1
NREMT Practice Test Bank - Multiple
Choice Questions and Correct
Answers 2025. Graded A
A 16-year-old, 125-pound male ingested a bottle of aspirin approximately
20 minutes ago. Medical control orders you to administer activated
charcoal in a dose of 1 g/kg. How much activated charcoal should you
administer?
• A:54 g
• B:60 g
• C:51 g
• D:57 g - ANSYou selected D; This is correct!
Reason: First, you must determine the patient's weight in kilograms (kg).
Either of the following formulae can be used to convert pounds to
kilograms: Formula 1: weight (in pounds) ÷ 2.2 = weight in kg. Formula 2:
weight (in pounds) ÷ 2 - 10% = weight in kg. On the basis of the above
formulae, a 125-pound patient weighs 57 kg. Using formula 1, the equation
is as follows: 125 (weight in pounds) ÷ 2.2 = 56.81 (57 [rounded to the
nearest tenth]). Using formula 2, the equation is as follows: 125 (weight in
pounds) ÷ 2 = 62.5 (63 [rounded to the nearest tenth] - 6.3 (10% of 63) =
56.7 (57 [rounded to the nearest tenth]). Since the drug order is for 1 g/kg,
you should administer 57 g of activated charcoal to your 125-pound patient.
A 19-year-old female has a closed, swollen deformity to her left forearm.
You are unable to palpate a radial pulse and the skin distal to the injury is
1
, 2
cold and pale. Several attempts to contact medical control have failed and
you are approximately 45 miles away from the closest hospital. You should:
• A:apply an air splint to her forearm, keep her arm below the level of her
heart, place an icepack over the injury, and transport.
• B:begin transport at once, gently manipulate her arm en route until distal
circulation is restored, and apply an air splint.
• C:splint her entire arm with rigid board splints, elevate the limb above the
level of her heart, and transport immediately.
• D:make one attempt to restore distal circulation by applying gentle manual
traction in line with the long axis of the limb. - ANSThe correct answer is D;
Reason:
Cold, pale skin and an absent distal pulse indicates that blood flow distal to
the injury is compromised. You should notify medical control, who will likely
direct you to attempt to restore distal circulation. However, if you are unable
to contact medical control and your transport time will be lengthy, you
should make ONE attempt to restore distal circulation by applying gentle
manual traction in line with the long axis of the limb. Be careful, as
excessive manipulation can worsen the vascular problem. If you are
unsuccessful after one attempt, splint the limb in the most comfortable
position for the patient and transport at once. If distal circulation is restored,
splint the limb in whatever position allows the strongest distal pulse. You
should elevate the limb above the level of the heart to help minimize
swelling. An icepack may also help reduce pain and swelling.
2
, 3
A 19-year-old male was assaulted and has trauma to multiple body
systems. After performing your primary assessment and treating any
immediate life-threatening injuries, you should:
• A:obtain a full set of baseline vital signs.
• B:transport at once and intercept with ALS.
• C:perform a rapid head-to-toe assessment.
• D:fully immobilize his spine and transport. - ANSYou selected D; The
correct answer is C;
Reason:
After treating all life-threatening conditions found in the primary
assessment, you should perform a rapid head-to-toe assessment (rapid
body scan) to look for and treat other life threats. In many cases, patients
with trauma to multiple body systems have other life-threatening injuries
that are not readily apparent during the primary assessment. You should
obtain baseline vital signs as soon as possible; however, this should not
delay or interrupt your primary or rapid head-to-toe assessments. After
performing the primary and rapid head-to-toe assessments, fully immobilize
the patient's spine and transport to an appropriate hospital. Consider an
advanced life support (ALS) intercept, as long as it does not cause a
significant delay in transport.
A 21-year-old male was bitten on the left forearm by a dog. He is conscious
and alert and denies any other injuries. An animal control officer is at the
scene and has contained the dog. Your assessment of the patient's arm
reveals a large avulsion with a peeled back flap of skin. Distal circulation is
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, 4
adequate and the patient is able to feel and move his fingers. In addition to
bleeding control, you should:
• A:perform a rapid head-to-toe assessment.
• B:irrigate the wound for at least 15 minutes.
• C:replace the avulsed flap to its original position.
• D:apply oxygen via a nonrebreathing mask. - ANSThe correct answer is
C;
Reason:
An avulsion is an injury that separates various layers of soft tissue, usually
between the subcutaneous layer and fascia, so that they become
completely detached or hang as a flap. The patient's injury is isolated and
not life-threatening; therefore, a rapid head-to-toe assessment is not
indicated. Unless your protocols specify otherwise, oxygen is usually not
necessary for patients with isolated, non-life-threatening soft tissue injuries.
If the avulsed tissue is hanging from a small piece of skin, circulation
through the flap may be at risk. If you can, replace the avulsed flap to its
original position, as long as it is not visibly contaminated with dirt and/or
other foreign materials, and then cover the wound with a dry sterile
dressing. Unless the wound is grossly contaminated with dirt or debris,
irrigation is usually deferred until the patient is evaluated by a physician.
Furthermore, flushing an open wound may force dirt or other debris into the
wound, increasing the risk of infection.
