NREMT PRACTICE QUESTIONS AND
ANSWERS
Law enforcement personnel request your assistance to assess a 31-year-old female
who was sexually assaulted. When you arrive at the scene, you find the patient sitting
on a curb outside her apartment. She is conscious, alert, and crying. When you ask her
what happened, she tells you that she does not want to be treated or transported to the
hospital. She further tells you that all she wants to do is clean up. You should:
A) ask her if there is anyone you can contact, such as a friend or relative
B) perform a limited hands-on assessment to detect life-threatening injuries
C)advise her that she cannot clean herself up because this will destroy evidence
D) provide emotional support and visually assess her for obvious trauma - Correct
Answers -D
common signs and symptoms of an airway burn include all of the following EXCEPT:
A) chest pressure
B) singed nasal hair
C) soot around the mouth
D) hoarseness - Correct Answers -A
the primary route of exposure of vesicant agents is the:
A) vascular skin
B) skin
C) respiratory tract
D) nervous system - Correct Answers -B
The MOST efficient way to identify the appropriately sized equipment for a pediatric
patient is to:
A) use a length-based resuscitation tape measure
B) estimate the child's weight based on appearance
C) ask a relative if he or she knows the child's weight
D) estimate the child's weight based on age - Correct Answers -A
When removing a critically injured patient from his or her vehicle, you should:
A) protect the cervical spine during the entire process
B) remove hi or her using a short backboard
C) release c-spine control to facilitate rapid removal
D) move him or her in one fast, continuous step - Correct Answers -A
,Which of the following statements regarding patients with developmental disabilities is
correct?
A) a developmental disability differs from mental retardation in that it is the result of a
congenital abnormality
B) speaking with the patient's family is the least effective way to determine how much
the patient understands
C) most patients with developmental disabilities have normal cognitive function, but
abnormal physical features
D) patients with developmental disabilities are susceptible to the same disease
processes as other patients - Correct Answers -D
A patient's refusal for EMS treatment and/or transport must be:
A) authorized by a judge
B) reported to the police
C) witnessed by a notary
D) an informed refusal - Correct Answers –D
Communicating with hearing-impaired patients can be facilitated by doing all of the
following, EXCEPT:
A) elevating the tone of your voice and exaggerating word pronunciation
B) providing pen and paper if the patient prefers to write his or her response
C) shining a light on your face when you are in a darkened environment
D) placing yourself in a position to ensure that the patient can see your lips - Correct
Answers -A
Diabetic ketoacidosis occurs when:
A) insulin is not available in the body
B) the pancreas produces excess insulin
C) blood glucose levels rapidly fall
D) the cells rapidly metabolize glucose - Correct Answers -A
You respond to the residence of a 55-year-old female with a possible allergic reaction to
peanuts that she ate approximately 30 minutes ago. The patient is conscious and alert,
but has diffuse urticaria and the felling that she has a lump in her throat. As your partner
applies oxygen to the patient, you should:
A) ask her when her last allergic reaction occurred
B) ask her if she has a prescribed epinephrine
C) obtain complete set of baseline vitals
D) ascertain if she has a family history of allergies - Correct Answers -B
The term "hyphema" is defined as:
A) an acute rupture of the globe of the eye
,B) inflammation of the iris, cornea, and lens
C) compression of one or both optic nerves
D) blood in the anterior chamber of the eye - Correct Answers -D
While transporting a stable patient with chest pain to the hospital, you come across a
major motor vehicle crash involving several critically injured patients. Your MOST
appropriate action should be to:
A) continue transporting your patient and notify the dispatcher of the crash
B) stop and triage the patients wile your partner remains in the ambulance
C) ask a bystander to remain with your patient as you treat the crash victims
D) remain at the scene until law enforcement and another ambulance arrive - Correct
Answers -A
A tube from the brain to the abdomen that drains excessive cerebrospinal fluid is called
a:
A) G-tube
B) cerebral bypass
C) shunt
D) CS tube - Correct Answers -C
The left ventricle has the thickest walls because it:
A) receives blood directly from the systemic circulation
B) pumps blood to the lungs to be reoxygenated
C) uses less oxygen than other chambers of the heart
D) pumps blood into the aorta and systemic circulation - Correct Answers -D
A 48-year-old male is found unconscious in the garden by his wife. When you arrive at
the scene and assess the man, you find that he is unresponsive, has severely labored
breathing, and has hives over his entire trunk. You should:
A) maintain his airway and assist his ventilations
B) apply the automated external defibrillator (AED) in the event that cardiac arrest
occurs
C) perform a detailed secondary assessment
D) ask his wife if he has any know allergies - Correct Answers -A
You have just delivered a premature baby. Your assessment reveals that he is
breathing adequately; however, his heart rate is 90 beats/min. You should:
A) assess his skin color and give free-flow oxygen as needed
B) keep him warm and provide ventilatory assistance
C) begin chest compressions and reassess in 30 seconds
D) clamp and cut the umbilical cord and keep him warm - Correct Answers -B
, A 26-year-old female presents with heavy vaginal bleeding. She is conscious, but
restless. Her blood pressure is 84/54 mm Hg, her pulse is 120 beats/min and weak, and
her respirations are 22 breaths/min with adequate depth. She tells you that she inserted
a tampon about 2 hours ago. You should:
A) assist her ventilations with a bag-valve mask device, place one sterile dressing into
her vagina, perform a rapid secondary assessment, and transport
B) administer high-flow oxygen, ask her to remove the tampon, perform a detailed
secondary assessment, and transport promptly
C) administer high-flow oxygen, perform a detailed assessment of her vaginal area for
signs of trauma, place her on her side, and transport
D) administer high-flow oxygen, place a sterile pad over her vagina, keep her warm,
elevate her lower extremities, and transport without delay - Correct Answers -D
Other than personal safety equipment, which of the following should be the MOST
readily accessible item in the back of an ambulance?
