist an adult with chest pain. The patient has a cardiac history of
two-posterior myocardial infarctions. He is conscious and alert, stating he is having a
hard time breathing, and the chest pain worsens when he attempts to lay flat on his
back. His skin is pale and hot, while auscultation of his lung sounds reveals mild
crackles. He reports the pain worsens on deep inspiration and movement.
Based on the patient's history, and signs and symptoms, which of the following should
you suspect?
A.
Unstable angina pectoris
B.
Pericarditis
C.
Myocardial infarction
D.
Cardiomyopathy - Correct Answers -B.
You are the first ambulance to arrive on the scene of a single-car accident. As you
approach the scene, you see four patients, two have been ejected from their vehicle,
and two are still in the vehicle. What should be your next course of action?
A.
Call medical control, and advise them of the situation
B.
Request additional resources, such as fire rescue, and additional ambulances to
respond to the scene
C.
Begin immediate triage and treatment of the two patients ejected first while awaiting fire
department response
D.
Notify the local trauma center so they can prepare for the patients - Correct Answers -B.
,A patient is experiencing a possible neurological emergency from a blunt force closed
head injury. He is found to have abnormal pupillary reactions to light and has lost the
ability to move his eyes from side to side to follow your finger movements. He is also
unable to identify the number of fingers you are holding up. He reports he is able to see
the fingers but is not able to focus enough to identify how many fingers are present.
Which of the following cranial nerves should you suspect may be involved in his injury?
A.
Cranial nerves I, V, and VI
B.
Cranial nerves V and VII
C.
Cranial nerves IX and X
D.
Cranial nerves II, III, and IV - Correct Answers -D.
Simply put, shock is a state of hypoperfusion due to several different causes. Which one
of the following types of shock would be considered distributive shock?
A.
Hypovolemic shock
B.
Cardiogenic shock
C.
Anaphylactic shock
D.
Toxic shock syndrome - Correct Answers -C.
Your adult trauma patient is experiencing severe pain from a femur fracture. He is
conscious, alert and oriented, with a heart rate of 120 per minute; his respirations are 28
per minute, and his blood pressure is 78/30. He is begging you to administer something
for pain. He states he is allergic to Vicodin and aspirin.
Why would medical command most likely decline the request for morphine sulfate in this
case?
A.
The patient is asking for narcotics inappropriately
,B.
Because the Vicodin allergy makes morphine contraindicated
C.
The morphine can worsen the bleeding associated with a femur fracture
D.
Patient is hypotensive - Correct Answers -D.
Which of the following prefixes would a paramedic use when describing any condition
within a patient's musculoskeletal joints?
A.
Angio-
B.
Arthro-
C.
Algia-
D.
Arter- - Correct Answers -B.
Your adult patient has sustained a blunt force, closed head injury while playing football
at a family reunion. Which of the following symptoms leads you to believe the patient is
suffering from an epidural hematoma?
A.
"Goose egg" noted on patient's head
B.
The patient is unconscious when you arrive on the scene and remains that way
throughout transport
C.
The patient lost consciousness immediately following the injury, but regained
consciousness quickly. He lost consciousness again just prior to calling 911.
D.
Sudden, severe headache - Correct Answers -C.
When conducting a 12-lead electrocardiogram on a patient, which lead is located on the
right side of the body and does not view a specific area of the heart?
, A.
Lead V4
B.
Lead I
C.
aVR
D.
aVL - Correct Answers -C
Which of the following is responsible for initiating the sympathetic response to shock
during a traumatic event?
A.
Increased oxygen level and increased PCO2
B.
Increased peripheral vascular resistance and alkalosis
C.
Decreased perfusion and increased acidosis
D.
Peripheral vasodilation and increased capillary permeability - Correct Answers -C.
During which wave, complex, interval, or segment of an electrocardiogram tracing does
the absolute refractory period take place in a normally functioning heart?
A.
S-T segment
B.
P-R interval
C.
P wave
D.
Q-T interval - Correct Answers -D.