A 21-year-old man partially amputated his right arm when the chainsaw he
was using to trim trees slipped. You can feel a weak radial pulse and his
4
NREMT Practice Test Bank - Multiple
Choice Questions and Correct
Answers 2025. Graded A
A 16-year-old, 125-pound male ingested a bottle of aspirin approximately
20 minutes ago. Medical control orders you to administer activated
charcoal in a dose of 1 g/kg. How much activated charcoal should you
administer?
• A:54 g
• B:60 g
• C:51 g
• D:57 g - ANSYou selected D; This is correct!
Reason: First, you must determine the patient's weight in kilograms (kg).
Either of the following formulae can be used to convert pounds to
kilograms: Formula 1: weight (in pounds) ÷ 2.2 = weight in kg. Formula 2:
weight (in pounds) ÷ 2 - 10% = weight in kg. On the basis of the above
formulae, a 125-pound patient weighs 57 kg. Using formula 1, the equation
is as follows: 125 (weight in pounds) ÷ 2.2 = 56.81 (57 [rounded to the
nearest tenth]). Using formula 2, the equation is as follows: 125 (weight in
pounds) ÷ 2 = 62.5 (63 [rounded to the nearest tenth] - 6.3 (10% of 63) =
56.7 (57 [rounded to the nearest tenth]). Since the drug order is for 1 g/kg,
you should administer 57 g of activated charcoal to your 125-pound patient.
A 19-year-old female has a closed, swollen deformity to her left forearm.
You are unable to palpate a radial pulse and the skin distal to the injury is
1
, 2
cold and pale. Several attempts to contact medical control have failed and
you are approximately 45 miles away from the closest hospital. You should:
• A:apply an air splint to her forearm, keep her arm below the level of her
heart, place an icepack over the injury, and transport.
• B:begin transport at once, gently manipulate her arm en route until distal
circulation is restored, and apply an air splint.
• C:splint her entire arm with rigid board splints, elevate the limb above the
level of her heart, and transport immediately.
• D:make one attempt to restore distal circulation by applying gentle manual
traction in line with the long axis of the limb. - ANSThe correct answer is D;
Reason:
Cold, pale skin and an absent distal pulse indicates that blood flow distal to
the injury is compromised. You should notify medical control, who will likely
direct you to attempt to restore distal circulation. However, if you are unable
to contact medical control and your transport time will be lengthy, you
should make ONE attempt to restore distal circulation by applying gentle
manual traction in line with the long axis of the limb. Be careful, as
excessive manipulation can worsen the vascular problem. If you are
unsuccessful after one attempt, splint the limb in the most comfortable
position for the patient and transport at once. If distal circulation is restored,
splint the limb in whatever position allows the strongest distal pulse. You
should elevate the limb above the level of the heart to help minimize
swelling. An icepack may also help reduce pain and swelling.
2
, 3
A 19-year-old male was assaulted and has trauma to multiple body
systems. After performing your primary assessment and treating any
immediate life-threatening injuries, you should:
• A:obtain a full set of baseline vital signs.
• B:transport at once and intercept with ALS.
• C:perform a rapid head-to-toe assessment.
• D:fully immobilize his spine and transport. - ANSYou selected D; The
correct answer is C;
Reason:
After treating all life-threatening conditions found in the primary
assessment, you should perform a rapid head-to-toe assessment (rapid
body scan) to look for and treat other life threats. In many cases, patients
with trauma to multiple body systems have other life-threatening injuries
that are not readily apparent during the primary assessment. You should
obtain baseline vital signs as soon as possible; however, this should not
delay or interrupt your primary or rapid head-to-toe assessments. After
performing the primary and rapid head-to-toe assessments, fully immobilize
the patient's spine and transport to an appropriate hospital. Consider an
advanced life support (ALS) intercept, as long as it does not cause a
significant delay in transport.
A 21-year-old male was bitten on the left forearm by a dog. He is conscious
and alert and denies any other injuries. An animal control officer is at the
scene and has contained the dog. Your assessment of the patient's arm
reveals a large avulsion with a peeled back flap of skin. Distal circulation is
3
, 4
adequate and the patient is able to feel and move his fingers. In addition to
bleeding control, you should:
• A:perform a rapid head-to-toe assessment.
• B:irrigate the wound for at least 15 minutes.
• C:replace the avulsed flap to its original position.
• D:apply oxygen via a nonrebreathing mask. - ANSThe correct answer is
C;
Reason:
An avulsion is an injury that separates various layers of soft tissue, usually
between the subcutaneous layer and fascia, so that they become
completely detached or hang as a flap. The patient's injury is isolated and
not life-threatening; therefore, a rapid head-to-toe assessment is not
indicated. Unless your protocols specify otherwise, oxygen is usually not
necessary for patients with isolated, non-life-threatening soft tissue injuries.
If the avulsed tissue is hanging from a small piece of skin, circulation
through the flap may be at risk. If you can, replace the avulsed flap to its
original position, as long as it is not visibly contaminated with dirt and/or
other foreign materials, and then cover the wound with a dry sterile
dressing. Unless the wound is grossly contaminated with dirt or debris,
irrigation is usually deferred until the patient is evaluated by a physician.
Furthermore, flushing an open wound may force dirt or other debris into the
wound, increasing the risk of infection.
A 21-year-old man partially amputated his right arm when the chainsaw he
was using to trim trees slipped. You can feel a weak radial pulse and his
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