NREMT EMT Cognitive Final Exam
Questions and Answers
When assessing a conscious patient with an MOI that suggests spinal injury, you
should: - Correct Answers -determine if the strength in all extremities is equal.
During your assessment of a 20-year-old man with a severe headache and nausea, you
ask him when his headache began, but he does not answer your question immediately.
You should: - Correct Answers -allow him time to think about the question and respond
to it.
While at the scene of a motor vehicle crash, you determine that there are two critically
injured patients and that another ambulance is needed. You attempt to contact the
dispatcher with your portable radio but are unsuccessful. You should: - Correct Answers
-use the mobile radio in the ambulance to contact dispatch.
The MOST prominent symptom of decompression sickness is: - Correct Answers -
abdominal or joint pain.
You respond to a call for an unknown emergency. When you arrive at the scene, the
patient's husband meets you at the door and states that his wife has been depressed
and has locked herself in an upstairs bedroom. He further tells you that he keeps his
handgun in the bedroom. You should: - Correct Answers -remain in a safe place and
request law enforcement.
A 19-year-old male was stung multiple times by fire ants. He is experiencing obvious
signs and symptoms of anaphylactic shock. You administer 100% oxygen and give him
epinephrine via subcutaneous injection. Upon reassessment, you determine that his
condition has not improved. You should: - Correct Answers -repeat the epinephrine
injection after consulting with medical control.
The meninges, along with the cerebrospinal fluid (CSF) that circulates in between each
meningeal layer, function by: - Correct Answers -acting as a shock absorber for the
brain and spinal cord.
Your priority in caring for a patient with a surface contact poisoning is to: - Correct
Answers -avoid contaminating yourself.
A severe risk of terrorist attacks is indicated by the color _____ by the Department of
Homeland Security Security Advisory System. - Correct Answers -red
,When enlisting the help of an interpreter who signs, it is important for you to ask the
interpreter to: - Correct Answers -report exactly what the patient signs and not to add
any commentary.
Which of the following statements regarding striated muscle is correct? - Correct
Answers -It forms the major muscle mass of the body and usually crosses at least one
joint.
A mother who is pregnant with her first baby is typically in the first stage of labor for
approximately: - Correct Answers -16 hours
You respond to the residence of a 70-year-old male who complains of weakness and
severe shortness of breath. His wife tells you that he is a dialysis patient, but has
missed his last two treatments. After applying high-flow oxygen, you auscultate his
lungs and hear diffuse rhonchi. The patient is conscious, but appears confused. His
blood pressure is 98/54 mm Hg, his pulse rate is 120 beats/min and irregular, and his
respirations are 24 breaths/min and labored. You should: - Correct Answers -leave him
in a sitting position, keep him warm, and prepare for immediate transport.
You are transporting a stable patient with a possible pneumothorax. The patient is
receiving 100% oxygen and has an oxygen saturation of 95%. During your
reassessment, you find that the patient is now confused, hypotensive, and profusely
diaphoretic. What is MOST likely causing this patient's deterioration? - Correct Answers
-compression of the aorta and vena cava
A 60-year-old male is found to be unresponsive, pulseless, and apneic. You should: -
Correct Answers -begin CPR until an AED is available.
Equipment and supplies that are carried on an ambulance should be stored: - Correct
Answers -according to the urgency and frequency of their use.
Upon arriving at the scene of a law enforcement tactical situation, you should ensure
your own safety and then: - Correct Answers -report to the incident commander for
instructions.
Which of the following statements regarding the scoop stretcher is NOT correct? -
Correct Answers -A scoop stretcher will provide adequate immobilization of a patient's
spinal column.
The exocrine gland of the pancreas secretes: - Correct Answers -pancreatic juice
In order to evaluate hazards present at the scene and determine the number of patients,
you should: - Correct Answers -perform a 360° walk-around of the scene
You are caring for a semiconscious man with left-sided paralysis. His airway is patent
and his respirations are 14 breaths/min with adequate tidal volume. Treatment for this
, patient should include: - Correct Answers -oxygen via a nonrebreathing mask, left
lateral recumbent position, and transport.
