NREMT STUDY GUIDE WITH CORRECT
ANSWERS
You are called to see a 65 y/o hypertensive female with squeezing chest pain that
radiates down her left arm to neck and jaw. She says her heartbeat is faster, she is
having difficulty breathing, and she has felt weak for the past couple of days. Which of
the following is the most appropriate first step for this patient?
A) secure IV access
b) Place her in a comfortable position and administer supplemental oxygen.
c) do an ECG and defibrillate if there is an irregular rhythm.
d) carry out an initial assessment looking for any immediate threats to life. CORRECT
ANSWERS d) carry out an initial assessment looking for any immediate threats to life.
Your team gets a call from an elderly female in the summer. Her 83 y/o husband, who
has been vomiting and passing frequent loose stools for the past weak, has passed out.
You get there and find a man lying supine on the floor with shallow breathing and
Breathing Rate of 32. His lips are dry; his skin is cold; and his pulse is 128 BPM, weak,
and thready. His BP is 78/50 mmHg. what is the cause of this presentation?
a) Septic Shock
b) Psychogenic shock
c) anaphylactic shock
d) dehydration CORRECT ANSWERS d) dehydration
You are carrying out a preliminary assessment on a 27 y/o female who was run over by
a drunk driver while crossing the street. She is lying supine in a pool of blood and is
lethargic, with agonal breathing and multiple abrasions, lacerations, and a crush injury
on her left leg. Her skin is also cold and clammy because of shunting of blood to vital
organs. Which organ is most important?
a) the heart
b) the brain
c. the lungs
d. the kidneys CORRECT ANSWERS a) the heart
A 22 y/o pregnant female in her first trimester starts bleeding profusely from her vagina
after spotting for the past 2 days. On arrival at her home, she is conscious, cold but
weak, with a HR of 132 BPM, RR of 28, and a BP 92/60 mmHg. Which of the following
actions is most appropriate?
,a) placing her in a supine position and administering supplemental oxygen
b) securing IV access and starting an infusion to increase blood volume.
c) Placing her in the modified Trendelenburg position
d) Starting her on supplemental oxygen CORRECT ANSWERS a) placing her in a
supine position and administering supplemental oxygen
You are called by neighbors to attend to a middle-aged diabetic man who was robbed at
home and pushed down a flight of stairs by his assailant. You find him lying at the foot
of the stairs, conscious but complaining of a headache where he hit his head. His skin is
warm, and his breathing is labored with a Pulse of 40 and BP of 80/48mmHg. The man
has no visible injuries. What is the most likely cause of his presentation?
a) hypovolemia
b) trauma to his cervical spine
c)hypoglycemic shock
d) myocardial ischemia CORRECT ANSWERS b) trauma to his cervical spine
Your team is responding to a mass casualty incident where victims have been exposed
to radiologic agents. Which of the following precautions is not useful in protecting you
and your team from exposure?
a) Wearing level A gear
b) Reducing the duration of exposure
c) Decontaminating with hypochlorite solution
d) Shielding the source of exposure. CORRECT ANSWERS c) Decontaminating with
hypochlorite solution
Which of the following is the THIRD-leading cause of death in all age groups and the
leading cause of death and disability in the united states among young adults (up to 44
YO) and children?
a) Trauma
b) Cancer
c) Drug Abuse
d) Gunshot CORRECT ANSWERS a) Trauma
Body tissues are occasionally exposed to energy levels. Which of the following
statements is correct about the mechanism of energy levels on body tissues?
a) Energy levels are beyond the body's tolerance
b) Energy levels are repeatedly hitting the body
c) Energy levels come from a high-velocity object
d) Energy levels come from an object bigger than the individual. CORRECT
ANSWERS a) Energy levels are beyond the body's tolerance
, A 14 YO male was hit by a car while riding his bicycle. All EXCEPT which of the
following are useful in assessing this patient?
a) The seating position of the patient
b) The form of restraint available and if it was used
c) The type of vehicle
d) The patient's level of consciousness of before the accident. CORRECT ANSWERS
d) The patient's level of consciousness of before the accident.
