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NREMT PRACTICE TEST BANK - MULTIPLE
CHOICE|WELL REVISED ASSESSMENT EXAM
WITH PERFECT SOLUTIONS 2026
Which of the following is a common side effect of nitroglycerin?
• A:Nausea
• B:Headache
• C:Hypertension
• D:Anxiety - correct-answer -You selected B; This is correct!
Reason:
Because nitroglycerin (NTG) causes vasodilation, including the vessels within the
brain, cerebral blood flow increases following the administration of NTG. This
often causes a pounding headache for the patient. As uncomfortable as it is for
the patient, headaches are a common and expected side effect of the drug. The
vasodilatory effects of nitroglycerin could result in hypotension; therefore, the
patient's blood pressure should be carefully monitored. Nausea and anxiety are
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common symptoms of acute coronary syndrome; they are not common side
effects of nitroglycerin.
While assessing a patient with chest pain, you note that his pulse is irregular. This
indicates:
• A:acute myocardial infarction or angina pectoris.
• B:high blood pressure that is increasing cardiac workload.
• C:a dysfunction in the left side of the patient's heart
• D:abnormalities in the heart's electrical conduction system. - correct-answer -
You selected D; This is correct!
Reason:
An irregular pulse indicates abnormalities in the electrical conduction system of
the heart. The electrical conduction system, beginning with the sinoatrial node as
the primary pacemaker, is responsible for initiating the electrical impulses that
stimulate the myocardium to contract. An irregular pulse could indicate
potentially lethal arrhythmias that could result in cardiac arrest. You should
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document an irregular pulse and report this important finding to the emergency
department.
Which of the following statements regarding the automated external defibrillator
(AED) is correct?
• A:AEDs can safely be used in infants and children less than 8 years of age
• B:AEDs will analyze the patient's rhythm while CPR is in progress
• C:The AED should be applied to patients at risk for cardiac arrest
• D:The AED should not be used in patients with an implanted defibrillator -
correct-answer -You selected A; This is correct!
Reason:
According to the 2010 guidelines for CPR and Emergency Cardiac Care (ECC), the
AED can safely be used in infants and children less than 8 years of age. Although a
manual defibrillator is preferred in infants, an AED can be used. When using the
AED in infants and children, you should use pediatric pads and a dose-attenuating
system (energy reducer); however, if these features are not available, adult AED
pads should be used. The AED should only be applied to patients in cardiac arrest;
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if a patient is at risk for cardiac arrest, have the AED ready but not applied. The
AED will not analyze the cardiac rhythm if the patient is moving (ie, CPR is in
progress). AEDs can be used in patients with an automated implanted
cardioverter/defibrillator (AICD) or implanted pacemaker; ensure that the pads
are at least 1" away from the implanted device.
Which of the following is an abnormal finding when using the Cincinnati stroke
scale to assess a patient who presents with signs of a stroke?
• A:One arm drifts down compared with the other side.
• B:Both arms drift slowly and equally down to the patient's side.
• C:The patient's face is symmetrical when he or she smiles.
• D:One of the pupils is dilated and does not react to light. - correct-answer -The
correct answer is A;
Reason:
The Cincinnati Stroke Scale is used to assess patients suspected of experiencing a
stroke. It consists of three tests: speech, facial droop, and arm drift. Abnormality
in any one of these areas indicates a high probability of stroke. To test arm drift,
NREMT PRACTICE TEST BANK - MULTIPLE
CHOICE|WELL REVISED ASSESSMENT EXAM
WITH PERFECT SOLUTIONS 2026
Which of the following is a common side effect of nitroglycerin?
• A:Nausea
• B:Headache
• C:Hypertension
• D:Anxiety - correct-answer -You selected B; This is correct!
Reason:
Because nitroglycerin (NTG) causes vasodilation, including the vessels within the
brain, cerebral blood flow increases following the administration of NTG. This
often causes a pounding headache for the patient. As uncomfortable as it is for
the patient, headaches are a common and expected side effect of the drug. The
vasodilatory effects of nitroglycerin could result in hypotension; therefore, the
patient's blood pressure should be carefully monitored. Nausea and anxiety are
,2|Page
common symptoms of acute coronary syndrome; they are not common side
effects of nitroglycerin.
While assessing a patient with chest pain, you note that his pulse is irregular. This
indicates:
• A:acute myocardial infarction or angina pectoris.
• B:high blood pressure that is increasing cardiac workload.
• C:a dysfunction in the left side of the patient's heart
• D:abnormalities in the heart's electrical conduction system. - correct-answer -
You selected D; This is correct!
Reason:
An irregular pulse indicates abnormalities in the electrical conduction system of
the heart. The electrical conduction system, beginning with the sinoatrial node as
the primary pacemaker, is responsible for initiating the electrical impulses that
stimulate the myocardium to contract. An irregular pulse could indicate
potentially lethal arrhythmias that could result in cardiac arrest. You should
,3|Page
document an irregular pulse and report this important finding to the emergency
department.
Which of the following statements regarding the automated external defibrillator
(AED) is correct?
• A:AEDs can safely be used in infants and children less than 8 years of age
• B:AEDs will analyze the patient's rhythm while CPR is in progress
• C:The AED should be applied to patients at risk for cardiac arrest
• D:The AED should not be used in patients with an implanted defibrillator -
correct-answer -You selected A; This is correct!
Reason:
According to the 2010 guidelines for CPR and Emergency Cardiac Care (ECC), the
AED can safely be used in infants and children less than 8 years of age. Although a
manual defibrillator is preferred in infants, an AED can be used. When using the
AED in infants and children, you should use pediatric pads and a dose-attenuating
system (energy reducer); however, if these features are not available, adult AED
pads should be used. The AED should only be applied to patients in cardiac arrest;
, 4|Page
if a patient is at risk for cardiac arrest, have the AED ready but not applied. The
AED will not analyze the cardiac rhythm if the patient is moving (ie, CPR is in
progress). AEDs can be used in patients with an automated implanted
cardioverter/defibrillator (AICD) or implanted pacemaker; ensure that the pads
are at least 1" away from the implanted device.
Which of the following is an abnormal finding when using the Cincinnati stroke
scale to assess a patient who presents with signs of a stroke?
• A:One arm drifts down compared with the other side.
• B:Both arms drift slowly and equally down to the patient's side.
• C:The patient's face is symmetrical when he or she smiles.
• D:One of the pupils is dilated and does not react to light. - correct-answer -The
correct answer is A;
Reason:
The Cincinnati Stroke Scale is used to assess patients suspected of experiencing a
stroke. It consists of three tests: speech, facial droop, and arm drift. Abnormality
in any one of these areas indicates a high probability of stroke. To test arm drift,