A) pneumatic antishock garment (PASG) and traction splint
B) bleeding control supplies
C) stethoscope and penlight
D) emergency childbirth kit - Correct Answers -B
Which of the following skin layers contains sweat and oil glands, hair follicles, blood
vessels, and nerve endings?
A) epidermis
B) sebaceous
C) subcutaneous
D) dermis - Correct Answers -D
The compliance monitoring component of an infection control plan should:
A) identify who to notify after an exposure and where treatment should be provided
B) consist of a list of tasks that pose a risk for contact with blood or other body fluids
C) address issues such as medical waste collection, storage, and ambulance
disinfection
D) ensure that employees understand what they should do and why it is important -
Correct Answers -D
The normal blood glucose level, as measured by a glucometer, is between:
A) 160 and 200 mg/dL
B) 130 and 150 mg/dL
C) 60 and 80 mg/dL
D) 80 and 120 mg/dL - Correct Answers -D
When documenting a case of suspected elder abuse, it is MOST important for the EMT
to:
A) list the names of all of the suspected abusers
ANSWERS
Law enforcement personnel request your assistance to assess a 31-year-old female
who was sexually assaulted. When you arrive at the scene, you find the patient sitting
on a curb outside her apartment. She is conscious, alert, and crying. When you ask her
what happened, she tells you that she does not want to be treated or transported to the
hospital. She further tells you that all she wants to do is clean up. You should:
A) ask her if there is anyone you can contact, such as a friend or relative
B) perform a limited hands-on assessment to detect life-threatening injuries
C)advise her that she cannot clean herself up because this will destroy evidence
D) provide emotional support and visually assess her for obvious trauma - Correct
Answers -D
common signs and symptoms of an airway burn include all of the following EXCEPT:
A) chest pressure
B) singed nasal hair
C) soot around the mouth
D) hoarseness - Correct Answers -A
the primary route of exposure of vesicant agents is the:
A) vascular skin
B) skin
C) respiratory tract
D) nervous system - Correct Answers -B
The MOST efficient way to identify the appropriately sized equipment for a pediatric
patient is to:
A) use a length-based resuscitation tape measure
B) estimate the child's weight based on appearance
C) ask a relative if he or she knows the child's weight
D) estimate the child's weight based on age - Correct Answers -A
When removing a critically injured patient from his or her vehicle, you should:
A) protect the cervical spine during the entire process
B) remove hi or her using a short backboard
C) release c-spine control to facilitate rapid removal
D) move him or her in one fast, continuous step - Correct Answers -A
,Which of the following statements regarding patients with developmental disabilities is
correct?