Your team is called to the scene of an accident where a sports car ran into an electric
pole at high speed. The sole driver of the vehicle has manager to stumble out but has a
shard of glass through his right arm; which is not actively bleeding. You determine
scene safety; establish there is one patient; and, on primary assessment, discover that
he is conscious but disoriented with a good pulse, respiration, and blood pressure.
Which of the following will the patient most benefit from?
a) pull out the shard of glass, then apply direct pressure to the wound.
b) elevate the arm above the patient's head, then pull out the shard of glass.
c) apply the tourniquet proximal to the injury then pull out the shard of glass.
d) apply a tourniquet proximal to the injury and leave the shard in. CORRECT
ANSWERS d) apply a tourniquet proximal to the injury and leave the shard in.
You want to apply a tourniquet to a 48 y/o male who slit his left wrist in a suicide
attempt. Which of the following steps is NOT part of the procedure?
a) Wrapping your bandage distal to the slit.
b) Using a stick as a handle to secure the bandage
c) Writing "TK" on the patients forehead.
d) Folding a triangular bandage into four in a cravat. CORRECT ANSWERS a)
Wrapping your bandage distal to the slit.
A 51 y/o female complains of burning chest pain radiating to her back, palpitations, and
dizziness. She was diagnosed with hypertension 12 years ago but has been unable to
take her medications in the last month. Her BP is 138/100; her pule is 30, and she is
having difficulty breathing. Which of the following actions is most appropriate?
a) place the patient in a comfortable position, administer oxygen, and transport her
quickly to the hospital.
b) allow the patient to rest in a comfortable position and administer nitroglycerin, as it is
most likely angina.
c) give the patient antacids to relieve her peptic ulcer symptoms.
d) take a detailed history from the patient and her family. CORRECT ANSWERS a)
place the patient in a comfortable position, administer oxygen, and transport her quickly
to the hospital.
Your are called to an office complex where a 65 y/o male suddenly felt lightheaded with
severe chest pain, which he describes as stabbing in nature. In your preliminary
ANSWERS
You are called to see a 65 y/o hypertensive female with squeezing chest pain that
radiates down her left arm to neck and jaw. She says her heartbeat is faster, she is
having difficulty breathing, and she has felt weak for the past couple of days. Which of
the following is the most appropriate first step for this patient?
A) secure IV access
b) Place her in a comfortable position and administer supplemental oxygen.
c) do an ECG and defibrillate if there is an irregular rhythm.
d) carry out an initial assessment looking for any immediate threats to life. CORRECT
ANSWERS d) carry out an initial assessment looking for any immediate threats to life.
Your team gets a call from an elderly female in the summer. Her 83 y/o husband, who
has been vomiting and passing frequent loose stools for the past weak, has passed out.
You get there and find a man lying supine on the floor with shallow breathing and
Breathing Rate of 32. His lips are dry; his skin is cold; and his pulse is 128 BPM, weak,
and thready. His BP is 78/50 mmHg. what is the cause of this presentation?
a) Septic Shock
b) Psychogenic shock
c) anaphylactic shock
d) dehydration CORRECT ANSWERS d) dehydration
You are carrying out a preliminary assessment on a 27 y/o female who was run over by
a drunk driver while crossing the street. She is lying supine in a pool of blood and is
lethargic, with agonal breathing and multiple abrasions, lacerations, and a crush injury
on her left leg. Her skin is also cold and clammy because of shunting of blood to vital
organs. Which organ is most important?
a) the heart
b) the brain
c. the lungs
d. the kidneys CORRECT ANSWERS a) the heart
A 22 y/o pregnant female in her first trimester starts bleeding profusely from her vagina
after spotting for the past 2 days. On arrival at her home, she is conscious, cold but
weak, with a HR of 132 BPM, RR of 28, and a BP 92/60 mmHg. Which of the following
actions is most appropriate?