You are preparing to perform synchronized electrical cardioversion with a biphasic
defibrillator on your unstable adult patient who is experiencing supraventricular
tachycardia at 160 beats per minute on the monitor. Which of the following initial energy
settings would be recommended if he was exhibiting a narrow complex, regular
with correct Answers
You are called to assist an adult with chest pain. The patient has a cardiac history of
two-posterior myocardial infarctions. He is conscious and alert, stating he is having a
hard time breathing, and the chest pain worsens when he attempts to lay flat on his
back. His skin is pale and hot, while auscultation of his lung sounds reveals mild
crackles. He reports the pain worsens on deep inspiration and movement.
Based on the patient's history, and signs and symptoms, which of the following should
you suspect?
A.
Unstable angina pectoris
B.
Pericarditis
C.
Myocardial infarction
D.
Cardiomyopathy - Correct Answers -B.
You are the first ambulance to arrive on the scene of a single-car accident. As you
approach the scene, you see four patients, two have been ejected from their vehicle,
and two are still in the vehicle. What should be your next course of action?
A.
Call medical control, and advise them of the situation
B.
Request additional resources, such as fire rescue, and additional ambulances to
respond to the scene
C.
Begin immediate triage and treatment of the two patients ejected first while awaiting fire
department response
D.
Notify the local trauma center so they can prepare for the patients - Correct Answers -B.
,A patient is experiencing a possible neurological emergency from a blunt force closed
head injury. He is found to have abnormal pupillary reactions to light and has lost the
ability to move his eyes from side to side to follow your finger movements. He is also
unable to identify the number of fingers you are holding up. He reports he is able to see
the fingers but is not able to focus enough to identify how many fingers are present.
Which of the following cranial nerves should you suspect may be involved in his injury?
A.
Cranial nerves I, V, and VI
B.
Cranial nerves V and VII
C.
Cranial nerves IX and X
D.
Cranial nerves II, III, and IV - Correct Answers -D.
Simply put, shock is a state of hypoperfusion due to several different causes. Which one
of the following types of shock would be considered distributive shock?
A.
Hypovolemic shock
B.
Cardiogenic shock
C.
Anaphylactic shock
D.
Toxic shock syndrome - Correct Answers -C.
Your adult trauma patient is experiencing severe pain from a femur fracture. He is
conscious, alert and oriented, with a heart rate of 120 per minute; his respirations are 28
per minute, and his blood pressure is 78/30. He is begging you to administer something
for pain. He states he is allergic to Vicodin and aspirin.
Why would medical command most likely decline the request for morphine sulfate in this
case?
A.
The patient is asking for narcotics inappropriately
,B.
Because the Vicodin allergy makes morphine contraindicated
C.
The morphine can worsen the bleeding associated with a femur fracture
D.
Patient is hypotensive - Correct Answers -D.
Which of the following prefixes would a paramedic use when describing any condition
within a patient's musculoskeletal joints?
A.
Angio-
B.
Arthro-
C.
Algia-
D.
Arter- - Correct Answers -B.
Your adult patient has sustained a blunt force, closed head injury while playing football
at a family reunion. Which of the following symptoms leads you to believe the patient is
suffering from an epidural hematoma?
A.
"Goose egg" noted on patient's head
B.
The patient is unconscious when you arrive on the scene and remains that way
throughout transport
C.
The patient lost consciousness immediately following the injury, but regained
consciousness quickly. He lost consciousness again just prior to calling 911.
D.
Sudden, severe headache - Correct Answers -C.
When conducting a 12-lead electrocardiogram on a patient, which lead is located on the
right side of the body and does not view a specific area of the heart?
, A.
Lead V4
B.
Lead I
C.
aVR
D.
aVL - Correct Answers -C
Which of the following is responsible for initiating the sympathetic response to shock
during a traumatic event?
A.
Increased oxygen level and increased PCO2
B.
Increased peripheral vascular resistance and alkalosis
C.
Decreased perfusion and increased acidosis
D.
Peripheral vasodilation and increased capillary permeability - Correct Answers -C.
During which wave, complex, interval, or segment of an electrocardiogram tracing does
the absolute refractory period take place in a normally functioning heart?
A.
S-T segment
B.
P-R interval
C.
P wave
D.
Q-T interval - Correct Answers -D.
You are preparing to perform synchronized electrical cardioversion with a biphasic
defibrillator on your unstable adult patient who is experiencing supraventricular
tachycardia at 160 beats per minute on the monitor. Which of the following initial energy
settings would be recommended if he was exhibiting a narrow complex, regular
