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NREMT PRACTICE TEST BANK -
MULTIPLE CHOICE 2026 QUESTIONS
AND ANSWERS | A+ GRADED | WITH
EXPERT SOLUTIONS
Hypoglycemia and acute ischemic stroke can present similarly
because:
• A:both oxygen and glucose are needed for brain function.
• B:the majority of stroke patients have a history of diabetes.
• C:the most common cause of a stroke is hypoglycemia.
• D:they are both caused by low levels of glucose in the blood. -
correct answer-• A:both oxygen and glucose are needed for brain
function.
Reason: Although stroke and hypoglycemia are two distinctly
different conditions, their signs and symptoms are often similar.
This is because the brain requires both oxygen and glucose to
function normally. An acute ischemic stroke is caused by a lack of
oxygen to a part of the brain due to a blocked cerebral artery,
whereas hypoglycemia (low blood glucose level) deprives the
entire brain of glucose. In either case, the patient presents with
signs of impaired brain function (ie, slurred speech, weakness,
altered mental status). Both conditions may lead to permanent
brain damage or death if not treated promptly.
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When dealing with an emotionally disturbed patient, you should
be MOST concerned with:
• A:gathering all of the patient's medications.
• B:safely transporting to the hospital.
• C:whether the patient could harm you.
• D:obtaining a complete medical history. - correct answer-You
selected C; This is correct!
Reason: When managing any patient with an emotional or
psychiatric crisis, your primary concern is your own safety. Safely
transporting the patient to the hospital is your ultimate goal. If
possible, you should attempt to obtain a medical history and
should take any of the patient's prescribed medications to the
hospital. However, this should not supercede your own safety or
interfere with safely transporting the patient.
You are at the scene where a man panicked while swimming in a
small lake. Your initial attempt to rescue him should include:
• A:rowing a small raft to the victim.
• B:reaching for the victim with a long stick.
• C:throwing a rope to the victim.
• D:swimming to the victim to rescue him. - correct answer-You
selected B; This is correct!
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Reason: General rules to follow when attempting to rescue a
patient from the water include "reach, throw, row, and then go." In
this case, you should attempt to reach the victim by having him
grab hold of a large stick or similar object. If this is unsuccessful,
throw the victim a rope or flotation device (if available). If these
are not available, row to the patient in a small raft (if available).
Going into the water to retrieve the victim is a last resort. The
rescuer must be a strong swimmer because patients who are in
danger of drowning are in a state of blind panic and will make
every attempt to keep themselves afloat, even if it means forcing
the rescuer underwater.
How should you classify a patient's nature of illness if he or she
has a low blood glucose level, bizarre behavior, and shallow
breathing?
• A:Behavioral emergency
• B:Altered mental status
• C:Respiratory emergency
• D:Cardiac compromise - correct answer-The correct answer is
B;
Reason: The nature of illness (NOI) is the medical equivalent to
mechanism of injury (MOI). Altered mental status should be the
suspected NOI in any patient with any fluctuation in level of
consciousness, which can range from bizarre behavior to
complete unresponsiveness. Causes of an altered mental status
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include hypo- or hyperglycemia, head trauma, stroke, behavioral
crises, drug overdose, and shock, among others.
A young female is unresponsive after overdosing on an unknown
type of drug. Her respirations are slow and shallow and her pulse
is slow and weak. Which of the following drugs is the LEAST likely
cause of her condition?
• A:Seconal
• B:Heroin
• C:Cocaine
• D:Valium - correct answer-The correct answer is C;
Reason: Of the drugs listed, cocaine would be the least likely
cause of the patient's condition. Cocaine is a central nervous
system (CNS) stimulant; you would expect her to be hypertensive,
tachycardic, tachypneic, and perhaps even violent. Heroin,
Valium, and Seconal are all CNS depressants and could explain
her condition. Heroin is an illegal narcotic (opiate), Valium is a
benzodiazepine sedative-hypnotic drug, and Seconal is a
barbiturate. Narcotics, benzodiazepines, and barbiturates are all
CNS depressants. When taken in excess, they cause a
decreased level of consciousness, respiratory depression,
bradycardia, and hypotension.