,a) placing her in a supine position and administering supplemental oxygen
b) securing IV access and starting an infusion to increase blood volume.
c) Placing her in the modified Trendelenburg position
d) Starting her on supplemental oxygen CORRECT ANSWERS a) placing her in a
supine position and administering supplemental oxygen
You are called by neighbors to attend to a middle-aged diabetic man who was robbed at
home and pushed down a flight of stairs by his assailant. You find him lying at the foot
of the stairs, conscious but complaining of a headache where he hit his head. His skin is
warm, and his breathing is labored with a Pulse of 40 and BP of 80/48mmHg. The man
has no visible injuries. What is the most likely cause of his presentation?
a) hypovolemia
b) trauma to his cervical spine
c)hypoglycemic shock
d) myocardial ischemia CORRECT ANSWERS b) trauma to his cervical spine
Your team is responding to a mass casualty incident where victims have been exposed
to radiologic agents. Which of the following precautions is not useful in protecting you
and your team from exposure?
a) Wearing level A gear
b) Reducing the duration of exposure
c) Decontaminating with hypochlorite solution
d) Shielding the source of exposure. CORRECT ANSWERS c) Decontaminating with
hypochlorite solution
Which of the following is the THIRD-leading cause of death in all age groups and the
leading cause of death and disability in the united states among young adults (up to 44
YO) and children?
a) Trauma
b) Cancer
c) Drug Abuse
d) Gunshot CORRECT ANSWERS a) Trauma
Body tissues are occasionally exposed to energy levels. Which of the following
statements is correct about the mechanism of energy levels on body tissues?
a) Energy levels are beyond the body's tolerance
b) Energy levels are repeatedly hitting the body
c) Energy levels come from a high-velocity object
d) Energy levels come from an object bigger than the individual. CORRECT
ANSWERS a) Energy levels are beyond the body's tolerance
, A 14 YO male was hit by a car while riding his bicycle. All EXCEPT which of the
following are useful in assessing this patient?
a) The seating position of the patient
b) The form of restraint available and if it was used
c) The type of vehicle
d) The patient's level of consciousness of before the accident. CORRECT ANSWERS
d) The patient's level of consciousness of before the accident.
Your team is called to the scene of an accident where a sports car ran into an electric
pole at high speed. The sole driver of the vehicle has manager to stumble out but has a
shard of glass through his right arm; which is not actively bleeding. You determine
scene safety; establish there is one patient; and, on primary assessment, discover that
he is conscious but disoriented with a good pulse, respiration, and blood pressure.
Which of the following will the patient most benefit from?
a) pull out the shard of glass, then apply direct pressure to the wound.
b) elevate the arm above the patient's head, then pull out the shard of glass.
c) apply the tourniquet proximal to the injury then pull out the shard of glass.
d) apply a tourniquet proximal to the injury and leave the shard in. CORRECT
ANSWERS d) apply a tourniquet proximal to the injury and leave the shard in.
You want to apply a tourniquet to a 48 y/o male who slit his left wrist in a suicide
attempt. Which of the following steps is NOT part of the procedure?
a) Wrapping your bandage distal to the slit.
b) Using a stick as a handle to secure the bandage
c) Writing "TK" on the patients forehead.
d) Folding a triangular bandage into four in a cravat. CORRECT ANSWERS a)
Wrapping your bandage distal to the slit.
A 51 y/o female complains of burning chest pain radiating to her back, palpitations, and
dizziness. She was diagnosed with hypertension 12 years ago but has been unable to
take her medications in the last month. Her BP is 138/100; her pule is 30, and she is
having difficulty breathing. Which of the following actions is most appropriate?
a) place the patient in a comfortable position, administer oxygen, and transport her
quickly to the hospital.
b) allow the patient to rest in a comfortable position and administer nitroglycerin, as it is
most likely angina.
c) give the patient antacids to relieve her peptic ulcer symptoms.
d) take a detailed history from the patient and her family. CORRECT ANSWERS a)
place the patient in a comfortable position, administer oxygen, and transport her quickly
to the hospital.
Your are called to an office complex where a 65 y/o male suddenly felt lightheaded with
severe chest pain, which he describes as stabbing in nature. In your preliminary