A patient who cannot remember the events that preceded his or her head injury is
experiencing: - Correct Answers -retrograde amnesia
A 50-year-old male was splashed in the eyes with radiator fluid when he was working on
his car. During your assessment, he tells you that he wears soft contact lenses. You
should: - Correct Answers -carefully remove the contact lenses and then irrigate his
eyes with saline.
You are ventilating an apneic woman with a bag-mask device. She has dentures, which
are tight-fitting. Adequate chest rise is present with each ventilation, and the patient's
oxygen saturation reads 96%. When you reassess the patency of her airway, you note
that her dentures are now loose, although your ventilations are still producing adequate
chest rise. You should: - Correct Answers -remove her dentures, resume ventilations,
and assess for adequate chest rise.
Which of the following statements regarding anaphylaxis is correct? - Correct Answers -
Anaphylaxis is characterized by airway swelling and hypotension.
The MOST reliable indicator of an underlying fracture is: - Correct Answers -point
tenderness
Which of the following conditions is more common in women than in men? - Correct
Answers -cystitis
Subcutaneous injections deliver the medication: - Correct Answers -between the skin
and the muscle.
Medications encased in a gelatin shell taken by mouth are called: - Correct Answers -
capsules
According to the rule of palm method for estimating the extent of a patient's burns, the
palm of the patient's hand is equal to _____ of his or her total BSA. - Correct Answers -
1%
A 31-year-old female is experiencing an acute asthma attack. She is conscious and
alert, but in obvious respiratory distress. After assisting her with her prescribed MDI, you
should: - Correct Answers -reassess the patient and document her response to the
medication.
In determining the potential for a terrorist attack, you should routinely observe all of the
following on every call, EXCEPT: - Correct Answers -weather conditions
Questions and Answers
When assessing a conscious patient with an MOI that suggests spinal injury, you
should: - Correct Answers -determine if the strength in all extremities is equal.
During your assessment of a 20-year-old man with a severe headache and nausea, you
ask him when his headache began, but he does not answer your question immediately.
You should: - Correct Answers -allow him time to think about the question and respond
to it.
While at the scene of a motor vehicle crash, you determine that there are two critically
injured patients and that another ambulance is needed. You attempt to contact the
dispatcher with your portable radio but are unsuccessful. You should: - Correct Answers
-use the mobile radio in the ambulance to contact dispatch.
The MOST prominent symptom of decompression sickness is: - Correct Answers -
abdominal or joint pain.
You respond to a call for an unknown emergency. When you arrive at the scene, the
patient's husband meets you at the door and states that his wife has been depressed
and has locked herself in an upstairs bedroom. He further tells you that he keeps his
handgun in the bedroom. You should: - Correct Answers -remain in a safe place and
request law enforcement.
A 19-year-old male was stung multiple times by fire ants. He is experiencing obvious
signs and symptoms of anaphylactic shock. You administer 100% oxygen and give him
epinephrine via subcutaneous injection. Upon reassessment, you determine that his
condition has not improved. You should: - Correct Answers -repeat the epinephrine
injection after consulting with medical control.
The meninges, along with the cerebrospinal fluid (CSF) that circulates in between each
meningeal layer, function by: - Correct Answers -acting as a shock absorber for the
brain and spinal cord.
Your priority in caring for a patient with a surface contact poisoning is to: - Correct
Answers -avoid contaminating yourself.
A severe risk of terrorist attacks is indicated by the color _____ by the Department of
Homeland Security Security Advisory System. - Correct Answers -red
,When enlisting the help of an interpreter who signs, it is important for you to ask the
interpreter to: - Correct Answers -report exactly what the patient signs and not to add
any commentary.
Which of the following statements regarding striated muscle is correct? - Correct
Answers -It forms the major muscle mass of the body and usually crosses at least one
joint.
A mother who is pregnant with her first baby is typically in the first stage of labor for
approximately: - Correct Answers -16 hours
You respond to the residence of a 70-year-old male who complains of weakness and
severe shortness of breath. His wife tells you that he is a dialysis patient, but has
missed his last two treatments. After applying high-flow oxygen, you auscultate his
lungs and hear diffuse rhonchi. The patient is conscious, but appears confused. His
blood pressure is 98/54 mm Hg, his pulse rate is 120 beats/min and irregular, and his
respirations are 24 breaths/min and labored. You should: - Correct Answers -leave him
in a sitting position, keep him warm, and prepare for immediate transport.
You are transporting a stable patient with a possible pneumothorax. The patient is
receiving 100% oxygen and has an oxygen saturation of 95%. During your
reassessment, you find that the patient is now confused, hypotensive, and profusely
diaphoretic. What is MOST likely causing this patient's deterioration? - Correct Answers
-compression of the aorta and vena cava
A 60-year-old male is found to be unresponsive, pulseless, and apneic. You should: -
Correct Answers -begin CPR until an AED is available.
Equipment and supplies that are carried on an ambulance should be stored: - Correct
Answers -according to the urgency and frequency of their use.
Upon arriving at the scene of a law enforcement tactical situation, you should ensure
your own safety and then: - Correct Answers -report to the incident commander for
instructions.
Which of the following statements regarding the scoop stretcher is NOT correct? -
Correct Answers -A scoop stretcher will provide adequate immobilization of a patient's
spinal column.
The exocrine gland of the pancreas secretes: - Correct Answers -pancreatic juice
In order to evaluate hazards present at the scene and determine the number of patients,
you should: - Correct Answers -perform a 360° walk-around of the scene
You are caring for a semiconscious man with left-sided paralysis. His airway is patent
and his respirations are 14 breaths/min with adequate tidal volume. Treatment for this
, patient should include: - Correct Answers -oxygen via a nonrebreathing mask, left
lateral recumbent position, and transport.
A patient who cannot remember the events that preceded his or her head injury is
experiencing: - Correct Answers -retrograde amnesia
A 50-year-old male was splashed in the eyes with radiator fluid when he was working on
his car. During your assessment, he tells you that he wears soft contact lenses. You
should: - Correct Answers -carefully remove the contact lenses and then irrigate his
eyes with saline.
You are ventilating an apneic woman with a bag-mask device. She has dentures, which
are tight-fitting. Adequate chest rise is present with each ventilation, and the patient's
oxygen saturation reads 96%. When you reassess the patency of her airway, you note
that her dentures are now loose, although your ventilations are still producing adequate
chest rise. You should: - Correct Answers -remove her dentures, resume ventilations,
and assess for adequate chest rise.
Which of the following statements regarding anaphylaxis is correct? - Correct Answers -
Anaphylaxis is characterized by airway swelling and hypotension.
The MOST reliable indicator of an underlying fracture is: - Correct Answers -point
tenderness
Which of the following conditions is more common in women than in men? - Correct
Answers -cystitis
Subcutaneous injections deliver the medication: - Correct Answers -between the skin
and the muscle.
Medications encased in a gelatin shell taken by mouth are called: - Correct Answers -
capsules
According to the rule of palm method for estimating the extent of a patient's burns, the
palm of the patient's hand is equal to _____ of his or her total BSA. - Correct Answers -
1%
A 31-year-old female is experiencing an acute asthma attack. She is conscious and
alert, but in obvious respiratory distress. After assisting her with her prescribed MDI, you
should: - Correct Answers -reassess the patient and document her response to the
medication.
In determining the potential for a terrorist attack, you should routinely observe all of the
following on every call, EXCEPT: - Correct Answers -weather conditions