Activated charcoal is contraindicated for a patient who is:
NREMT PRACTICE TEST BANK -
MULTIPLE CHOICE 2026 QUESTIONS
AND ANSWERS | A+ GRADED | WITH
EXPERT SOLUTIONS
Hypoglycemia and acute ischemic stroke can present similarly
because:
• A:both oxygen and glucose are needed for brain function.
• B:the majority of stroke patients have a history of diabetes.
• C:the most common cause of a stroke is hypoglycemia.
• D:they are both caused by low levels of glucose in the blood. -
correct answer-• A:both oxygen and glucose are needed for brain
function.
Reason: Although stroke and hypoglycemia are two distinctly
different conditions, their signs and symptoms are often similar.
This is because the brain requires both oxygen and glucose to
function normally. An acute ischemic stroke is caused by a lack of
oxygen to a part of the brain due to a blocked cerebral artery,
whereas hypoglycemia (low blood glucose level) deprives the
entire brain of glucose. In either case, the patient presents with
signs of impaired brain function (ie, slurred speech, weakness,
altered mental status). Both conditions may lead to permanent
brain damage or death if not treated promptly.
, Page | 2
When dealing with an emotionally disturbed patient, you should
be MOST concerned with:
• A:gathering all of the patient's medications.
• B:safely transporting to the hospital.
• C:whether the patient could harm you.
• D:obtaining a complete medical history. - correct answer-You
selected C; This is correct!
Reason: When managing any patient with an emotional or
psychiatric crisis, your primary concern is your own safety. Safely
transporting the patient to the hospital is your ultimate goal. If
possible, you should attempt to obtain a medical history and
should take any of the patient's prescribed medications to the
hospital. However, this should not supercede your own safety or
interfere with safely transporting the patient.
You are at the scene where a man panicked while swimming in a
small lake. Your initial attempt to rescue him should include:
• A:rowing a small raft to the victim.
• B:reaching for the victim with a long stick.
• C:throwing a rope to the victim.
• D:swimming to the victim to rescue him. - correct answer-You
selected B; This is correct!
, Page | 3
Reason: General rules to follow when attempting to rescue a
patient from the water include "reach, throw, row, and then go." In
this case, you should attempt to reach the victim by having him
grab hold of a large stick or similar object. If this is unsuccessful,
throw the victim a rope or flotation device (if available). If these
are not available, row to the patient in a small raft (if available).
Going into the water to retrieve the victim is a last resort. The
rescuer must be a strong swimmer because patients who are in
danger of drowning are in a state of blind panic and will make
every attempt to keep themselves afloat, even if it means forcing
the rescuer underwater.
How should you classify a patient's nature of illness if he or she
has a low blood glucose level, bizarre behavior, and shallow
breathing?
• A:Behavioral emergency
• B:Altered mental status
• C:Respiratory emergency
• D:Cardiac compromise - correct answer-The correct answer is
B;
Reason: The nature of illness (NOI) is the medical equivalent to
mechanism of injury (MOI). Altered mental status should be the
suspected NOI in any patient with any fluctuation in level of
consciousness, which can range from bizarre behavior to
complete unresponsiveness. Causes of an altered mental status
, Page | 4
include hypo- or hyperglycemia, head trauma, stroke, behavioral
crises, drug overdose, and shock, among others.
A young female is unresponsive after overdosing on an unknown
type of drug. Her respirations are slow and shallow and her pulse
is slow and weak. Which of the following drugs is the LEAST likely
cause of her condition?
• A:Seconal
• B:Heroin
• C:Cocaine
• D:Valium - correct answer-The correct answer is C;
Reason: Of the drugs listed, cocaine would be the least likely
cause of the patient's condition. Cocaine is a central nervous
system (CNS) stimulant; you would expect her to be hypertensive,
tachycardic, tachypneic, and perhaps even violent. Heroin,
Valium, and Seconal are all CNS depressants and could explain
her condition. Heroin is an illegal narcotic (opiate), Valium is a
benzodiazepine sedative-hypnotic drug, and Seconal is a
barbiturate. Narcotics, benzodiazepines, and barbiturates are all
CNS depressants. When taken in excess, they cause a
decreased level of consciousness, respiratory depression,
bradycardia, and hypotension.
Activated charcoal is contraindicated for a patient who is:
