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NREMT PRACTICE TEST BANK NEWEST WITH
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS| BRAND NEW VERSION!
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 - - ANS✔️--You 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
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(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 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. - - ANS✔️--You 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
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assessment of the patient's arm reveals a large avulsion with a peeled back flap of skin. Distal
circulation is 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. - - ANS✔️--The 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.
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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 arm is cool to the touch. Dark red blood is
flowing heavily from the wound. You should:
• A:control the bleeding, manipulate the arm to improve circulation, and apply a splint.
• B:apply bulky compression dressings to the wound and splint the extremity.
• C:carefully pack sterile dressings into the wound and fully splint the extremity.
• D:apply a tourniquet proximal to the injury and tighten it until the bleeding stops. - - ANS✔️--
The correct answer is B;
Reason:
When caring for a partially amputated extremity, control bleeding with bulky compression
(pressure) dressings and splint the extremity to prevent further injury. If direct pressure does not
immediately control the bleeding, however, a proximal tourniquet should be applied without
delay. Never pack dressings into a wound; this may cause further damage and increases the risk
of infection. Although your patient's radial pulse is weak, it is present and indicates blood flow
distal to the injury. Do not manipulate his arm; doing so may lacerate or compress an artery and
compromise distal circulation.
A 22-year-old female fell on her knee and is in severe pain. Her knee is flexed and severely
deformed. Her leg is cold to the touch and you are unable to palpate a distal pulse. You should:
• A:carefully straighten her leg until you restore a distal pulse and then apply padded board
splints.
• B:apply gentle longitudinal traction as you straighten her leg and then apply a traction splint.
NREMT PRACTICE TEST BANK NEWEST WITH
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS| BRAND NEW VERSION!
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 - - ANS✔️--You 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
,2|Page
(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 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. - - ANS✔️--You 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
,3|Page
assessment of the patient's arm reveals a large avulsion with a peeled back flap of skin. Distal
circulation is 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. - - ANS✔️--The 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.
, 4|Page
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 arm is cool to the touch. Dark red blood is
flowing heavily from the wound. You should:
• A:control the bleeding, manipulate the arm to improve circulation, and apply a splint.
• B:apply bulky compression dressings to the wound and splint the extremity.
• C:carefully pack sterile dressings into the wound and fully splint the extremity.
• D:apply a tourniquet proximal to the injury and tighten it until the bleeding stops. - - ANS✔️--
The correct answer is B;
Reason:
When caring for a partially amputated extremity, control bleeding with bulky compression
(pressure) dressings and splint the extremity to prevent further injury. If direct pressure does not
immediately control the bleeding, however, a proximal tourniquet should be applied without
delay. Never pack dressings into a wound; this may cause further damage and increases the risk
of infection. Although your patient's radial pulse is weak, it is present and indicates blood flow
distal to the injury. Do not manipulate his arm; doing so may lacerate or compress an artery and
compromise distal circulation.
A 22-year-old female fell on her knee and is in severe pain. Her knee is flexed and severely
deformed. Her leg is cold to the touch and you are unable to palpate a distal pulse. You should:
• A:carefully straighten her leg until you restore a distal pulse and then apply padded board
splints.
• B:apply gentle longitudinal traction as you straighten her leg and then apply a traction splint.
