EMD 197 Practice NREMT Exam
Questions With Correct Answers
A febrile 80-year-old male complains of generalized weakness and foot pain. His
| | | | | | | | | | | |
left foot is swollen, red, and pus is draining from the wound. He tells you he has
| | | | | | | | | | | | | | | | |
MRSA in the wound. His vital signs are P 108, R 22, BP 88/62, and SpO2 is 94% on
| | | | | | | | | | | | | | | | | |
|room air. You should: - CORRECT ANSWER✔✔-administer oxygen
| | | | | | |
A 25-year-old female tells you her water broke. When you examine her, you
| | | | | | | | | | | | |
observe a greenish liquid and the neonate's head crowning. Immediately after the
| | | | | | | | | | |
delivery, the male neonate is crying, has cyanotic hands and feet, and is moving
| | | | | | | | | | | | | | |
all extremities. You should - CORRECT ANSWER✔✔-dry and stimulate him
| | | | | | | | |
An unresponsive 10-year-old female passed out at the playground. Bystanders tell
| | | | | | | | | |
you she was acting confused before she collapsed. Her skin is pale and moist. She
| | | | | | | | | | | | | | |
localizes to painful stimuli. Her vital signs are P 100, R 26, BP 114/72, and SpO2 is
| | | | | | | | | | | | | | | | |
98% on room air. You should suspect: - CORRECT ANSWER✔✔-hypoglycemia
| | | | | | | | | |
A 38-year-old female was found unresponsive in her car by her son. He tells you
| | | | | | | | | | | | | | |
she overdosed on heroin, and he administered Narcan® intranasally before
| | | | | | | | | |
starting CPR four minutes ago. Upon your arrival, she starts to move. She has a
| | | | | | | | | | | | | | |
carotid pulse and gasping respirations once every 15 seconds. You should next: -
| | | | | | | | | | | | |
CORRECT ANSWER✔✔-assist her ventilation | | |
An unresponsive 27-year-old female vomited after she ingested a bottle of
| | | | | | | | | | |
aspirin. Her skin is diaphoretic and hot. Her vital signs are P 114, R 24 and deep,
| | | | | | | | | | | | | | | | |
BP 82/60, and SpO2 is 95% on room air. Which of the following will provide the
| | | | | | | | | | | | | | | |
,most accurate, up-to-date information on how to manage her condition? -
| | | | | | | | | | |
CORRECT ANSWER✔✔-contacting poison control
| | |
When placing a morbidly obese patient on the stretcher, why shouldn't you place
| | | | | | | | | | | | |
him/her supine or in full Fowler's position? - CORRECT ANSWER✔✔-movement of
| | | | | | | | | |
the diaphragm is restricted
| | | |
Why would the fontanel of an 8-month-old female who has meningitis bulge? -
| | | | | | | | | | | | |
CORRECT ANSWER✔✔-the ICP has increased | | | |
How do kidneys assist in buffering the PH of the blood? - CORRECT ANSWER✔✔-
| | | | | | | | | | | | |
they produce biocarbonate
| |
A 91-year-old female complains of difficulty breathing. You auscultate fine
| | | | | | | | | |
crackles in her lower lungs. While assessing her lower legs, you observe large
| | | | | | | | | | | | |
areas of dry, crusted scabs on her skin. You should administer oxygen and: -
| | | | | | | | | | | | | |
CORRECT ANSWER✔✔-assess her vital signs | | | |
A 67-year-old female complains of crampy abdominal pain. She tells you she has
| | | | | | | | | | | | |
diarrhea and mucus in her stool. Her vital signs are P 94, R 16, BP 136/84, and
| | | | | | | | | | | | | | | | |
SpO2 is 96% on room air. You should: - CORRECT ANSWER✔✔-transport her in a
| | | | | | | | | | | | | |
position of comfort | |
An 11-year-old male who has a history of autism has difficulty breathing. You
| | | | | | | | | | | | |
observe intercostal retractions, and he answers basic questions. While caring for
| | | | | | | | | | |
him, you should: - CORRECT ANSWER✔✔-only preform necessary assessments
| | | | | | | | |
and treatments
|
,You are assessing a newborn female one minute after she was born. Her body is
| | | | | | | | | | | | | | |
pink, and her extremities are blue. She has a strong cry. She has some movement
| | | | | | | | | | | | | | |
of her extremities and withdraws her foot when you tap it. Her vital signs are P
| | | | | | | | | | | | | | | |
168 and R 56. You should suspect she: - CORRECT ANSWER✔✔-is healthy
| | | | | | | | | | |
A 59-year-old male complains of abdominal pain and dizziness. He tells you he
| | | | | | | | | | | | |
had a kidney transplant six months ago. His skin is warmer than normal and
| | | | | | | | | | | | | |
diaphoretic. His abdomen is rigid, and his pain increases when you release the
| | | | | | | | | | | | |
pressure after you palpate his abdomen. His vital signs are P 106, R 22, BP
| | | | | | | | | | | | | | |
122/90, and SpO2 is 93% on room air. You should: - CORRECT ANSWER✔✔-
| | | | | | | | | | | |
adminster oxygen |
A pregnant 25-year-old female tells you that she feels the baby delivering. When
| | | | | | | | | | | | |
you examine her, you see a loop of the umbilical cord. You should administer
| | | | | | | | | | | | | |
oxygen and transport after: - CORRECT ANSWER✔✔-inserting your fingers into
| | | | | | | | | |
her vagina and pushing the neonate off the cord.
| | | | | | | |
An unresponsive 7-month-old male is found next to a bottle of his grandmother's
| | | | | | | | | | | | |
oxycontin. There are several tablets on the floor next to him. His skin is cyanotic,
| | | | | | | | | | | | | | |
and you observe occasional gasping respirations. You should suspect: - CORRECT
| | | | | | | | | | |
ANSWER✔✔-ingestion of an opioid | | |
An 84-year-old male tells you that he is hearing and seeing demons. He has a
| | | | | | | | | | | | | | |
history of schizophrenia. He denies any other complaints. His vital signs are P 64,
| | | | | | | | | | | | | |
R 12, BP 122/74, and SpO2 is 98% on room air. You should: - CORRECT
| | | | | | | | | | | | | | |
ANSWER✔✔-tell him you cannot see or hear them | | | | | | |
, A febrile 66-year-old female complains of chills and body aches. She tells you she
| | | | | | | | | | | | | |
removed a tick from her back yesterday. You observe a 3 cm circle of reddened
| | | | | | | | | | | | | | |
skin that is normal in the center. You should: - CORRECT ANSWER✔✔-assess her
| | | | | | | | | | | | |
vital signs |
What is the mechanism of action of naloxone when administered for opioid
| | | | | | | | | | | |
overdoses? - CORRECT ANSWER✔✔-it antagonizes opioid effects by competing
| | | | | | | | |
for the same receptor sites.
| | | |
A 54-year-old male complains of abdominal pain. He tells you he has had
| | | | | | | | | | | | |
generalized crampy pain and diarrhea for three days. His abdomen is soft to
| | | | | | | | | | | | |
palpation. His vital signs are P 90, R 16, BP 142/86, and SpO2 is 96% on room air.
| | | | | | | | | | | | | | | | | |
You should suspect: - CORRECT ANSWER✔✔-Gastroenteritis
| | | | |
You are called to a school for a 9-year-old male who was acting strangely. His
| | | | | | | | | | | | | | |
teacher tells you that during class, he had several episodes of sitting at his desk
| | | | | | | | | | | | | | |
staring into space and briefly not responding. He answers your questions
| | | | | | | | | | |
correctly and tells you he does not remember the episodes. What type of seizure
| | | | | | | | | | | | | |
should you suspect? - CORRECT ANSWER✔✔-absence
| | | | |
A 72-year-old male complains of pain in his back. His daughter tells you he has a
| | | | | | | | | | | | | | | |
history of dementia, and he is confused. You observe several half inches by four
| | | | | | | | | | | | | |
inches ecchymotic stripes across his back in various stages of healing. His
| | | | | | | | | | | |
daughter volunteers that the marks are shingles. You should: - CORRECT
| | | | | | | | | | |
ANSWER✔✔-ask him about the bruise while alone en route to the hospital. | | | | | | | | | | |
An unresponsive 18-year-old female is obviously in her third trimester of
| | | | | | | | | | |
pregnancy. Bystanders called when they saw her collapse and begin to have a
| | | | | | | | | | | | |
seizure. She is no longer seizing, but she is postictal. Her face, hands, ankles, and
| | | | | | | | | | | | | | |
Questions With Correct Answers
A febrile 80-year-old male complains of generalized weakness and foot pain. His
| | | | | | | | | | | |
left foot is swollen, red, and pus is draining from the wound. He tells you he has
| | | | | | | | | | | | | | | | |
MRSA in the wound. His vital signs are P 108, R 22, BP 88/62, and SpO2 is 94% on
| | | | | | | | | | | | | | | | | |
|room air. You should: - CORRECT ANSWER✔✔-administer oxygen
| | | | | | |
A 25-year-old female tells you her water broke. When you examine her, you
| | | | | | | | | | | | |
observe a greenish liquid and the neonate's head crowning. Immediately after the
| | | | | | | | | | |
delivery, the male neonate is crying, has cyanotic hands and feet, and is moving
| | | | | | | | | | | | | | |
all extremities. You should - CORRECT ANSWER✔✔-dry and stimulate him
| | | | | | | | |
An unresponsive 10-year-old female passed out at the playground. Bystanders tell
| | | | | | | | | |
you she was acting confused before she collapsed. Her skin is pale and moist. She
| | | | | | | | | | | | | | |
localizes to painful stimuli. Her vital signs are P 100, R 26, BP 114/72, and SpO2 is
| | | | | | | | | | | | | | | | |
98% on room air. You should suspect: - CORRECT ANSWER✔✔-hypoglycemia
| | | | | | | | | |
A 38-year-old female was found unresponsive in her car by her son. He tells you
| | | | | | | | | | | | | | |
she overdosed on heroin, and he administered Narcan® intranasally before
| | | | | | | | | |
starting CPR four minutes ago. Upon your arrival, she starts to move. She has a
| | | | | | | | | | | | | | |
carotid pulse and gasping respirations once every 15 seconds. You should next: -
| | | | | | | | | | | | |
CORRECT ANSWER✔✔-assist her ventilation | | |
An unresponsive 27-year-old female vomited after she ingested a bottle of
| | | | | | | | | | |
aspirin. Her skin is diaphoretic and hot. Her vital signs are P 114, R 24 and deep,
| | | | | | | | | | | | | | | | |
BP 82/60, and SpO2 is 95% on room air. Which of the following will provide the
| | | | | | | | | | | | | | | |
,most accurate, up-to-date information on how to manage her condition? -
| | | | | | | | | | |
CORRECT ANSWER✔✔-contacting poison control
| | |
When placing a morbidly obese patient on the stretcher, why shouldn't you place
| | | | | | | | | | | | |
him/her supine or in full Fowler's position? - CORRECT ANSWER✔✔-movement of
| | | | | | | | | |
the diaphragm is restricted
| | | |
Why would the fontanel of an 8-month-old female who has meningitis bulge? -
| | | | | | | | | | | | |
CORRECT ANSWER✔✔-the ICP has increased | | | |
How do kidneys assist in buffering the PH of the blood? - CORRECT ANSWER✔✔-
| | | | | | | | | | | | |
they produce biocarbonate
| |
A 91-year-old female complains of difficulty breathing. You auscultate fine
| | | | | | | | | |
crackles in her lower lungs. While assessing her lower legs, you observe large
| | | | | | | | | | | | |
areas of dry, crusted scabs on her skin. You should administer oxygen and: -
| | | | | | | | | | | | | |
CORRECT ANSWER✔✔-assess her vital signs | | | |
A 67-year-old female complains of crampy abdominal pain. She tells you she has
| | | | | | | | | | | | |
diarrhea and mucus in her stool. Her vital signs are P 94, R 16, BP 136/84, and
| | | | | | | | | | | | | | | | |
SpO2 is 96% on room air. You should: - CORRECT ANSWER✔✔-transport her in a
| | | | | | | | | | | | | |
position of comfort | |
An 11-year-old male who has a history of autism has difficulty breathing. You
| | | | | | | | | | | | |
observe intercostal retractions, and he answers basic questions. While caring for
| | | | | | | | | | |
him, you should: - CORRECT ANSWER✔✔-only preform necessary assessments
| | | | | | | | |
and treatments
|
,You are assessing a newborn female one minute after she was born. Her body is
| | | | | | | | | | | | | | |
pink, and her extremities are blue. She has a strong cry. She has some movement
| | | | | | | | | | | | | | |
of her extremities and withdraws her foot when you tap it. Her vital signs are P
| | | | | | | | | | | | | | | |
168 and R 56. You should suspect she: - CORRECT ANSWER✔✔-is healthy
| | | | | | | | | | |
A 59-year-old male complains of abdominal pain and dizziness. He tells you he
| | | | | | | | | | | | |
had a kidney transplant six months ago. His skin is warmer than normal and
| | | | | | | | | | | | | |
diaphoretic. His abdomen is rigid, and his pain increases when you release the
| | | | | | | | | | | | |
pressure after you palpate his abdomen. His vital signs are P 106, R 22, BP
| | | | | | | | | | | | | | |
122/90, and SpO2 is 93% on room air. You should: - CORRECT ANSWER✔✔-
| | | | | | | | | | | |
adminster oxygen |
A pregnant 25-year-old female tells you that she feels the baby delivering. When
| | | | | | | | | | | | |
you examine her, you see a loop of the umbilical cord. You should administer
| | | | | | | | | | | | | |
oxygen and transport after: - CORRECT ANSWER✔✔-inserting your fingers into
| | | | | | | | | |
her vagina and pushing the neonate off the cord.