A) a developmental disability differs from mental retardation in that it is the result of a
congenital abnormality
B) speaking with the patient's family is the least effective way to determine how much
the patient understands
C) most patients with developmental disabilities have normal cognitive function, but
abnormal physical features
D) patients with developmental disabilities are susceptible to the same disease
processes as other patients - Correct Answers -D
A patient's refusal for EMS treatment and/or transport must be:
A) authorized by a judge
B) reported to the police
C) witnessed by a notary
D) an informed refusal - Correct Answers –D
Communicating with hearing-impaired patients can be facilitated by doing all of the
following, EXCEPT:
A) elevating the tone of your voice and exaggerating word pronunciation
B) providing pen and paper if the patient prefers to write his or her response
C) shining a light on your face when you are in a darkened environment
D) placing yourself in a position to ensure that the patient can see your lips - Correct
Answers -A
Diabetic ketoacidosis occurs when:
A) insulin is not available in the body
B) the pancreas produces excess insulin
C) blood glucose levels rapidly fall
D) the cells rapidly metabolize glucose - Correct Answers -A
You respond to the residence of a 55-year-old female with a possible allergic reaction to
peanuts that she ate approximately 30 minutes ago. The patient is conscious and alert,
but has diffuse urticaria and the felling that she has a lump in her throat. As your partner
applies oxygen to the patient, you should:
A) ask her when her last allergic reaction occurred
B) ask her if she has a prescribed epinephrine
C) obtain complete set of baseline vitals
D) ascertain if she has a family history of allergies - Correct Answers -B
The term "hyphema" is defined as:
A) an acute rupture of the globe of the eye
,B) inflammation of the iris, cornea, and lens
C) compression of one or both optic nerves
D) blood in the anterior chamber of the eye - Correct Answers -D
While transporting a stable patient with chest pain to the hospital, you come across a
major motor vehicle crash involving several critically injured patients. Your MOST
appropriate action should be to:
A) continue transporting your patient and notify the dispatcher of the crash
B) stop and triage the patients wile your partner remains in the ambulance
C) ask a bystander to remain with your patient as you treat the crash victims
D) remain at the scene until law enforcement and another ambulance arrive - Correct
Answers -A
A tube from the brain to the abdomen that drains excessive cerebrospinal fluid is called
a:
A) G-tube
B) cerebral bypass
C) shunt
D) CS tube - Correct Answers -C
The left ventricle has the thickest walls because it:
A) receives blood directly from the systemic circulation
B) pumps blood to the lungs to be reoxygenated
C) uses less oxygen than other chambers of the heart
D) pumps blood into the aorta and systemic circulation - Correct Answers -D
A 48-year-old male is found unconscious in the garden by his wife. When you arrive at
the scene and assess the man, you find that he is unresponsive, has severely labored
breathing, and has hives over his entire trunk. You should:
A) maintain his airway and assist his ventilations
B) apply the automated external defibrillator (AED) in the event that cardiac arrest
occurs
C) perform a detailed secondary assessment
D) ask his wife if he has any know allergies - Correct Answers -A
You have just delivered a premature baby. Your assessment reveals that he is
breathing adequately; however, his heart rate is 90 beats/min. You should:
A) assess his skin color and give free-flow oxygen as needed
B) keep him warm and provide ventilatory assistance
C) begin chest compressions and reassess in 30 seconds
D) clamp and cut the umbilical cord and keep him warm - Correct Answers -B
, A 26-year-old female presents with heavy vaginal bleeding. She is conscious, but
restless. Her blood pressure is 84/54 mm Hg, her pulse is 120 beats/min and weak, and
her respirations are 22 breaths/min with adequate depth. She tells you that she inserted
a tampon about 2 hours ago. You should:
A) assist her ventilations with a bag-valve mask device, place one sterile dressing into
her vagina, perform a rapid secondary assessment, and transport
B) administer high-flow oxygen, ask her to remove the tampon, perform a detailed
secondary assessment, and transport promptly
C) administer high-flow oxygen, perform a detailed assessment of her vaginal area for
signs of trauma, place her on her side, and transport
D) administer high-flow oxygen, place a sterile pad over her vagina, keep her warm,
elevate her lower extremities, and transport without delay - Correct Answers -D
Other than personal safety equipment, which of the following should be the MOST
readily accessible item in the back of an ambulance?
A) pneumatic antishock garment (PASG) and traction splint
B) bleeding control supplies
C) stethoscope and penlight
D) emergency childbirth kit - Correct Answers -B
Which of the following skin layers contains sweat and oil glands, hair follicles, blood
vessels, and nerve endings?
A) epidermis
B) sebaceous
C) subcutaneous
D) dermis - Correct Answers -D
The compliance monitoring component of an infection control plan should:
A) identify who to notify after an exposure and where treatment should be provided
B) consist of a list of tasks that pose a risk for contact with blood or other body fluids
C) address issues such as medical waste collection, storage, and ambulance
disinfection
D) ensure that employees understand what they should do and why it is important -
Correct Answers -D
The normal blood glucose level, as measured by a glucometer, is between:
A) 160 and 200 mg/dL
B) 130 and 150 mg/dL
C) 60 and 80 mg/dL
D) 80 and 120 mg/dL - Correct Answers -D
When documenting a case of suspected elder abuse, it is MOST important for the EMT
to:
A) list the names of all of the suspected abusers