| | | | | | | |
An unresponsive 7-month-old male is found next to a bottle of his grandmother's
| | | | | | | | | | | | |
oxycontin. There are several tablets on the floor next to him. His skin is cyanotic,
| | | | | | | | | | | | | | |
and you observe occasional gasping respirations. You should suspect: - CORRECT
| | | | | | | | | | |
ANSWER✔✔-ingestion of an opioid | | |
An 84-year-old male tells you that he is hearing and seeing demons. He has a
| | | | | | | | | | | | | | |
history of schizophrenia. He denies any other complaints. His vital signs are P 64,
| | | | | | | | | | | | | |
R 12, BP 122/74, and SpO2 is 98% on room air. You should: - CORRECT
| | | | | | | | | | | | | | |
ANSWER✔✔-tell him you cannot see or hear them | | | | | | |
, A febrile 66-year-old female complains of chills and body aches. She tells you she
| | | | | | | | | | | | | |
removed a tick from her back yesterday. You observe a 3 cm circle of reddened
| | | | | | | | | | | | | | |
skin that is normal in the center. You should: - CORRECT ANSWER✔✔-assess her
| | | | | | | | | | | | |
vital signs |
What is the mechanism of action of naloxone when administered for opioid
| | | | | | | | | | | |
overdoses? - CORRECT ANSWER✔✔-it antagonizes opioid effects by competing
| | | | | | | | |
for the same receptor sites.
| | | |
A 54-year-old male complains of abdominal pain. He tells you he has had
| | | | | | | | | | | | |
generalized crampy pain and diarrhea for three days. His abdomen is soft to
| | | | | | | | | | | | |
palpation. His vital signs are P 90, R 16, BP 142/86, and SpO2 is 96% on room air.
| | | | | | | | | | | | | | | | | |
You should suspect: - CORRECT ANSWER✔✔-Gastroenteritis
| | | | |
You are called to a school for a 9-year-old male who was acting strangely. His
| | | | | | | | | | | | | | |
teacher tells you that during class, he had several episodes of sitting at his desk
| | | | | | | | | | | | | | |
staring into space and briefly not responding. He answers your questions
| | | | | | | | | | |
correctly and tells you he does not remember the episodes. What type of seizure
| | | | | | | | | | | | | |
should you suspect? - CORRECT ANSWER✔✔-absence
| | | | |
A 72-year-old male complains of pain in his back. His daughter tells you he has a
| | | | | | | | | | | | | | | |
history of dementia, and he is confused. You observe several half inches by four
| | | | | | | | | | | | | |
inches ecchymotic stripes across his back in various stages of healing. His
| | | | | | | | | | | |
daughter volunteers that the marks are shingles. You should: - CORRECT
| | | | | | | | | | |
ANSWER✔✔-ask him about the bruise while alone en route to the hospital. | | | | | | | | | | |
An unresponsive 18-year-old female is obviously in her third trimester of
| | | | | | | | | | |
pregnancy. Bystanders called when they saw her collapse and begin to have a
| | | | | | | | | | | | |
seizure. She is no longer seizing, but she is postictal. Her face, hands, ankles, and
| | | | | | | | | | | | | | |
